NR 442 EXAM 2 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

NR 442 EXAM 2 QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Specialties of Community Nurses - Answers School Occupational Forensic Correctional Faith Based Home Health and Hospice School Nurse Roles - Answers Care provider Student advocate Educator Community liaison Case manager Delegate cares and supervise others Practice independently as a member of an interdisciplinary team Conduct research Shattuck Report - Answers proposed that health education was a vital component in the prevention of disease Levels of prevention with School nursing - Answers Primary: nutritional education, immunizations,Health education Secondary: Screenings (scoliosis, vision/hearing, eating disorders, depression, abuse), identify at risk students, Treatment (administer medications, administer first aid, develop individual health plans), Home visits (family counseling) Tertiary: Referral of students for substance abuse, Prevention of complications and adverse effects 9and staff monitoring (follow ups) occupational nurse role - Answers planning safety services for employees in local workplace, worker advocate Levels of prevention with occupational nursing - Answers Primary: Set up programs to watch health conditions of workers, Do "walk throughs" to look at environmental hazards, Safety and educational resources, promoting physical activity Secondary: Health screenings, job transfer evaluations, periodic assessments, Blood pressure, diabetes, and cholesterol screenings and mammograms Tertiary: workplace accommodations, disability management, physical demands analysis, Support and counseling, Weight loss programs for the severely obese OSHA (Occupational Safety and Health Administration) - Answers Employers must "furnish a place of employment free from recognized hazards that are causing or likely to cause death or serious physical harm to employees." workers compensation act - Answers Provide income replacement and health care for employees who sustain a work-related injury or death. Americans with Disabilities Act (ADA) - Answers Employers must make "reasonable accommodations" to enhance opportunities for individuals with disabilities; prohibits discrimination on the basis of disability. Levels of prevention for forensic and correctional nursing - Answers Primary: start drug teaching in high schools and drug resistance programs, Support programs, life-skills training. Secondary: identify or screen for evidence of drug use, provide info on area groups that provide support for students who avoid drugs. Tertiary: Reduce risk that additional students will abuse drugs, refer to support groups (Narcotic Anoymous) Forensic Nursing - Answers help investigate crimes like sexual and physical assault and accidental death Combines disciplines of nursing science, forensic science, medical science, sociology, and psychology with law enforcement and the criminal justice system forensic nurse jobs - Answers Screening Assessment and collection of evidence Documentation and expert testimony from victims and perpetrators in settings such as hospitals, community clinics, or death scenes Involvement in paternity disputes Involvement in cases involving workplace injuries, malpractice, vehicle accidents, food or drug tampering, and medical equipment defects Levels of prevention for Faith-based nursing - Answers Primary: teaching about parenting, health and wellness, social support programs to prevent social isolation, and increase resources for successful parenting and healthy behaviors Secondary: Screenings to identify families at risk, educational programs to meet individual needs Tertiary: resources for rehab, coping with chronic health or disabilities Role of a Faith Community Nurse - Answers Health educator Personal health counselor Referral agent Health advocate Coordinator of volunteers Developer of support groups Integrator of health and healing Levels of Prevention for Home Health Nursing - Answers Primary: intervening early on preventing problems such as skin breakdown and pain control. Education on hospice/dying Secondary: Responding quickly when needs arise, Continued education about dying Tertiary: Assist through active phrase of dying, follow up bereavement support Conducting a Home Visit - Answers Visit preparation -Review the referral form -Contact the client if possible Initial telephone contact -Inform client about the service referral -Obtain permission to visit -Set mutually acceptable time for visit -"Nurse is a guest in the client's home" -Encourage client to obtain proof of insurance -If no telephone, use drop-in visit as first contact Senior eligible for Medicare reimbursement - Answers Any individual older than 65 years who is homebound, under the care of a physician, and requires medically necessary skilled nursing care or therapy services Any individual older than 65 years who is certified by a physician or a nurse practitioner (NP) to be terminally ill with a life expectancy of 6 months or less is eligible to receive the Medicare Hospice Advanced Directive (AD) - Answers is a written document in which a competent person gives instructions about future health care in the event that the individual is unable to make decisions. Power of Attorney (POA) - Answers for health care is one type of advance directive. Also called a health care proxy, the durable power of attorney for health care gives another person the power to make medical decisions related to care of the patient Living Will - Answers is a written document in which a patient voluntarily informs doctors and family members about the type of medical care desired should the patient become terminally ill or permanently unconscious and unable to communicate. In the living will, the patient can describe the type of care desired, depending on the clinical situation Can family be a caregiver - Answers Yes, The RN assess the skills of the caregiver, instructs them on procedures and recognizing S/S of problems. Pain Control in dying process - Answers Meds are given in doses sufficient to keep patient free of pain; administered on a regular schedule. Help in managing other symptoms (nausea and vomiting, constipation, diarrhea, fatigue, decreased appetite). Caring for the caregiver in dying process - Answers Careful assessment of the caregiver's mental and physical health is important .All decisions regarding care are made considering the health of the caregivers. Caregivers need reassurance for the care they provide. Need to understand the patient will not die from something they did or did not do. Nursing care in dying process - Answers Relieves the suffering throughout the illness Support the patient and family through dying process Provide grief support after the patient has died. other departments in Home health to promote safety - Answers physical therapists, occupational therapists, social workers, nurse assistants, chaplains, physician. Roles of the Faith Based Nurse: - Answers -Integrator of faith and health -Personal health counselor -Health educator -Health advocate -Referral agent -Coordinator of volunteers -Accessing and developing support groups Ethical issues with faith-based nursing - Answers Providing care to vulnerable populations: Should not try and treat entire population alone End of life issues: FCN need a theoretical base that includes an understanding of grief and loss from a developmental and social perspective, knowledge of the manifestations of normal and complicated grief, and nursing interventions to facilitate healthy grieving. Confidentiality: They should only share the clients information when given permission and they should be aware of this before going to the church community and talking with people. Accountability: They should know how to store and keep secure the medical records of the people in the church community and ensure the health information is current and appropriately practiced. Subspecialties of forensic nursing. - Answers • Sexual assault nurse examiner: who applies the nursing process during forensic examinations to victims or perpetrators of sexual assault. • Nurse coroner: responsible for ensuring that appropriate measures are taken to perform death investigations and to certify death certificates. Death investigator: evaluates the death scene from a holistic nursing perspective and might interpret the scene differently • Legal nurse consultant: nurse attorneys are nurses who provide assistance within the legal system using specialized nursing knowledge and expertise when the interaction between law and health care quality and safety issues arise nurse attorneys: are academically educated in both law and nursing. They may practice in health care, public health, or criminal or civil law, which would include malpractice cases. Malpractice cases may require the participation of a nurse attorney on either the plaintiff's or the defendant's side and may involve licensure disciplinary action or agency oversight • Forensic nursing educator and consultant • Forensic psychiatric nurse: bridges the gap between the criminal justice, legal, and mental health systems. Forensic psychiatric nurses apply the nursing process to clients who await a criminal hearing or trial while maintaining a neutral, objective, and detached position (Mason, 2011). Forensic psychiatric nurses collect evidence by determining intent or diminished capacity in the client's thinking at the time of the incident. To do so, they often spend several hours interviewing and observing the client, carefully documenting conversations and observations. • Forensic nurse examiner: In this role, they deliver care to living patients who are involved with the legal system, and their services may include several subspecialties. vulnerable populations - Answers Elderly Disabled Homeless Mental health migrant health Primary prevention in Community violence - Answers Community education concerning violence Reduction of media violence Development of community support services such as crisis lines, respite care for families with dependent members, shelters for battered women and their children, and development and vigorous enforcement of antistalking measures, including cyberstalking Handgun safety education Disaster preparedness as nurses - Answers Preparedness includes surveillance and reporting of suspicious illnesses (e.g., signs and symptoms of biological agents, foodborne diseases, and communicable diseases) in the community by physicians and nurses in local health care facilities or private offices and clinics. Nursing Consideration with disabilities - Answers be familiar with effective strategies for communicating and caring for individuals with a variety of disabilities procuring the knowledge related to health conditions that may result from or lead to the disability, as well as being aware of the resources available and legal implications that affect the PWD. Look at own perspective of disability will affect how to care for patients. discern the needs and resources of the client and his or her family. nursing interventions with disabilities - Answers Rather than assuming a need for intervention, the nurse should ask whether the client wants assistance, ask the client/family to describe the goal(s), and ask how and in what way(s) the nurse can help. Nurses should listen to understand, collaborating with the person/family to make plans and goals that meet the identified needs and that draw on strengths and improve weaknesses. knowledgeable patient - Answers a client has been living with disability for an extended time and has become sensitive to the needs of his or her body. if the nurse attempts to tell the Knowledgeable Client what to do without seeking input, the client may become angry and seek help elsewhere. knowledgeable nurse - Answers The client with a newly diagnosed condition can benefit from the nurse's information about the disability and the available community and governmental resources. It is important to note that if the nurse is unable to help a newly diagnosed client learn how to manage