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Chamberlain College of Nursing : NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 (NEW 2020): Health and Wellness(100% CORRECT ANSWERS)

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Chamberlain College of Nursing : NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 (Latest): Health and Wellness NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 (Latest): Health and Wellness: Chamberlain College of Nursing Chamberlain NR 222 Unit 3 Exam 1 / NR222 Unit 3 Exam 1 (Latest): Health and Wellness Question 1 3 / 3 pts A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse implementing? Educator Manager Advocate Caregiver Question 2 3 / 3 pts A patient is scheduled for surgery. When getting ready to obtain the informed consent, the patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.” The nurse does not allow the patient to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? Manager Patient educator Patient advocate Clinical nurse specialist IncorrectQuestion 3 0 / 3 pts A nurse attends a workshop on current nursing issues provided by the American Nurses Association. Which type of education did the nurse receive? Graduate education Inservice education Continuing education Registered nurse education Question 4 3 / 3 pts A nurse is using the Healthy People 2020 to establish goals for the community. Which goal is priority? Reduce health care costs. Increase life expectancy. Provide services close to where patients live. Isolate patients to prevent the spread of disease. Question 5 3 / 3 pts A nurse is providing screening at a health fair. Which finding indicates a person may be more likely to develop health problems? One who is pregnant One who has excessive risks One who has unlimited access to health care One who uses nontraditional healing practices IncorrectQuestion 6 0 / 3 pts A nurse is using the holistic approach to care. Which goal is the priority? Integrate spiritual treatments. Join physical care with a vegan diet. Incorporate the mind-body-spirit connection. Use complementary and alternative therapies. Question 7 3 / 3 pts A nurse is teaching a patient about the use of biofeedback. Which goal should the nurse add to the care plan? Opens emotional channels Uses music to calm the mind Holds various postures with breathing Controls autonomic physiological functions IncorrectQuestion 8 0 / 3 pts Which patient will cause the nurse to question an order for acupuncture? A patient with AIDS A patient with osteoarthritis A patient with low back pain A patient with migraine headaches Question 9 3 / 3 pts The nurse questions a health care provider’s decision to not tell the patient about a cancer diagnosis. Which ethical principle is the nurse trying to uphold for the patient? Consequentialism Autonomy Fidelity Justice Question 10 3 / 3 pts The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications? Advocacy Responsibility Confidentiality Accountability IncorrectQuestion 11 0 / 3 pts A state of physical, mental, spiritual, and social functioning that realizes a person’s potential and is experienced within a developmental context is known as: growth and development health functioning high-level wellness Question 12 3 / 3 pts Which of the following represents a method of primary prevention? Informational session about healthy lifestyles Interventional cardia catheterization Rehabilation services Diagnostic cardia catheterization Question 13 3 / 3 pts A nurse is planning to deliver an educational program to individuals with diabetes. Which of the following should be the initial action taken by the nurse to ensure the success of the program? Assess the knowledge level of the individuals Assess the motivation level of the individuals Establish teacher-learner goals with the individuals Establish multiple teaching sessions with the individuals Question 14 3 / 3 pts Which nurse is at risk of making a medical error? A nurse that works in a hospital that advocates multidisciplinary care A nurse who is caring for four clients during a twelve hour shift. A nurse who is working overtime. Attends regular continuing education programs IncorrectQuestion 15 0 / 3 pts Which person is at highest risk for being uninsured? 68-year-old retired mailman 48-year-old on renal dialysis 27-year-old who attends college and works part time in a small pizza parlor 2-year-old whose parents work but do not have benefits through their employers Question 16 3 / 3 pts Patient care emphasis on wellness, rather than illness, begins as a result of: Increased education regarding causes of illness A decrease in insurance payments. Large healthcare centers. Increased number of health care givers IncorrectQuestion 17 0 / 3 pts The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation? Nurse-patient relationship Accountability Advocacy Standard of care Question 18 3 / 3 pts What are the universal guidelines that define appropriate measures for all nursing interventions? Standard of care Prudent practice Scope of practice Advocacy IncorrectQuestion 19 0 / 3 pts A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: Malpractice Negligence Harm to the patient Accountability IncorrectQuestion 20 0 / 3 pts Acupuncture is a complementary therapy that uses fine needles placed in acupoints. What is the believed purpose of these acupoints? "Close the gate” for pain transmission Align the internal organs Open meridians to release qi Stimulate the “centering” of qi Question 21 3 / 3 pts A nurse examines whether patient interventions have been appropriate and expected outcomes have been met. The nurse is demonstrating which step in the nursing process? Assessment Planning Implementation Evaluation Question 22 3 / 3 pts The patient’s son requests to view documentation in the medical record. What is the nurse’s best response to this request? “I’ll be happy to get that for you.” “You are not allowed to look at it.” “You will need your mother’s permission.” “I cannot let you see the chart without a doctor’s order.” Question 23 3 / 3 pts Which of the following represents a method of secondary prevention? Daily low-dose aspirin to prevent cardiovascular events Self breast examination education Chemotherapy for advanced breast cancer Complete mastectomy for breast cancer Question 24 3 / 3 pts When professionals work together to solve ethical dilemmas, nurses must examine their own values. What is the best rationale for this step? So fact is separated from opinion So different perspectives are respected So judgmental attitudes can be provoked So the group identifies the one correct solution Question 25 3 / 3 pts A patient is admitted to a rehabilitation facility following a stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving? Primary prevention Secondary prevention Tertiary prevention Health promotion Question 26 3 / 3 pts The nurse is caring for a patient who has been trying to quit smoking. The patient has been smoke free for 2 weeks but had two cigarettes last night and at least two this morning. What should the nurse anticipate? The patient does not want to and will never quit smoking. The patient must pick up the attempt right where the patient left off. The patient will return to the contemplation or precontemplation phase. The patient will need to adopt a new lifestyle for change to be effective. Question 27 3 / 3 pts The nurse is working in a drug rehabilitation clinic and is in the process of admitting a patient for “detox.” What should the nurse do next? Identify the patient’s stage of change. Realize that the patient is ready to change. Teach the patient that choices will have to change. Instruct the patient that relapses will not be tolerated. IncorrectQuestion 28 0 / 3 pts A female patient has been overweight for most of her life. She has tried dieting in the past and has lost weight, only to regain it when she stopped dieting. The patient is visiting the weight loss clinic/health club because she has decided to do it. She states that she will join right after the holidays, in 3 months. Which stage is the patient displaying? Precontemplation Contemplation Preparation Action Question 29 3 / 3 pts Upon completion of the assessment, the nurse finds that the patient has quit drinking and has been alcohol free for the past 2 years. Which stage best describes the nurse’s assessment finding? Contemplation Maintenance Preparation Action IncorrectQuestion 30 0 / 3 pts If a nurse decides to withold a medication because it might further lower the patient's blood pressure, the nurse will be practicing the principle of : Competency Responsibility Accountability Moral behavior Question 31 3 / 3 pts A nurse is caring for a client who is from a different culture than himself. When beginning the cultural assessment. which of the following acitons should the nurse take first. Determine the client's perception of his current health status. Gather data about the client's cultural beliefs. Determine how the client's culture can affect the effectiveness of nursing actions. Gather information about previous client interactions with the health care system. Question 32 3 / 3 pts A nurse is assessing the family unit to determine the family’s ability to adapt to the change of a member having surgery. Which area is the nurse monitoring? Family durability Family resiliency Family diversity Family forms Question 33 3 / 3 pts A nurse reviews the current trends affecting the family. Which trend will the nurse find? Mothers are staying at home. Adolescent mothers usually live on their own. More grandparents are raising their grandchildren. Teenage fathers usually have stronger support systems. Question 34 3 / 3 pts A nurse is using the family as context approach to provide care to a patient. What should the nurse do next? Assess family patterns versus individual characteristics. Assess how much the family provides the patient’s basic needs. Use “family as patient” and “family as context” approaches simultaneously. Plan care to meet not only the patient’s needs but those of the family as well. Question 35 3 / 3 pts A nurse is caring for an immigrant with low income. Which information should the nurse consider when planning care for this patient? There is a decreased frequency of morbidity. There is an increased incidence of disease. There is an increased level of health. There is a decreased mortality rate. IncorrectQuestion 36 0 / 3 pts A nurse is assessing the health care disparities among population groups. Which area is the nurse monitoring? Accessibility of health care services Outcomes of health conditions Prevalence of complications Incidence of diseases Question 37 3 / 3 pts The nurse is caring for a patient of Hispanic descent who speaks no English. The nurse is working with an interpreter. Which action should the nurse take? Use long sentences when talking. Look at the patient when talking. Use breaks in sentences when talking. Look at only nonverbal behaviors when talking. IncorrectQuestion 38 0 / 3 pts A nurse is assessing a patient’s ethnohistory. Which question should the nurse ask? What language do you speak at home? How different is your life here from back home? Which caregivers do you seek when you are sick? How different is what we do from what your family does when you are sick? Question 39 3 / 3 pts A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? Code of ethics Standards of practice Standards of professional performance Quality and safety education for nurses Question 40 3 / 3 pts A nurse is teaching about the goals of Healthy People 2020. Which information should the nurse include in the teaching session? Eliminate health disparities in America. Eliminate health behaviors in America. Eliminate quality of life in America. Eliminate healthy life in America. IncorrectQuestion 41 0 / 3 pts A nurse is using Maslow’s hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first? Anxiety Not eating Mental health Not seeing family members Question 42 3 / 3 pts A nurse is teaching about the transtheoretical model of change. In which order will the nurse place the progression of the stages from beginning to end? 1. Action 2. Preparation 3. Maintenance 4. Contemplation 5. Precontemplation 5, 4, 2, 1, 3 2, 5, 4, 3, 1 4, 5, 3, 1, 2 1, 5, 2, 3, 4 Question 43 3 / 3 pts A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first? Complete the questions in chronological order. Focus on the patient’s presenting situation. Make accurate interpretations of the data. Conduct an observational overview. Question 44 3 / 3 pts The nurse is gathering data on a patient. Which data will the nurse report as objective data? States “doesn’t feel good” Reports a headache Respirations 16 Nauseated Question 45 3 / 3 pts A patient expresses fear of going home and being alone. Vital signs are stable and the incision is nearly completely healed. What can the nurse infer from the subjective data? The patient can now perform the dressing changes without help. The patient can begin retaking all of the previous medications. The patient is apprehensive about discharge. The patient’s surgery was not successful. Question 46 3 / 3 pts A nurse has already set the agenda during a patient-centered interview. What will the nurse do next? Begin with introductions. Ask about the chief concerns or problems. Explain that the interview will be over in a few minutes. Tell the patient “I will be back to administer medications in 1 hour.” IncorrectQuestion 47 0 / 3 pts A nurse is conducting a nursing health history. Which component will the nurse address? Nurse’s concerns Patient expectations Current treatment orders Nurse’s goals for the patient Question 48 3 / 3 pts The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview? The patient’s room with the door closed The waiting area with the television turned off The patient’s room before administration of pain medication Question 49 3 / 3 pts Which nurse most likely kept records on sanitation techniques and the effects on health? Florence Nightingale Mary Nutting Clara Barton Lillian Wald Question 50 3 / 3 pts A patient asks the nurse for a nonmedical approach for excessive worry and work stress. Which therapy should the nurse recommend? Meditation Acupuncture Ayurvedic herbs Chiropractic care

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NR 222 Unit 3 Exam 1


Question 1

A nurse prepares the budget and policies for an intensive care unit. Which role is the nurse
implementing?

Educator


Manager


Advocate


Caregiver

A manager coordinates the activities of members of the nursing staff in delivering nursing care
and has personnel, policy, and budgetary responsibility for a specific nursing unit or facility. As
an educator, you explain concepts and facts about health, describe the reason for routine care
activities, demonstrate procedures such as self-care activities, reinforce learning or patient
behavior, and evaluate the patient’s progress in learning. As a patient advocate, you protect your
patient’s human and legal rights and provide assistance in asserting these rights if the need arises.
As a caregiver, you help patients maintain and regain health, manage disease and symptoms, and
attain a maximal level function and independence through the healing process.

Question 2

A patient is scheduled for surgery. When getting ready to obtain the informed consent, the
patient tells the nurse, “I have no idea what is going to happen. I couldn’t ask any questions.”
The nurse does not allow the patient to sign the permit and notifies the health care provider of the
situation. Which role is the nurse displaying?

Manager


Patient educator


Patient advocate


Clinical nurse specialist

, As a patient advocate, the nurse protects the patient’s human and legal rights, including the right
of the patient to understand procedures before signing permits. Although nurses can be
educators, it is the responsibility of the surgeon to provide education for the patient in
preparation for surgery, and it is the nurse’s responsibility to notify the health care provider if the
patient is not properly educated. Managers coordinate the activities of members of the nursing
staff in delivering nursing care, and clinical nurse specialists are experts in a specialized area of
nursing practice in a variety of settings.

IncorrectQuestion 3

A nurse attends a workshop on current nursing issues provided by the American Nurses
Association. Which type of education did the nurse receive?

Graduate education


Inservice education


Continuing education


Registered nurse education

Continuing education involves formal, organized educational programs offered by universities,
hospitals, state nurses associations, professional nursing organizations, and educational and
health care institutions. After obtaining a baccalaureate degree in nursing, you can pursue
graduate education leading to a master’s or doctoral degree in any number of graduate fields,
including nursing. Inservice education programs are instruction or training provided by a health
care facility or institution. Registered nurse education is the education preparation for an
individual intending to be an RN.

Question 4

A nurse is using the Healthy People 2020 to establish goals for the community. Which goal
is priority?

Reduce health care costs.


Increase life expectancy.


Provide services close to where patients live.

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