NR222- Health & Wellness- Exam 1
1. The nurse spends time with a patient and family re- 1. Educator
viewing a dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to The nurse is demonstrat-
change the dressing. The nurse is acting in which pro- ing the role of educa-
fessional role? tor. An educator explains
concepts and facts about
1. Educator health, describes the rea-
2. Advocate son for routine care activ-
3. Caregiver ities, demonstrates proce-
4. Communicator dures such as home-care
activities, reinforces learn-
ing or patient behavior,
and evaluates the pa-
tient's progress in learn-
ing or patient behavior,
and evaluates the pa-
tient's progress in learning
through return demon-
stration.
2. A patient discharged a week ago following a stroke is 3. Tertiary prevention
currently participating in rehabilitation sessions pro-
vided by nurses, physical therapists, and registered Involves minimizing the ef-
dietitians in an outpatient setting. In what level of pre- fects of long-term dis-
vention is the patient participating? ease or disability by in-
terventions directed at
1. Primary prevention preventing complications
2. Secondary prevention and deterioration follow-
3. Tertiary prevention ing surgery. Tertiary pre-
4. Transtheoretical prevention vention activities are di-
rected at rehabilitation
rather than diagnosis and
, NR222- Health & Wellness- Exam 1
treatment. Care at this lev-
el aims to help patients
achieve as high a level
of functioning as possi-
ble, despite the limitations
caused by illness or im-
pairment. This level of care
is called preventative care
because it involves pre-
venting further disability
or reduced functioning.
3. Based on the transtheoretical model of change, what is 3. What do you think the
the most appropriate response to a patient who states: greatest reason why stop-
"Me, stop smoking? I've been smoking since I was 16!" ping smoking would be
challenging for you?
1. That's fine. Some people who smoke live a long life.
2. Ok. I want you to decrease the number of ciga- The patient's response in-
rettes you smoke by one each day, and I'll see you in 1 dicates he is in the pre-
month. contemplation stage and
3. What do you think is the greatest reason why stop- not intending to make
ping smoking would be challenging for you? a change in behavior in
4. I'd like you to attend a smoking-cessation class this the next 6 months. In
week and use nicotine replacement patches as direct- this stage, the patient is
ed. not interested in infor-
mation about the behav-
ior and may be defen-
sive when confronted with
the information. Asking
an open-ended question
about smoking may stim-
ulate the patient to iden-
, NR222- Health & Wellness- Exam 1
tify a reason to begin a
behavioral change. Nurs-
es are challenged to mo-
tivate and facilitate health
behavior change in work-
ing with individuals.
4. A nurse is caring for a client who decides not to A. Fidelity is the fulfillment
have surgery despite significant blockages of the coro- of promises. The nurse has
nary arteries. The nurse understands that this client's not made any promises;
choice is an example of which of the following ethical this is the client's decision.
principles?
B. Autonomy, In this sit-
A. Fidelity uation, the client is exer-
B. Autonomy cising their right to make
C. Justice their own personal de-
D. Nonmaleficence cision about surgery, re-
gardless of others' opin-
ions of what is "best" for
them. This is an example of
autonomy.
C. Justice is fairness in care
delivery and in the use
of resources. Because the
client has chosen not to
use them, this principle
does not apply.
D. Nonmaleficence is a
commitment to do no
harm. In this situation,
, NR222- Health & Wellness- Exam 1
harm can occur whether
or not the client has
surgery. However, because
they choose not to, this
principle does not apply
5. A nurse is instructing a group of newly licensed nurs- A. Fidelity is the fulfill-
es about the responsibilities organ donation and pro- ment of promises. Be-
curement involved. When the nurse explains that all cause donor organs are
clients waiting for a kidney transplant have to meet the a scarce resource com-
same qualifications, the newly licensed nurses should pared with the numbers
understand that this aspect of care delivery is an ex- of potential recipients who
ample of which of the following ethical principles? need them, no one can
promise anyone an organ.
A. Fidelity Thus, this principle does
B. Autonomy not apply.
C. Justice
D. Nonmaleficence B. Autonomy is the right to
make personal decisions,
even when they are not
necessarily in the person's
best interest. No person-
al decision is involved with
the qualifications for or-
gan recipients.
C. Justice, is fairness in
care delivery and in the
use of resources. By ap-
plying the same qualifica-
tions to all potential kid-
ney transplant recipients,
1. The nurse spends time with a patient and family re- 1. Educator
viewing a dressing change procedure for the patient's
wound. The patient's spouse demonstrates how to The nurse is demonstrat-
change the dressing. The nurse is acting in which pro- ing the role of educa-
fessional role? tor. An educator explains
concepts and facts about
1. Educator health, describes the rea-
2. Advocate son for routine care activ-
3. Caregiver ities, demonstrates proce-
4. Communicator dures such as home-care
activities, reinforces learn-
ing or patient behavior,
and evaluates the pa-
tient's progress in learn-
ing or patient behavior,
and evaluates the pa-
tient's progress in learning
through return demon-
stration.
2. A patient discharged a week ago following a stroke is 3. Tertiary prevention
currently participating in rehabilitation sessions pro-
vided by nurses, physical therapists, and registered Involves minimizing the ef-
dietitians in an outpatient setting. In what level of pre- fects of long-term dis-
vention is the patient participating? ease or disability by in-
terventions directed at
1. Primary prevention preventing complications
2. Secondary prevention and deterioration follow-
3. Tertiary prevention ing surgery. Tertiary pre-
4. Transtheoretical prevention vention activities are di-
rected at rehabilitation
rather than diagnosis and
, NR222- Health & Wellness- Exam 1
treatment. Care at this lev-
el aims to help patients
achieve as high a level
of functioning as possi-
ble, despite the limitations
caused by illness or im-
pairment. This level of care
is called preventative care
because it involves pre-
venting further disability
or reduced functioning.
3. Based on the transtheoretical model of change, what is 3. What do you think the
the most appropriate response to a patient who states: greatest reason why stop-
"Me, stop smoking? I've been smoking since I was 16!" ping smoking would be
challenging for you?
1. That's fine. Some people who smoke live a long life.
2. Ok. I want you to decrease the number of ciga- The patient's response in-
rettes you smoke by one each day, and I'll see you in 1 dicates he is in the pre-
month. contemplation stage and
3. What do you think is the greatest reason why stop- not intending to make
ping smoking would be challenging for you? a change in behavior in
4. I'd like you to attend a smoking-cessation class this the next 6 months. In
week and use nicotine replacement patches as direct- this stage, the patient is
ed. not interested in infor-
mation about the behav-
ior and may be defen-
sive when confronted with
the information. Asking
an open-ended question
about smoking may stim-
ulate the patient to iden-
, NR222- Health & Wellness- Exam 1
tify a reason to begin a
behavioral change. Nurs-
es are challenged to mo-
tivate and facilitate health
behavior change in work-
ing with individuals.
4. A nurse is caring for a client who decides not to A. Fidelity is the fulfillment
have surgery despite significant blockages of the coro- of promises. The nurse has
nary arteries. The nurse understands that this client's not made any promises;
choice is an example of which of the following ethical this is the client's decision.
principles?
B. Autonomy, In this sit-
A. Fidelity uation, the client is exer-
B. Autonomy cising their right to make
C. Justice their own personal de-
D. Nonmaleficence cision about surgery, re-
gardless of others' opin-
ions of what is "best" for
them. This is an example of
autonomy.
C. Justice is fairness in care
delivery and in the use
of resources. Because the
client has chosen not to
use them, this principle
does not apply.
D. Nonmaleficence is a
commitment to do no
harm. In this situation,
, NR222- Health & Wellness- Exam 1
harm can occur whether
or not the client has
surgery. However, because
they choose not to, this
principle does not apply
5. A nurse is instructing a group of newly licensed nurs- A. Fidelity is the fulfill-
es about the responsibilities organ donation and pro- ment of promises. Be-
curement involved. When the nurse explains that all cause donor organs are
clients waiting for a kidney transplant have to meet the a scarce resource com-
same qualifications, the newly licensed nurses should pared with the numbers
understand that this aspect of care delivery is an ex- of potential recipients who
ample of which of the following ethical principles? need them, no one can
promise anyone an organ.
A. Fidelity Thus, this principle does
B. Autonomy not apply.
C. Justice
D. Nonmaleficence B. Autonomy is the right to
make personal decisions,
even when they are not
necessarily in the person's
best interest. No person-
al decision is involved with
the qualifications for or-
gan recipients.
C. Justice, is fairness in
care delivery and in the
use of resources. By ap-
plying the same qualifica-
tions to all potential kid-
ney transplant recipients,
