NUR 222 FINAL ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Name the level of anxietyPerceptual field is so greatly diminished that
concentration centers on only one particular detail or on many extraneous
details. Attention span is extremely limited, and the individual has much
difficulty completing even the simplest task. Can't focus at all! Headaches,
palpitations, insomnia, confusion, dread, horror.
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
D. Panic.
Answer: C. Severe Anxiety
◍ Extended periods of functioning at the panic level of anxiety may result in.
Answer: psychosis
◍ Hand hygiene.
Answer: Gel in and gel out for each pt, wash hands after c diff or specific
contact precautions
◍ What are the three major elements of informed consent?.
Answer: - Knowledge: client has received adequate information on which to
base their decision- Competency: individual’s cognition is not impaired, if it
is, the individual has a legal representative- Free Will: individual has given
consent voluntarily without pressure or coercion from others
◍ Involuntary hospitalizations are made for:.
Answer: - person is imminently dangerous to himself or herself (i.e., suicidal
intent).- person is a danger to others (i.e., aggressive, violent, or homicidal).-
, person is unable to take care of basic personal needs, look unkempt (the
“gravely disabled”).
◍ Ethical issues in psychiatric/mental health nursing include:.
Answer: - The right to treatment- The right to refuse treatment (including
medication)- The right to the least restrictive treatment alternative
◍ Do we ever want to "fix" ego defense mechanisms or take them away?.
Answer: No! They are employed for protection.
◍ An ___________ ____________ is a situation that requires an individual to
make a choice between two equally balanced alternatives. There is no clear
reason to choose one action over another..
Answer: - Ethical dilemmaTaking no action is considered an action taken
◍ What is the least restrictive restraint.
Answer: chemical restraints
◍ Threatening to restrain a patient and then tying the patient down is
considered.
Answer: assault and battery
◍ A patient tells the nurse she reminds him of his late wife. What should the
nurse do?.
Answer: clarify the nurse-patient relationship
◍ Precautions to prevent transmission of infectious agents.
Answer: Proper hand washing, sanitizing, and appropriate PPE as needed
can help prevent spread from one pt to another
◍ Name the therapeutic communication technique:"What could you do
differently if you are faced with this situation in the future?""What are some
steps you could take to manage your anger without punching
someone?""What is one thing you might be willing to try to decrease your
anxiety instead of using alcohol?".
Answer: - Formulating a plan of actionEncourage the patient to identify a
plan for behavior change. This promotes developing better coping skills.
,◍ Name the nontherapeutic communication technique:Patient: "I don't even
have the energy to go to work."Nurse: "We've all felt like that at times.
You've just got to perk up and get moving.".
Answer: - BelittlingNurse is minimizing the degree of the patient's
discomfort. Nurse is lacking empathy and understanding.
◍ Response to pathogen exposure.
Answer: If exposed through cut/needle sticks: Wash the areaIf splashed
around the eyes, nose or mouth: flush the area, Report to your supervisor,
Seek medical attention
◍ PPE.
Answer: Don order: Gown, mask, goggles, glovesDoff order: Gloves,
goggles, gown (touching on the inside), mask (not touching the
front)Standard: Protects against all body & blood secretions and non-intact
skin and membranes (PPE as needed)Airborne: Used with patients
diagnosed with or suspected of being infected with illnesses transmitted by
small airborne particles (respirator or N-95, gown, gloves, and eye
protection)Droplet: Used for disease that are transmitted by larger droplets
Occurs during coughing, sneezing, laughing etc. (eyes, nose, mouth fully
covered, gloves)Contact: To prevent transmission of diseases transmitted by
direct contact with the client or infected material or area C. Difficile: forms
a spore that are not killed by alcohol based hand sanitizer (Gloves and
gown)Protective/Neutropenic: Patients with low blood counts r/t cancer or
chemo, burns, transplant or other immunosuppressed states. (No fresh fruits,
veggies, plants, flowers. Gel in and out.
◍ Restraints (types, uses, safety).
Answer: Belts and vests, bed rail, mittens, etc. They are used to prevent
injury to nurse or pt. Assess before and after for mobility and overall health
of pt. Remove periodically according to hospital guidelines
◍ Steps to use for problem resolution in order..
Answer: 1st: Identify the issue/problem2nd: Gather data3rd: Generate
possible solutions4th: Choose best solution5th: Implement solution
, ◍ What steps should the nurse take when a patient sues?.
Answer: 1st: Respond to summons2nd: Talk to lawyer/liability insurance
people before signing anything3rd: Tell lawyer everything! Even if it's
incriminating!4th: Keep a file of all correspondencesDo not discuss any
information outside of the appropriate individuals
◍ Fall Risk Assessment/Prevention.
Answer: -Use fall risk calculator- If pt has had fall in last 6 months,
automatically a fall risk-Use different things to help like: gait belt,
mechanical lift, walker, etc. -Used to calculate the fall risk for a pt based on
several factors like: age, fall history, excretion, meds, pt care equipment,
mobility, and cognition.
◍ Subjective/Objective data.
Answer: Subjective- What the patient tells youObjective- what you detect
during exam
◍ Principles of HIPPA and Confidentiality.
Answer: Health insurance portability and accountability act: Aims to
protect/enforce: Privacy, Security, Transaction, Identifiers, and Enforcement
rules
◍ What questions does the nurse manager ask herself/himself when planning
change?.
Answer: - What are we trying to accomplish?- Is the change necessary?- Is
the change technically correct?- Will it work?- Is this change a better way to
do things?
◍ What questions does the nurse manager ask herself/himself when
implementing change?.
Answer: Magnitude: Is it a major change that affects almost everything
people do, or is it a minor change?Complexity: Is this a difficult change to
make? Does it require knowledge and skill? How much time will it take to
acquire them?Pace: How urgent is this change? Can it be done gradually, or
must it be implemented immediately?Stress: Is this the only change that is
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ Name the level of anxietyPerceptual field is so greatly diminished that
concentration centers on only one particular detail or on many extraneous
details. Attention span is extremely limited, and the individual has much
difficulty completing even the simplest task. Can't focus at all! Headaches,
palpitations, insomnia, confusion, dread, horror.
A. Mild anxiety
B. Moderate anxiety
C. Severe anxiety
D. Panic.
Answer: C. Severe Anxiety
◍ Extended periods of functioning at the panic level of anxiety may result in.
Answer: psychosis
◍ Hand hygiene.
Answer: Gel in and gel out for each pt, wash hands after c diff or specific
contact precautions
◍ What are the three major elements of informed consent?.
Answer: - Knowledge: client has received adequate information on which to
base their decision- Competency: individual’s cognition is not impaired, if it
is, the individual has a legal representative- Free Will: individual has given
consent voluntarily without pressure or coercion from others
◍ Involuntary hospitalizations are made for:.
Answer: - person is imminently dangerous to himself or herself (i.e., suicidal
intent).- person is a danger to others (i.e., aggressive, violent, or homicidal).-
, person is unable to take care of basic personal needs, look unkempt (the
“gravely disabled”).
◍ Ethical issues in psychiatric/mental health nursing include:.
Answer: - The right to treatment- The right to refuse treatment (including
medication)- The right to the least restrictive treatment alternative
◍ Do we ever want to "fix" ego defense mechanisms or take them away?.
Answer: No! They are employed for protection.
◍ An ___________ ____________ is a situation that requires an individual to
make a choice between two equally balanced alternatives. There is no clear
reason to choose one action over another..
Answer: - Ethical dilemmaTaking no action is considered an action taken
◍ What is the least restrictive restraint.
Answer: chemical restraints
◍ Threatening to restrain a patient and then tying the patient down is
considered.
Answer: assault and battery
◍ A patient tells the nurse she reminds him of his late wife. What should the
nurse do?.
Answer: clarify the nurse-patient relationship
◍ Precautions to prevent transmission of infectious agents.
Answer: Proper hand washing, sanitizing, and appropriate PPE as needed
can help prevent spread from one pt to another
◍ Name the therapeutic communication technique:"What could you do
differently if you are faced with this situation in the future?""What are some
steps you could take to manage your anger without punching
someone?""What is one thing you might be willing to try to decrease your
anxiety instead of using alcohol?".
Answer: - Formulating a plan of actionEncourage the patient to identify a
plan for behavior change. This promotes developing better coping skills.
,◍ Name the nontherapeutic communication technique:Patient: "I don't even
have the energy to go to work."Nurse: "We've all felt like that at times.
You've just got to perk up and get moving.".
Answer: - BelittlingNurse is minimizing the degree of the patient's
discomfort. Nurse is lacking empathy and understanding.
◍ Response to pathogen exposure.
Answer: If exposed through cut/needle sticks: Wash the areaIf splashed
around the eyes, nose or mouth: flush the area, Report to your supervisor,
Seek medical attention
◍ PPE.
Answer: Don order: Gown, mask, goggles, glovesDoff order: Gloves,
goggles, gown (touching on the inside), mask (not touching the
front)Standard: Protects against all body & blood secretions and non-intact
skin and membranes (PPE as needed)Airborne: Used with patients
diagnosed with or suspected of being infected with illnesses transmitted by
small airborne particles (respirator or N-95, gown, gloves, and eye
protection)Droplet: Used for disease that are transmitted by larger droplets
Occurs during coughing, sneezing, laughing etc. (eyes, nose, mouth fully
covered, gloves)Contact: To prevent transmission of diseases transmitted by
direct contact with the client or infected material or area C. Difficile: forms
a spore that are not killed by alcohol based hand sanitizer (Gloves and
gown)Protective/Neutropenic: Patients with low blood counts r/t cancer or
chemo, burns, transplant or other immunosuppressed states. (No fresh fruits,
veggies, plants, flowers. Gel in and out.
◍ Restraints (types, uses, safety).
Answer: Belts and vests, bed rail, mittens, etc. They are used to prevent
injury to nurse or pt. Assess before and after for mobility and overall health
of pt. Remove periodically according to hospital guidelines
◍ Steps to use for problem resolution in order..
Answer: 1st: Identify the issue/problem2nd: Gather data3rd: Generate
possible solutions4th: Choose best solution5th: Implement solution
, ◍ What steps should the nurse take when a patient sues?.
Answer: 1st: Respond to summons2nd: Talk to lawyer/liability insurance
people before signing anything3rd: Tell lawyer everything! Even if it's
incriminating!4th: Keep a file of all correspondencesDo not discuss any
information outside of the appropriate individuals
◍ Fall Risk Assessment/Prevention.
Answer: -Use fall risk calculator- If pt has had fall in last 6 months,
automatically a fall risk-Use different things to help like: gait belt,
mechanical lift, walker, etc. -Used to calculate the fall risk for a pt based on
several factors like: age, fall history, excretion, meds, pt care equipment,
mobility, and cognition.
◍ Subjective/Objective data.
Answer: Subjective- What the patient tells youObjective- what you detect
during exam
◍ Principles of HIPPA and Confidentiality.
Answer: Health insurance portability and accountability act: Aims to
protect/enforce: Privacy, Security, Transaction, Identifiers, and Enforcement
rules
◍ What questions does the nurse manager ask herself/himself when planning
change?.
Answer: - What are we trying to accomplish?- Is the change necessary?- Is
the change technically correct?- Will it work?- Is this change a better way to
do things?
◍ What questions does the nurse manager ask herself/himself when
implementing change?.
Answer: Magnitude: Is it a major change that affects almost everything
people do, or is it a minor change?Complexity: Is this a difficult change to
make? Does it require knowledge and skill? How much time will it take to
acquire them?Pace: How urgent is this change? Can it be done gradually, or
must it be implemented immediately?Stress: Is this the only change that is
