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NUR 204 / NUR204 Exam 1 – Leadership and Management Review (Latest 2026/2027 Update) | Fortis College | Complete Study Guide | Verified Questions & Answers | 100% Correct Solutions | Grade A

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NUR 204 / NUR204 Exam 1 – Leadership and Management Review (Latest 2026/2027 Update) | Fortis College | Complete Study Guide | Verified Questions & Answers | 100% Correct Solutions | Grade A

Institution
NUR 204
Course
NUR 204

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NUR 204 / NUR204 Exam 1 – Leadership and
Management Review (Latest 2026/2027 Update) | Fortis
College | Complete Study Guide | Verified Questions &
Answers | 100% Correct Solutions | Grade A



In an effort to promote health, the home health nurse opens the clients bedroom windows to let in
fresh air and sunlight, washes her hands often, and teaches the patient and family about the
importance of hygiene and cleanliness. This most closely illustrates the ideas of which of the
following people?
1) Jean Watson
2) Jurgen Moltmann
3) Florence Nightingale
4) Robert Louis Stevenson
ANS: 3

Florence Nightingale believed that health was prevention of disease through the use of fresh air,
pure water, efficient drainage, cleanliness, and light. Jean Watson believes that health has three
elements: a high level of overall physical, mental, and social functioning; a general adaptive-
maintenance level of daily functioning; and the absence of illness (or the presence of efforts that
lead to its absence). Jurgen Moltmann believes that true health is the strength to live, the strength
to suffer, and the strength to die. He also stated that health is not a condition of my body; it is the
power of my soul to cope with the varying condition of that body. Robert Louis Stevenson wrote
that health is not a matter of holding good cards; it is playing a poor hand well.




Which of the following is known to be a healthy strategy for coping with stress?
1) Performing meaningful work
2) Consuming simple carbohydrates
3) Drinking three glasses of red wine each day
4) Weight training
ANS: 1

,Many individuals find that meaningful work is a healthy way to cope with stressors. Consuming
simple carbohydrates is not a healthy way to cope with stress. Drinking more than one glass of
red wine each day is considered unhealthy. Weight training has been shown to increase bone
density and reduce the risk of osteoporosis and heart disease but not necessarily to reduce stress.




Which family would most likely be helpful in encouraging the client to experience a high level
of wellness? A family who:
1) Controls feelings in order to avoid conflict.
2) Teaches negotiation skills and independence.
3) Encourages risk-taking and adventure.

4) Views themselves as helpless victims.
ANS: 2
Families who promote independence and teach good negotiation skills enable family members to
experience a high level of wellness by thinking for themselves. In contrast, families who tend to
squelch personal feelings to avoid conflict may not allow a high level of wellness. Families who
emphasize caution in new situations are more beneficial than those who encourage risk-taking.
Families who view themselves as capable and successful are more advantageous than those who
view themselves as helpless victims.




The client is a 76-year-old man who is experiencing chronic illness. He has a genetic-linked
anemia. He says he does not eat a balanced diet, as he prefers sweets to meat and vegetables.
Which of the following dimensions of health can the nurse most likely influence by teaching and
counseling him?
1) Age-related changes

2) Genetic anemia
3) Eating habits
4) Gender-related issues
ANS: 3

,The nurse is most likely to influence the patients eating habits because those are the dimension
over which he has the most control and, therefore, has the most potential for changing. Although
people consider biological factors when they describe themselves as well or ill, they are not
entirely within our control. Biological factors include age and developmental stage, genetic
makeup, and gender.




What type of loss is most common among patients who are hospitalized for complex health
conditions?
1) Privacy
2) Dignity
3) Functional
4) Identity
ANS: 2
Hospitalized patients commonly experience the loss of dignity. Wearing a hospital gown, having
their body exposed, invasive procedures, loss of control over body functions all of these
contribute to loss of dignity, and all are very common among hospitalized patients. Healthcare
providers have a duty to protect privacy and confidentiality of patients, even though it is
certainly threatened by some situations during hospitalization. Some patients lose functioning
and identity during hospitalization, but they are not common occurrences.




A 62-year-old patient is admitted to the hospital with hypertension. Which question by the nurse
is most important when performing the initial assessment interview?
1) What medications do you take at home?
2) Do you have any environmental, food, or drug allergies?
3) Do you have an advance directive?
4) What is the greatest concern you are dealing with today?
ANS: 4

It is most important for the nurse to ask the patient about his greatest concern. His concern can
then be incorporated into the plan of care, making sure that his needs are met. Asking about

, medications, allergies, and an advance directive is also important but does not take priority over
asking about the patients greatest conc




When developing goals, which guideline should the nurse keep in mind? Goals should be:
1) Realistic so that progress is recognized by the patient
2) Developed solely by the healthcare team
3) Developed without family input, to maintain confidentiality

4) Valued by the multidisciplinary care providers
ANS: 1

Goals should be realistic so that progress is recognized by the patient. They should be valued by
both the patient and family. The nurse should develop goals with input from the patient and his
family.




Which one of the following important nursing actions is a hospitalized patient likely to
experience on an emotional level and remember long after this hospitalization has ended?
1) Administering her medications according to schedule
2) Allowing flexible visitation by her family and friends
3) Explaining treatment options in terms she can understand
4) Providing a healing presence by listening and being attentive
ANS: 4
The nurse can contribute meaningfully to the patients hospitalization by providing a healing
presence. The nurse can do this by listening to the patient and being attentive. Administering
medications according to schedule, allowing flexible visitation, and explaining treatment options
are important contributions that the nurse can make, but they will not be most meaningful to the
patient. Patients may be impressed, even amazed, by the healthcare technology used to diagnose
and treat their illness. However, often what they remember, perhaps through the rest of their
lives, is the person who connected with them in a personal way.

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