NR-222 Practice Questions [100% Correct] UPDATED!!

NR-222 Practice Questions [100% Correct] UPDATED!! A client recently purchased a home in an older neighborhood where lead paint was used. The client has two young children. The client decides to take the children to a local community clinic's lead screening program. Which Healthy People 2030 domain to mitigate social determinants of health is this clinic addressing? *Ans* Neighborhood and built environment A common eye disorder that may impact learning. *Ans* Myopia A common type of hearing loss that affects learning. *Ans* Sensorineural A father and his two children are experiencing homelessness. Which statement best describes the effects of homelessness on children? Select all that apply. *Ans* Higher incidence of asthma Lack of recommended immunizations More cavities and dental problems A few hours later, Mr. Liu's call bell rings and Jared enters the room with the medical interpreter. Mr. Liu's spouse is sitting on the couch. She states, "You do not need an interpreter. I speak English." Which response by Jared is most appropriate? *Ans* "Mr. Lee is here to help with medical interpretation services in case I say anything that is confusing." A healthcare professional is practicing cultural competence to improve care. Which step should the professional take first? *Ans* Assess own biases and attitudes A healthcare professional is providing care for a culturally diverse population. Which action indicates the professional is successful in the role of providing culturally competent care? *Ans* f its the client's valued life patterns and set of meanings Provides care that A healthcare professional is providing health education to an Asian client who is newly diagnosed with diabetes mellitus. The educator notes that the client is nodding yes to everything that is being said. Based on an understanding of cultural attributes in Asian Americans, how should the professional respond? *Ans* Prompt further to elicit additional questions or concerns A healthcare professional is using an interpreter to communicate with a client. Which actions are appropriate when working with an interpreter? Select all that apply. *Ans* Use short sentences and pause periodically for clarification. Avoid medical terminology and jargon. After the encounter, thank the interpreter and client. A nurse cares for a client diagnosed with asthma during an acute attack. *Ans* Downstream Factors A nurse determines that housing represents a significant risk to the population in the community. Specify upstream, midstream, and downstream interventions to assist with this social determinant of health. *Ans* The nurse meets with elected community officials to advocate for more affordable housing options. Upstream The nurse works with the local health department to increase the availability of allergy and asthma treatments for high-risk populations. Downstream The nurse works with clients to improve substandard housing. Midstream A nurse identifies that a client is struggling with food insecurity and recommends a local food bank for assistance. *Ans* Midstream Factors A nurse works with the local community health department to implement a pediatric lead screening program. *Ans* Upstream Factors A single parent becomes ill with colon cancer. The adolescent son steps in as primary caregiver to the younger siblings. *Ans* Resiliency Ability to apply knowledge and skills to create something new *Ans* Creating Ability to assess factors that influence client treatment and care. Acquired through the practice of communication. One example is learning a different language. *Ans* Cultural awareness Ability to judge the value of something for a given purpose *Ans* Evaluating Ability to understand the meaning of learned material *Ans* Understanding According to the video on health literacy (Blue Cross Blue Shield of Michigan, 2021), what are the consequences of low health literacy? Select all that apply. *Ans* Increased emergency room visits Increased incidence of chronic conditions Poor self-care Adverse childhood events (ACEs) can have a significant impact on future health. What are the adverse effects of ACEs? Select all that apply. *Ans* Poor self-control Pessimistic thinking Problem avoidance Decreased self-esteem Adverse childhood events are potentially calming events occurring during adulthood that can affect brain development and how the body responds to . *Ans* traumatic childhood kidney stress Advocate for community funding to reopen the nighttime shelter. *Ans* Upstream Factors After leaving the room, Jared expresses frustration to his supervisor and mentions how difficult it is to care for clients who do not speak English. Jared states, "Older Asian adults believe they must be stoic about pain and refuse to talk about mental health problems. Mr. Liu wouldn't even let home health help him." *Ans* Stereotyping After the surgery, Marie is discharged to her home with a home health nurse to visit weekly. The home health nurse determines that Marie's son is struggling with caregiver role strain. What actions by the nurse may be beneficial? Select all that apply. *Ans* Provide contact information for nursing and healthcare providers to call with questions or concerns. Describe the importance of accepting assistance to give the primary caregiver rest. Provide information about community resources, such as support groups and children's day camps. After the surgery, Marie is discharged to her home with a home health nurse to visit weekly. The home health nurse determines that Marie's son is struggling with caregiver role strain. Which observations indicate that the family is demonstrating hardiness and resiliency in this situation? Select all that apply. *Ans* The children continue to attend school daily and are enrolled in an after-school program. Marie's son contacts a local food bank to provide nutritious foods for the children. Marie's son accepts physical and financial help from his local church commu