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NUR 272 BUNDLED Exam 1,2,3 and Final
Questions & Correct Answers with Detailed
Rationales A+ Graded
1. Maintenance - ANSWER check ins, right resources, identity trigger that
might make them replace
Context to Nursing and health care (MI) - ANSWER Communication skills link to
successful role function and quality patient care.
-Change talk
-Resolution of ambivalence
-Beneficial change
-Self-motivation to change
2. The MI technique can be used to assist others through any desired change? t
or f - ANSWER TRUE
3. What is the typical length of time that goes by from the time a person needs to
change to when a change is made? - ANSWER six months
-they won't ask
3. What is ambivalence? - ANSWER State of having mixed feeling or
contradicting ideas
4. What is the nurse's role during the state of ambivalence? - ANSWER The
nurse should:
-Encourage the client to recognize differences in ideas about the problem
5. At what stage of the "transtheoretical model" does a person consider the
possibility of change? - ANSWER Contemplation
6. An emergency department nurse is caring for a 30-year old patient who has
severe laryngospasm that required 20 mg of atropine to control. Which
action by the nurse is most appropriate?
a. Consult with the provider about possible nerve gas exposure.
b. Immediately place the patient in airborne and droplet isolation.
c. Institute radiation precautions and decontaminate the patient.
d. Prepare to begin taking prophylactic antibiotics on a daily basis. - ANSWER a.
Consult with the provider about possible nerve gas exposure.
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7. Signs of possible nerve gas exposure include muscarinic and nicotinic
manifestations, including laryngospasm and respiratory arrest. Treatment
may require high doses of atropine. The nurse should suspect a terrorist
event with nerve gas in this situation. Airborne and droplet isolation is not
required in this situation. The patient appears to be a victim of nerve gas
exposure. Radiation precautions are not needed in this situation. The patient
appears to be a victim of nerve gas exposure. Prophylactic antibiotics are not
needed in this situation. The patient appears to be a victim of nerve gas
exposure.
8. A nurse is part of a federal disaster team and is preparing to enter a site where
the highest levels of respiratory protection are needed, but less protection is needed
for skin and eyes. What personal protective equipment should this nurse use?
a. Chemical resistant, steel-toed boots
b. Coveralls and scrubs
c. Half-mask air-purifying respirator
d. Self-contained breathing apparatus - ANSWER d. Self-contained breathing
apparatus
9. A patient is brought to the Emergency Department by a neighbor and reports
difficulty swallowing, blurred vision with drooping eyelids, and weakness of the
arms. Which action by the nurse is best?
a. Assess for skin lesions.
b. Institute airborne precautions.
c. Monitor respiratory status.
d. Prepare to give antibiotics. - ANSWER c. Monitor respiratory status.
10. A public health nurse has been told that he/she will work on public health
disaster primary prevention activities. Which of the following would the nurse
expect to include?
a. Assessment of individuals for post-traumatic stress syndrome
b. Directing community volunteers to different area shelters
c. Distributing worksheets to create family emergency plans
d. Reviewing concepts of triage that are operationalized in a disaster - ANSWER c.
Distributing worksheets to create family emergency plans
11. Primary prevention focuses on the concept of preparedness. Distributing
worksheets so members of the community can create family emergency plans is
one example of primary prevention in this setting. Directing volunteers and
, 3
performing triage would be considered secondary prevention, actions taken during
the event. Tertiary prevention are interventions that occur after the event and
include assessing people's mental health.
12. A nurse is preparing a family emergency kit for herself, her husband, and her
three children. Which of the following does the nurse include in the kit? (Select all
that apply.)
a. 8 gallons of water
b. Flashlight and batteries
c. Food for at least 3 days
d. Items for personal sanitation
e. Whistles - ANSWER b. Flashlight and batteries
c. Food for at least 3 days
e. Whistles
13. A flashlight and batteries, food for at least 3 days, personal sanitation items,
and whistles are included. Although water is needed, the nurse needs to pack 1
gallon of water a day per person, so at least 15 gallons of water are needed.
14. A home health care nurse is making a first visit to an older African American
woman living in an extended family situation. To help establish a trusting
relationship, which action by the nurse is best?
a. Address the patient by "Ms." or "Mrs." and her last name.
b. Assess the patient's time orientation when discussing the future.
c. Determine who are all the people living with the patient.
d. Include the entire family in group decision processes. - ANSWER a. Address the
patient by "Ms." or "Mrs." and her last name.
15. In the African American community, older persons are viewed with great
honor and respect. Addressing the patient by her last name and a title will
demonstrate that the nurse also views the patient with honor and respect and is
congruent with cultural beliefs. Differences in time orientation are not usually seen
in the African American community but showing respect to older person by using
their last name is congruent with their cultural beliefs. It might be important to
learn who lives with the patient, but showing respect to an older person by using
the last name is congruent with cultural beliefs. The patient may or may not want
others included in health care discussions, but showing respect to an older person
by using their last name is congruent with their cultural beliefs.
, 4
16. A nurse is working with a Native American child. When the nurse advises the
mother to return her child to the clinic in 2 weeks, the woman is vague about her
ability to do so. The nurse is annoyed at the mother's apparent lack of concern
about her child. What information does the nurse manager share with this nurse?
a. Native Americans don't seem to like commitment.
b. The mother may seem vague, but she will return in 2 weeks.
c. The nurse should notify the social worker about this incident.
d. The nurse and the mother have different time orientations. - ANSWER d. The
nurse and the mother have different time orientations.
Native Americans have a cultural preference for a present time orientation, which
conflicts with the mainstream European American value for future orientation.
This difference can set up an adversarial relationship and erode trust. When
working with Native American patients, the nurse needs to incorporate their time
orientation into care.
17. A nurse is caring for a Japanese immigrant who is one day post-op. The patient
refuses to take pain medication but is reluctant to get out of bed with physical
therapy (PT). Which action by the nurse is best?
a. Ask the patient why he or she will not take pain medicine.
b. Bring the medicine; explain that it will make PT easier.
c. Educate the patient on the benefits of physical therapy.
d. Tell the patient that the physician has ordered the medicine. - ANSWER b.
Bring the medicine; explain that it will make PT easier.
Those from the Japanese culture believe that bearing pain in a stoic manner is a
personal virtue. The nurse should not expect the patient to ask for pain medication.
Instead, the nurse can bring in the pain medication and explain that taking it will
make PT easier, which will speed the patient's recovery.
18. A student nurse understands that avoiding offensive body language is
important when working with people from unfamiliar cultures, but does not know
what this means. Which suggestion by the nursing faculty member is best?
a. Ask if certain behaviors are offensive.
b. Imitate other nurses' behaviors.
c. Mirror the patient's body language.
d. Read about cultural differences. - ANSWER c. Mirror the patient's body
language.
NUR 272 BUNDLED Exam 1,2,3 and Final
Questions & Correct Answers with Detailed
Rationales A+ Graded
1. Maintenance - ANSWER check ins, right resources, identity trigger that
might make them replace
Context to Nursing and health care (MI) - ANSWER Communication skills link to
successful role function and quality patient care.
-Change talk
-Resolution of ambivalence
-Beneficial change
-Self-motivation to change
2. The MI technique can be used to assist others through any desired change? t
or f - ANSWER TRUE
3. What is the typical length of time that goes by from the time a person needs to
change to when a change is made? - ANSWER six months
-they won't ask
3. What is ambivalence? - ANSWER State of having mixed feeling or
contradicting ideas
4. What is the nurse's role during the state of ambivalence? - ANSWER The
nurse should:
-Encourage the client to recognize differences in ideas about the problem
5. At what stage of the "transtheoretical model" does a person consider the
possibility of change? - ANSWER Contemplation
6. An emergency department nurse is caring for a 30-year old patient who has
severe laryngospasm that required 20 mg of atropine to control. Which
action by the nurse is most appropriate?
a. Consult with the provider about possible nerve gas exposure.
b. Immediately place the patient in airborne and droplet isolation.
c. Institute radiation precautions and decontaminate the patient.
d. Prepare to begin taking prophylactic antibiotics on a daily basis. - ANSWER a.
Consult with the provider about possible nerve gas exposure.
, 2
7. Signs of possible nerve gas exposure include muscarinic and nicotinic
manifestations, including laryngospasm and respiratory arrest. Treatment
may require high doses of atropine. The nurse should suspect a terrorist
event with nerve gas in this situation. Airborne and droplet isolation is not
required in this situation. The patient appears to be a victim of nerve gas
exposure. Radiation precautions are not needed in this situation. The patient
appears to be a victim of nerve gas exposure. Prophylactic antibiotics are not
needed in this situation. The patient appears to be a victim of nerve gas
exposure.
8. A nurse is part of a federal disaster team and is preparing to enter a site where
the highest levels of respiratory protection are needed, but less protection is needed
for skin and eyes. What personal protective equipment should this nurse use?
a. Chemical resistant, steel-toed boots
b. Coveralls and scrubs
c. Half-mask air-purifying respirator
d. Self-contained breathing apparatus - ANSWER d. Self-contained breathing
apparatus
9. A patient is brought to the Emergency Department by a neighbor and reports
difficulty swallowing, blurred vision with drooping eyelids, and weakness of the
arms. Which action by the nurse is best?
a. Assess for skin lesions.
b. Institute airborne precautions.
c. Monitor respiratory status.
d. Prepare to give antibiotics. - ANSWER c. Monitor respiratory status.
10. A public health nurse has been told that he/she will work on public health
disaster primary prevention activities. Which of the following would the nurse
expect to include?
a. Assessment of individuals for post-traumatic stress syndrome
b. Directing community volunteers to different area shelters
c. Distributing worksheets to create family emergency plans
d. Reviewing concepts of triage that are operationalized in a disaster - ANSWER c.
Distributing worksheets to create family emergency plans
11. Primary prevention focuses on the concept of preparedness. Distributing
worksheets so members of the community can create family emergency plans is
one example of primary prevention in this setting. Directing volunteers and
, 3
performing triage would be considered secondary prevention, actions taken during
the event. Tertiary prevention are interventions that occur after the event and
include assessing people's mental health.
12. A nurse is preparing a family emergency kit for herself, her husband, and her
three children. Which of the following does the nurse include in the kit? (Select all
that apply.)
a. 8 gallons of water
b. Flashlight and batteries
c. Food for at least 3 days
d. Items for personal sanitation
e. Whistles - ANSWER b. Flashlight and batteries
c. Food for at least 3 days
e. Whistles
13. A flashlight and batteries, food for at least 3 days, personal sanitation items,
and whistles are included. Although water is needed, the nurse needs to pack 1
gallon of water a day per person, so at least 15 gallons of water are needed.
14. A home health care nurse is making a first visit to an older African American
woman living in an extended family situation. To help establish a trusting
relationship, which action by the nurse is best?
a. Address the patient by "Ms." or "Mrs." and her last name.
b. Assess the patient's time orientation when discussing the future.
c. Determine who are all the people living with the patient.
d. Include the entire family in group decision processes. - ANSWER a. Address the
patient by "Ms." or "Mrs." and her last name.
15. In the African American community, older persons are viewed with great
honor and respect. Addressing the patient by her last name and a title will
demonstrate that the nurse also views the patient with honor and respect and is
congruent with cultural beliefs. Differences in time orientation are not usually seen
in the African American community but showing respect to older person by using
their last name is congruent with their cultural beliefs. It might be important to
learn who lives with the patient, but showing respect to an older person by using
the last name is congruent with cultural beliefs. The patient may or may not want
others included in health care discussions, but showing respect to an older person
by using their last name is congruent with their cultural beliefs.
, 4
16. A nurse is working with a Native American child. When the nurse advises the
mother to return her child to the clinic in 2 weeks, the woman is vague about her
ability to do so. The nurse is annoyed at the mother's apparent lack of concern
about her child. What information does the nurse manager share with this nurse?
a. Native Americans don't seem to like commitment.
b. The mother may seem vague, but she will return in 2 weeks.
c. The nurse should notify the social worker about this incident.
d. The nurse and the mother have different time orientations. - ANSWER d. The
nurse and the mother have different time orientations.
Native Americans have a cultural preference for a present time orientation, which
conflicts with the mainstream European American value for future orientation.
This difference can set up an adversarial relationship and erode trust. When
working with Native American patients, the nurse needs to incorporate their time
orientation into care.
17. A nurse is caring for a Japanese immigrant who is one day post-op. The patient
refuses to take pain medication but is reluctant to get out of bed with physical
therapy (PT). Which action by the nurse is best?
a. Ask the patient why he or she will not take pain medicine.
b. Bring the medicine; explain that it will make PT easier.
c. Educate the patient on the benefits of physical therapy.
d. Tell the patient that the physician has ordered the medicine. - ANSWER b.
Bring the medicine; explain that it will make PT easier.
Those from the Japanese culture believe that bearing pain in a stoic manner is a
personal virtue. The nurse should not expect the patient to ask for pain medication.
Instead, the nurse can bring in the pain medication and explain that taking it will
make PT easier, which will speed the patient's recovery.
18. A student nurse understands that avoiding offensive body language is
important when working with people from unfamiliar cultures, but does not know
what this means. Which suggestion by the nursing faculty member is best?
a. Ask if certain behaviors are offensive.
b. Imitate other nurses' behaviors.
c. Mirror the patient's body language.
d. Read about cultural differences. - ANSWER c. Mirror the patient's body
language.
