Adult Nursing II: Exam 1 Questions
and All Correct Answers 2025-2026
Updated.
Accountable care organizations - Answer Makes things cheaper and better quality throughout
a system. Helped create a better model by offering incentives to provide integrated, well-
coordinated care to patients which reduces cost. It is made up of several organizations that
deliver care that come together to deliver the most efficient and quality care for the population
served; only one bill is generated that covers all the care delivered across the various care
settings.
Psychological Stress and Coping (Transactional Model of Stress and Coping): Meditating Process
- Answer Meditating Process: Primary appraisal (process by which an event is evaluated with
respect to what is at stake, identifies if the situatioon is stressful or not), Secondary appraisal
(what might and can be done about situation), Reappraisal (Change of opinion based on new
information).
Factors Affecting Health Care: Changing Patterns of Disease - Answer Chronic illness is more
common than acute illness. Some diseases on the rise are TB, AIDS, STI, and Obesity.
Affordable Care Act - Answer Federal statute aimed to incresae access to healthcare for all
individuals, decrease healthcare costs, increase affordability of insurance, increase number of
individuals who had health insurance, and increase state mandates for expansion of Medicaid
participants.
Medicare - Answer For clients greater than 65 years old or those with permanent disabilities.
Part A: hospital insurance. Part B: Medical insurance. Part C: Medicare advantage plan. Part D:
Medications.
Medicaid - Answer For clients who have low incomes. Federaly and state funded.
National Patient Safety Goals - Answer Identify patients correctly, improve staff
communication, use medication safely, use alarms safely, prevent infection, identify patient
safety risks, prevent mistakes in surgery.
Most vulnerable time for patients' safety - Answer During handoff
, Physical therapist - Answer Seeks to restore function or to prevent further disability in a pt
after an injury or illness. PTs use various techniques to treat pts, including massage, heat, cold,
water, sonar waves, exercises, and electrical stimulation. Most PTs are also educated in the use
of psychological strategies to motivate pts.
Occupational therapist - Answer Evaluate the pt's functional level and teaching activities to
promote self-care in activities of daily living. They assess the home for safety and provide
adaptive equipment as necessary.
Social worker - Answer Assess pts and families in dealing with the social, emotional, and
environmental factors that affect their well-being. They make referrals to appropriate
community resources and provide assistance wit hsecuring equipment and supplies, as well as
with health care finances.
Respiratory therapist - Answer Trained in techniques that improve pulmonary function and
oxygenation. RTs may also be responsible for administeringa variety of tests that measure lung
function and for educating the pt about the use of various devices and machines prescribed by
the physician.
Physiologic Stress and Adaption (GAS) - Answer Alarm: SNS fight or flight response,
catecholamines released onset of ACTH response, self-limiting. Resistance: adaptation occurs to
stressor; cortisol activity still increased. Exhaustion: endocrine activity continues, body will fail
of exposure to stress is prolonged.
Assessing patients during stress - Answer Assess vital signs, height and weight, mental status
and cognitive function, emotional status, clinical manifestations, events that have occurred
while hospitalized, and coping strategies.
Recognizing signs and symptoms of stress - Answer Increased heart rate, blood pressure,
metabolic rate, peripheral vasoconstriction, bronchodilation, respiratory rate, dilated pupils,
cardiac output, fatty acids, and alertness. Increase in glucose, sodium retention, and anti-
inflammatory response.
Coping methods - Answer Group or social support, meditation, yoga, biofeedback, time
management, self-hypnosis, proper nutrition, relaxation (quiet environment, passive attitude,
and comfortable position), regular exercise, breathing exercises, thought stopping, and creative
imagery.
and All Correct Answers 2025-2026
Updated.
Accountable care organizations - Answer Makes things cheaper and better quality throughout
a system. Helped create a better model by offering incentives to provide integrated, well-
coordinated care to patients which reduces cost. It is made up of several organizations that
deliver care that come together to deliver the most efficient and quality care for the population
served; only one bill is generated that covers all the care delivered across the various care
settings.
Psychological Stress and Coping (Transactional Model of Stress and Coping): Meditating Process
- Answer Meditating Process: Primary appraisal (process by which an event is evaluated with
respect to what is at stake, identifies if the situatioon is stressful or not), Secondary appraisal
(what might and can be done about situation), Reappraisal (Change of opinion based on new
information).
Factors Affecting Health Care: Changing Patterns of Disease - Answer Chronic illness is more
common than acute illness. Some diseases on the rise are TB, AIDS, STI, and Obesity.
Affordable Care Act - Answer Federal statute aimed to incresae access to healthcare for all
individuals, decrease healthcare costs, increase affordability of insurance, increase number of
individuals who had health insurance, and increase state mandates for expansion of Medicaid
participants.
Medicare - Answer For clients greater than 65 years old or those with permanent disabilities.
Part A: hospital insurance. Part B: Medical insurance. Part C: Medicare advantage plan. Part D:
Medications.
Medicaid - Answer For clients who have low incomes. Federaly and state funded.
National Patient Safety Goals - Answer Identify patients correctly, improve staff
communication, use medication safely, use alarms safely, prevent infection, identify patient
safety risks, prevent mistakes in surgery.
Most vulnerable time for patients' safety - Answer During handoff
, Physical therapist - Answer Seeks to restore function or to prevent further disability in a pt
after an injury or illness. PTs use various techniques to treat pts, including massage, heat, cold,
water, sonar waves, exercises, and electrical stimulation. Most PTs are also educated in the use
of psychological strategies to motivate pts.
Occupational therapist - Answer Evaluate the pt's functional level and teaching activities to
promote self-care in activities of daily living. They assess the home for safety and provide
adaptive equipment as necessary.
Social worker - Answer Assess pts and families in dealing with the social, emotional, and
environmental factors that affect their well-being. They make referrals to appropriate
community resources and provide assistance wit hsecuring equipment and supplies, as well as
with health care finances.
Respiratory therapist - Answer Trained in techniques that improve pulmonary function and
oxygenation. RTs may also be responsible for administeringa variety of tests that measure lung
function and for educating the pt about the use of various devices and machines prescribed by
the physician.
Physiologic Stress and Adaption (GAS) - Answer Alarm: SNS fight or flight response,
catecholamines released onset of ACTH response, self-limiting. Resistance: adaptation occurs to
stressor; cortisol activity still increased. Exhaustion: endocrine activity continues, body will fail
of exposure to stress is prolonged.
Assessing patients during stress - Answer Assess vital signs, height and weight, mental status
and cognitive function, emotional status, clinical manifestations, events that have occurred
while hospitalized, and coping strategies.
Recognizing signs and symptoms of stress - Answer Increased heart rate, blood pressure,
metabolic rate, peripheral vasoconstriction, bronchodilation, respiratory rate, dilated pupils,
cardiac output, fatty acids, and alertness. Increase in glucose, sodium retention, and anti-
inflammatory response.
Coping methods - Answer Group or social support, meditation, yoga, biofeedback, time
management, self-hypnosis, proper nutrition, relaxation (quiet environment, passive attitude,
and comfortable position), regular exercise, breathing exercises, thought stopping, and creative
imagery.
