NR222 HEALTH WELLNESS UPDATED FINAL EXAM
QUESTIONS AND ANSWERS SURE A+
✔✔Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - ✔✔A. Function independently
Advanced practice registered nurse functions independently as a clinician, educator,
case manager, consultant, and researcher within his or her area of practice to plan or
improve the quality of nursing care for the patient and family.
✔✔Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention model
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model - ✔✔A. Moving from an
acute illness to a health promotion, illness prevention model
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness.
✔✔Which of the following nursing roles may have prescriptive authority in their
practice? (Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - ✔✔B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role and
preparation of the advanced practice registered nurse. According to the American
Nurses Association standards of practice, prescriptive authority may be granted to these
nurses.
✔✔A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
A. Patient-centered care
,B. Safety
C. Teamwork and collaboration
D. Informatics - ✔✔D. Informatics
Using decision support systems is one example of using and gaining competency in
informatics.
✔✔A nurse is caring for an older-adult couple in a community-based assisted living
facility. During the family assessment he notes that the couple has many expired
medications and multiple medications for their respective chronic illnesses. They note
that they go to two different health care providers. The nurse begins to work with the
couple to determine what they know about their medications and helps them decide on
one care provider rather than two. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ✔✔B. Safety
Helping the patients understand the consequences and complications of multiple
medications helps to build the competency in safety.
✔✔ID: 514968103
The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
A. Clinical nurse specialist
B. Nurse administrator
C. Nurse educator
D. Nurse researcher - ✔✔D. Nurse researcher
The nurse researcher investigates problems to improve nursing care and to further
define and expand the scope of nursing practice. He or she often works in an academic
setting, hospital, or independent professional or community service agency.
✔✔Nurses at a community hospital are in an education program to learn how to use a
new pressure-relieving device for patients at risk for pressure ulcers. This is which type
of education?
, A. Continuing education
B. Graduate education
C. In-service education
D. Professional Registered Nurse Education - ✔✔C. In-service education
In-service education programs are instruction or training provided by a health care
agency or institution. An in-service program is held in the institution and is designed to
increase the knowledge, skills, and competencies of nurses and other health care
professionals employed by the institution.
✔✔Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing - ✔✔D. The person, health,
environment/situation, and nursing
The nursing paradigm focuses on person, health, environment/situation, and nursing. All
the elements interact with one another, with the patient being central.
✔✔A theory is a set of concepts, definitions, relationships, and assumptions that:
A. Formulate legislation.
B. Explain a phenomenon.
C. Measure nursing functions.
D. Reflect the domain of nursing practice. - ✔✔B. Explain a phenomenon.
Theories are designed to explain a phenomenon such as self-care or caring. A theory is
a way of seeing through a "set of relatively concrete and specific concepts" and the
propositions that describe or link the concepts.
✔✔A patient with diabetes is controlling the disease with insulin and diet. The nursing
health care provider is focusing efforts to teach the patient self-management. Which of
the following nursing theories is useful in promoting self management?
A. Neuman
B. Orem
C. Roy
D. Peplau - ✔✔B. Orem
QUESTIONS AND ANSWERS SURE A+
✔✔Advanced practice registered nurses generally:
A. Function independently
B. Function as unit directors
C. Work in acute care settings
D. Work in the university setting - ✔✔A. Function independently
Advanced practice registered nurse functions independently as a clinician, educator,
case manager, consultant, and researcher within his or her area of practice to plan or
improve the quality of nursing care for the patient and family.
✔✔Health care reform will bring changes in the emphasis of care. Which of the
following models is expected from health care reform?
A. Moving from an acute illness to a health promotion, illness prevention model
B. Moving from illness prevention to a health promotion model
C. Moving from an acute illness to a disease management model
D. Moving from a chronic care to an illness prevention model - ✔✔A. Moving from an
acute illness to a health promotion, illness prevention model
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness.
✔✔Which of the following nursing roles may have prescriptive authority in their
practice? (Select all that apply.)
A. Critical care nurse
B. Nurse practitioner
C. Certified clinical nurse specialist
D. Charge nurse - ✔✔B. Nurse practitioner
Nurse practitioners and certified clinical nurse specialists encompass the role and
preparation of the advanced practice registered nurse. According to the American
Nurses Association standards of practice, prescriptive authority may be granted to these
nurses.
✔✔A critical care nurse is using a computerized decision support system to correctly
position her ventilated patients to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety in the Education of Nurses
(QSEN) competency?
A. Patient-centered care
,B. Safety
C. Teamwork and collaboration
D. Informatics - ✔✔D. Informatics
Using decision support systems is one example of using and gaining competency in
informatics.
✔✔A nurse is caring for an older-adult couple in a community-based assisted living
facility. During the family assessment he notes that the couple has many expired
medications and multiple medications for their respective chronic illnesses. They note
that they go to two different health care providers. The nurse begins to work with the
couple to determine what they know about their medications and helps them decide on
one care provider rather than two. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ✔✔B. Safety
Helping the patients understand the consequences and complications of multiple
medications helps to build the competency in safety.
✔✔ID: 514968103
The nurses on an acute care medical floor notice an increase in pressure ulcer
formation in their patients. A nurse consultant decides to compare two types of
treatment. The first is the procedure currently used to assess for pressure ulcer risk.
The second uses a new assessment instrument to identify at-risk patients. Given this
information, the nurse consultant exemplifies which career?
A. Clinical nurse specialist
B. Nurse administrator
C. Nurse educator
D. Nurse researcher - ✔✔D. Nurse researcher
The nurse researcher investigates problems to improve nursing care and to further
define and expand the scope of nursing practice. He or she often works in an academic
setting, hospital, or independent professional or community service agency.
✔✔Nurses at a community hospital are in an education program to learn how to use a
new pressure-relieving device for patients at risk for pressure ulcers. This is which type
of education?
, A. Continuing education
B. Graduate education
C. In-service education
D. Professional Registered Nurse Education - ✔✔C. In-service education
In-service education programs are instruction or training provided by a health care
agency or institution. An in-service program is held in the institution and is designed to
increase the knowledge, skills, and competencies of nurses and other health care
professionals employed by the institution.
✔✔Which of the following are components of the paradigm of nursing?
A. The person, health, environment, and theory
B. Health, theory, concepts, and environment
C. Nurses, physicians, health, and patient needs
D. The person, health, environment/situation, and nursing - ✔✔D. The person, health,
environment/situation, and nursing
The nursing paradigm focuses on person, health, environment/situation, and nursing. All
the elements interact with one another, with the patient being central.
✔✔A theory is a set of concepts, definitions, relationships, and assumptions that:
A. Formulate legislation.
B. Explain a phenomenon.
C. Measure nursing functions.
D. Reflect the domain of nursing practice. - ✔✔B. Explain a phenomenon.
Theories are designed to explain a phenomenon such as self-care or caring. A theory is
a way of seeing through a "set of relatively concrete and specific concepts" and the
propositions that describe or link the concepts.
✔✔A patient with diabetes is controlling the disease with insulin and diet. The nursing
health care provider is focusing efforts to teach the patient self-management. Which of
the following nursing theories is useful in promoting self management?
A. Neuman
B. Orem
C. Roy
D. Peplau - ✔✔B. Orem
