NR 222- EXAM 2 PRACTICE EXAM WITH 400
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A nurse works in a special care unit for children with severe immunology problems and is
caring for a 3-year-old boy from Greece. The boy's father is with him while his mother and
sister are back in Greece. The nurse is having difficulty communicating with the father. What
action does the nurse take?
A. Care for the boy as she would any other patient
B. Ask the manager to talk with the father and keep him out of the unit
C. Have another nurse care for the boy because maybe that nurse will do better with the
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, NR 222- EXAM 2 PRACTICE EXAM
father
D. Search for help with interpretation and understanding of the cultural differences by
contacting someone from the local Greek community
D. Search for help with interpretation and understanding of the cultural differences by
contacting someone from the local Greek community
The nurse needs to understand how the Greek culture impacts the father's health beliefs and
communication with health care providers. Cultural variables must be incorporated into the
child's plan of care. Cultural background influences beliefs, values, and customs. It influences
the approach to the health care system, personal health practices, and the nurse-patient
relationship. Cultural background may also influence an individual's beliefs about causes of
illness and remedies or practices to restore health. If nurses are not aware of their own and
other cultural patterns of behavior and language, they may not be able to recognize and
understand a patient's behavior and beliefs and may have difficulty interacting with the
patient.
A patient with a 20-year history of diabetes mellitus had a lower leg amputation. Which
statement made by the patient indicates that he is experiencing a problem with body image?
A. "I just don't have any energy to get out of bed in the morning."
B. "I've been attending church regularly with my wife since I got out of the hospital."
C. " My wife has taken over paying the bills since I've been in the hospital."
D. "I don't go out very much because everyone stares at me."
D. "I don't go out very much because everyone stares at me."
The amputation resulted in a change in physical appearance that caused a change in body
image. Reactions of patients and families to changes in body image depend on the type of
changes (e.g., loss of a limb or an organ), their adaptive capacity, the rate at which changes
take place, and the support services available. When a change in body image such as results
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, NR 222- EXAM 2 PRACTICE EXAM
from a leg amputation occurs, the patient generally adjusts in the following phases: shock,
withdrawal, acknowledgment, acceptance, and rehabilitation. The patient's statement
indicates he is in the stage of withdrawal.
The patient states she joined a fitness club and attends the aerobics class three nights a
week. The patient is in what stage of behavioral change?
A. Precontemplation
B. Contemplation
C. Preparation
D. Action
D. Action
The patient is in the action stage of behavioral change. In this stage the patient is actively
engaged in strategies to change behavior. This stage may last up to 6 months.
The nurse is developing a health promotion program on healthy eating and exercise for high
school students using the health belief model as a framework. Which statement made by a
nursing student is related to the individual's perception of susceptibility to an illness?
A. "I don't have time to exercise because I have to work after school every night."
B. "I'm worried about becoming overweight and getting diabetes because my father has
diabetes."
C. "The statistics of how many teenagers are overweight is scary."
D. "I've decided to start a walking club at school for interested students."
B. "I'm worried about becoming overweight and getting diabetes because my father has
diabetes."
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, NR 222- EXAM 2 PRACTICE EXAM
The statement indicates that the patient is concerned about developing diabetes and
believes that there is a risk or susceptibility based on recognition of a familial link for the
disease. Once this link is recognized, the patient may perceive the personal risk for diabetes.
The nurse assesses the following risk factors for coronary artery disease (CAD) in a male
patient. Which factors are classified as genetic and physiological? (Select all that apply.)
A. Sedentary lifestyle
B. Father died from CAD at age 50
C. History of hypertension
D. Eats diet high in sodium
E. Elevated cholesterol level
F. Age is 44 years
B. Father died from CAD at age 50
C. History of hypertension
E. Elevated cholesterol level
F. Age is 44 years
Genetic and physiological risk factors include those related to heredity, genetic predisposition
to an illness, or those that involve the physical functioning of the body. Certain physical
conditions such as being pregnant or overweight place increased stress on physiological
systems (e.g., the circulatory system), increasing susceptibility to illness in these areas. A
person with a family history of coronary artery disease is at risk for developing the disease
later in life because of a hereditary and genetic predisposition to the disease.
Which activity represents secondary prevention?
A. A home health care nurse visits a patient's home to change a wound dressing.
B. A 50-year-old woman with no history of disease attends the local health fair and has her
blood pressure checked.
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