NR 222 | NR222 Final Exam | Health
and Wellness Final Exam | Correctly
Answered and Graded A+
When planning patient education, it is important to remember
that patients with which of the following illnesses often find
relief in complementary therapies?
- Correct Answer - Chronic back pain and arthritis.
Evidence supports the use of many complementary therapies
for chronic pain syndromes, particularly pain that is unremitting
and unresponsive to conventional allopathic therapies.
A nurse is caring for a patient experiencing a stress response.
The nurse plans care with the knowledge that systems respond
to stress in what manner?
- Correct Answer - Cause negative responses over time.
Protect an individual from harm in the short term.
In the beginning stress responses serve as a warning and
physiological "alarm" of sorts, preparing the person to respond
to harm. In this way they can be a protective mechanism.
However, stress that continues unmitigated for long periods of
,time creates states of "exhaustion" that translate ultimately into
negative physiological and psychological events.
While planning care for a patient, a nurse understands that
providing integrative care includes treating which of the
following?
- Correct Answer - Mind-body-spirit of patients and their
families.
You could argue that, when you consider the totality of the
patient/family, all of these come into play; but AHNA/ANA
Standards of Holistic Nursing speak specifically to the mind-
body-spirit focus of holistic nursing.
What role do patients have in complementary and alternative
therapies?
- Correct Answer - Actively involved in the treatment.
One of the characteristics of complementary therapy users is
that they want to be more involved in their care and decision
making about the types of treatments that are used.
Complementary therapies are one way to provide the patient
with increased control of the health care.
,In addition to an adequate patient assessment, when a nurse
uses one of the nursing-accessible complementary therapies,
he or she must ensure that which of the following has
occurred?
- Correct Answer - The patient has provided permission and
consent.
Nurse-accessible therapies are independent nursing
interventions. As long as the Scope of Practice identified by the
nurse's State Board of Nursing permits this activity, you do not
need to obtain permission from the patient's primary provider or
his or her family members unless the patient is underage. An
adult can provide consent. Complete understanding of any
procedure or intervention is impossible to ensure; therefore
documenting that the patient has a complete understanding of
complementary and alternative medicine is inaccurate.
A patient who visits the surgery clinic 4 weeks after a traumatic
amputation of his right leg tells the nurse practitioner that he is
worried about his ability to continue to support his family. He
tells the nurse he feels that he has let his family down after
having an auto accident that led to the loss of his left leg. The
nurse listens and then asks the patient, "How do you see
yourself now?" On the basis of Gordon's functional health
patterns, which pattern does the nurse assess?
, - Correct Answer - Self-perception-self-concept pattern.
This is an example of assessment of a patient's feelings about
his worth and body image, which is the self-perception- self-
concept health pattern.
During a visit to the clinic, a patient tells the nurse that he has
been having headaches on and off for a week. The headaches
sometimes make him feel nauseated. Which of the following
responses by the nurse is an example of probing?
- Correct Answer - Tell me what makes your headaches begin.
An open-ended question that probes such as "Tell me what
makes your headaches begin" encourages a fuller description
of a situation. The statement "So you've had headaches
periodically in the last week, and sometimes they cause you to
feel nauseated—correct?" is a summative statement. Asking
whether the patient has taken anything for the headaches is a
closed-ended question. Saying "Uh huh, tell me more" is an
example of back channeling.
Which of the following examples are steps of nursing
assessment?
- Correct Answer - Collection of information from patient's family
members.
and Wellness Final Exam | Correctly
Answered and Graded A+
When planning patient education, it is important to remember
that patients with which of the following illnesses often find
relief in complementary therapies?
- Correct Answer - Chronic back pain and arthritis.
Evidence supports the use of many complementary therapies
for chronic pain syndromes, particularly pain that is unremitting
and unresponsive to conventional allopathic therapies.
A nurse is caring for a patient experiencing a stress response.
The nurse plans care with the knowledge that systems respond
to stress in what manner?
- Correct Answer - Cause negative responses over time.
Protect an individual from harm in the short term.
In the beginning stress responses serve as a warning and
physiological "alarm" of sorts, preparing the person to respond
to harm. In this way they can be a protective mechanism.
However, stress that continues unmitigated for long periods of
,time creates states of "exhaustion" that translate ultimately into
negative physiological and psychological events.
While planning care for a patient, a nurse understands that
providing integrative care includes treating which of the
following?
- Correct Answer - Mind-body-spirit of patients and their
families.
You could argue that, when you consider the totality of the
patient/family, all of these come into play; but AHNA/ANA
Standards of Holistic Nursing speak specifically to the mind-
body-spirit focus of holistic nursing.
What role do patients have in complementary and alternative
therapies?
- Correct Answer - Actively involved in the treatment.
One of the characteristics of complementary therapy users is
that they want to be more involved in their care and decision
making about the types of treatments that are used.
Complementary therapies are one way to provide the patient
with increased control of the health care.
,In addition to an adequate patient assessment, when a nurse
uses one of the nursing-accessible complementary therapies,
he or she must ensure that which of the following has
occurred?
- Correct Answer - The patient has provided permission and
consent.
Nurse-accessible therapies are independent nursing
interventions. As long as the Scope of Practice identified by the
nurse's State Board of Nursing permits this activity, you do not
need to obtain permission from the patient's primary provider or
his or her family members unless the patient is underage. An
adult can provide consent. Complete understanding of any
procedure or intervention is impossible to ensure; therefore
documenting that the patient has a complete understanding of
complementary and alternative medicine is inaccurate.
A patient who visits the surgery clinic 4 weeks after a traumatic
amputation of his right leg tells the nurse practitioner that he is
worried about his ability to continue to support his family. He
tells the nurse he feels that he has let his family down after
having an auto accident that led to the loss of his left leg. The
nurse listens and then asks the patient, "How do you see
yourself now?" On the basis of Gordon's functional health
patterns, which pattern does the nurse assess?
, - Correct Answer - Self-perception-self-concept pattern.
This is an example of assessment of a patient's feelings about
his worth and body image, which is the self-perception- self-
concept health pattern.
During a visit to the clinic, a patient tells the nurse that he has
been having headaches on and off for a week. The headaches
sometimes make him feel nauseated. Which of the following
responses by the nurse is an example of probing?
- Correct Answer - Tell me what makes your headaches begin.
An open-ended question that probes such as "Tell me what
makes your headaches begin" encourages a fuller description
of a situation. The statement "So you've had headaches
periodically in the last week, and sometimes they cause you to
feel nauseated—correct?" is a summative statement. Asking
whether the patient has taken anything for the headaches is a
closed-ended question. Saying "Uh huh, tell me more" is an
example of back channeling.
Which of the following examples are steps of nursing
assessment?
- Correct Answer - Collection of information from patient's family
members.
