NR222- HEALTH & WELLNESS- EXAM 1
QUESTIONS & DETAILED COMPLETE
SOLUTIONS PASSED
The nurse spends time with a patient and family reviewing a dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is
acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator
1. Educator
The nurse is demonstrating the role of educator. An educator explains concepts and facts about
health, describes the reason for routine care activities, demonstrates procedures such as home-
care activities, reinforces learning or patient behavior, and evaluates the patient's progress in
learning or patient behavior, and evaluates the patient's progress in learning through return
demonstration.
A patient discharged a week ago following a stroke is currently participating in rehabilitation
sessions provided by nurses, physical therapists, and registered dietitians in an outpatient
setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention
3. Tertiary prevention
Involves minimizing the effects of long-term disease or disability by interventions directed at
preventing complications and deterioration following surgery. Tertiary prevention activities are
directed at rehabilitation rather than diagnosis and treatment. Care at this level aims to help
patients achieve as high a level of functioning as possible, despite the limitations caused by
,illness or impairment. This level of care is called preventative care because it involves preventing
further disability or reduced functioning.
Based on the transtheoretical model of change, what is the most appropriate response to a
patient who states: "Me, stop smoking? I've been smoking since I was 16!"
1. That's fine. Some people who smoke live a long life.
2. Ok. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see
you in 1 month.
3. What do you think is the greatest reason why stopping smoking would be challenging for
you?
4. I'd like you to attend a smoking-cessation class this week and use nicotine replacement
patches as directed.
3. What do you think the greatest reason why stopping smoking would be challenging for you?
The patient's response indicates he is in the precontemplation stage and not intending to make
a change in behavior in the next 6 months. In this stage, the patient is not interested in
information about the behavior and may be defensive when confronted with the information.
Asking an open-ended question about smoking may stimulate the patient to identify a reason to
begin a behavioral change. Nurses are challenged to motivate and facilitate health behavior
change in working with individuals.
A nurse is caring for a client who decides not to have surgery despite significant blockages of the
coronary arteries. The nurse understands that this client's choice is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
A. Fidelity is the fulfillment of promises. The nurse has not made any promises; this is the
client’s decision.
B. Autonomy, In this situation, the client is exercising their right to make their own personal
decision about surgery, regardless of others' opinions of what is "best" for them. This is an
example of autonomy.
C. Justice is fairness in care delivery and in the use of resources. Because the client has chosen
not to use them, this principle does not apply.
,D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur whether or
not the client has surgery. However, because they choose not to, this principle does not apply
A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation
and procurement involved. When the nurse explains that all clients waiting for a kidney
transplant have to meet the same qualifications, the newly licensed nurses should understand
that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
A. Fidelity is the fulfillment of promises. Because donor organs are a scarce resource compared
with the numbers of potential recipients who need them, no one can promise anyone an organ.
Thus, this principle does not apply.
B. Autonomy is the right to make personal decisions, even when they are not necessarily in the
person’s best interest. No personal decision is involved with the qualifications for organ
recipients.
C. Justice, is fairness in care delivery and in the use of resources. By applying the same
qualifications to all potential kidney transplant recipients, organ procurement organizations
demonstrate this ethical principle in determining the allocation of these scarce resources.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur to organ
donors and to recipients. The requirements of the organ procurement organizations are
standard procedures and do not address avoidance of harm or injury
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of
the following data should the charge nurse identify as objective data? (Select all that apply)
A. Respiration rate is 22/min with even, unlabored respirations.
B. The client's partner states "They said they hurt after walking about 10 minutes"
C. The client's pain rating is 3 on a scale of 0 to 10
D. The client's skin is pink, warm and dry
E. The assistive personnel reports that the clients walked with a limp
A. Respiration rate is 22/min with even, unlabored respirations: OBJECTIVE DATA, includes
information the nurse measures (vital signs)
, B. The client's partner states "They said they hurt after walking about 10 minutes": SUBJECTIVE
DATA, includes a client's reported manifestations, even if a secondary source gave the nurse the
information
C. The client's pain rating is 3 on a scale of 0 to 10: SUBJECTIVE DATA, includes a client's reported
manifestations
D. The client's skin is pink, warm and dry: OBJECTIVE DATA, includes information the nurse
observes (skin appearance)
E. The assistive personnel reports that the clients walked with a limp: OBJECTIVE DATA,
includes information from the observations of others (family and staff)
A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses during
orientation. Which of the following information should the nurse manage include? (Select all
that apply)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health information
C. Communication of client information can occur at the nurse's station
D. A client can request a copy of their medical record
E. A nurse can photocopy a client's medical record for transfer to another facility
A. A single electronic records password is provided for nurses on the same unit. The HIPAA
Privacy Rule requires the protection of clients' electronic records. The rule states that electronic
records must be password-protected and each staff person should use an individual password to
access information.
B. Family members should provide a code prior to receiving client health information. The
HIPAA Privacy Rule states that information should only be disclosed to authorized individuals to
whom the client has provided consent. Many hospitals use a code system to identify those
individuals and should only provide information if the individual can give the code.
C. Communication of client information can occur at the nurse's station. The HIPAA Privacy
Rule states that communication about a client should only take place in a private setting where
unauthorized individuals cannot overhear it. A unit nurses' station is considered a private and
secure location.
D. A client can request a copy of their medical record. The HIPAA Privacy Rule states that
clients have a right to read and obtain a copy of their medical record
QUESTIONS & DETAILED COMPLETE
SOLUTIONS PASSED
The nurse spends time with a patient and family reviewing a dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is
acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator
1. Educator
The nurse is demonstrating the role of educator. An educator explains concepts and facts about
health, describes the reason for routine care activities, demonstrates procedures such as home-
care activities, reinforces learning or patient behavior, and evaluates the patient's progress in
learning or patient behavior, and evaluates the patient's progress in learning through return
demonstration.
A patient discharged a week ago following a stroke is currently participating in rehabilitation
sessions provided by nurses, physical therapists, and registered dietitians in an outpatient
setting. In what level of prevention is the patient participating?
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Transtheoretical prevention
3. Tertiary prevention
Involves minimizing the effects of long-term disease or disability by interventions directed at
preventing complications and deterioration following surgery. Tertiary prevention activities are
directed at rehabilitation rather than diagnosis and treatment. Care at this level aims to help
patients achieve as high a level of functioning as possible, despite the limitations caused by
,illness or impairment. This level of care is called preventative care because it involves preventing
further disability or reduced functioning.
Based on the transtheoretical model of change, what is the most appropriate response to a
patient who states: "Me, stop smoking? I've been smoking since I was 16!"
1. That's fine. Some people who smoke live a long life.
2. Ok. I want you to decrease the number of cigarettes you smoke by one each day, and I'll see
you in 1 month.
3. What do you think is the greatest reason why stopping smoking would be challenging for
you?
4. I'd like you to attend a smoking-cessation class this week and use nicotine replacement
patches as directed.
3. What do you think the greatest reason why stopping smoking would be challenging for you?
The patient's response indicates he is in the precontemplation stage and not intending to make
a change in behavior in the next 6 months. In this stage, the patient is not interested in
information about the behavior and may be defensive when confronted with the information.
Asking an open-ended question about smoking may stimulate the patient to identify a reason to
begin a behavioral change. Nurses are challenged to motivate and facilitate health behavior
change in working with individuals.
A nurse is caring for a client who decides not to have surgery despite significant blockages of the
coronary arteries. The nurse understands that this client's choice is an example of which of the
following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
A. Fidelity is the fulfillment of promises. The nurse has not made any promises; this is the
client’s decision.
B. Autonomy, In this situation, the client is exercising their right to make their own personal
decision about surgery, regardless of others' opinions of what is "best" for them. This is an
example of autonomy.
C. Justice is fairness in care delivery and in the use of resources. Because the client has chosen
not to use them, this principle does not apply.
,D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur whether or
not the client has surgery. However, because they choose not to, this principle does not apply
A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation
and procurement involved. When the nurse explains that all clients waiting for a kidney
transplant have to meet the same qualifications, the newly licensed nurses should understand
that this aspect of care delivery is an example of which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence
A. Fidelity is the fulfillment of promises. Because donor organs are a scarce resource compared
with the numbers of potential recipients who need them, no one can promise anyone an organ.
Thus, this principle does not apply.
B. Autonomy is the right to make personal decisions, even when they are not necessarily in the
person’s best interest. No personal decision is involved with the qualifications for organ
recipients.
C. Justice, is fairness in care delivery and in the use of resources. By applying the same
qualifications to all potential kidney transplant recipients, organ procurement organizations
demonstrate this ethical principle in determining the allocation of these scarce resources.
D. Nonmaleficence is a commitment to do no harm. In this situation, harm can occur to organ
donors and to recipients. The requirements of the organ procurement organizations are
standard procedures and do not address avoidance of harm or injury
A charge nurse is reviewing the steps of the nursing process with a group of nurses. Which of
the following data should the charge nurse identify as objective data? (Select all that apply)
A. Respiration rate is 22/min with even, unlabored respirations.
B. The client's partner states "They said they hurt after walking about 10 minutes"
C. The client's pain rating is 3 on a scale of 0 to 10
D. The client's skin is pink, warm and dry
E. The assistive personnel reports that the clients walked with a limp
A. Respiration rate is 22/min with even, unlabored respirations: OBJECTIVE DATA, includes
information the nurse measures (vital signs)
, B. The client's partner states "They said they hurt after walking about 10 minutes": SUBJECTIVE
DATA, includes a client's reported manifestations, even if a secondary source gave the nurse the
information
C. The client's pain rating is 3 on a scale of 0 to 10: SUBJECTIVE DATA, includes a client's reported
manifestations
D. The client's skin is pink, warm and dry: OBJECTIVE DATA, includes information the nurse
observes (skin appearance)
E. The assistive personnel reports that the clients walked with a limp: OBJECTIVE DATA,
includes information from the observations of others (family and staff)
A nurse manager is discussing the HIPAA Privacy Rule with a group of newly hired nurses during
orientation. Which of the following information should the nurse manage include? (Select all
that apply)
A. A single electronic records password is provided for nurses on the same unit
B. Family members should provide a code prior to receiving client health information
C. Communication of client information can occur at the nurse's station
D. A client can request a copy of their medical record
E. A nurse can photocopy a client's medical record for transfer to another facility
A. A single electronic records password is provided for nurses on the same unit. The HIPAA
Privacy Rule requires the protection of clients' electronic records. The rule states that electronic
records must be password-protected and each staff person should use an individual password to
access information.
B. Family members should provide a code prior to receiving client health information. The
HIPAA Privacy Rule states that information should only be disclosed to authorized individuals to
whom the client has provided consent. Many hospitals use a code system to identify those
individuals and should only provide information if the individual can give the code.
C. Communication of client information can occur at the nurse's station. The HIPAA Privacy
Rule states that communication about a client should only take place in a private setting where
unauthorized individuals cannot overhear it. A unit nurses' station is considered a private and
secure location.
D. A client can request a copy of their medical record. The HIPAA Privacy Rule states that
clients have a right to read and obtain a copy of their medical record
