NUR 222 Final Study Practice Organized Questions and Accurate Answers Exam 2026 | Complete Test Bank

NURS 222 NURS 222 NUR 222 Final Study Practice Organized Questions and Accurate Answers Exam 2026 | Complete Test Bank A toddler is able to recognize that an object is out of sight continues to exist. Which stage of Piaget's stages of development does this represent? A. Sensorimotor B. Preoperational C. Concrete Operations D. Formal Operations - Correct Ans-A. Sensorimotor A school-aged child has failed to hit the ball several times and now refuses to try again due to fear of failure. According to Erickson, this represents possible unsuccessful mastery of which stage of personality development? A. Trust vs Mistrust B. Autonomy vs Shame/doubt C. Initiative vs Guilt D. Industry vs Inferiority - Correct Ans-D. Industry vs Inferiority Based on what the nurse knows about the development of a pre-school child, which would be the best recommendation for helping a parent teach a new healthy behavior? A. Punish the child when the behavior is done incorrectly B. Lecture the child about the importance of the behavior C. Model the behavior at home D. Know that the child will learn it in school - Correct Ans-C. Model the behavior at home According to Kohlberg, moral development is a component of psychosocial development. Moral development depends on the child's ability to integrate A. Modeling of others B. Faith and Optimism C. Self-control and Independence D. Decisions of right and wrong - Correct Ans-D. Decisions of right and wrong Which theorist believed that development occurred throughout the life span and focused on psychosocial stages? A. Piaget NURS 222 NURS 222 B. Freud C. Erikson D. Kohlberg E. Gilligan - Correct Ans-C. Erikson Which of the following might be a cause of stress for the middle-aged adult? A. Financial security B. Planned retirement C. Arrival of grandchildren D. Caring for children and aging parents - Correct Ans-D. Caring for children and aging parents "Sanwich generation" Sam performs his assessment of Mr Calder, a 74 year old. What findings are considered normal for a pt of Mr Calder's age? (Select all that apply) A. Thin skin B. Decrease saliva production C. Decreased muscle strength D. Whitening of the eye lens E. Elevated heart rate - Correct Ans-A. Thin skin B. Decreased saliva production C. Decreased muscle strength The nurse is preparing a smoking cessation class for family members of a 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 health care model is the nurse following? A. Health Belief Model B. Holistic Health Model C. Health Promotion Model D. Maslow's Hierarchy of needs - Correct Ans-A. Health Belief Model Health Belief = Relationship between a person's beliefs and behaviors The nurse is working in a clinic that is designed to provide health education and immunizations. Which type of preventative care is the nurse providing? A. Primary Prevention B. Secondary Prevention C. Tertiary Prevention D. Risk Factor Prevention - Correct Ans-A. Primary Prevention A patient is admitted to a rehab facility following a stroke. The patient has a 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? NURS 222 NURS 222 A. Primary B. Secondary C. Tertiary D. Health Promotion - Correct Ans-C. Tertiary Upon completing a history, the nurse finds that a patient has risk factors for lung disease. How should the nurse interpret this finding? A. A person with the risk factor will get the disease B. The chances of getting the disease are increased C. Risk modification will have no effect on disease prevention D. The disease is guaranteed not to develop if the risk factor is controlled - Correct Ans B. The chances of getting the disease are increased. Which areas should the nurse assess to determine the effects of external variables on a patient's illness? (Select all that apply) A. Patient's perception of the illness B. Patient's coping skills C. Socioeconomic status D. Cultural background E. Social support - Correct Ans-C. Patient perception D. Cultural background E Social support The nurse prescribes strategies and alternatives to attain expected outcome. Which standard of nursing practice is the nurse following? a. Assessment b. Diagnosis c. Planning d. Implementation - Correct Ans-C. Planning A nurse is assessing a patient's fluid status and decides that the patient needs to drink more fluids. The nurse then encourages the patient to drink more fluids. Which concept is the nurse demonstrating? A. Licensure B. Autonomy C. Certification D. Accountability - Correct Ans-B. Autonomy A patient is extremely upset and mentions something about a work-related issue that the nurse cannot understand. Which is the nurse's best response? NURS 222 NURS 222 A. It is natural to worry about your job B. Your job must be very important to you C. Calm down so that I can understand what you are saying D. I'm not quite sure I can hear what you were saying about your work. - Correct Ans-D. I'm not quite sure I can hear what you were saying about your work A patient is admitted to the hospital with cirrhosis of the liver caused by long-term alcohol abuse. Which is the best response by the nurse when the patient says, "I really don't believe that my drinking a couple beers a day has anything to do with my liver problem."? A. You find it hard to believe that beer can hurt the liver B. How long is it that you have been drinking several beers a day? C. Each beer is equivalent to one shot of liquor so it's just as damaging to the liver as hard liquor. - Correct Ans-A. You find it hard to believe that beer can hurt the liver. (Paraphrasing) A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning? (Select all that apply) A. Lecture B. Role Play C. Demonstration D. Discussion - Correct Ans-B. Role Play C. Demonstration A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action is most appropriate for assessing their patient's learning needs? A. Assess the pt's total health care needs B. Assess the pt's health literacy C. Assess all sources fo pt data D. Assess the goals of patient care - Correct Ans-B. Assess the patients health literacy A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic? A. At bedtime while the pt is relaxed B. At bath time, when the nurse is cleaning the pt C. At lunchtime, when the nurse is preparing the food tray D. At medication time, when the nurse is administering pt meds - Correct Ans-C. At lunchtime, when the nurse is preparing the food tray A nurse is teaching a pt about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse ass to the teaching plan? NURS 222 NURS 222 A. The pt will state 3 facts about healthy eating B. The pt will identify 2 foods for a healthy snack C. The pt will verbalize the value of eating healthy D. The pt will cook a meal with low-fat oil - Correct Ans-C. The pt will verbalize the value of eating healthy A nurse is preparing to teach patients. Which patient finding will cause the nurse to postpone a teaching session? (Select all that apply) A. Pt hurting B. Pt fatigued C. Pt mildly anxious D. Pt asking questions E. Pt febrile (high fever) F. Pt is in acceptance phase. - Correct Ans-A Pt hurting B Pt fatigued E Pt febrile A nurse is providing a group presentation about the importance of healthy eating. Which of the following activities must be addressed to ensure an adequate learning environment? (Select all that apply) A. Creating a sense of preparedness and organization B. Planning for alternative learning activities C. Assessing group needs D. Observing group interactions - Correct Ans-A. Creating a sense of preparedness and organization C. Assessing group needs D. Observing group interactions The nurse is caring for a Chinese pt using the Teach-back technique. Which action by the nurse indicates successful implementation of this technique? A. Asks, "Does this makes sense?" B. Asks, "Do you think you can do this at home?" C. Asks, "What will you tell your spouse about changing the dressing?" D. Asks, " Would you tell me if you don't understand something so we can go over it?" - Correct Ans-C. Asks, "What will you tell your spouse about changing the dressing?" A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person? A. Culture B. Race C. Ethnicity D. Values - Correct Ans-A. Culture NURS 222 NURS 222 A nurse is beginning to use patient centered care and cultural competence to improve nursing care. Which step should the nurse take first? A. Assessing own biases and attitude B. Learning about the world view of others C. Understanding organizational forces D. Developing cultural skills - Correct Ans-A. Assessing own biases and attitude A nurse is proving care to a patient from a different culture. Which action by the nurse indicates cultural competence? A. Communicates effectively in a multicultural context B. Functions effectively in a multicultural context C. Visits a foreign country D. Speaks a different language - Correct Ans-B. Functions effectively in a multicultural context The nurse learns about cultural issues involved in the patient's health care belief system and enables patients and families to achieve meaningful and supportive care. Which concept is the nurse demonstrating? A. Marginalized groups B. Health care disparity C. Transcultural nursing D. Culturally congruent care - Correct Ans-D. Culturally congruent care A nurse is working with a patient. When the nurse asks about family members, the patient states that it include my spouse, children, and aunt and uncle. How will the nurse describe this type of family? A. Nuclear B. Blended C. Extended D. Alternative - Correct Ans-C. Extended A nurse is assessing a family unit to determine the family's ability to adapt to the change of a member having surgery. Which area is the nurse monitoring? A. Family durability B. Family resiliency C. Family diversity D. Family forms - Correct Ans-B. Family Resiliency A pt is aphasic, and the nurse notices that the pt's hands shake intermittently. Which nursing action is the most appropriate to facilitate communication? NURS 222 NURS 222 A. Picture board B. Pen and paper C. Interpreter D. Hearing aid - Correct Ans-A. Picture board A pt just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy? A. Tomorrow will be better B. This must be hard news to hear C. What's your biggest fear about this diagnosis? D. I believe you can overcome this because I've seen how strong you are. - Correct Ans-B. This must be hard news to hear A nurse is in the process of establishing a therapeutic relationship with a person. Which of the following techniques should be used by the nurse? (Select all that apply) A. Learn about the person's interests B. Sit close to the person C. Show interest in the person's concerns D. Define the parameters of the relationship with the person - Correct Ans-C. Show interest in the person's concerns D. Define the parameters of the relationship with the person Which of the following scenarios best describes a nurse using metacommunication? A. Using both touch and silence when counseling an individual B. Practicing reflection when interaction with an individual C. Discussing with an individual how to solve a problem D. Understanding that an individual needs a break before proceeding - Correct Ans-D. Understanding that an individual needs a break before proceeding A nurse and her client are engaged in meaningful conversation when suddenly there is silence between the two. To facilitate effective client-centered communication, the nurse should: A. Ask the person what he is thinking, so they can understand each other. B. Restate what the person said before silence ensued, to get clarification. C. Change the subject to one that is more pleasant for the person to discuss. D. Wait quietly to give the person time to reflect where he wants to lead the conversat - Correct Ans-D. Wait quietly to give the person time to reflect where he wants to lead the conversation. Before meeting the pt, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this pt? NURS 222 NURS 222 A. Preinteraction B. Orientation C. Working D. Termination - Correct Ans-A. Preinteraction During the initial home visit, a HH nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient? A. Preinteraction B. Orientation C. Working D. Termination - Correct Ans-B. Orientation A nurse is caring or a patient in the hospital. When should the nurse begin discharge planning? A. When the pt is ready B. Close to the time of discharge C. Upon admission to the hospital D. After an order is written/ prescribed. - Correct Ans-C. Upon admission to the hospital Which action by a nurse indicates application of the critical thinking model to make the best clinical decisions? A. Drawing on past clinical experiences to formulate standardized care plans B. Relying on recall of info from past lectures and textbooks C. Depending on the charge nurse to determine priorities of care D. Using the nursing process - Correct Ans-D Using the nursing process A nurse is using the critical thinking skill of evaluation. Which action will the nurse take? A. Examine the meaning of data B. Support in ding and conclusions C. Review the effectiveness or nursing actions D. Search for link between the data and the nurse's assumptions - Correct Ans-C. Review the effectiveness of nursing actions Which of the following represents a method of primary prevention? A. Informational session about healthy lifestyles B. Blood pressure screening C. Intervention cardiac cath D. Diagnostic cardiac cath - Correct Ans-A. Informational session about healthy lifestyles NURS 222 NURS 222 Which of the following represents a method of secondary prevention? A. Self-breast exam education B. Yearly Mammogram C. Chemo for advanced breast cancer D. Complete mastectomy fro breast cancer - Correct Ans-B. Yearly Mammogram Which of the following represents a method of tertiary prevention? A. Drunk driving campaign B. Road blocks for drunk driving C. Emergency surgery for head trauma after MVA D. Physical and occupational therapy after a MVA with head trauma - Correct Ans-D. Physical and occupational therapy after a MVA with head trauma Healthy People 2020 objectives provide a framework for: A. Assessment B. Diagnosis C. Prevention D. Treatment - Correct Ans-C. Prevention A nurse weighs a person who has been diagnosed with a dysfunction in the nutritional metabolic pattern. Which aspect of the nursing process is being performed? A. Assessment B. Implementation C. Planning D. Evaluation - Correct Ans-D. Evaluation When providing care to a pt, the nurse is responsible, both professionally and legally. Which concept does this describe? A. Autonomy B. Accountability C. Pt Advocacy D. Patient Education - Correct Ans-B. Accountability A nurse is using a guide that provides principles of right and wrong to provide care to patients. Which guide is the nurse using? A. Standards fo practice B. Standard of professional performance C. Quality and safety education for nurses D. Code of eithics - Correct Ans-A. Code of ethics NURS 222 NURS 222 Which nurse most likely kept records on sanitation techniques and effects on helath? A. Florence Nightingale B. Mary Nutting C. Clara Barton D. Lillian Wald - Correct Ans-A. Florence Nightingale A pt is scheduled for surgery. When getting ready to obtain the informed consent, the pt tells the nurse, " I have no idea what is going to happen. I couldn't ask any questions." The nurse does not allow the pt to sign the permit and notifies the health care provider of the situation. Which role is the nurse displaying? A. Manager B. Pt educator C. Pt advocate D. Clinical nurse specialist - Correct Ans-C. Pt advocate Which of the following is not part of the nursing process? A. Diagnosis B. Assessment C. Testing D. Evaluation - Correct Ans-C. Testing Critical thinking characteristics include: A. Considering what is important in a given situation B. Accepting one, established way to provide pt care C. Making decision based on intuition D. Being able to read and follow physician orders - Correct Ans-A. Considering what is important in a given situation. The nurse is using critical thinking skills during the first phase of the nursing process. Which action indicated the nurse is in the first phase? A. Completes a comprehensive database B. Identifies pertinent nursing diagnoses C. Intervenes based on priorities of patient care D. Determines whether outcomes have been achieved. - Correct Ans-A. Completes a comprehensive database The nursing process involves which of the following steps in the clinical decision-making process? (Select all that apply) A. Identifying patient needs NURS 222 NURS 222 B. Diagnosing the disease process C. Determining priorities of care D. Setting goals E. Performing nursing interventions F. Evaluating effectiveness of medical treatments - Correct Ans-A. Identifying patient needs C. Determining priorities of care D. Setting goals E. Performing nursing interventions Gathering, verifying and communicating data about the patient to establish a database is an example of which component of the nursing process? A. Evaluation B. Diagnosis C. Planning D. Assessment - Correct Ans-D. Assessment A nurse is completing an assessment. Which findings will the nurse report as subjective data? (Select all that apply) A. Pt temp B. Pt wound appearance C. Pt describing excitement about discharge D. Pt pacing the floor while awaiting test results E. Pt expression of fear regarding upcoming surgery - Correct Ans-C. Pt describing excitement about discharge E. Pt expression of fear regarding upcoming surgery The nurse is gathering data on a patient. Which data will the nurse report as objective data? A. States "doesn't feel good" B. Reports headache C. Respirations 16 D. Nauseated - Correct Ans-C. Respirations 16 A pt who needs nursing and rehab following a stroke would most benefit from receiving care at a: A. Primary care center B. Restorative care setting C. Assisted-living center D. Respite care - Correct Ans-B. Restorative care setting Technological advances in health care: NURS 222 NURS 222 A. Make the nurse's job easier B. Depersonalize bedside pt care C. Threaten the integrity of health care industry D. Do not replace sounds personal judgment - Correct Ans-D. Do not replace sounds personal judgment A nurse is providing community service by taking blood pressure at a local grocery store. What level of prevention is the nurse practicing? A. Primary B. Secondary C. Tertiary D. Behavioral - Correct Ans-A. Primary A patient who had an MI 4 weeks ago is now participating in daily cardiac rehab session at a local gym. What level of prevention is the patient participating in? A. Primary B. Secondary C. Tertiary D. Quaternary Prevention - Correct Ans-C. Tertiary According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet first? A. Self-actualization B. Self-esteem C. Shelter D. Love an belonging - Correct Ans-C. Shelter A 22 year old is diagnosed with syphilis. What intervention would be an example of secondary prevention? A. Administer a dose of penicillin IM B. Interviewing the pt about his sexual activity C. Testing for chlamydia D. Education the pt on the use of condoms. - Correct Ans-C. Testing for chlamydia A nurse identifies multiple risk factors for her elderly patient. Which of the following would be considered a modifiable risk factor? A. Smoking 2 packs a day B. Widowed and live alone C. History of falls D. Family history of heart disease - Correct Ans-A. Smoking 2 packs a day NURS 222 NURS 222 The nursing process organizes your approach while delivering nursing care. To provide the nest professional care to pts, nurses need to incorporate nursing process and: A. Decision making B. Problem solving C. Intellectual standards D. Critical thinking skills - Correct Ans-D. Critical thinking skills Which action should the nurse take when using critical thinking to make clinical decisions? A. Make decisions based on intuition B. One established way to provide care C. Consider what is important in a given situation D. Read and follow the health care provider's orders - Correct Ans-C. Consider what is important in a given situation Which action indicates a RN is being responsible for making clinical decisions? A. Applies clear textbook solution to pt problems B. Takes immediate and thoughtful or contemplative action when a pt condition worsens. C. Uses only traditional methods of providing care to pts D. Formulates standardize care plans solely for groups of pts. - Correct Ans-B. Takes immediate and thoughtful or contemplative action when a pt condition worsens A pt continues to report post surgical incision pain at a level of 9/10 after pain meds are given. The next dose of pain meds is not due for another hour. What should the critically thinking nurse do first? A. Explore other options for pain relief B. Discuss the surgical procedure and reason for the pain C. Explain to the pt that nothing else has been ordered. D. Offer to notify the provider after morning rounds are completed - Correct Ans-A. Explore other options for pain relief A pt is admitted to the hospital with SOB. As a nurse assesses this pt, the nurse is using the process of: A. Evaluation B. Data collection C. Problem identification D. Testing a hypothesis - Correct Ans-B. Data collection The nursing process organizes your approach to delivering nursing care. To provide care to your pts, you will need to incorporate nursing process and NURS 222 NURS 222 A. Critical Thinking B. Problem solving C. Interview process D. Setting priorities of care - Correct Ans-A. Critical thinking While completing an admission database, the nurse is interviewing a pt who states they have a latex allergy. Which action(s) will the nurse take? (Select all that apply) A. Notify the physician B. Ask the pt to describe the reaction they have C. Document latex allergy as an ojective finding D. Document the latex allergy on the med administration record. - Correct Ans-B. Ask the pt to describe the reaction they have D. Document the latex allergy on the med administration record. A pt expresses fear of going home and being alone. Vital signs are stable, and the incision is nearly completely healed. What can the nurse conclude from subjective data? A. Pt can now perform the dressing changes without help B. Pt can begin retaking all their previous meds C. Pt is apprehensive about discharge D. Pt's surgery was not successful - Correct Ans-C. Pt is apprehensive about discharge A pt verbalized a low pain level of 2/10 but exhibits extreme facial grimacing while moving around in bed. What is the nurse's initial action in response to these observations? A. Proceed to the next pt's room to make rounds B. Determine the pt does not want any more pain meds C. Ask the pt about the facial grimacing with movement D. Administer the pain meds ordered for moderate to severe pain - Correct Ans-C. Ask the pt about the facial grimacing with movement The nurse is interviewing a pt with a hearing deficit. Which area should the nurse use to conduct this interview? A. Pt's room with door closed B. Waiting area with TV off C. Pt room before administering pain meds D. Waiting room while OT is working on leg exercises - Correct Ans-A. Pt's room with door closed Pt's leg is in a cast is being assessed, the pt tells the nurse about an inability to rest at night. The nurse disregard this info, thinking that no correlation has been noted between NURS 222 NURS 222 having a leg cast and developing restless sleep. Which action would have been best for the nurse to take? A. Tell the pt to just focus on the leg and cast right now B. Document the sleep patterns and info in the pt's chart C. Explain the a more thorough assessment will be needed next shift D. Ask the pt about usu - Correct Ans-D. Ask the pt about usual sleep patterns ad the onset of having difficulty resting The nurse is attempting to prompt the patient to elaborate on her complaints of daytime fatigue. Which question should the nurse ask? a. "Is there anything that you are stressed about right now?" b. "What reasons do you think are contributing to your fatigue?" c. "What are your normal work hours?" d. "Are you sleeping 8 hours a night?" - Correct Ans-b. "What reasons do you think are contributing to your fatigue? The question asking the patient what factors might be contributing to her fatigue will elicit the best open-ended response. Asking whether the patient is stressed and asking if the patient is sleeping 8 hours a night are closed-ended questions eliciting simple yes or no responses. Asking about normal works hours will elicit a matter-of-fact response and does not prompt the patient to elaborate on her complaints of daytime fatigue nor ask about the contributing reasons. Your pt is about the undergo a controversial ortho procedure. The procedure may cause periods of pain. Although nurses agree to do no harm, this procedure may be the pt's only treatment choice. this example describes the ethical principle of: A. Autonomy B. Fidelity C. Justice D. Nonmaleficence - Correct Ans-D. Nonmaleficence A pt does not want to take Dr order medication. By complying with the pt wishes and reporting this to the physician, the nurse is supporting which ethical principle? A. Advocacy B. Autonomy C. Accountability D. Fidelity - Correct Ans-B. Autonomy A nurse decides to withhold meds that may lower the pt's BP to an unsafe level. The nurse is practicing which ethical principle? A. Responsibility NURS 222 NURS 222 B. Veracity C. Advocacy D. Accountability - Correct Ans-A. Responsibility What is the first step in solving an ethical dilemma? A. Determine if an ethical dilemma exists B. Gather all relevant info C. Clarify values D. Form an ethics committee - Correct Ans-A. Determine if an ethical dilemma exists When do ethical dilemmas occur? A. When the committee is formed B. When the physician determines one exists C. When the nurse is unsure which course of action to take D. When there are conflicting values - Correct Ans-D. When there are conflicting values. A nurse is caring for a pt in hospice. The nurse notes that the pt is getting adequate care, but the spouse is not sleeping well. The nurse also assesses the need for better family nutrition and meals assistance. The nurse discusses these needs with the pt and family and develops a plan of care with them using community resources. Which approach is the nurse using? A. Family as context B. Family as patient C. Family as system D. Family as caregiver - Correct Ans-B. Family as patient You are caring for a pt. Visitors at the bedside include the pt's life partner, widowed father, brother, and niece. The nurse acknowledges that current trends in American families include: A. Couples without children B. More singles choosing to live alone C. A very different look from 15 years ago D. A mother, father, and more than one child. - Correct Ans-C. A very different look from 15 years ago A nurse is caring for an immigrants with low income. Which info should the nurse consider when planning care for this pt? A. There is a decreased frequency of morbidity B. There is an increase incidence of disease C. There is an increased level of health NURS 222 NURS 222 D. There is a decreased mortality rate. - Correct Ans-B. There is an increase incidence of disease. Which action indicates the nurse is meeting a primary goal of culturally competent care for pts? A. Provides care to transgender pts B. Provides care to restore relationships C. Provides care to pts that is individualized D. Provides care to surgical pts - Correct Ans-C. Provides care to pts that is individualized A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally congruent care? A. Provides care that fits the pt's valued life patterns set of meanings B. Provides care that is based on meanings generated by predetermined criteria C. Provides care that makes the nurse the leader in determining what is needed. D. Provides care that is the same as the values of the professional health care system - Correct Ans-A. Provides care that fits the pt's valued life patterns set of meanings Which types of nurses make the best communicators with patients? A. Those who learn effective psychomotor skills B. Those who develop critical thinking skills C. Those who like different kinds of people D. Those who maintain perceptual biases - Correct Ans-B. Those who develop critical thinking skills You are invited to attend the weekly unit patient care conference. The staff discusses pt care issues. This type of communication is: A. Public B. Intrapersonal C. Transpersonal D. Small Group - Correct Ans-D. Small Group The nurse asks the pt where the pain is, and the pt responds by pointing to the area of pain. Which form of communication sis the pt use? A. Verbal B. Non-verbal C. Symbols D. Metacommunication - Correct Ans-B. Non-verbal When interviewing a pt, which nonverbal behavior should a nurse employ? NURS 222 NURS 222 A. Maintaining indirect eye contact B. Providing space by leaning back away from the client C. Sitting squarely, facing the client D. Maintaining open posture with arms and legs crossed - Correct Ans-C. Sitting squarely, facing the client A nurse wanted to present info about flu shots to the older adults in the community. Which type of communication should the nurse use? A. Public B. Small Group C. Electronic D. Interpersonal - Correct Ans-A. Public A nurse maintains an uncrossed arm and leg posture. This nonverbal behavior is reflective of which letter of the SURETY acronym for active listening? A. S B. U C. R D. E E. T F. Y - Correct Ans-B. U The nurse uses silence as a therapeutic communication technique. What is the purpose of the nurse's silence? A. Prevent the nurse form saying the wrong thing B. Prompt the pt to talk when he or she is ready C. Allow the pt time to think and gain insight D. Allow the time for the to drift off to sleep. - Correct Ans-C. Allow the pt time to think and gain insight In which nurse interaction can the SBAR model be used? A. Nurse to social worker B. Nurse to doctor C. Nurse to Nurse D. All of the above - Correct Ans-D. All of the above A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a pt's ability to learn? A. Sociocultural background and motivation B. Stage of grieving and overall physical health NURS 222 NURS 222 C. Developmental capabilities and physical capabilities D. Psychosocial adaptation to illness and active participation. - Correct Ans-C. Developmental capabilities and physical capabilities A nurse is determining if teaching is effective. Which finding best indicates learning has occurred? A. A nurse presents info about diabetes B. A pt demonstrated how to inject insulin C. A family member listens to a lecture on diabetes D. A PCP hands a diabetes pamphlet to the pt. - Correct Ans-B. A pt demonstrated how to inject insulin A nurse is teaching about the Speak Up initiatives. Which info should the nurse include in the teaching session? A. If you still do not understand, ask again B. Ask a nurse to be your advocate or supporter C. The nurse is the center of the health care team D. Inappropriate medical tests are the most common mistakes. - Correct Ans-A. If you still do not understand, ask again A pt is newly diagnosed with diabetes needs to learn how to use a glucometer. Use of a glucometer constitutes: A. Affective learning B. Cognitive learning C. Motivational Learning D. Psychomotor learning - Correct Ans-D. Psychomotor learning A pt learns that a normal adult heartbeat is 60-100 beats/min after a teaching session with a nurse. In which domain did learning take place? A. Kinesthetic B. Cognitive C. Affective D. Psychomotor - Correct Ans-B. Cognitive While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing? A. Developing learning objectives B. Providing positive reinforcement C. Presenting facts and knowledge NURS 222 NURS 222 D. Implementing interpersonal communication - Correct Ans-A. Developing learning objectives A nurse is caring for a preschooler. Which fear should the nurse most plan to minimize? A. Fear of bodily harm B. Fear of going to bed C. Fear fo separation D. Fear of strangers - Correct Ans-C. Fear of separation A nurse is teaching a parenting class for families with adolescents. Which health concerns will the nurse include in the teaching session? (select all that apply) A. Suicide B. Eating disorders C. Violence/ homicide D. STI's - Correct Ans-A. Suicide B. Eating disorders D. STI's Which statement, if made by a parent, will require further instruction from the nurse? A. I should not be surprised that my teen son has so many friends B. I get worries because my teen son thinks he's indestructible C. I should cover for my 10yo son when he makes mistakes until he learns more about the world. D. I usually have nutritious snacks available because my 10 yo sone is always hungry after school - Correct Ans-C. I should cover for my 10yo son when he makes mistakes until he learns more about the world A nurse is teaching the staff about development. Which info indicates the nurse needs to follow up? A. Development proceeds in a cephalocaudal pattern B. Development proceeds in a proximal-distal pattern C. Development proceed at a slower rate during embryonic stage D. Development proceeds at a predictive rate from the moment of conception. - Correct Ans-C. Development proceed at a slower rate during embryonic stage According to Gesell's theory of development each child's pattern of growth is a results of environmental influences. True / False - Correct Ans-False The nurse knows that a priority reason for being knowledgable about biophysical developmental theories is to: NURS 222 NURS 222 A. Understand how the physical body grows B. Predict definite patterns of cognitive development C. Anticipate how pt's social behaviors develop D. Describe the process of psychological development - Correct Ans-A. Understand how the physical body grows A nurse is using Piaget's developmental theory to focus on cognitive development. Which area will the nurse assess in this patient A. Latency B. Formal operation C. Intimacy vs Isolation D. The post-conventional level - Correct Ans-B. Formal Operations When utilizing Freud's psychoanalytical/psychosocial theory, the nurse recalls that: A. Adult personality is the results of resolved conflicts between sources of sexual pleasure and the mandates of reality. B. Development occurs throughout the life span and focuses on psychosocial stages. C. The genital stage precedes the phallic stage of development D. Problems evident in adult life are due to early successes and resolution of earlier developmental stages. - Correct Ans-A. Adult personality is the results of resolved conflicts between sources of sexual pleasure and the mandates of reality. A nurse is assessing an 18mth old toddler. The nurse distinguishes normal from abnormal findings by remembering Gesell's theory of development. Which info will the nurse consider? A. Growth in humans is determined solely by heredity B. Environmental influences does not influence development C. The cephalocaudal pattern describes the sequences in which growth is fastest at the top. D. Gene activity influences development but does not affect the sequence of development. - Correct Ans-C. The cephalocaudal pattern describes the sequences in which growth is fastest at the top. A nurse who has recently graduated has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes for the older adult include A. A transition from young adulthood. B. The ability of the older adult to achieve sexual arousal. C. A time when cognitive performance begins to peak. D. Adjusting to decreasing health and physical strength. - Correct Ans-D. Adjusting to decreasing health and physical strength NURS 222 NURS 222 Which of the following might be a cause of stress for the older adult? (select all that apply) A. Financial security B. Planned retirement C. Housing D. Adjusting to decreasing health and physical strength - Correct Ans-A. Financial security B. Planned retirement C. Housing D. Adjusting to decreasing health and physical strength What finding are considered normal for an older adults? (select all that apply) A. Thin skin B. Decreased saliva production C. Decreased muscle strength D. Whitening of the eye lens - Correct Ans-A. Thin skin B. Decreased saliva production C. Decreased muscle strength A nurse is planning care for a 30 yo. Which goal is priority? A. Refine self-perception B. Master career plans C. Examine life goals D. Achieve intimacy - Correct Ans-B. Master career plans A nurse is planning care for YA pts. Which info should the nurse consider when planning care? A. Fertility issues do not occur in young adulthood B. YA tend to suffer more from severe illness C. Substance abuse is easy to observe in YA pts D. YA's are quite active but are at risk for illness in later years. - Correct Ans-D. YA's are quite active but are at risk for illness in later years. A pt is caring for a YA. Which goal is priority? A. Maintain peer relationships B. Maintain family relationships C. Maintain parental relationships D. Maintain recreational relationships - Correct Ans-A. Maintain peer relationships Which goal is a priority when the nurse is caring for a middle-aged adult? NURS 222 NURS 222 A. Maintain immediate family relationships B. Maintain future generation relationships C. Maintain personal career relationships D. Maintain work relationships - Correct Ans-B. Maintain future generation relationships A nurse is providing education to a community support group about ways to decreased stress. Which of the following would be the initial nursing intervention discuss by the nurse? A. Explain how support groups function B. Demonstrate deep breathing techniques C. Practice guided imagery techniques D. Help people identify their response to stress - Correct Ans-A. Explain how support groups function A nurse is assisting a person to cope with stress. Which statement by the nurse would be the most helpful? A. Most people in this situation feel the way you feel B. Tell me what this event means to you C. There are many support groups available for you to use D. Your family wants to help you through this stressful event. May I call them? - Correct Ans-B. Tell me what this event means to you A nurse is counseling a person on how to effectively deal with stress. Which of the following actions would the nurse recommend the person take first? A. Recognize signs of stress B. Take action to reduce stress C. Connect warning signs with stressors D. Develop effective coping skills - Correct Ans-A. Recognize signs of stress