NR 222 Unit 6 Exam 2 (Latest): Health and Wellness: (All questions)
NR 222 Unit 6 Exam 2 (Latest): Health and Wellness: Chamberlain
1 The nurse incorporates cultural considerations into the health teaching plan by:
• Assessing a person's beliefs.
• Using medical terminology
• Presenting evidence-based information.
• Explaining that universal health practices are the best.
2 The communication of health information in a manner which is clear and understandable to the client is known as:
• Health literacy
• Health disparities
• Health education
3 Nurses have a responsibility to ensure health literacy when providing health education. What are some strategies that nurses can use to promote health literacy? (select all that apply)
• Speak clearly and distinctly.
• Speak louder than usual.
• Use medical terminology.
• Face the person when speaking.
• Conclude with a summary of key points
4 The nurse utilizes strategies associated with client-centered communication by doing which of the following? (select all that apply)
• Not being "too busy" to talk
• Focusing on the nurse's views
• Developing mutual understanding
• Emphasizing the technical aspects of care
• Using a conversational interviewing style
• Tuning in to the client's preferences and style
5 What are some ethical standards that nurses can utilize for interpersonal communications? (select all that apply)
• Communicate information accurately.
• Take a laissez-faire approach to minimize conflict
• Change the subject when unsure of the correct answer.
• Be sensitive to gender and cultural context.
• Communicate verbal and nonverbal messages in a congruent manner
6 Which of the following scenarios best describes a nurse using metacommunication?
• Using both touch and silence when counseling an individual
• Practicing reflection when interaction with an individual
• Discussing with an individual how to solve a problem
• Understanding that an individual needs a break before proceeding
7 The nurse is teaching a class to students of pediatric nursing on comparing the concepts of growth and development. Which statement most accurately represents these concepts?
• Growth patterns are qualitative changes.
• Growth is from the head to toe or cephalocaudal.
• Development reflects an increase in the number and size of cells.
• Development is a gradual change that includes advances in skills.
8 A nurse is attending a continuing education program about growth and development. Why is it necessary that nurses are well educated about this content? (Select all that apply)
• Can deliver anticipatory guidance to families
• Have a better understanding of genetics and genomics
• Can meet the requirements of Healthy People 2020
• Can provide more effective health education
9 The school nurse is working on a campaign in the school to prevent adolescent pregnancies. Which of the following interventions should the nurse implement?
• Talk to teenagers about sex, including abstinence, contraception, and sexually transmitted diseases.
• Tell the teenagers they should abstain from sex until they are old enough to cope with the potential consequences such as an unwanted pregnancy.
• Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early.
• Offer all teenagers free condoms when they come in for physical exams.
10 Which of the following is the third leading cause of death in adolescents between 10 and 24 years of age?
• Sport injuries
11 The nurse is preparing an educational activity for adolescents. The primary reason that emphasis is placed on teaching testicular self-examination is because:
• adolescents are naturally interested in their developing bodies.
• baseline assessment data is necessary for comparison in the future.
• rapid anatomical changes are occurring in the testes
• testicular cancer is the number one cancer in the adolescent male.
12 A nurse is planning a community health education program for young adults. Which of the following considerations should be made by the nurse?
• The age span encompassing young adulthood is between 20 to 30 years of age
• The number one cause of death for young adults is injury.
• The number of young adults in the United States is increasing.
• The maternal mortality rate is at its lowest point since 1980.
13 According to Healthy People 2020, the leading causes of death among children and young adults are due to injuries from which of the following?
• Motor Vehicle Crashes
14 Taking into account all of the agents that affect middle-age adults, the nurse plans a health education workshop focused on developing an individualized lifestyle change program for each participant. Which of the following actions should the nurse stress that individuals take first?
• Limiting unprotected exposure to sun
• Starting a smoking cessation program
• Exercising at least three times a week
• Scheduling a complete physical and dental exam
15 A nurse is conducting a community education program about cognition in older adults. Which of the following information should be included?
• Some form of mild dementia is a normal part of aging.
• All forms of dementia have the same symptoms, but progress at different rates.
• Assessment for dementia should be part of routine physical exams.
• Elders who score below 27 points on the Mini-Mental State Exam (MMSE) are not likely to have a cognition problem.
16 A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?
• A fenced-in pool in the backyard
• An entertainment center with the remote control on the top shelf
• A closed window in the child’s bedroom
• A toy box overflowing with toys
17 A nurse is determining if teaching is effective. Which finding bestindicates learning has occurred?
• A nurse presents information about diabetes.
• A patient demonstrates how to inject insulin.
• A family member listens to a lecture on diabetes.
• A primary care provider hands a diabetes pamphlet to the patient.
18 A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing this patient’s learning needs?
• Assess the patient’s total health care needs.
• Assess the patient’s health literacy.
• Assess all sources of patient data.
• Assess the goals of patient care.
19 A nurse is teaching an older-adult patient about strokes. Which teaching technique is most appropriate for the nurse to use?
• Speak in a high tone of voice to describe strokes.
• Use a pamphlet about strokes with large font in blues and greens.
• Provide specific information about strokes in short, small amounts.
• Begin the teaching session facing the teaching white board with stroke information.
20 A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use?
• Return demonstration
• Computer instruction
• Verbalization of steps
• Cloze test
21 A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient’s ability to learn?
• “What do you want to know about strokes?”
• “Please read this handout and tell me what it means.”
• “Do you feel strong enough to perform the tasks I will teach you?”
• “On a scale from 1 to 10, tell me where you rank your desire to learn.”
22 The referent in the communication process is:
• Information shared by the sender
• The means of conveying messages
• That which motivates the communication
• The person who initiates the communication
• Motivates one person to communicate with the other.
23 The nurse works with pediatric patients who have Diabetes. Which is the youngest age group to which the nurse can effectively teach psychomotor skills such as insulin administer?
• School age
24 Demonstration of the principles of body mechanics used when transferring patients from bed to chair would be classified under which domain of learning?
25 According to Erikson, the developmental task of adolescence is :
• Industry vs. inferiority
• Identity vs. role confusion
• Autonomy vs. shame and doubt
• Role acceptance vs. role confusion
26 According to Erikson's developmental theory, the primary developmental task if the middle years us to:
• Achieve intimacy
• Achieve generativity
• Establish a set of personal values
• Establish a sense of personal identity
27 A nurse is measuring an infant’s head circumference and height. Which area is the nurse assessing?
• Moral development
• Cognitive development
• Biophysical development
• Psychosocial development
28 A nurse is caring for a young adult after surgery. Which action by the nurse will be priority?
• Allow involvement of peers
• Allow involvement of partner
• Allow involvement of volunteer activities
• Allow involvement of consistent schedule
29 The nurse is caring for a 14-year-old patient in the hospital. Which goal will be priority?
• Maintain industry
• Maintain identity
• Maintain intimacy
• Maintain initiative
30 A mother has delivered a healthy newborn. Which action is priority?
• Encourage close physical contact as soon as possible after birth.
• Isolate the newborn in the nursery during the first hour after delivery.
• Never leave the newborn alone with the mother during the first 8 hours after delivery.
• Do not allow the newborn to remain with parents until the second hour after delivery.
• After immediate physical evaluation and application of identification bracelets, the nurse promotes the parents’ and newborn’s need for close physical contact.
31 A nurse is working in the delivery room. Which action is priority immediately after birth?
• Open the airway.
• Determine gestational age.
• Monitor infant-parent interactions.
• Promote parent-newborn physical contact.
32 A mother expresses concern because her 5-year-old child frequently talks about friends who don’t exist. What is the nurse’s best response to this mother’s concern?
• “Have you considered a child psychological evaluation?”
• “You should stop your child from playing electronic games.”
• “Pretend play is a sign your child watches too much television.”
• “It’s very normal for a child this age to have imaginary playmates.”
33 A nurse is giving a presentation about accident prevention to a group of parents of toddlers. Which of the following accident-prevention strategies should the nurse include? (Select all that apply).
• Store toxic agents in locked cabinets
• Keep toilet seats up
• Turn pot handles toward the back of the stove
• Place safety gates across stairways
• Make sure balloons are fully inflated
34 Which statement, if made by a parent, will require further instruction from the nurse? • “I should not be surprised that my teenage son has so many friends.”
• “I get worried because my teenage son thinks he’s indestructible.”
• “I should cover for my 10-year-old son when he makes mistakes until he learns the ropes.”
• “I usually have nutritious snacks available because my 10-year-old son is always hungry right after school.”
35 A nurse is assessing the risk of intimate partner violence (IPV) for patients. Which population should the nurse focus on most for IPV?
• White males
• Pregnant females
• Middle-aged adults
• Nonsubstance abusers
36 Which information from the nurse indicates a correct understanding of emerging adulthood?
• It is a type of young adulthood.
• It is a type of extended adolescence.
• It is a type of independent exploration.
• It is a type of marriage and parenthood.
37 A nurse determines that a middle-aged patient is a typical example of the “sandwich generation.” What did the nurse discover the patient is caught between?
• Job responsibilities or family responsibilities
• Stopping old habits and starting new ones
• Caring for children and aging parents
• Advancing in career or retiring
38 A nurse is developing a plan of care for an older adult. Which information will the nurse consider?
• Should be standardized because most geriatric patients have the same needs
• Needs to be individualized to the patient’s unique needs
• Focuses on the disabilities that all aging persons face
• Must be based on chronological age alone
39 A nurse is teaching a group of older-adult patients. Which teaching strategy is best for the nurse to use?
• Provide several topics of discussion at once to promote independence and making choices.
• Avoid uncomfortable silences after questions by helping patients complete their statements.
• Ask patients to recall past experiences that correspond with their interests.
• Speak in a high pitch to help patients hear better.
40 A nurse is caring for an older adult. Which goal is priority?
• Adjusting to career
• Adjusting to divorce
• Adjusting to retirement
• Adjusting to grandchildren
41 A nurse is discussing sexuality with an older adult. Which action will the nurse take? • Ask closed-ended questions about specific symptoms the patient may experience.
• Provide information about the prevention of sexually transmitted infections.
• Discuss the issues of sexuality in a group in a private room.
• Explain that sexuality is not necessary as one ages.
42 An older patient with dementia and confusion is admitted to the nursing unit after hip replacement surgery. Which action will the nurse include in the plan of care?
• Keep a routine.
• Continue to reorient.
• Allow several choices.
• Socially isolate patient.
43 A nurse is reviewing car seat safety with the parents of a 1-month-old infant. When reviewing car seat use which of the following instructions should the nurse include?
• Use a car seat that has a three point harness system.
• Position the car seat so that the infant is rear facing.
• Secure the car seat in the front passenger seat of the vehicle
• Convert to a booster seat after 12 months.
44 A nurse is teaching a patient with a risk for hypertension how to take a blood pressure. Which action by the nurse is the priority?
• Assess laboratory results for high cholesterol and other data.
• Identify that teaching is the same as the nursing process.
• Perform nursing care therapies to address hypertension.
• Focus on a patient’s learning needs and objectives.
45 Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients?
• Shows sympathy appropriately
• Uses automatic responses fluently
• Demonstrates passive remarks accurately
• Self-examines personal communication skills
46 A nurse is using Jean Piaget’s developmental theory to focus on cognitive development. Which area will the nurse assess in this patient?
• Formal operations
• Intimacy versus isolation
• The postconventional level
47 A nurse works on a pediatric unit and is using a psychosocial developmental approach to child care. In which order from the first to the last will the nurse place the developmental stages?
1. Initiative versus guilt
2. Trust versus mistrust
3. Industry versus inferiority
4.Identity versus role confusion
5. Autonomy versus shame and doubt
• 2, 5, 3, 1, 4
• 2, 1, 3, 5, 4
• 2, 3, 1, 5, 4
• 2, 5, 1, 3, 4
48 According to Piaget, the school-age child is in the third stage of cognitive development, which is characterized by:
• Concrete operations
• Conventional thought
• Post-conventional thought
• Identity versus role diffusion
49 According to Kohlberg, children develop moral reasoning as they mature. Which of the following is most characteristic of a preschooler' stage of moral development?
• The rules of correct behavior are obeyed.
• Behavior that pleased others is considered good.
• Showing respect for authority is important behavior.
• Actions are determined as good or bad in terms of their consequences.
50 The nurse is caring for an infant. Which activity is most appropriate for the nurse to offer to the infant?
• Set of cards to organize and separate into groups
• Set of sock puppets with movable eyes
• Set of plastic stacking rings
• Set of paperback book