NR222- Health & Wellness- Exam 1 UPDATED ACTUAL
Questions and CORRECT Answers
The nurse spends time with a patient and family reviewing 1. Educator
a dressing change procedure for the patient's wound. The
patient's spouse demonstrates how to change the The nurse is demonstrating the role of educator. An educator explains concepts
dressing. The nurse is acting in which professional role? and facts about health, describes the reason for routine care activities,
demonstrates procedures such as home-care activities, reinforces learning or
1. Educator patient behavior, and evaluates the patient's progress in learning or patient
2. Advocate behavior, and evaluates the patient's progress in learning through return
3. Caregiver demonstration.
4. Communicator
A patient discharged a week ago following a stroke is 3. Tertiary prevention
currently participating in rehabilitation sessions provided
by nurses, physical therapists, and registered dietitians in Involves minimizing the effects of long-term disease or disability by interventions
an outpatient setting. In what level of prevention is the directed at preventing complications and deterioration following surgery. Tertiary
patient participating? prevention activities are directed at rehabilitation rather than diagnosis and
treatment. Care at this level aims to help patients achieve as high a level of
1. Primary prevention functioning as possible, despite the limitations caused by illness or impairment.
2. Secondary prevention This level of care is called preventative care because it involves preventing further
3. Tertiary prevention disability or reduced functioning.
4. Transtheoretical prevention
,Based on the transtheoretical model of change, what is 3. What do you think the greatest reason why stopping smoking would be
the most appropriate response to a patient who states: challenging for you?
"Me, stop smoking? I've been smoking since I was 16!"
The patient's response indicates he is in the precontemplation stage and not
1. That's fine. Some people who smoke live a long life. intending to make a change in behavior in the next 6 months. In this stage, the
2. Ok. I want you to decrease the number of cigarettes patient is not interested in information about the behavior and may be defensive
you smoke by one each day, and I'll see you in 1 month. when confronted with the information. Asking an open-ended question about
3. What do you think is the greatest reason why stopping smoking may stimulate the patient to identify a reason to begin a behavioral
smoking would be challenging for you? change. Nurses are challenged to motivate and facilitate health behavior change
4. I'd like you to attend a smoking-cessation class this in working with individuals.
week and use nicotine replacement patches as directed.
A nurse is caring for a client who decides not to have A. Fidelity is the fulfillment of promises. The nurse has not made any promises; this
surgery despite significant blockages of the coronary is the client’s decision.
arteries. The nurse understands that this client's choice is
an example of which of the following ethical principles? B. Autonomy, In this situation, the client is exercising their right to make their own
personal decision about surgery, regardless of others' opinions of what is "best"
A. Fidelity for them. This is an example of autonomy.
B. Autonomy
C. Justice C. Justice is fairness in care delivery and in the use of resources. Because the
D. Nonmaleficence client has chosen not to use them, this principle does not apply.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can
occur whether or not the client has surgery. However, because they choose not
to, this principle does not apply
A nurse is instructing a group of newly licensed nurses A. Fidelity is the fulfillment of promises. Because donor organs are a scarce
about the responsibilities organ donation and resource compared with the numbers of potential recipients who need them, no
procurement involved. When the nurse explains that all one can promise anyone an organ. Thus, this principle does not apply.
clients waiting for a kidney transplant have to meet the
same qualifications, the newly licensed nurses should B. Autonomy is the right to make personal decisions, even when they are not
understand that this aspect of care delivery is an example necessarily in the person’s best interest. No personal decision is involved with the
of which of the following ethical principles? qualifications for organ recipients.
A. Fidelity C. Justice, is fairness in care delivery and in the use of resources. By applying the
B. Autonomy same qualifications to all potential kidney transplant recipients, organ
C. Justice procurement organizations demonstrate this ethical principle in determining the
D. Nonmaleficence allocation of these scarce resources.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can
occur to organ donors and to recipients. The requirements of the organ
procurement organizations are standard procedures and do not address
avoidance of harm or injury
, A charge nurse is reviewing the steps of the nursing A. Respiration rate is 22/min with even, unlabored respirations: OBJECTIVE
process with a group of nurses. Which of the following DATA, includes information the nurse measures (vital signs)
data should the charge nurse identify as objective data?
(Select all that apply) B. The client's partner states "They said they hurt after walking about 10 minutes":
SUBJECTIVE DATA, includes a client's reported manifestations, even if a
A. Respiration rate is 22/min with even, unlabored secondary source gave the nurse the information
respirations.
B. The client's partner states "They said they hurt after C. The client's pain rating is 3 on a scale of 0 to 10: SUBJECTIVE DATA, includes a
walking about 10 minutes" client's reported manifestations
C. The client's pain rating is 3 on a scale of 0 to 10
D. The client's skin is pink, warm and dry D. The client's skin is pink, warm and dry: OBJECTIVE DATA, includes information
E. The assistive personnel reports that the clients walked the nurse observes (skin appearance)
with a limp
E. The assistive personnel reports that the clients walked with a limp:
OBJECTIVE DATA, includes information from the observations of others (family
and staff)
A nurse manager is discussing the HIPAA Privacy Rule A. A single electronic records password is provided for nurses on the same unit.
with a group of newly hired nurses during orientation. The HIPAA Privacy Rule requires the protection of clients' electronic records. The
Which of the following information should the nurse rule states that electronic records must be password-protected and each staff
manage include? (Select all that apply) person should use an individual password to access information.
A. A single electronic records password is provided for B. Family members should provide a code prior to receiving client health
nurses on the same unit information. The HIPAA Privacy Rule states that information should only be
B. Family members should provide a code prior to disclosed to authorized individuals to whom the client has provided consent.
receiving client health information Many hospitals use a code system to identify those individuals and should only
C. Communication of client information can occur at the provide information if the individual can give the code.
nurse's station
D. A client can request a copy of their medical record C. Communication of client information can occur at the nurse's station. The
E. A nurse can photocopy a client's medical record for HIPAA Privacy Rule states that communication about a client should only take
transfer to another facility place in a private setting where unauthorized individuals cannot overhear it. A unit
nurses' station is considered a private and secure location.
D. A client can request a copy of their medical record. The HIPAA Privacy Rule
states that clients have a right to read and obtain a copy of their medical record
E. A nurse can photocopy a client's medical record for transfer to another
facility. The HIPAA Privacy Rule states that nurses can only photocopy a client's
medical record if it is to be used for transfer to another facility or provider.
A nurse is discussing the nursing process with a newly A. "I will determine the most important client problems that we should
licensed nurse. Which of the following statements by the address." Prioritize the client's problems during the planning step of the nursing
newly licensed nurse should the nurse identify as process.
appropriate for the planning step of the nursing process?
B. Review the client's history during the assessment/ data collection step of the
A. "I will determine the most important client problems nursing process.
that we should address."
B. "I will review the past medical history on the client's C. Implement nurse- and provider-initiated actions during the intervention step of
record to get more information." the nursing process.
C. "I will carry out the new prescriptions from the
provider." D. Gather information about whether the client's problems have been resolved
D. "I will ask the client if their nausea has resolved."" during the evaluation step of the nursing process.
Questions and CORRECT Answers
The nurse spends time with a patient and family reviewing 1. Educator
a dressing change procedure for the patient's wound. The
patient's spouse demonstrates how to change the The nurse is demonstrating the role of educator. An educator explains concepts
dressing. The nurse is acting in which professional role? and facts about health, describes the reason for routine care activities,
demonstrates procedures such as home-care activities, reinforces learning or
1. Educator patient behavior, and evaluates the patient's progress in learning or patient
2. Advocate behavior, and evaluates the patient's progress in learning through return
3. Caregiver demonstration.
4. Communicator
A patient discharged a week ago following a stroke is 3. Tertiary prevention
currently participating in rehabilitation sessions provided
by nurses, physical therapists, and registered dietitians in Involves minimizing the effects of long-term disease or disability by interventions
an outpatient setting. In what level of prevention is the directed at preventing complications and deterioration following surgery. Tertiary
patient participating? prevention activities are directed at rehabilitation rather than diagnosis and
treatment. Care at this level aims to help patients achieve as high a level of
1. Primary prevention functioning as possible, despite the limitations caused by illness or impairment.
2. Secondary prevention This level of care is called preventative care because it involves preventing further
3. Tertiary prevention disability or reduced functioning.
4. Transtheoretical prevention
,Based on the transtheoretical model of change, what is 3. What do you think the greatest reason why stopping smoking would be
the most appropriate response to a patient who states: challenging for you?
"Me, stop smoking? I've been smoking since I was 16!"
The patient's response indicates he is in the precontemplation stage and not
1. That's fine. Some people who smoke live a long life. intending to make a change in behavior in the next 6 months. In this stage, the
2. Ok. I want you to decrease the number of cigarettes patient is not interested in information about the behavior and may be defensive
you smoke by one each day, and I'll see you in 1 month. when confronted with the information. Asking an open-ended question about
3. What do you think is the greatest reason why stopping smoking may stimulate the patient to identify a reason to begin a behavioral
smoking would be challenging for you? change. Nurses are challenged to motivate and facilitate health behavior change
4. I'd like you to attend a smoking-cessation class this in working with individuals.
week and use nicotine replacement patches as directed.
A nurse is caring for a client who decides not to have A. Fidelity is the fulfillment of promises. The nurse has not made any promises; this
surgery despite significant blockages of the coronary is the client’s decision.
arteries. The nurse understands that this client's choice is
an example of which of the following ethical principles? B. Autonomy, In this situation, the client is exercising their right to make their own
personal decision about surgery, regardless of others' opinions of what is "best"
A. Fidelity for them. This is an example of autonomy.
B. Autonomy
C. Justice C. Justice is fairness in care delivery and in the use of resources. Because the
D. Nonmaleficence client has chosen not to use them, this principle does not apply.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can
occur whether or not the client has surgery. However, because they choose not
to, this principle does not apply
A nurse is instructing a group of newly licensed nurses A. Fidelity is the fulfillment of promises. Because donor organs are a scarce
about the responsibilities organ donation and resource compared with the numbers of potential recipients who need them, no
procurement involved. When the nurse explains that all one can promise anyone an organ. Thus, this principle does not apply.
clients waiting for a kidney transplant have to meet the
same qualifications, the newly licensed nurses should B. Autonomy is the right to make personal decisions, even when they are not
understand that this aspect of care delivery is an example necessarily in the person’s best interest. No personal decision is involved with the
of which of the following ethical principles? qualifications for organ recipients.
A. Fidelity C. Justice, is fairness in care delivery and in the use of resources. By applying the
B. Autonomy same qualifications to all potential kidney transplant recipients, organ
C. Justice procurement organizations demonstrate this ethical principle in determining the
D. Nonmaleficence allocation of these scarce resources.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can
occur to organ donors and to recipients. The requirements of the organ
procurement organizations are standard procedures and do not address
avoidance of harm or injury
, A charge nurse is reviewing the steps of the nursing A. Respiration rate is 22/min with even, unlabored respirations: OBJECTIVE
process with a group of nurses. Which of the following DATA, includes information the nurse measures (vital signs)
data should the charge nurse identify as objective data?
(Select all that apply) B. The client's partner states "They said they hurt after walking about 10 minutes":
SUBJECTIVE DATA, includes a client's reported manifestations, even if a
A. Respiration rate is 22/min with even, unlabored secondary source gave the nurse the information
respirations.
B. The client's partner states "They said they hurt after C. The client's pain rating is 3 on a scale of 0 to 10: SUBJECTIVE DATA, includes a
walking about 10 minutes" client's reported manifestations
C. The client's pain rating is 3 on a scale of 0 to 10
D. The client's skin is pink, warm and dry D. The client's skin is pink, warm and dry: OBJECTIVE DATA, includes information
E. The assistive personnel reports that the clients walked the nurse observes (skin appearance)
with a limp
E. The assistive personnel reports that the clients walked with a limp:
OBJECTIVE DATA, includes information from the observations of others (family
and staff)
A nurse manager is discussing the HIPAA Privacy Rule A. A single electronic records password is provided for nurses on the same unit.
with a group of newly hired nurses during orientation. The HIPAA Privacy Rule requires the protection of clients' electronic records. The
Which of the following information should the nurse rule states that electronic records must be password-protected and each staff
manage include? (Select all that apply) person should use an individual password to access information.
A. A single electronic records password is provided for B. Family members should provide a code prior to receiving client health
nurses on the same unit information. The HIPAA Privacy Rule states that information should only be
B. Family members should provide a code prior to disclosed to authorized individuals to whom the client has provided consent.
receiving client health information Many hospitals use a code system to identify those individuals and should only
C. Communication of client information can occur at the provide information if the individual can give the code.
nurse's station
D. A client can request a copy of their medical record C. Communication of client information can occur at the nurse's station. The
E. A nurse can photocopy a client's medical record for HIPAA Privacy Rule states that communication about a client should only take
transfer to another facility place in a private setting where unauthorized individuals cannot overhear it. A unit
nurses' station is considered a private and secure location.
D. A client can request a copy of their medical record. The HIPAA Privacy Rule
states that clients have a right to read and obtain a copy of their medical record
E. A nurse can photocopy a client's medical record for transfer to another
facility. The HIPAA Privacy Rule states that nurses can only photocopy a client's
medical record if it is to be used for transfer to another facility or provider.
A nurse is discussing the nursing process with a newly A. "I will determine the most important client problems that we should
licensed nurse. Which of the following statements by the address." Prioritize the client's problems during the planning step of the nursing
newly licensed nurse should the nurse identify as process.
appropriate for the planning step of the nursing process?
B. Review the client's history during the assessment/ data collection step of the
A. "I will determine the most important client problems nursing process.
that we should address."
B. "I will review the past medical history on the client's C. Implement nurse- and provider-initiated actions during the intervention step of
record to get more information." the nursing process.
C. "I will carry out the new prescriptions from the
provider." D. Gather information about whether the client's problems have been resolved
D. "I will ask the client if their nausea has resolved."" during the evaluation step of the nursing process.
