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Exam (elaborations)

NURS 3300 EXAM – Questions With Expert Solutions

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NURS 3300 EXAM – Questions With Expert Solutions

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NURS 3300 EXAM – Questions With Expert Solutions

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The primary aim of the Healthy People c.) health promotion.
2030 initiative is: Explanation:
a.) illness prevention.
b.) coping with disability. Healthy People 2030 establishes health promotion
c.) health promotion. guidelines for the nation as a whole. The guidelines
d.) health restoration. contain Leading Health Indicators, which are used to
measure the health of the nation over a 10-year period.
Illness prevention, health restoration, and coping with
disability are components of the Healthy People 2030
guidelines, but are not considered as the primary goal
of the initiative.

,What is the best nursing intervention to d.) Emphasizing a client's strengths to encourage weight
promote health in a client at risk for loss
heart disease? Explanation:
a.) Taking the client's pulse rate daily
b.) Instructing the client to adhere to a Nurses promote health by identifying, analyzing, and
high-sodium diet maximizing each client's own individual strengths as
c.) Informing the client that the client components of preventing illness, restoring health, and
must lose weight facilitating coping with disability or death. Emphasizing
d.) Emphasizing a client's strengths to the client's strengths to encourage weight loss is the
encourage weight loss most effective way to promote this client's health.
Informing the client that the client must lose weight
would not help the client use his or her strengths to
accomplish the goal. Low-sodium diets can prevent
heart disease. Taking the pulse daily would not prevent
heart disease.


The new nursing graduate is concerned d.) Difficulty for nurses to remain current in a rapidly
about some of the critical changes that changing medical and technology environment
will be occurring in nursing. What Explanation:
changes does the nurse anticipate will
impact nursing care? The National Advisory Council on Nurse Education and
a.) Rapid growth of nurses and shortage Practice (NACNEP) identifies critical challenges to
of job opportunities nursing practice in the 21st century: a growing
b.) Decrease in health care costs population of hospitalized clients who are older and
c.) Limitations that nurses have in the more acutely ill, increasing health care costs, and the
workforce need to stay current with rapid advances in medical
d.) Difficulty for nurses to remain current knowledge and technology. Nursing is limitless and,
in a rapidly changing medical and with opportunities for furthering education, there are
technology environment many various ways nurses can practice. Health costs are
rising and there are more citizens needing health care.
There is a projected nursing shortage that may be
severe and there are no shortages of jobs for nurses.

,Which explanation accurately d.) The LPN/LVN should work under the supervision of
differentiates the role of the registered an RN.
nurse (RN) from that of the licensed Explanation:
practical/vocational nurse (LPN/LVN)?
a.) The RN is permitted to prescribe LPNs/LVNs are employed in hospitals, long-term care
medications. facilities, and rehabilitation centers and by health care
b.) The LPN/LVN can only work in a providers. LPNs/LVNs differ from RNs in two areas:
long-term care facility. educational preparation and scope of practice. LPNs
c.) The RN directs the workload of an always practice under the supervision of an RN. LPNs
LPN/LVN. have a scope of practice and the workload is not
d.) The LPN/LVN should work under the directed by the RN. RNs are not permitted to prescribe
supervision of an RN. medications. Nurse practitioners may prescribe
medications.


What might a nurse need to do to d.) Obtain continuing education credits.
ensure the continuation of his or her Explanation:
nursing license?
a.) Attend hospital in-services. In many states, continuing education is required for an
b.) Obtain a baccalaureate degree. RN to maintain licensure. These are defined as
c.) Obtain a master's degree. professional development experiences designed to
d.) Obtain continuing education credits. enrich the nurse's contribution to health. Obtainment of
an ongoing degree is not necessary to maintain
licensure. While hospital in-services may provide
continuing education, not all in-services are designed to
do so.

, A nurse is working with a client who has b.) "I notice you might be experiencing some feelings of
undergone a lower leg amputation. sadness. Would you like to share how you are feeling
While conducting an assessment, the with me?"
nurse notes the client has a downcast Explanation:
mood. Which statement by the nurse
conveys empathy to the client? Because a client does not always communicate one's
a.) "If I had the type of life-altering feelings to strangers, nurses use empathy (intuitive
experience you had, I would probably awareness of what the client is experiencing) to
feel depressed. You are doing well perceive the client's emotional state and need for
under the circumstances." support. This skill differs from sympathy (feeling as
b.) "I notice you might be experiencing emotionally distraught as the client). Empathy helps the
some feelings of sadness. Would you nurse become effective at providing for the client's
like to share how you are feeling with needs while remaining compassionately detached. By
me?" stating an observational awareness of the client's
c.) "I can see you are in need of extra emotional state based on the client's nonverbal cues,
comfort right now. Let me adjust your the nurse invites the client to engage in therapeutic
position and readjust your bed linens for communication. The nurse does not assume the client
you." wants any help; therefore, the nurse asks if the client
d.) "It is not uncommon to be depressed wants to engage in exploring one's experience. By
after having such major surgery. Many of telling the client that is common to be depressed, the
my clients feel sad." nurse is making an assumption about the client's
emotional experience. Not all sadness should be
labeled as "depression." In addition, by telling the client
that other people have had the same experience, it
minimizes the client's unique and personal experience,
which can threaten the nurse-client relationship and
pose a barrier to therapeutic communication. The nurse
should not share personal experiences or how the
client's unique health experience would make the nurse
feel if the nurse was in the same situation. Again, this
statement serves to minimize the client's experience and
undermines therapeutic communication. Although
comforting skills are essential to nursing, assuming that
adjusting the client's bed linens will address the client's
emotional state is noncongruent and the incorrect
intervention for what the nurse has observed.

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