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NURS 450 Final Exam _ Questions and Answers with Complete Solutions UPDATED!!!.pdf

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NURS 450 Final Exam _ Questions and Answers with Complete Solutions UPDATED!!!.pdf

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NURS 450 FINAL EXAM Questions and Answers with Complete Solutions UPDATED!!


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1 of 408

Definition


ANS: C


Cultural re-patterning means that the nurse works with clients to help
them reorder, change, or modify their cultural practices when the
practice is harmful to them. Completing a cultural assessment involves
learning more about the client's culture but does not address the need
to consider changing or modifying cultural practices. In order to
complete cultural re-patterning, the nurse has to take an action to
resolve this potential problem.



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,The correctional health nurse is doing a quick assessment on a newly admitted
inmate who is HIV positive. Which of the following diseases should the inmate
receive screening for immediately?


a. Herpes zoster
b. Hepatitis B
c. Hepatitis C
d. Tuberculosis
An immigrant who takes metamizole (banned in the United States) for pain
may experience life-threatening agranulocytosis. Which of the following
actions would be taken by a nurse who employs cultural re-patterning?

a. Complete a cultural assessment to identify any other dangerous medications
that the client may be taking.
b. Put this into perspective by considering that many drugs used in the United
States cause agranulocytosis.
c. Explain the harmful effects of metamizole and recommend an alternative
medication for pain.
d. Recognize that taking metamizole is common among persons living in
Mexico and accept this as a cultural tradition.




Community oriented care




24. A nurse is implementing tertiary prevention strategies as part of the quality
management process. Which of the following best describes a strategy the nurse
would have used?

A. All new employees complete a program on fire safety that details what to do in
the event of a fire.
B. At the yearly employee picnic, teams compete in putting out trash can fires and in
racing while carrying mock victims, using safe evacuation techniques.
C. After evaluation of response to an actual fire, new procedures implemented in
the fire response protocol are distributed to employees.
D. Mock fire drills are carried out twice a year to assess response and readiness in
the event of a real fire.


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, 2 of 408

Definition



Assessing the client's ability to learn and perform certain skills



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Analysis of the problem Cognitive domain




Hib vaccine Low literacy


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3 of 408

Term


3. A nurse is providing an educational program about testicular self-
examination (TSE). Which of the following would be the best learning
objective for this program?
A. Each participant will state why TSE is important and explain how to
do it.
B. Each participant will describe how to do TSE and discuss the
dangers of testicular cancer.
C. 90% of the men will correctly demonstrate testicular self-
examination.

, D. 100% of the men will do a testicular examination correctly on a
model.

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ANS: C 90% of the men will correctly demonstrate testicular self-examination.
If the goal is to learn TSE, the best goal is for the person to be able to do TSE
correctly. Being able to state why it is important is a helpful first step, as is
practice on a model, but to be sure the person can really do the procedure,
you need to allow practice time and feedback until the person can
demonstrate the procedure properly.
DIF: Cognitive Level: Apply (Application) REF: pp. 191, 192-193




ANS: D Task function of sharing information and resources
A task function is anything a member does that deliberately contributes to the
group's purpose. Members with task-directed abilities are attractive to the group.
These traits include strong problem-solving skills, access to material resources, and
skills in directing. The teenager's statement shared information about a good
resource for the group.
DIF: Cognitive Level: Apply (Application) REF: p. 202




ANS: B Baccalaureate degree in nursing

Educational preparation of nurses in community health should be at least a
baccalaureate degree. Those registered nurses who have associate degrees are
encouraged to seek further degrees because of the increasing complexity of better
care delivery in public health. A master's degree would be even more useful, but for
many, advanced education may not be feasible.
DIF: Cognitive Level: Apply (Application) REF: p. 529




ANS: D Whether all involved support the need for such a program

What people think about the need for a program, or program feasibility, might differ
among health providers, agency administrators, policymakers, and potential clients.

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