NR222 HEALTH AND WELLNESS FINAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED
ANSWERS) A NEW UPDATED VERSION LATEST| GUARANTEED A+
* Health care reform will bring changes in the emphasis of care. Which of the following models is
expected from health care reform?
Ans: 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.
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?
Ans: Nurse researcher.
The nurse researcher investigates problems by applying evidence-based practice or by conducting
research to improve nursing care and 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.
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her
vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and
sputum samples for analysis. Which standard of practice is performed?
Ans: Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health and/or the
situation.
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is
acting as the patient's:
,Ans: Advocate.
An advocate protects the patient's human and legal right to make choices about his or her care. An
advocate may also provide additional information to help a patient decide whether or not to accept a
treatment or find an interpreter to help family members communicate their concerns.
A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses
on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
Ans: Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This competency focuses on the
nurse functioning effectively within nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision making to achieve quality patient care.
Match the advance practice nurse specialty with the statement about the role.
Ans: Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
Provides comprehensive care, usually in a primary care setting, directly managing the medical care of
patients who are healthy or who have chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological services.
The examination for registered nurse (RN) licensure is exactly the same in every state in the United
States. This examination:
Ans: Provides a minimal standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of educational preparation, the
examination for RN licensure is exactly the same in every state in the United States.
You are preparing a presentation for your classmates regarding the clinical care coordination conference
for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing
Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is
important. Which of the following statements best describes this code?
,Ans: Defines the principles of right and wrong to provide patient care.
When giving care, it is essential to provide a specified service according to standards of practice and to
follow a code of ethics. The code of ethics is the philosophical ideals of right and wrong that define the
principles you will use to provide care to your patients. It serves as a guide for carrying out nursing
responsibilities to provide quality nursing care and the ethical obligations of the profession.
Nurses in an acute care hospital are attending a unit based 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?
Ans: 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.
The nurse spends time with the patient and family reviewing the dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in
which professional role?
Ans: Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and facts about health,
describes the reason for routine care activities, demonstrates procedures such as home care activities,
reinforces learning or patient behavior, and evaluates the patient's progress in learning through return
demonstration.
Which of the following Internet resources available can assist consumers when comparing quality care
measures?
Ans: Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals' quality of care and
patient satisfaction. WebMD is an Internet source that is disease/condition specific. The Magnet
Recognition Program is a hospital-initiated recognition that assesses quality of nursing care and patient
safety.
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is
performed?
Ans: Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
, Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
and responsibilities. Which of the following are examples?
Ans: Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
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?
Ans: Informatics.
Using decision support systems is one example of using informatics and gaining competency in
informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with
secondary traumatic stress and burnout?
Ans: "I am enjoying my quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to help prevent or cope
with secondary traumatic stress or burnout include healthy eating, making time for yourself to pursue
personal interests, getting plenty of sleep, and regular exercise and relaxation.
* The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient.
Which factors are classified as genetic and physiological?
Ans: Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those related to heredity, genetic predisposition to an
illness, or those that involve the physical functioning of the body. Certain physical conditions such as
being pregnant or overweight place increased stress on physiological systems (e.g., the circulatory
system), increasing susceptibility to illness in these areas. A person with a family history of diabetes
mellitus is at risk for developing the disease later in life because of a hereditary and genetic
predisposition to the disease.
* Based on the transtheoretical model of change, what is the most appropriate response to a patient
who states: "Me, stop smoking? I've been smoking since I was 16!"
Ans: "I understand. Can you think of the greatest reason why stopping smoking would be challenging
for you?"
CORRECT DETAILED ANSWERS WITH EXPLANATIONS (VERIFIED
ANSWERS) A NEW UPDATED VERSION LATEST| GUARANTEED A+
* Health care reform will bring changes in the emphasis of care. Which of the following models is
expected from health care reform?
Ans: 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.
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?
Ans: Nurse researcher.
The nurse researcher investigates problems by applying evidence-based practice or by conducting
research to improve nursing care and 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.
An 18-year-old woman is in the emergency department with fever and cough. The nurse obtains her
vital signs, listens to her lung and heart sounds, determines her level of comfort, and collects blood and
sputum samples for analysis. Which standard of practice is performed?
Ans: Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health and/or the
situation.
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on oxygen and
be comfortable. The family wants the patient to have a new surgical procedure. The nurse explains the
risk and benefits of the surgery to the family and discusses the patient's wishes with them. The nurse is
acting as the patient's:
,Ans: Advocate.
An advocate protects the patient's human and legal right to make choices about his or her care. An
advocate may also provide additional information to help a patient decide whether or not to accept a
treatment or find an interpreter to help family members communicate their concerns.
A nurse meets with the registered dietician and physical therapist to develop a plan of care that focuses
on improving nutrition and mobility for a patient. This is an example of which Quality and Safety in the
Education of Nurses (QSEN) competency?
Ans: Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This competency focuses on the
nurse functioning effectively within nursing and interprofessional teams, fostering open communication,
mutual respect, and shared decision making to achieve quality patient care.
Match the advance practice nurse specialty with the statement about the role.
Ans: Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
Provides comprehensive care, usually in a primary care setting, directly managing the medical care of
patients who are healthy or who have chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological services.
The examination for registered nurse (RN) licensure is exactly the same in every state in the United
States. This examination:
Ans: Provides a minimal standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of educational preparation, the
examination for RN licensure is exactly the same in every state in the United States.
You are preparing a presentation for your classmates regarding the clinical care coordination conference
for a patient with terminal cancer. As part of the preparation you have your classmates read the Nursing
Code of Ethics for Professional Registered Nurses. Your instructor asks the class why this document is
important. Which of the following statements best describes this code?
,Ans: Defines the principles of right and wrong to provide patient care.
When giving care, it is essential to provide a specified service according to standards of practice and to
follow a code of ethics. The code of ethics is the philosophical ideals of right and wrong that define the
principles you will use to provide care to your patients. It serves as a guide for carrying out nursing
responsibilities to provide quality nursing care and the ethical obligations of the profession.
Nurses in an acute care hospital are attending a unit based 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?
Ans: 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.
The nurse spends time with the patient and family reviewing the dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is acting in
which professional role?
Ans: Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and facts about health,
describes the reason for routine care activities, demonstrates procedures such as home care activities,
reinforces learning or patient behavior, and evaluates the patient's progress in learning through return
demonstration.
Which of the following Internet resources available can assist consumers when comparing quality care
measures?
Ans: Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals' quality of care and
patient satisfaction. WebMD is an Internet source that is disease/condition specific. The Magnet
Recognition Program is a hospital-initiated recognition that assesses quality of nursing care and patient
safety.
A patient in the emergency department has developed wheezing and shortness of breath. The nurse
gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of practice is
performed?
Ans: Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
, Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles
and responsibilities. Which of the following are examples?
Ans: Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
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?
Ans: Informatics.
Using decision support systems is one example of using informatics and gaining competency in
informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity to help cope with
secondary traumatic stress and burnout?
Ans: "I am enjoying my quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to help prevent or cope
with secondary traumatic stress or burnout include healthy eating, making time for yourself to pursue
personal interests, getting plenty of sleep, and regular exercise and relaxation.
* The nurse assesses the following risk factors for coronary artery disease (CAD) in a female patient.
Which factors are classified as genetic and physiological?
Ans: Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those related to heredity, genetic predisposition to an
illness, or those that involve the physical functioning of the body. Certain physical conditions such as
being pregnant or overweight place increased stress on physiological systems (e.g., the circulatory
system), increasing susceptibility to illness in these areas. A person with a family history of diabetes
mellitus is at risk for developing the disease later in life because of a hereditary and genetic
predisposition to the disease.
* Based on the transtheoretical model of change, what is the most appropriate response to a patient
who states: "Me, stop smoking? I've been smoking since I was 16!"
Ans: "I understand. Can you think of the greatest reason why stopping smoking would be challenging
for you?"
