NR 222 | NR222 Exam | Health &
Wellness Exam | Questions and
Answers with Rationale
The nurse recognizes that a minority group is perceived as:
A. capturing biological variations within human populations.
B. people who receive less than their share of wealth, power, or social
status.
C. people set apart on the basis of cultural or national origin
characteristics.
D. socially organized groups with salient differences with respect to other
groups in society.
- Correct Answer - B. people who receive less than their share of
wealth, power, or social status.
Rationale: A minority group may be perceived as consisting of people
who receive less than their share of the wealth, power, or social status
The U.S Department of Health and Human Services and the Institute of
Medicine have well documented that racial and ethnic minorities have
less access to health care, receive lower-quality health care, and have
higher rates of illness, injury, and premature death. Race has been
viewed as capturing biological variations within human populations. It
emphasizes the physical and biological heredity. An ethnic group is a
group that is set apart by insiders or outsiders primarily on the basis of
cultural or national origin characteristics subjectively selected. Ethnic
,groups are socially organized with salient differences compared with
other groups in society.
Which of the following diseases are Arab Americans at the highest risk
for?
A. colon cancer.
B. hypertension.
C. adult-onset diabetes.
D. end-stage renal disease.
- Correct Answer - C. adult-onset diabetes.
Rationale: There is limited health information about Arab Americans who
suffer from chronic health problems such as diabetes and coronary
artery disease. Several factors put Arab Americans at high-risk for
developing adult onset diabetes and cardiovascular disease including
obesity, age, gender, and low employment rates. Health concerns on the
rise for Arab Americans include mental illness and tobacco consumption
among adolescents.
Priority nursing assessments of Asian Americans/Pacific Islanders
should be on which disease process?
A. COPD
B. Hypertension
C. Diabetes mellitus
D. Breast cancer - Correct Answer - A. COPD
,Rationale: Asian Americans have a high prevalence and risk factors of
chronic obstructive pulmonary disease, hepatitis B, HIV/AIDS, smoking,
tuberculosis, and liver disease. Asian American/Pacific Islander women
are less likely to die of breast cancer, and infant mortality rates are lower
compared with other ethnic groups. They have lower rates of being
overweight, lower rates of hypertension, and are less likely to be
cigarette smokers.
Mrs. Jones states that she gets anxious when she thinks about giving
herself insulin. How do you use your understanding of intrapersonal
communication to help with this?
A. Provide her the opportunity to practice drawing up insulin
B. Coach her to give herself positive messages about her ability to do
this
C. Bring her written material that clearly describes the steps of insulin
administration
D. Use therapeutic communication to help her express her feeling about
giving herself an injection - Correct Answer - B. Coach her to give herself
positive messages about her ability to do this
Rationale: Intrapersonal communication is self-talk. The other options
may help her better understand insulin administration or deal with her
anxiety, but they do not involve intrapersonal communication.
, The nurse has a patient who is short of breath and calls the health care
provider using SBAR (Situation-Background-Assessment-
Recommendation) to help with the communication. What does the nurse
first address?
A. The respiratory rate is 28.
B. The patient has a history of lung cancer.
C. The patient is short of breath.
D. He or she requests an order for a breathing treatment. - Correct
Answer - C. The patient is short of breath.
Rationale: Using the acronym SBAR, the nurse should begin with "S,"
which is Situation. The situation is that the patient is short of breath. The
history of lung cancer is Background, the respiratory rate is Assessment,
and the request for an order is a Recommendation.
You are caring for Mr. Smith, who is facing amputation of his leg. During
the orientation phase of the relationship, what would you do?
A. Summarize what you have talked about in the previous sessions
B. Review his medical record and talk to other nurses about how he is
reacting
C. Explore his feelings about losing his leg
D. Talk with him about his favorite hobbies - Correct Answer - D. Talk
with him about his favorite hobbies
Rationale: Socializing is used during the orientation phase of a
relationship to get acquainted and help establish trust.
Wellness Exam | Questions and
Answers with Rationale
The nurse recognizes that a minority group is perceived as:
A. capturing biological variations within human populations.
B. people who receive less than their share of wealth, power, or social
status.
C. people set apart on the basis of cultural or national origin
characteristics.
D. socially organized groups with salient differences with respect to other
groups in society.
- Correct Answer - B. people who receive less than their share of
wealth, power, or social status.
Rationale: A minority group may be perceived as consisting of people
who receive less than their share of the wealth, power, or social status
The U.S Department of Health and Human Services and the Institute of
Medicine have well documented that racial and ethnic minorities have
less access to health care, receive lower-quality health care, and have
higher rates of illness, injury, and premature death. Race has been
viewed as capturing biological variations within human populations. It
emphasizes the physical and biological heredity. An ethnic group is a
group that is set apart by insiders or outsiders primarily on the basis of
cultural or national origin characteristics subjectively selected. Ethnic
,groups are socially organized with salient differences compared with
other groups in society.
Which of the following diseases are Arab Americans at the highest risk
for?
A. colon cancer.
B. hypertension.
C. adult-onset diabetes.
D. end-stage renal disease.
- Correct Answer - C. adult-onset diabetes.
Rationale: There is limited health information about Arab Americans who
suffer from chronic health problems such as diabetes and coronary
artery disease. Several factors put Arab Americans at high-risk for
developing adult onset diabetes and cardiovascular disease including
obesity, age, gender, and low employment rates. Health concerns on the
rise for Arab Americans include mental illness and tobacco consumption
among adolescents.
Priority nursing assessments of Asian Americans/Pacific Islanders
should be on which disease process?
A. COPD
B. Hypertension
C. Diabetes mellitus
D. Breast cancer - Correct Answer - A. COPD
,Rationale: Asian Americans have a high prevalence and risk factors of
chronic obstructive pulmonary disease, hepatitis B, HIV/AIDS, smoking,
tuberculosis, and liver disease. Asian American/Pacific Islander women
are less likely to die of breast cancer, and infant mortality rates are lower
compared with other ethnic groups. They have lower rates of being
overweight, lower rates of hypertension, and are less likely to be
cigarette smokers.
Mrs. Jones states that she gets anxious when she thinks about giving
herself insulin. How do you use your understanding of intrapersonal
communication to help with this?
A. Provide her the opportunity to practice drawing up insulin
B. Coach her to give herself positive messages about her ability to do
this
C. Bring her written material that clearly describes the steps of insulin
administration
D. Use therapeutic communication to help her express her feeling about
giving herself an injection - Correct Answer - B. Coach her to give herself
positive messages about her ability to do this
Rationale: Intrapersonal communication is self-talk. The other options
may help her better understand insulin administration or deal with her
anxiety, but they do not involve intrapersonal communication.
, The nurse has a patient who is short of breath and calls the health care
provider using SBAR (Situation-Background-Assessment-
Recommendation) to help with the communication. What does the nurse
first address?
A. The respiratory rate is 28.
B. The patient has a history of lung cancer.
C. The patient is short of breath.
D. He or she requests an order for a breathing treatment. - Correct
Answer - C. The patient is short of breath.
Rationale: Using the acronym SBAR, the nurse should begin with "S,"
which is Situation. The situation is that the patient is short of breath. The
history of lung cancer is Background, the respiratory rate is Assessment,
and the request for an order is a Recommendation.
You are caring for Mr. Smith, who is facing amputation of his leg. During
the orientation phase of the relationship, what would you do?
A. Summarize what you have talked about in the previous sessions
B. Review his medical record and talk to other nurses about how he is
reacting
C. Explore his feelings about losing his leg
D. Talk with him about his favorite hobbies - Correct Answer - D. Talk
with him about his favorite hobbies
Rationale: Socializing is used during the orientation phase of a
relationship to get acquainted and help establish trust.
