NR 222 Exam 3 Health And Wellness Newest Exam Preparation With Complete
Questions And Correct Answers With Rationales | Already Graded A+||Brand
New Version!!|Chamberlaine College
One concern that nurses have when using self-disclosure during therapeutic interactions is that:
A. revealing oneself assists in developing a helping relationship.
B. it may cross a boundary from a professional to a personal relationship.
C. care recipients value nurses who engage in interactions as real people.
D. it creates reciprocity involving a mutual exchange between the nurse and the care recipient. -
(Correct Answer)-B. it may cross a boundary from a professional to a personal
relationship.
Self-disclosure involves sharing experiences that the nurse has had with a care recipient
who has had a similar experience, to assist the person in recognizing that the nurse
demonstrates understanding of his or her need. Self-disclosure is an indicator of a healthy
personality and a strategy for developing rapport with an individual. Therapeutic
interactions characterized by reciprocity involve a mutual exchange between the nurse and
the care recipient. Traditionally, nurses have been wary of self-disclosure because it may
cross a boundary from a professional to a personal relationship with care recipients. The
nurse must recognize when self-disclosure is inappropriate and when it is needed in a
therapeutic relationship. Literature documents that self-disclosure is an effective clinical
strategy when developing a helping relationship. People value nurses who engage in
interactions as real people and who are willing to share information about themselves.
Reference: p. 85
A woman is scheduled for ambulation in the early morning of the first day after undergoing an
abdominal hysterectomy. The nurse uses consensual validation of the individual's understanding
of the plan of care by stating:
A. "I will be back at 9 AM to take you on a walk."
B. "The doctor wants you to walk one time this morning."
C. "Tell me where you would like to walk this morning."
D. "Walking soon after a surgical procedure prevents complications." - (Correct Answer)-C.
"Tell me where you would like to walk this morning."
, 2
Consensual validation is a confirmation that both the sender and receiver understand the
same information. The nurse should ask the woman to explain her sense of the message and
of how to ask the nurse for further information. Consensual validation in communication is
essential when providing health-promotion interventions. Without validating that the
individual understands the information and its importance, and that she has a behavioral
plan to follow, health-promotion efforts invariably are likely to fail. "Tell me where you
would like to walk this morning" is the only response that asks the care recipient for her
input regarding her understanding of the plan of care. The other options stated by the
nurse contain information given to the care recipient.
Reference: p. 90
The nurse demonstrates empathy toward a crying mother whose baby was stillborn by stating:
A. "I know exactly how you feel; that happened to me once."
B. "You are young and will be able to have another baby."
C. "It was God's will that your baby was taken to heaven with him."
D. "Loss of a baby is truly a sad occurrence." - (Correct Answer)-D. "Loss of a baby is truly a
sad occurrence."
Empathy involves the ability to understand another's feelings without losing personal
identity and perspective. It is the critical element creating the caring climate through
therapeutic use of self. Empathy decreases a person's distress. When the nurse
acknowledges the content of the person's communication, she transmits empathy. It is
important that the nurse remains with clients, spending time listening and assisting them to
discuss problems, fears, and anxieties. Nurses do not empathize by switching the focus of
the interaction to themselves, like in response a, or by sympathizing. The only statement
that demonstrates empathy is d, which states an observation reflective of the mother's
crying. Response b does not focus on the loss of this baby, which is important for the
grieving process. Response c does not take the mother's beliefs into consideration.
Reference: p. 93
Which question best assists the nurse who is helping a person to formulate the problem as a step
in the problem-solving process?
A. "What pattern is there?"
, 3
B. "What do you want to see changed?"
C. "What would you do the next time?"
D. "What meaning does this have for you?" - (Correct Answer)-B. "What do you want to see
changed?"
"What do you want to see changed?" assists the individual to focus on formulating the
problem, by having the person state what he wants to see changed to resolve the problem.
Asking about pattern and meaning both assist the person to analyze the parts of the
experience and see relationships to other events. "What would you do the next time?"
assists the individual to identify how another, similar problem could be resolved.
Reference: p. 95
A nurse tells a childbirth education class consisting of pregnant women and their coaches that
alcohol use poses serious risks to the fetus. After the class, one woman comments, "Do you
really think that having a drink once in a while is bad for the baby? I'm sick of being told that I
can't do things because of the baby." This is an example of:
A. self concept.
B. bias.
C. values clarification.
D. empowering beliefs. - (Correct Answer)-C. values clarification.
Values clarification is a method for discovering one's values and the importance of these
values. Values clarification does not tell a person how to act, but it helps people recognize
what values they hold and evaluate how those values influence their actions.
In this example an apparent conflict in values between the nurse and the individual exists.
Intervention is needed to examine how this woman's wish for freedom from restrictions
clashes with her desire to have a healthy child. Nurses must consider their own values
related to health promotion for the individual and the fetus and must weigh the importance
of respecting individuals' rights to make decisions about their own health behaviors. Self-
concept is a picture of self. This scenario does not utilize bias unless the nurse exhibits
judgmental behaviors and empowering beliefs is not associated.
Reference: p. 83
, 4
The nurse utilizes strategies associated with client-centered communication by doing which of
the following? (select all that apply)
A. Not being "too busy" to talk
B. Focusing on the nurse's views
C. Developing mutual understanding
D. Emphasizing the technical aspects of care
E. Using a conversational interviewing style
F. Tuning in to the client's preferences and style - (Correct Answer)-A. Not being "too busy"
to talk
C. Developing mutual understanding
E. Using a conversational interviewing style
F. Tuning in to the client's preferences and style
All of those responses focus attention on the client. The other two options focus on the
nurse, and emphasizing the technical aspects of care is for information giving, again with
the major focus on the nurse.
Reference: p. 87
In health promotion, the nurse-person relationship is the context for care. Which of the following
elements of communication are important considerations? (select all that apply)
A. Health promotion requires sensitivity to the goals and values of the nurse and the care
recipient's family.
B. Helping a person adopt health-promoting behaviors is a matter of providing education.
C. Successful health promotion involves interpersonal skills.
D. Health promotion requires communication skills.
E. Values clarification is an essential element of communication and health promotion. -
(Correct Answer)-C. Successful health promotion involves interpersonal skills.
D. Health promotion requires communication skills.
Questions And Correct Answers With Rationales | Already Graded A+||Brand
New Version!!|Chamberlaine College
One concern that nurses have when using self-disclosure during therapeutic interactions is that:
A. revealing oneself assists in developing a helping relationship.
B. it may cross a boundary from a professional to a personal relationship.
C. care recipients value nurses who engage in interactions as real people.
D. it creates reciprocity involving a mutual exchange between the nurse and the care recipient. -
(Correct Answer)-B. it may cross a boundary from a professional to a personal
relationship.
Self-disclosure involves sharing experiences that the nurse has had with a care recipient
who has had a similar experience, to assist the person in recognizing that the nurse
demonstrates understanding of his or her need. Self-disclosure is an indicator of a healthy
personality and a strategy for developing rapport with an individual. Therapeutic
interactions characterized by reciprocity involve a mutual exchange between the nurse and
the care recipient. Traditionally, nurses have been wary of self-disclosure because it may
cross a boundary from a professional to a personal relationship with care recipients. The
nurse must recognize when self-disclosure is inappropriate and when it is needed in a
therapeutic relationship. Literature documents that self-disclosure is an effective clinical
strategy when developing a helping relationship. People value nurses who engage in
interactions as real people and who are willing to share information about themselves.
Reference: p. 85
A woman is scheduled for ambulation in the early morning of the first day after undergoing an
abdominal hysterectomy. The nurse uses consensual validation of the individual's understanding
of the plan of care by stating:
A. "I will be back at 9 AM to take you on a walk."
B. "The doctor wants you to walk one time this morning."
C. "Tell me where you would like to walk this morning."
D. "Walking soon after a surgical procedure prevents complications." - (Correct Answer)-C.
"Tell me where you would like to walk this morning."
, 2
Consensual validation is a confirmation that both the sender and receiver understand the
same information. The nurse should ask the woman to explain her sense of the message and
of how to ask the nurse for further information. Consensual validation in communication is
essential when providing health-promotion interventions. Without validating that the
individual understands the information and its importance, and that she has a behavioral
plan to follow, health-promotion efforts invariably are likely to fail. "Tell me where you
would like to walk this morning" is the only response that asks the care recipient for her
input regarding her understanding of the plan of care. The other options stated by the
nurse contain information given to the care recipient.
Reference: p. 90
The nurse demonstrates empathy toward a crying mother whose baby was stillborn by stating:
A. "I know exactly how you feel; that happened to me once."
B. "You are young and will be able to have another baby."
C. "It was God's will that your baby was taken to heaven with him."
D. "Loss of a baby is truly a sad occurrence." - (Correct Answer)-D. "Loss of a baby is truly a
sad occurrence."
Empathy involves the ability to understand another's feelings without losing personal
identity and perspective. It is the critical element creating the caring climate through
therapeutic use of self. Empathy decreases a person's distress. When the nurse
acknowledges the content of the person's communication, she transmits empathy. It is
important that the nurse remains with clients, spending time listening and assisting them to
discuss problems, fears, and anxieties. Nurses do not empathize by switching the focus of
the interaction to themselves, like in response a, or by sympathizing. The only statement
that demonstrates empathy is d, which states an observation reflective of the mother's
crying. Response b does not focus on the loss of this baby, which is important for the
grieving process. Response c does not take the mother's beliefs into consideration.
Reference: p. 93
Which question best assists the nurse who is helping a person to formulate the problem as a step
in the problem-solving process?
A. "What pattern is there?"
, 3
B. "What do you want to see changed?"
C. "What would you do the next time?"
D. "What meaning does this have for you?" - (Correct Answer)-B. "What do you want to see
changed?"
"What do you want to see changed?" assists the individual to focus on formulating the
problem, by having the person state what he wants to see changed to resolve the problem.
Asking about pattern and meaning both assist the person to analyze the parts of the
experience and see relationships to other events. "What would you do the next time?"
assists the individual to identify how another, similar problem could be resolved.
Reference: p. 95
A nurse tells a childbirth education class consisting of pregnant women and their coaches that
alcohol use poses serious risks to the fetus. After the class, one woman comments, "Do you
really think that having a drink once in a while is bad for the baby? I'm sick of being told that I
can't do things because of the baby." This is an example of:
A. self concept.
B. bias.
C. values clarification.
D. empowering beliefs. - (Correct Answer)-C. values clarification.
Values clarification is a method for discovering one's values and the importance of these
values. Values clarification does not tell a person how to act, but it helps people recognize
what values they hold and evaluate how those values influence their actions.
In this example an apparent conflict in values between the nurse and the individual exists.
Intervention is needed to examine how this woman's wish for freedom from restrictions
clashes with her desire to have a healthy child. Nurses must consider their own values
related to health promotion for the individual and the fetus and must weigh the importance
of respecting individuals' rights to make decisions about their own health behaviors. Self-
concept is a picture of self. This scenario does not utilize bias unless the nurse exhibits
judgmental behaviors and empowering beliefs is not associated.
Reference: p. 83
, 4
The nurse utilizes strategies associated with client-centered communication by doing which of
the following? (select all that apply)
A. Not being "too busy" to talk
B. Focusing on the nurse's views
C. Developing mutual understanding
D. Emphasizing the technical aspects of care
E. Using a conversational interviewing style
F. Tuning in to the client's preferences and style - (Correct Answer)-A. Not being "too busy"
to talk
C. Developing mutual understanding
E. Using a conversational interviewing style
F. Tuning in to the client's preferences and style
All of those responses focus attention on the client. The other two options focus on the
nurse, and emphasizing the technical aspects of care is for information giving, again with
the major focus on the nurse.
Reference: p. 87
In health promotion, the nurse-person relationship is the context for care. Which of the following
elements of communication are important considerations? (select all that apply)
A. Health promotion requires sensitivity to the goals and values of the nurse and the care
recipient's family.
B. Helping a person adopt health-promoting behaviors is a matter of providing education.
C. Successful health promotion involves interpersonal skills.
D. Health promotion requires communication skills.
E. Values clarification is an essential element of communication and health promotion. -
(Correct Answer)-C. Successful health promotion involves interpersonal skills.
D. Health promotion requires communication skills.
