NR 222 final exam practice Questions and Answers with complete solution

The nurse is preparing a smoking cessation class for family members of patients with lung cancer. The nurse believes that the class will convert many smokers to non-smokers once they realize the benefits of not smoking. Which healthcare model is the nurse following? -Health belief model -holistic health model -Health promotion model -Maslow's hierarchy of needs - Answer--Health belief model The nurse is working in a clinic that is designed to provide health education and immunization. which type of preventative care is the nurse providing? -primary prevention -secondary prevention -tertiary prevention -risk factor prevention - Answer-primary prevention The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. Which level of preventative care is this patient receiving? -primary prevention -secondary prevention -tertiary prevention -Health promotion - Answer--secondary prevention A patient is admitted to a rehabilitation facility following a stroke. The patient has right sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventative care is the patient receiving? -primary prevention -secondary prevention-tertiary prevention -Health promotion - Answer--tertiary prevention Upon completing a history. The nurse finds that a patient has risk factors for lung disease. how should the nurse interpret this finding? -A person with the risk factor will get the disease -The chances of getting the disease are increased -risk modification will have no effect on disease prevention -The disease is guaranteed not to develop if the risk factor is controlled - Answer-The chances of getting the disease are increased Which areas should the nurse assess to determine the affects of external variables on a patient's illness? Select all that apply -patient's perception of the illness -patient coping skills -socio economic status -cultural background -social support - Answer--socio economic status -cultural background -social support The nurse prescribed strategies and alternatives to attain expected outcome. Which standards of nursing practice is the nurse following? -assessment -Diagnosis -Planning -implementation - Answer-Planning A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse that encourages the patient to drink more fluids. Which concept is the nearest demonstrating?-licensure -Autonomy -certification -Accountability - Answer-Autonomy A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning? -When the patient is ready -Close to the time of discharge -Upon admission to the hospital -After an order is written/prescribed - Answer-Upon admission to the hospital Which action by the nurse indicates application of critical thinking model to make the best clinical decisions? -Drawing on past clinical experiences to formulate standardize care plans -Relying on recall of information from past lectures and textbooks -Depending on the charge nurse to determine priorities of care -Use the nursing process - Answer-Use the nursing process A nurse is using the critical thinking scale of evaluation. Which action with the nurse take? -Examine the meaning of data -Support findings and conclusions -Review the effectiveness of nursing actions -Search for links between the data and the nurses assumptions - Answer-Review the effectiveness of nursing actions which of the following represents a method of primary prevention? -Informational session about healthy lifestyles -Blood pressure screening -Interventional cardiac catheterization-Diagnostic cardiac catheterization - Answer-Informational session about healthy lifestyles Which of the following represents a method of secondary prevention? -Self breast examination education -Yearly mammograms -Chemotherapy for advanced breast cancer -complete mastectomy for breast cancer - Answer-Yearly mammograms