N170: All NCLEX practice questions for Exam 2 Questions
With Complete Solutions
A case management nurse for a locally funded program for
special-needs children is increasingly concerned about a recent
referral for a 1-year-old child with a congenital illness residing
in a poverty-stricken community. The nurse knows that this
child may be at higher risk for the most harmful effects of
poverty, including:
A. developmental delays.
B. ear infections.
C. frequent colds and infections.
D. irritability. Correct Answer Answer: developmental delays.
Rationale: Young children (newborn to age 5 years) are at
greater risk for the most harmful effects of poverty, especially in
regard to adequate nutrition and brain development. Other risk
factors include maternal substance abuse or depression,
exposure to environmental toxins, trauma and abuse, and poor-
quality daily care.
A city uses the local media (radio, television, and newspapers)
to post ratings of air quality on days when the air quality is poor.
This notification is directed toward older adults, very young
members of the community, and those with chronic breathing
problems. These groups are an example of:
A. disenfranchised populations.
B. disadvantaged populations.
C. vulnerability.
D. vulnerable populations. Correct Answer Answer: vulnerable
populations.
,Rationale: Vulnerable populations are those groups who have an
increased risk to develop adverse outcomes. A vulnerable
population group is a subgroup of the population, more likely to
develop health problems as a result of exposure to risk or to
have worse outcomes from a health problem than is the rest of
the population. The risks are often cumulative risks from
environmental hazards, personal behavior, or biological or
genetic makeup.
A client is back for his follow-up appointment and says to the
nurse, "I know. I know. I drink too much, but the job is so
stressful that I need to find a way to unwind at the end of the
day. You would too!" The nurse should recognize that this is a
primary symptom of addiction known as:
A. denial.
B. social drug use patterns.
C. setting variable.
D. coping. Correct Answer Answer: denial.
Rationale: The role of the nurse in secondary prevention is to
accurately assess the client to identify substance abuse and plan
appropriate interventions. A progression in drug-use patterns
and related problems warns about the possibility of addiction.
Denial is a primary symptom of addiction and can be
demonstrated by the following: lying about use; minimizing use
patterns; blaming or rationalizing; intellectualizing; changing the
subject; using anger or humor; and "going with the flow"
(agreeing that a problem exists, stating behavior will change, but
not demonstrating any behavior change).
,A community-based HIV/AIDS clinic would be concerned
about which aspects of the Public Health Code of Ethics? (Select
all that apply.)
A. Autonomy of the professional
B. Confidentiality when possible
C. Funding
D. Promoting advocacy for disenfranchised persons
E. Respecting only community rights Correct Answer Answer:
Confidentiality when possible
Promoting advocacy for disenfranchised persons
Rationale: The 12 principles of the Public Health Code of Ethics
incorporate the ethical tenets of preventing harm; doing no
harm; promoting good; respecting both individual and
community rights; respecting autonomy, diversity, and
confidentiality when possible; ensuring professional
competency; trustworthiness; and promoting advocacy for
disenfranchised persons within the community.
A community-based hospice nurse has an Asian male client with
terminal stage cancer. The client complains that he is in
continuous pain and receives no relief from the codeine
prescribed by his primary care practitioner (PCP). The nurse
contacts the client's PCP to discuss replacing the prescription of
codeine with another pain-reducing non-codeine-based drug.
The nurse is demonstrating knowledge of the cultural organizing
factor of:
A. biological variance.
B. communication.
C. space.
, D. time perception. Correct Answer Answer: biological
variance.
Rationale: Biological variations are the physical, biological, and
physiological differences that exist and distinguish one racial
group from another. They occur in areas of growth and
development, skin color, enzymatic differences, and
susceptibility to disease. Research findings suggest that
sensitivity to codeine varies with ethnic background, and that
Asian men experience significantly weaker effects from the drug
than do European men. Asian men are missing an enzyme called
CYP2D6 that allows the body to metabolize codeine into
morphine, which is responsible for the pain relief provided by
codeine. When an individual is missing the enzyme, no amount
of codeine will lessen the pain, and other pain-reducing
chemicals should be explored. The cultural organizing factors
associated with communication, space and time perception are
not related to this situation.
A community-oriented nurse convenes a support group for
teenage mothers. The nurse understands that this strategy fosters
cohesiveness among members and allows the members to learn
from one another. What other benefit specific to group teaching
will be achieved?
A. Cultural sensitivity
B. Efficiency in client service
C. Learning of new skills
D. Distraction-free surroundings Correct Answer Answer:
Efficiency in client service
With Complete Solutions
A case management nurse for a locally funded program for
special-needs children is increasingly concerned about a recent
referral for a 1-year-old child with a congenital illness residing
in a poverty-stricken community. The nurse knows that this
child may be at higher risk for the most harmful effects of
poverty, including:
A. developmental delays.
B. ear infections.
C. frequent colds and infections.
D. irritability. Correct Answer Answer: developmental delays.
Rationale: Young children (newborn to age 5 years) are at
greater risk for the most harmful effects of poverty, especially in
regard to adequate nutrition and brain development. Other risk
factors include maternal substance abuse or depression,
exposure to environmental toxins, trauma and abuse, and poor-
quality daily care.
A city uses the local media (radio, television, and newspapers)
to post ratings of air quality on days when the air quality is poor.
This notification is directed toward older adults, very young
members of the community, and those with chronic breathing
problems. These groups are an example of:
A. disenfranchised populations.
B. disadvantaged populations.
C. vulnerability.
D. vulnerable populations. Correct Answer Answer: vulnerable
populations.
,Rationale: Vulnerable populations are those groups who have an
increased risk to develop adverse outcomes. A vulnerable
population group is a subgroup of the population, more likely to
develop health problems as a result of exposure to risk or to
have worse outcomes from a health problem than is the rest of
the population. The risks are often cumulative risks from
environmental hazards, personal behavior, or biological or
genetic makeup.
A client is back for his follow-up appointment and says to the
nurse, "I know. I know. I drink too much, but the job is so
stressful that I need to find a way to unwind at the end of the
day. You would too!" The nurse should recognize that this is a
primary symptom of addiction known as:
A. denial.
B. social drug use patterns.
C. setting variable.
D. coping. Correct Answer Answer: denial.
Rationale: The role of the nurse in secondary prevention is to
accurately assess the client to identify substance abuse and plan
appropriate interventions. A progression in drug-use patterns
and related problems warns about the possibility of addiction.
Denial is a primary symptom of addiction and can be
demonstrated by the following: lying about use; minimizing use
patterns; blaming or rationalizing; intellectualizing; changing the
subject; using anger or humor; and "going with the flow"
(agreeing that a problem exists, stating behavior will change, but
not demonstrating any behavior change).
,A community-based HIV/AIDS clinic would be concerned
about which aspects of the Public Health Code of Ethics? (Select
all that apply.)
A. Autonomy of the professional
B. Confidentiality when possible
C. Funding
D. Promoting advocacy for disenfranchised persons
E. Respecting only community rights Correct Answer Answer:
Confidentiality when possible
Promoting advocacy for disenfranchised persons
Rationale: The 12 principles of the Public Health Code of Ethics
incorporate the ethical tenets of preventing harm; doing no
harm; promoting good; respecting both individual and
community rights; respecting autonomy, diversity, and
confidentiality when possible; ensuring professional
competency; trustworthiness; and promoting advocacy for
disenfranchised persons within the community.
A community-based hospice nurse has an Asian male client with
terminal stage cancer. The client complains that he is in
continuous pain and receives no relief from the codeine
prescribed by his primary care practitioner (PCP). The nurse
contacts the client's PCP to discuss replacing the prescription of
codeine with another pain-reducing non-codeine-based drug.
The nurse is demonstrating knowledge of the cultural organizing
factor of:
A. biological variance.
B. communication.
C. space.
, D. time perception. Correct Answer Answer: biological
variance.
Rationale: Biological variations are the physical, biological, and
physiological differences that exist and distinguish one racial
group from another. They occur in areas of growth and
development, skin color, enzymatic differences, and
susceptibility to disease. Research findings suggest that
sensitivity to codeine varies with ethnic background, and that
Asian men experience significantly weaker effects from the drug
than do European men. Asian men are missing an enzyme called
CYP2D6 that allows the body to metabolize codeine into
morphine, which is responsible for the pain relief provided by
codeine. When an individual is missing the enzyme, no amount
of codeine will lessen the pain, and other pain-reducing
chemicals should be explored. The cultural organizing factors
associated with communication, space and time perception are
not related to this situation.
A community-oriented nurse convenes a support group for
teenage mothers. The nurse understands that this strategy fosters
cohesiveness among members and allows the members to learn
from one another. What other benefit specific to group teaching
will be achieved?
A. Cultural sensitivity
B. Efficiency in client service
C. Learning of new skills
D. Distraction-free surroundings Correct Answer Answer:
Efficiency in client service
