Compiled Test Bank: NR222 Health &
Wellness [100% Correct Answers]
A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is
concerned about her treatment options in relation to her ability to continue to care for her family. As she
considers the options and alternatives, she incorporates information, her values, and emotions to decide
which plan will be the best fit for her. She is using which form of cognitive development?
A. Conventional reasoning
B. Formal operations
C. Integrity versus despair
D. Postformal thought *Ans* D. Postformal thought
Adults recognize that there are various solutions to problems and that different situations demand
different solutions.
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. *Ans* B. Adapted to and
adopted the American culture.
Assimilation results when an individual gradually adopts and incorporates the characteristics of the
dominant culture.
A 48-year-old woman complains to her nurse that she is experiencing frequent episodes of insomnia.
What are some measures the nurse should educate her about? (select all that apply)
,A. Insomnia is common for this age group.
B. Engage in activity 1 to 2 hours before bed to encourage sleep.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
D. Occasional napping should be avoided.
E. Have a regular schedule for waking and sleep. *Ans* A. Insomnia is common for this age group.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
E. Have a regular schedule for waking and sleep.
Insomnia is a common finding in this age category. This condition may be the result of overstimulation
resulting from drinking too much caffeinated beverages, strenuous exercise within two hours of bedtime,
not having a regular schedule for waking and sleep in a 24-hour period (National Sleep Foundation,
2012). Frequently-occurring insomnia can lead to distractibility and irritability and fatigue during the
daytime hours. Rest is essential to allow restorative functions of the body to occur. The effects of
insomnia can be counteracted by regularly scheduled, high-quality sleep and occasional napping when
fatigued.
A 50-year-old man is initiating an exercise program to help improve his cardiovascular health. What are
some of the recommended guidelines that the nurse should instruct him on? (select all that apply)
A, Every adult over the age of 50 should start with a daily running program.
B. Overexertion should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
D. Adults over the age of 50 benefit from intense strength training.
E. Suggested activities include walking, jogging, swimming and bicycling. *Ans* B. Overexertion
should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
E. Suggested activities include walking, jogging, swimming and bicycling.
Some suggested activities for the middle-aged adult include brisk walking, jogging, swimming, bicycling,
and skipping rope as well as walking or biking to work. Activities that focus on skill and coordination
should be attempted by the adult over age 40 rather than activities necessitating speed and strength.
,Moderation is important for all groups of individuals. Caution is recommended for adults nearing age 65
to prevent muscle strains and/or falls, etc. Overexertion, as evidenced by dizziness, chest pressure or
chest pain, and unresolved shortness of breath should be avoided. Also, in hot weather, strenuous
exercise should be balanced with rest periods and increased intake of fluids to prevent heat stroke.
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:
A. Assimilation.
B. Acculturation.
C. Biculturalism.
D. Enculturation. *Ans* D. Enculturation.
Socialization into one's primary culture as a child is known as enculturation.
A child's immunization may cause discomfort during administration, but the benefits of protection from
disease, both for the individual and society, outweigh the temporary discomforts. Which principle is
involved in this situation?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Respect for autonomy *Ans* B. Beneficence
The immunization is a clear effort to provide benefit. Beneficence refers to "doing good." Fidelity refers
more to keeping promises. Nonmaleficence refers to the commitment to avoid harm. Respect for
autonomy refers to the commitment to include patients in the decision-making process regarding health
care plans.
A community health nurse is making a healthy baby visit to a new mother who recently emigrated to the
United States from Ghana. When discussing contraceptives with the new mom, the mother states that
she won't have to worry about getting pregnant for the time being. The nurse understands that the mom
most likely made this statement because:
, A. She won't resume sexual relations until her baby is weaned.
B. She is taking the medroxyprogesterone (Depo-Provera) shot.
C. Her husband was recently deployed to Afghanistan.
D. She has access to free condoms from the clinic. *Ans* A. She won't resume sexual relations until
her baby is weaned.
In some African cultures such as in Ghana and Sierra Leone some women will not resume sexual
relations with their husbands until the baby is weaned.
A condition of the bone that is the result of bone lysis exceeding the rate of bone matrix synthesis is
called:
A. osteoarthritis.
B. kyphosis.
C. osteopenia.
D. osteoporosis. *Ans* C. osteopenia.
Osteopenia is a condition of subnormally mineralized bone, usually as a result of a rate of bone lysis that
exceeds the rate of bone matrix synthesis. Thoracic kyphosis is an angulation of the posterior spine that
is sometimes referred to as "hunchback." Osteoarthritis is a degenerative joint disease that influences
activity and endurance and is most frequently seen in the knees and hands. Osteoporosis is a disorder
characterized by abnormal loss of bone density and deterioration of bone tissue, with an increased
fracture risk. It occurs most frequently in postmenopausal women who have fair complexions and are
small, sedentary individuals, and people on long-term steroid use.
A critical care nurse is using a computerized decision support system to correctly position her ventilated
patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
Wellness [100% Correct Answers]
A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She is
concerned about her treatment options in relation to her ability to continue to care for her family. As she
considers the options and alternatives, she incorporates information, her values, and emotions to decide
which plan will be the best fit for her. She is using which form of cognitive development?
A. Conventional reasoning
B. Formal operations
C. Integrity versus despair
D. Postformal thought *Ans* D. Postformal thought
Adults recognize that there are various solutions to problems and that different situations demand
different solutions.
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. *Ans* B. Adapted to and
adopted the American culture.
Assimilation results when an individual gradually adopts and incorporates the characteristics of the
dominant culture.
A 48-year-old woman complains to her nurse that she is experiencing frequent episodes of insomnia.
What are some measures the nurse should educate her about? (select all that apply)
,A. Insomnia is common for this age group.
B. Engage in activity 1 to 2 hours before bed to encourage sleep.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
D. Occasional napping should be avoided.
E. Have a regular schedule for waking and sleep. *Ans* A. Insomnia is common for this age group.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
E. Have a regular schedule for waking and sleep.
Insomnia is a common finding in this age category. This condition may be the result of overstimulation
resulting from drinking too much caffeinated beverages, strenuous exercise within two hours of bedtime,
not having a regular schedule for waking and sleep in a 24-hour period (National Sleep Foundation,
2012). Frequently-occurring insomnia can lead to distractibility and irritability and fatigue during the
daytime hours. Rest is essential to allow restorative functions of the body to occur. The effects of
insomnia can be counteracted by regularly scheduled, high-quality sleep and occasional napping when
fatigued.
A 50-year-old man is initiating an exercise program to help improve his cardiovascular health. What are
some of the recommended guidelines that the nurse should instruct him on? (select all that apply)
A, Every adult over the age of 50 should start with a daily running program.
B. Overexertion should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
D. Adults over the age of 50 benefit from intense strength training.
E. Suggested activities include walking, jogging, swimming and bicycling. *Ans* B. Overexertion
should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
E. Suggested activities include walking, jogging, swimming and bicycling.
Some suggested activities for the middle-aged adult include brisk walking, jogging, swimming, bicycling,
and skipping rope as well as walking or biking to work. Activities that focus on skill and coordination
should be attempted by the adult over age 40 rather than activities necessitating speed and strength.
,Moderation is important for all groups of individuals. Caution is recommended for adults nearing age 65
to prevent muscle strains and/or falls, etc. Overexertion, as evidenced by dizziness, chest pressure or
chest pain, and unresolved shortness of breath should be avoided. Also, in hot weather, strenuous
exercise should be balanced with rest periods and increased intake of fluids to prevent heat stroke.
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:
A. Assimilation.
B. Acculturation.
C. Biculturalism.
D. Enculturation. *Ans* D. Enculturation.
Socialization into one's primary culture as a child is known as enculturation.
A child's immunization may cause discomfort during administration, but the benefits of protection from
disease, both for the individual and society, outweigh the temporary discomforts. Which principle is
involved in this situation?
A. Fidelity
B. Beneficence
C. Nonmaleficence
D. Respect for autonomy *Ans* B. Beneficence
The immunization is a clear effort to provide benefit. Beneficence refers to "doing good." Fidelity refers
more to keeping promises. Nonmaleficence refers to the commitment to avoid harm. Respect for
autonomy refers to the commitment to include patients in the decision-making process regarding health
care plans.
A community health nurse is making a healthy baby visit to a new mother who recently emigrated to the
United States from Ghana. When discussing contraceptives with the new mom, the mother states that
she won't have to worry about getting pregnant for the time being. The nurse understands that the mom
most likely made this statement because:
, A. She won't resume sexual relations until her baby is weaned.
B. She is taking the medroxyprogesterone (Depo-Provera) shot.
C. Her husband was recently deployed to Afghanistan.
D. She has access to free condoms from the clinic. *Ans* A. She won't resume sexual relations until
her baby is weaned.
In some African cultures such as in Ghana and Sierra Leone some women will not resume sexual
relations with their husbands until the baby is weaned.
A condition of the bone that is the result of bone lysis exceeding the rate of bone matrix synthesis is
called:
A. osteoarthritis.
B. kyphosis.
C. osteopenia.
D. osteoporosis. *Ans* C. osteopenia.
Osteopenia is a condition of subnormally mineralized bone, usually as a result of a rate of bone lysis that
exceeds the rate of bone matrix synthesis. Thoracic kyphosis is an angulation of the posterior spine that
is sometimes referred to as "hunchback." Osteoarthritis is a degenerative joint disease that influences
activity and endurance and is most frequently seen in the knees and hands. Osteoporosis is a disorder
characterized by abnormal loss of bone density and deterioration of bone tissue, with an increased
fracture risk. It occurs most frequently in postmenopausal women who have fair complexions and are
small, sedentary individuals, and people on long-term steroid use.
A critical care nurse is using a computerized decision support system to correctly position her ventilated
patients to reduce pneumonia caused by accumulated respiratory secretions. This is an example of which
Quality and Safety in the Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
