NR 222 Health and Wellness Verified Test Bank 2024/2025- Actual & Practices Exam Included, Exams of Nursing

Download NR 222 Health and Wellness Verified Test Bank 2024/2025- Actual & Practices Exam Included and more Exams Nursing in PDF only on Docsity! Chamberlain College of Nursing NR 222 Health and Wellness Verified Test Bank- Actual & Practice Exam Included Latest Update Complete Guide NR 222 FINAL EXAM 1 1.) The nurse is to instruct the client about the long- term consequences of non-compliance to prescribed medication. Which education strategy would be most appropriate for the nurse to use in order to develop the affective learning domain of the client? • A. Lecture followed by a simple written test. B. Role playing and group discussion • C. Video presentation and handouts • D. Demonstration and practice 2.) A nurse manager is teaching a group of nurses about the levels of prevention. Which example of the tertiary level of prevention should be included in the instruction. • A. Surgery to repair a hip dislocation of an older adult client. • B. Teaching breastfeeding to expectant mothers in a prenatal clinic. • C. Chemotherapy treatment to a client newly diagnosed with cancer. • D. Physical therapy to a patient who has a right sided paralysis from a stroke. 3.) A nurse is establishing health promotion goals for a female client who smokes cigarettes, has hypertension and has a BMI of 26. Which of the following goals should the nurse include? • A. The client will list foods that are high in calcium, which should be avoided. • B. The client will walk for 30 mins a day 5 days a week. • C. The client will increase calorie intake by 200 cal per day. • D. The client will replace cigarettes with smokeless tobacco products. 4.) Which of the following emphasizes that an individuals belief in being personally capable of preforming the behavior is required to influence one’s own health? A. Social Cognitive Theory B. Self–Efficacy Theory C. Health Belief Model D. Theoretical Model 5.) The nurse is discussing the importance of routine preventive care with a Hispanic family who has recently immigrated to the United States. Which factor will the nurse consider as a barrier in the family’s interest to receive professional health care? Select All That Apply • F. The availability of family member for support and help. 13.) Which statement by the nurse best describes values? A. Values are not constant; they change over time. • B. Values learned in childhood remain the same for a lifetime. • C. It is impossible for people to understand their own values. • D. The clients values are not considered when care is provided. 14.) Which educational strategy would be most appropriate to use in order to provide affective learning domain of the client? • A. Lecture followed by simple written test • B. Video presentation and handouts C. Role playing and group discussion • D. Demonstration and practice 15.) The American Nurses Association (ANA) has recommended the following competency for RNs? A. The RN’s to recognize their own values, beliefs, and cultural heritage. • B. The RNs to function independently and occasionally engage in collaboration. • C. The RNs to be concerned about the existence of vulnerable cultural groups. • D. The RNs to provide health care opportunities to those with financial capabilities. 16.) An RN is teaching a group of patients about Diabetes Management material from a Diabetes Education Program. Which of the following should an RN prepare prior to each teaching session? • A. Plan handouts on general principles that patients can understand materials at the high school level. • B. Implement changes during class whenever a patient complains the material is too difficult to understand. C. Assess materials to be relevant plan changes according to the needs of patients, implement teaching according to the patients ability to understand the information. • D. Assess, plan, implement, and evaluate teaching materials only according to the recommendations of the director of nursing. 17.) Which statement is true regarding secondary prevention? • A. The nurse creates a care plan for the patients outpatient therapy. B. The nurse identifies individuals in an early detectable state of the disease process. • C. The nurse focuses on increasing the patient’s self-care by providing prevention instructions. • D. The nurse is driven by the objective to minimize the effect of the disability through rehabilitation. 18.) One Leading Health Indicator (LHI) of Healthy People 2020 is the availability of medical services to all people. Which topic does this cover • A. Injury and Violence • B. Environmental Quality C. Access to Health Services • D. Clinical Preventative Services 19.) How would the nurse approach this ethical dilemma: Two patients are on the list for kidney transplants and they will both die without one. Which patient would get the one kidney that is immediately available for transplantation. • A. Choose the patients who has the ability to fiancé the hospitalization and treatment. • B. Advocate for the younger of the two clients since that client will live longer. C. Use ethical principles to guide the decision making process. • D. Select a client who is most productive in society. 20.) The leading health indicators found in Healthy People 2020 are the following: (Select all that apply) A. Access to health services • B. Holistic and CAM strategies C. Oral Health • D. Issues related to legal and illegal immigration E. Environmental health • F. Holistic Care 21.) Which statement best describes Erikson’s Theory of Development. • A. The premise of the theory is that individuals are interdependent beings. • B. Developmental stages result in an attempt to make sense of the world. • C. A healthy personality will achieve the pre-conventional stage by 15. D. An individuals achievements of identity is through sequential psychosocial stages. 22.) A patient with chest pain is being admitted to the ER. When asked about the next of kin the patients states, “Don’t bother calling my daughter; she is always too busy.” Which is best response by the nurse? • A. “She might be upset if you don’t call her.” • B. “ What does your daughter do that makes her so busy?” C. “Is there someone else that you would like me to call for you?” • D. “I cant imagine that your daughter wouldn’t want to know that you are sick.” 23.) A patient states, “Do you think I could have cancer?” The nurse responds, “What did the doctor tell you?” Which interviewing approach did the nurse use? • A. Paraphrasing • B. Confrontation • C. Reflective Technique D. Open-ended question 24.) A patient is admitted to the hospital with cirrhosis of the liver causes by long-term alcohol abuse. Which is the best response by the nurse when the patient says “I really don’t believe that my drinking a couple of beers a day has anything to do with my liver problem?” • A. “You find it hard to believe that beer can hurt the liver” • B. “How long is it that you have been drinking several beers a day?” • C. “ Each beer is equivalent to one shot of liquor so its just as damaging to the liver as hard liquor.” • D. “ Do you believe that beer is not harmful even though research shows that it is just as bad for you as hard liquor?” 25.) A patient is extremely upset and mentions something about work-related issues that the nurse cannot understand. Which is the nurses best response? • A. “Its natural to worry about your job.” • B. “ Your job must be very important to you.” • C. “Calm down so I can understand what you are saying.” D. “ I’m not quite sure I heard what you were saying about your work.” 26.) A nurse must conduct a focused interview to complete an admission history. Which interviewing technique should the nurse use? • A. Probing • B. Clarification C. Direct questions • D. Paraphrasing statements 27.) The home care nurse is visiting an older client whose spouse died 6 months ago. Which behaviors by the client indicates effective coping? A. Neglecting personal grooming NR 222 Health and Wellness-100% Verified Questions and Answers Exam 2 NR 222 Question 1 The nurse incorporates cultural considerations into the health teaching plan by: • Assessing a person's beliefs. • Using medical terminology • Presenting evidence-based information. • Explaining that universal health practices are the best. Question 2 The communication of health information in a manner which is clear and understandable to the client is known as: • Empowerment • Health literacy • Health disparities • Health education Question 3 Nurses have a responsibility to ensure health literacy when providing health education. What are some strategies that nurses can use to promote health literacy? (select all that apply) • Speak clearly and distinctly. • Speak louder than usual. • Use medical terminology. • Face the person when speaking. • Conclude with a summary of key points Question 4 The nurse utilizes strategies associated with client-centered communication by doing which of the following? (select all that apply) • Not being "too busy" to talk • Focusing on the nurse's views • Developing mutual understanding • Emphasizing the technical aspects of care • Using a conversational interviewing style • Tuning in to the client's preferences and style Question 5 What are some ethical standards that nurses can utilize for interpersonal communications? (select all that apply) • Communicate information accurately. • Take a laissez-faire approach to minimize conflict • Change the subject when unsure of the correct answer. • Be sensitive to gender and cultural context. • Communicate verbal and nonverbal messages in a congruent manner Question 6 Which of the following scenarios best describes a nurse using metacommunication? • Using both touch and silence when counseling an individual • Practicing reflection when interaction with an individual • Discussing with an individual how to solve a problem • Understanding that an individual needs a break before proceeding Question 7 The nurse is teaching a class to students of pediatric nursing on comparing the concepts of growth and development. Which statement most accurately represents these concepts? • Growth patterns are qualitative changes. • Growth is from the head to toe or cephalocaudal. • Development reflects an increase in the number and size of cells. • Development is a gradual change that includes advances in skills. Question 8 A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (Select all that apply) • Can deliver anticipatory guidance to families • Have a better understanding of genetics and genomics • Can meet the requirements of Healthy People 2020 • Can provide more effective health education Question 9 The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement? • Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases. • Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy. • Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early. • Offer all teenagers free condoms when they come in for physical exams. Question 10 Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age? • Accidents • Suicide • Cancer • Sport injuries Question 21 A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient’s ability to learn? • “What do you want to know about strokes?” • “Please read this handout and tell me what it means.” • “Do you feel strong enough to perform the tasks I will teach you?” • “On a scale from 1 to 10, tell me where you rank your desire to learn.” Question 22 The referent in the communication process is: • Information shared by the sender • The means of conveying messages • That which motivates the communication • The person who initiates the communication • Motivates one person to communicate with the other. Question 23 The nurse works with pediatric patients who have Diabetes. Which is the youngest age group to which the nurse can effectively teach psychomotor skills such as insulin administer? • Toddler • Preschool • School age • Adolescent Question 24 Demonstration of the principles of body mechanics used when transferring patients from bed to chair would be classified under which domain of learning? • social • affective • cognitive • psychomotor Question 25 According to Erikson, the developmental task of adolescence is : • Industry vs. inferiority • Identity vs. role confusion • Autonomy vs. shame and doubt • Role acceptance vs. role confusion According to Erikson's developmental theory, the primary developmental task if the middle years us to: • Achieve intimacy • Achieve generativity • Establish a set of personal values • Establish a sense of personal identity A nurse is measuring an infant’s head circumference and height. Which area is the nurse assessing? • Moral development • Cognitive development • Biophysical development • Psychosocial development A nurse is caring for a young adult after surgery. Which action by the nurse will be priority? • Allow involvement of peers • Allow involvement of partner • Allow involvement of volunteer activities • Allow involvement of consistent schedule The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority? • Maintain industry • Maintain identity • Maintain intimacy • Maintain initiative A mother has delivered a healthy newborn. Which action is priority? • Encourage close physical contact as soon as possible after birth. • Isolate the newborn in the nursery during the first hour after delivery. • Never leave the newborn alone with the mother during the first 8 hours after delivery. • Do not allow the newborn to remain with parents until the second hour after delivery. • After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents’ and newborn’s need for close physical contact. A nurse is working in the delivery room. Which action is priority immediately after birth? • Open the airway. • Determine gestational age. • Monitor infant-parent interactions. Question 26 Question 27 Question 28 Question 29 Question 30 Question 31 • Promote parent-newborn physical contact. A mother expresses concern because her 5-year-old child frequently talks about friends who don’t exist. What is the nurse’s best response to this mother’s concern? • “Have you considered a child psychological evaluation?” • “You should stop your child from playing electronic games.” • “Pretend play is a sign your child watches too much television.” • “It’s very normal for a child this age to have imaginary playmates.” Question 33 A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply). • Store toxic agents in locked cabinets • Keep toilet seats up • Turn pot handles toward the back of the stove • Place safety gates across stairways • Make sure balloons are fully inflated Question 34 Which statement, if made by a parent, will require further instruction from the nurse? • “I should not be surprised that my teenage son has so many friends.” • “I get worried because my teenage son thinks he’s indestructible.” • “I should cover for my 10-year-old son when he makes mistakes until he learns the ropes.” • “I usually have nutritious snacks available because my 10-year-old son is always hungry right after school.” Question 35 A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IPV? • White males • Pregnant females • Middle-aged adults • Nonsubstance abusers Question 36 Which information from the nurse indicates a correct understanding of emerging adulthood? • It is a type of young adulthood. • It is a type of extended adolescence. • It is a type of independent exploration. • It is a type of marriage and parenthood. Question 32 • 2, 5, 1, 3, 4 Question 48 According to Piaget, the school-age child is in the third stage of cognitive development, which is characterized by: • Concrete operations • Conventional thought • Post-conventional thought • Identity versus role diffusion Question 49 According to Kohlberg, children develop moral reasoning as they mature. Which of the following is most characteristic of a preschooler' stage of moral development? • The rules of correct behavior are obeyed. • Behavior that pleased others is considered good. • Showing respect for authority is important behavior. • Actions are determined as good or bad in terms of their consequences. Question 50 The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant? • Set of cards to organize and separate into groups • Set of sock puppets with movable eyes • Set of plastic stacking rings • Set of paperback book Socialization into one's primary culture as a child is known as enculturation. A 6-month-old child from Guatemala was adopted by an American family in Indiana. The child's socialization into the American midwestern culture is best described as: Assimilation. Acculturation. Biculturalism. Enculturation Assimilation results when an individual gradually adopts and incorporates the characteristics of the dominant culture. B) Adapted to and adopted the American culture. A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she did not celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now. This woman has experienced assimilation into the culture of the United States because she: A) Chose to be bicultural. B) Adapted to and adopted the American culture. C) Had an extremely negative experience with the American culture. D) Gave up part of her ethnic identity in favor of the American culture. D) Background, recognizing her biases and prejudices. Cultural awareness is an in-depth self-examination of one's own background, recognizing biases and prejudices and assumptions about other people. To enhance their cultural awareness, nursing students need to make an in-depth self-examination of their own: A) Motivation and commitment to caring. B) Social, cultural, and biophysical factors. C) Engagement in cross-cultural interactions. D) Background, recognizing her biases and prejudices. D) Acquiring specific knowledge, skills, and attitudes Which of the following is required in the delivery of culturally congruent care? A) Learning about vast cultures B) Motivation and commitment to caring C) Influencing treatment and care of patients D) Acquiring specific knowledge, skills, and attitudes C) "Do you bathe and use deodorant more than one time a week?" Nurses need to avoid stereotypes or unwarranted generalizations about any particular group that prevents further assessment of the individual's unique characteristics. A registered nurse is admitting a patient of French heritage to the hospital. Which question asked by the nurse indicates that the nurse is stereotyping the patient? A) "What are your dietary preferences?" B) "What time do you typically go to bed?" C) "Do you bathe and use deodorant more than one time a week?" D) "Do you have any health issues that we should know about?" A) Discrimination occurs. Prejudices associate negative permanent characteristics with people who are different from the valued group. When a person acts on these prejudices, discrimination occurs. When action is taken on one's prejudices: A) Discrimination occurs. B) Delivery of culturally congruent care is ensured. C) Effective intercultural communication develops. D) Sufficient comparative knowledge of diverse groups is obtained. C) Influence of socioeconomic factors in morbidity and mortality. Health disparity populations are populations that have a significant increased incidence or prevalence of disease or that have increased morbidity, mortality, or survival rates compared to the health status of the general population. A nursing student is doing a community health rotation in an inner-city public health department. The student investigates sociodemographic and health data of the people served by the health department, and detects disparities in health outcomes between the rich and poor. This is an example of a(n): A) Illness attributed to natural and biological forces. B) Creation of the student's interpretation and descriptions of the data. C) Influence of socioeconomic factors in morbidity and mortality. D) Combination of naturalistic, religious, and supernatural modalities. D) Suffered by a patient whose valued way of life is disregarded by practitioners. Patients suffer cultural pain when health care providers disregard values or cultural beliefs. Culture strongly influences pain expression and need for pain medication. However, cultural pain is: A) Not expressed verbally or physically. B) Expressed only to others from a similar culture. C) Usually more intense than physical pain. D) Suffered by a patient whose valued way of life is disregarded by practitioners. B) Advance directive Informed consent and advance directives protect the right of the individual to know and make decisions ensuring continuity of individual autonomy and self-determination. Which of the following best represents the dominant values in American society on individual autonomy and self-determination? A) Physician orders B) Advance directive C) Durable power of attorney D) Court-appointed guardian A) Ask the patient how much salt he is consuming each day In an Asian culture spoken messages often have little to do with their meanings. It is important for the nurse to clarify how much salt the patient is consuming in his diet. The nurse at an outpatient clinic asks a patient who is Chinese American with newly diagnosed hypertension if he is limiting his sodium intake as directed. The patient does not make eye contact with the nurse but nods his head. What should the nurse do next? A) Ask the patient how much salt he is consuming each day B) Discuss the health implications of sodium and hypertension C) Remind the patient that many foods such as soy sauce contain "hidden" sodium D) Suggest some low-sodium dietary alternatives C) Explore what has prevented her from being at the clinic in time for her appointment. Present-time orientation is in conflict with the dominant organizational norm in health care that emphasizes punctuality and adherence to appointments. Nurses need to expect conflicts and make adjustments when caring for ethnic groups. A female Jamaican immigrant has been late to her last two clinic visits, which in turn had to be rescheduled. The best action that the nurse could take to prevent the patient from being late to her next appointment is: A) Give her a copy of the city bus schedule. David's economic status is stretched. He has multiple resources for his son, but he is not insured. Thus, as a result, there is a potential that David does not follow through with personal health promotion activities. Although asthma is a chronic illness, this is well managed, and there is adequate health care for his son. David Singer is a single parent of a 3-year-old boy, Kevin. Kevin has well-managed asthma and misses day care infrequently. David is in school studying to be an information technology professional. His income and time are limited, and he admits to going to fast-food restaurants frequently for dinner. However, he and his son spend a lot of time together. David receives state-supported health care for his son, but he does not have health insurance or a personal physician. He has his son enrolled in a government-assisted day care program. Which of the following are risks to this family's level of health? (Select all that apply.) A) Economic status B) Chronic illness C) Underinsured D) Government-assisted day care B) Blended family. Blended families result when two people who have children from a previous marriage/relationship marry. The Cleric family, which includes a mother, stepfather, two teenage biological daughters of the mother, and a biological daughter of the father is an example of a(n): A) Nuclear family. B) Blended family. C) Extended family. D) Alternative family. A) Family goals B) Decision making C) Methods of discipline Clear and direct family communication assists the family in creating goals, decision making, progressing through the family development cycle, and coping with stressors. Which of the following are possible outcomes with clear family communication? (Select all that apply.) A) Family goals B) Decision making C) Methods of discipline D) Impaired coping B) Function. Communication is a component of family functioning, whether that be setting goals, coping, or establishing discipline. Family functioning is what the family does, and communication is an important component of function. Communication among family members is an example of family: A) Attributes. B) Function. C) Structure. D) Development. A) Family meetings B) Established family roles C) Willingness to change in time of stress Family hardiness is the internal strengths and durability of the family unit. It includes a sense of control over the outcome of life, a view of change as beneficial and growth producing, and an active orientation (such as family meetings) rather than passive orientation in adapting to stressful events. Family meetings, understanding of roles, and adaptation to stressors along with a willingness to change affect family hardiness. Which of the following contribute to family hardiness? (Select all that apply.) A) Family meetings B) Established family roles C) Willingness to change in time of stress D) Passive orientation to life A) Resuming full-time work when spouse loses job C) Developing hobbies when children leave home Family resiliency is the ability to cope with expected and unexpected stressors. Resiliency helps to evaluate healthy responses when individuals and families are experiencing stressful events. Which of the following demonstrate family resiliency? (Select all that apply.) A) Resuming full-time work when spouse loses job B) Arguing ways to deal with problems among siblings C) Developing hobbies when children leave home D) Placing blame on family members D) Health needs of an individual member. When you view the family as context, the primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient's family). Although the focus is on the individual's health status, assess how much the family provides the individual's basic needs. When nurses view the family as context, their primary focus is on the: A) Family members within a system. B) Family process and relationships. C) Family relational and transactional concepts. D) Health needs of an individual member. B) Family as patient When the family as patient is the approach, family processes and relationships (e.g., parenting or family caregiving) are the primary focuses of nursing care. Diane is a hospice nurse who is caring for the Robinson family. This family is providing end-of-life care for their grandmother, who has terminal breast cancer. When Diane visits the home 3 times a week, she focuses on symptom management for the grandmother and assists the family with coping skills. Diane's approach is an example of which of the following? A) Family as context B) Family as patient C) Family as system D) Family as structure A) Cultural practices B) Decision making C) Rituals and celebrations Cultural practices help identify culturally related health practices, diets, and religious practices. Decision making provides information as to how the family copes and meets challenges related to changes in family life or dynamics. Rituals and celebrations address how a family celebrates accomplishments and how they deal with challenges. Neighborhood crime data are relevant for community assessment, but they do not give sufficient information about family function. Which of the following are included in a family function assessment? (Select all that apply.) A) Cultural practices B) Decision making C) Rituals and celebrations D) Neighborhood crime data D) Alternative family relationship This relationship includes multiadult households, "skip-generation" families, communal groups with children, "nonfamilies," cohabitating partners, and homosexual couples. Karen Johnson is a single mother of a school-age daughter. Linda Brown is also a single mother of two teenage daughters. Karen and Linda are active professionals, have busy social lives, and date occasionally. Three years ago they decided to share a house and housing costs, living expenses, and child care responsibilities. The children consider one another as their family. This family form is considered a(n): A) Diverse family relationship. B) Blended family relationship. C) Extended family relationship. D) Alternative family relationship A) Health promotion activities Health promotion activities focus on interventions designed to maintain the physical, social, emotional, and spiritual health of the family unit. They can include information about specific health behaviors, family coping techniques, and growth and development. During a visit to a family clinic the nurse teaches the mother about immunizations, car seat use, and home safety for an infant and toddler. Which type of nursing interventions are these? A) Health promotion activities B) Acute care activities C) Restorative care activities D) Growth and development-care activities B) Providing physical and emotional care for a family member C) Establishing a safe physical environment for a family D) Monitoring for side effects of illness and treatments D) Ethnicity refers to commonalities in language, history, nation, or region of origin. E) A minority group consists of people living in society that is usually disadvantaged. Ethnicity focuses on differences in meaning, values, and ways of living. Ethnicity is defined as a dynamic set of historically derived and institutionalized ideas and practices that allows people to identify or be identified with groupings of people on the presumed basis of commonalities in language, history, nation or region of origin, customs, ways of being, religion, names, physical appearance, and/or genealogy or ancestry. A minority group consists of people who are living within a society which is usually disadvantaged in relation to power, control of their own lives, and wealth. Race and ethnicity are different but somewhat alike. Race is associated with power and indexes the history or ongoing imposition of one group's authority above another. Which of the following statements accurately describe race and ethnic categories in the United States as defined by the Office of Management and Budget? (select all that apply) A) Race and ethnicity have the same definition. B) Ethnicity is associated with power and indexes the history or ongoing imposition of one group's authority above another. C) Ethnicity focuses on differences in meaning, values, and ways of living. D) Ethnicity refers to commonalities in language, history, nation, or region of origin. E) A minority group consists of people living in society that is usually disadvantaged. A) Culture refers to patterns of human behavior that include language, communication, customs and beliefs. D) Values are beliefs about the worth of something and serve as standards that influence behavior. E) Value orientations reflect the personality type of a particular society. Culture is an element of ethnicity that refers to patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. Values are beliefs about the worth of something and serve as standards that influence behavior. Value orientations reflect the personality type of a particular society. Culture is shaped by values, beliefs, norms, and practices that are shared by members of the same cultural group. Ethnic groups have unique beliefs and attitudes about health and health care services. Beliefs are generally incongruent with health care providers and prove to be major barriers to improving the health status of ethnic group members. Ethnicity is evident in customs of particular groups. Which of the following statements accurately reflect the definitions of culture, values and value orientation? (select all that apply) A) Culture refers to patterns of human behavior that include language, communication, customs and beliefs. B) Ethnicity is shaped by values, beliefs, norms, and practices that are shared by members of the same group. C) Health care beliefs and attitudes among ethnic groups are congruent with health care providers. D) Values are beliefs about the worth of something and serve as standards that influence behavior. E) Value orientations reflect the personality type of a particular society. B) Cultural competency is a major element in eliminating health disparities. D) Health care services are to be provided that are respectful of and responsive to the diverse health beliefs of the care recipient. E) Health care providers must be aware of how people interpret their health issues or illnesses. Cultural competency is one of the major elements in eliminating the health disparities and starts with an honest desire not to allow biases. Health care services should be provided that are respectful of and responsive to the diverse health beliefs of the client. It is very important for health care providers to be aware of how people interpret their health issues or illnesses and be capable to provide culturally competent care. Culture is an element of ethnicity that refers to patterns of human behavior that include the language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups. Values are beliefs about the worth of something and serve as standards that influence behavior. Value orientations reflect the personality type of a particular society. Culture is shaped by values, beliefs, norms, and practices that are shared by members of the same cultural group. Ethnic groups have unique beliefs and attitudes about health and health care services. Beliefs are generally incongruent with health care providers and prove to be major barriers to improving the health status of ethnic group members. Which of the following statements are true about cultural competency in health care? (select all that apply) A) Recognizing and accepting cultural diversity achieves cultural competency. B) Cultural competency is a major element in eliminating health disparities. C) There is no association between the care recipient's cultural background and the health care providers' cultural beliefs. D) Health care services are to be provided that are respectful of and responsive to the diverse health beliefs of the care recipient. E) Health care providers must be aware of how people interpret their health issues or illnesses. A) Severe high blood pressure is more common for African Americans. B) Cancer and mortality rates for African Americans is higher than that for White Americans. Severe high blood pressure is more common for African Americans in both men and women. African American adults are 40% more likely to have high blood pressure. The incidence of cancer and mortality rates for African Americans is higher than that for White Americans. African Americans are two times more likely to be diagnosed with diabetes than non-Hispanic whites, and they are more likely to suffer complications from diabetes. African Americans experience high infant and maternal mortality rates and they have the second-highest percentage of women who lack prenatal care in the first trimester of pregnancy. Nurses caring for the Black/African American population need to maintain an awareness of which of the following health-related cultural aspects of care? (select two that apply) A) Severe high blood pressure is more common for African Americans. B) Cancer and mortality rates for African Americans is higher than that for White Americans. C) African Americans are less likely to be diagnosed with diabetes. D) African Americans have the highest percentage of women with low or no prenatal care in the first trimester. NR 222 PRACTICE QUIZ 2 SET 1 – QUESTION AND ANSWERS The goal of Healthy People 2020 Which of the following is the model that emphasizes an individual’s belief in being personally capable of performing the behavior required to influence one’s own health? (Points : 1) Self-Efficacy Model Health Belief Model Social Cognitive Model Transtheoretical Model A nurse who uses findings from a randomized, controlled trial on the care of urinary catheters to change practice is using: (Points : 1) Evidence based practice Quantitative research Qualitative research Clinical judgment Question 5 of 20During an initial encounter, the nurse asks the client questions and makes observations. Which stage of the nursing process is being accomplished during this encounter? (Points : 1) Assessing the client Diagnosing problems Planning of care Evaluating the plan What is a state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context? (Points : 1) Wellness Helath Promotion Health and Wellness While making a home visit, the nurse instructs the patient about the dangers of tobacco use. The nurse is acting in the role of: (Points : 1) Consultant Educator Care Manager Advocate Which of the following are professional responsibilities that the nurse should demonstrate during resolution of an ethical issue with a client? (Select all that apply)(Points : 1) Advocacy Miscommunication Accountability Unreliability Which of the following is considered tertiary prevention? (Points : 1) Immunization Diet and lifestyle modification to lower blood pressure and cholesterol Screening for colorectal cancer Researcher Consultant The nurse is uncomfortable after being assigned to provide care to a close friend. According to the American Nurses Association's (ANA's) Code of Ethics for Nurses, which of the following options addresses an appropriate solution to this conflict of interest? (Points : 1) Refuse to participate in the client’s care. Notify the supervisor about the situation, and request a different assignment. Provide care to the friend, even though this is an uncomfortable situation. Request to be transferred to another unit. Which interventions address the overarching goals of the Healthy People 2020 leading health indicators? (Select all that apply.) (Points : 1) Restricting physical activity among older adults. Establishing a smoking cessation campaign. Establishing a new park with a well-lit track. Encouraging the consumption of sodium rich foods. Providing free condoms at all federally funded health clinics. A client is scheduled to have open-heart surgery. The client’s physical condition is such that the client stands a 50-50 chance of dying on the operating table. The client has not been educated about this possibility. The primary care provider did not give this client the opportunity to exercise the right to which ethical standard? (Points : 1) 12. Question : Which of the following activities must be addressed during a group presentation to ensure an adequate learning climate? (Select all that apply.) Student Answer:Observing group interactions. Justice Beneficence Question 13. Question : A nurse is providing care for a family in the community. Which of the following characteristics would the nurse assess to determine the health of the family? (Select all that apply.) Student Answer: Maintenance of trust within the family. Question 17. Question : Nurses caring for the Black/African American population need to maintain an awareness of which of the following health-related cultural aspects of care? (Select all that apply) A client is newly diagnosed with asthma. An asthmatic client is admitted for an asthma exacerbation. An asthmatic client has a decrease in emergency department visits. A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation? (Points : 1) Hispanic Americans value keeping balance and harmony with the earth. The hot and cold concept of disease is part of the Asian American culture. Native Americans are present oriented, taking one day at a time. The oldest male is the decision maker in African American families. Which of the following actions demonstrates a health care professional providing culturally competent care? (Points : 1) Encouraging the person to take medications as prescribed. Assisting the person with discussing his health problems with the family. Demonstrating the proper way to administer an insulin injection. Asking the person to describe his folk healing methods. Nurses caring for the Black/African American population need to maintain an awareness of which of the following health-related cultural aspects of care? (Select all that apply) (Points : 1) The likelihood of stroke and heart attack is higher for African Americans than for most other Question 5 of 22Which of the following activities must be addressed during a group presentation to ensure an adequate learning climate? (Select all that apply.) (Points : 1) Observing group interactions. Exhibiting a sense of preparedness and organization. Anticipating group needs. Assessing group needs. Providing drinks and snacks. Which is an example of an appropriately written cognitive learning objective? (Points : 1) Jim will cook low fat, low cholesterol foods at home. Jim will put low fat, low cholesterol foods in his shopping cart. Jim will correctly identify low fat, low cholesterol foods. Jim will feel healthier if he follows a low fat, low cholesterol diet. A client reports that her family will be moving because her husband is taking a new job in another state. She is very unhappy about the decision and doesn’t want to move. What action should the nurse take next? (Points : 1) A nurse is developing learning objectives for an individual who has been recently diagnosed with asthma. Which is an example of an appropriately written psychomotor learning objective? (Points : 1) The individual will feel better when using the inhaler correctly. The individual will demonstrate proper use of the inhaler. The individual will realize the importance of using an inhaler correctly. The individual will understand how to correctly use an inhaler. Which of the following statements related to family violence is accurate? (Points : 1) Physical violence always precedes sexual violence. A woman in the United States has a greater chance of becoming a victim of physical abuse than do women in other parts of the world. The more education a woman has, the more likely that she will become a victim of violence. A woman with a partner is no less likely than a woman without a partner to experience sexual violence. Refuse to participate in the client’s care. Request to be transferred to another unit. Notify the supervisor about the situation, and request a different assignment. The nurse is caring for 5 clients. Which clients have a disease? (Select all that apply ) (Points : 1) The client with nausea and vomiting. The client with rheumatoid arthritis. The client with hypertension. The client with a severe headache. The client with ebola. Which of the statements below is the correct order of the nursing process? (Points : 1) Collect data, diagnosis, identify outcomes, plan care, implement care, evaluate care, analyze data Collect data, analyze data, diagnosis, identify outcomes, plan care, implement care, evaluate care Diagnosis, identify outcomes, plan care, implement care, evaluate care, collect data, analyze data Plan care, identify outcomes, implement care, evaluate care, collect data, analyze date, diagnosis Which represents a method of secondary prevention? (Points : 1) Education about diet and exercise Chemotherapy for advanced breast cancer Stroke rehabilitation Annual mammograms Question 7 of 20Which of the following concepts of ethics is described as the "duty to maximize the benefits of actions while minimizing harm"? (Points : 1) Autonomy Beneficence Advocacy Justice Which of the following is the model that emphasizes an individual’s belief in being personally capable of performing the behavior required to influence one’s own health? (Points : 1) Social Cognitive Model Self-Efficacy Model Health Belief Model Transtheoretical Model What is the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individuals? (Points : 1) The ecological model of health Evidence-based practice Quality health care The goal of Healthy People 2020 A client with a diagnosis of terminal cancer refuses to have chemotherapy. The nurse respects the client’s decision based on understanding of which ethical principle? (Points : 1) Justice Death with dignity Autonomy Nonmaleficence A client is scheduled to have open-heart surgery. The client’s physical condition is such that the client stands a 50-50 chance of dying on the operating table. The client has not been educated about this possibility. The primary care provider did not give this client the opportunity to exercise the right to which ethical standard? (Points : 1) Beneficence Informed consent Precontemplative During an initial encounter, the nurse asks the client questions and makes observations. Which stage of the nursing process is being accomplished during this encounter? (Points : 1) Evaluating the plan Assessing the client Diagnosing problems Planning of care Which interventions address the overarching goals of the Healthy People 2020 leading health indicators? (Select all that apply.) (Points : 1) Encouraging the consumption of sodium rich foods. Establishing a new park with a well-lit track. Providing free condoms at all federally funded health clinics. Establishing a smoking cessation campaign. Restricting physical activity among older adults. Question 20 of 20The nurse who is an expert in cardiovascular disease is asked to speak at a community event. What is the role of the nurse? (Points : 1) Advocate Educator Consultant Researcher Powered by TC PDF ( www.tcpdf.org)