NR 442 EXAM 2 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

NR 442 EXAM 2 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS

Question:
1. Specialties of Community Nurses
Answer:
School Occupational Forensic Correctional Faith Based Home Health and Hospice

Question:
2. Levels of prevention with School nursing
Answer:
Primary: nutritional education, immunizations,Health education
Secondary: Screenings, identify at risk students, administer medications, Develop health plan, Home visits
Tertiary: Referral of students for substance abuse, Prevention of complications and adverse effects and
staff monitoring.

Question:
3. Levels of prevention with occupational nursing
Answer:
Primary: Set up programs to watch health conditions of workers, Do "walk throughs" to look at
environmental hazards, Safety and educational resources
Secondary: Health screenings, job transfer evaluations, periodic assessments.
Tertiary: workplace accommodations, disability management, physical demands analysis, Support and
counseling.

Question:
4. Levels of prevention for forensic and correctional nursing
Answer:
Primary: start drug teaching in high schools and drug resistance programs, Support programs, life-skills
training.
Secondary: identify or screen for evidence of drug use, provide info on area groups that provide support for
students who avoid drugs.
Tertiary: Reduce risk that additional students will abuse drugs, refer to support groups (Narcotic
Anoymous)

Question:
5. Levels of prevention for Faith-based nursing
Answer:
Primary: teaching about parenting, health and wellness, social support programs to prevent social isolation
Secondary: Screenings to identify families at risk, educational programs to meet individual needs
Tertiary: resources for rehab, coping with chronic health or disabilities

Question:
6. Levels of Prevention for Home Health Nursing

, Answer:
Primary: intervening early on preventing problems such as skin breakdown and pain control. Education on
hospice/dying
Secondary: Responding quickly when needs arise, Continued education about dying
Tertiary: Assist through active phrase of dying, follow up bereavement support

Question:
7. Senior eligible for Medicare reimbursement
Answer:
Any individual older than 65 years who is homebound, under the care of a physician, and requires
medically necessary skilled nursing care or therapy services
Any individual older than 65 years who is certified by a physician or a nurse practitioner (NP) to be
terminally ill with a life expectancy of 6 months or less is eligible to receive the Medicare Hospice

Question:
8. Advanced Directive (AD)
Answer:
is a written document in which a competent person gives instructions about future health care in the event
that the individual is unable to make decisions.

Question:
9. Power of Attorney (POA)
Answer:
for health care is one type of advance directive. Also called a health care proxy, the durable power of
attorney for health care gives another person the power to make medical decisions related to care of the
patient

Question:
10. Living Will
Answer:
is a written document in which a patient voluntarily informs doctors and family members about the type of
medical care desired should the patient become terminally ill or permanently unconscious and unable to
communicate. In the living will, the patient can describe the type of care desired, depending on the clinical
situation

Question:
11. Can family be a caregiver
Answer:
Yes, The RN assess the skills of the caregiver, instructs them on procedures and recognizing S/S of
problems.

Question:
12. Pain Control in dying process
Answer:
Meds are given in doses sufficient to keep patient free of pain; administered on a regular schedule.
Help in managing other symptoms (nausea and vomiting, constipation, diarrhea, fatigue, decreased
appetite).