NR 222 final exam practice questions and answers with complete solutions

The nurse is preparing a smoking cessation class for family members of 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 healthcare model is the nurse following? -Health belief model -holistic health model -Health promotion model -Maslow's hierarchy of needs - ANSWER -Health belief model The nurse is working in a clinic that is designed to provide health education and immunization. which type of preventative care is the nurse providing? -primary prevention -secondary prevention -tertiary prevention -risk factor prevention - ANSWER primary prevention The patient is admitted to the emergency department of the local hospital from home with reports of chest discomfort and shortness of breath. The patient is placed on oxygen, has labs and blood gases drawn, and is given an electrocardiogram and breathing treatments. Which level of preventative care is this patient receiving? -primary prevention -secondary prevention -tertiary prevention -Health promotion - ANSWER -secondary prevention A patient is admitted to a rehabilitation facility following a stroke. The patient has 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? -primary prevention -secondary prevention -tertiary prevention -Health promotion - ANSWER -tertiary prevention Upon completing a history. The nurse finds that a patient has risk factors for lung disease. how should the nurse interpret this finding? -A person with the risk factor will get the disease -The chances of getting the disease are increased -risk modification will have no effect on disease prevention -The disease is guaranteed not to develop if the risk factor is controlled - ANSWER The chances of getting the disease are increased Which areas should the nurse assess to determine the affects of external variables on a patient's illness? Select all that apply -patient's perception of the illness -patient coping skills -socio economic status -cultural background -social support - ANSWER -socio economic status -cultural background -social support The nurse prescribed strategies and alternatives to attain expected outcome. Which standards of nursing practice is the nurse following? -assessment -Diagnosis -Planning -implementation - ANSWER Planning A nurse assesses a patient's fluid status and decides that the patient needs to drink more fluids. The nurse that encourages the patient to drink more fluids. Which concept is the nearest demonstrating? -licensure -Autonomy -certification -Accountability - ANSWER Autonomy A nurse is caring for a patient in the hospital. When should the nurse begin discharge planning? -When the patient is ready -Close to the time of discharge -Upon admission to the hospital -After an order is written/prescribed - ANSWER Upon admission to the hospital Which action by the nurse indicates application of critical thinking model to make the best clinical decisions? -Drawing on past clinical experiences to formulate standardize care plans -Relying on recall of information from past lectures and textbooks -Depending on the charge nurse to determine priorities of care -Use the nursing process - ANSWER Use the nursing process A nurse is using the critical thinking scale of evaluation. Which action with the nurse take? -Examine the meaning of data -Support findings and conclusions -Review the effectiveness of nursing actions -Search for links between the data and the nurses assumptions - ANSWER Review the effectiveness of nursing actions which of the following represents a method of primary prevention? -Informational session about healthy lifestyles -Blood pressure screening -Interventional cardiac catheterization -Diagnostic cardiac catheterization - ANSWER Informational session about healthy lifestyles Which of the following represents a method of secondary prevention? -Self breast examination education -Yearly mammograms -Chemotherapy for advanced breast cancer -complete mastectomy for breast cancer - ANSWER Yearly mammograms Which of the following represents a method of tertiary prevention? -Drunk driving campaign -Road blocks for drunk driving -Emergency surgery for head trauma after a motor vehicle accident -Physical and occupational therapy after a motor vehicle accident with head trauma - ANSWER Physical and occupational therapy after a motor vehicle accident with head trauma Healthy people 2020 objectives provide a framework for -Assessment -diagnosis -prevention -treatment - ANSWER 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? -Assessment -implementation -planning -evaluation - ANSWER evaluation A patient is about to undergo a controversial orthopedic procedure the procedure may cause pain the nurse agrees to do no harm, this may be the only treatment this is an example of which ethical principle -Autonomy -fidelity -justice -nonmaleficence - ANSWER Autonomy Patient does not want medication ordered by the physician by complying with the patient wishes and reporting this to the physician the nurse is supporting which ethical principle -Advocacy -autonomy -accountability -fidelity - ANSWER Advocacy A nurse decides to withhold medication that may lower the patient's blood pressure to an unsafe level the nurse is practicing which ethical principle? -Responsibility -veracity -advocacy -accountability - ANSWER advocacy A nurse is trying to help a patient begin to except a chronic nature of diabetes. Which teaching techniques should the nurse use to enhance learning? Select all that apply Lecture role-play demonstrate discussion - ANSWER role-play discussion A patient has heart failure and kidney failure the patient needs teaching about dialysis. Which nursing action is the most appropriate for assessing this patient's learning needs -assess the patient's total healthcare needs -assess the patient's health literacy -assess all sources of patient data -assess the goals of patient care - ANSWER assess the patient's 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 -at bedtime while the patient is relaxed -at bathtime when the nurse is cleaning the patient -at lunchtime when the nurse is preparing the food tray -at medication time when the nurse is administering meds - ANSWER at lunchtime when the nurse is preparing the food tray A nurse is teaching a patient about healthy eating habits which learning objective/outcome for the affective domain will the nurse add to the teaching plan? -The patient will state three facts about healthy eating -the patient will identify two foods for healthy snack -the patient will verbalize the value of healthy eating -the patient will cook a meal with low-fat oil - ANSWER the patient will verbalize the value of healthy eating A nurse is preparing to teach patients which patient finding will cause the nurse to postpone a teaching session select all that apply -patient who is hurting -patient who is fatigued -patient is mildly anxious -patient is asking questions -the patient is febrile -the patient is in the Acceptance phase - ANSWER patient who is hurting patient who is fatigued the patient is 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 climate select all that apply -Creating a sense of preparedness and organization -planning for alternative learning activities -assessing group needs -observing group interactions - ANSWER Creating a sense of preparedness and organization assessing group needs observing group interaction A nurse is caring for a Chinese patient using the teach back technique. Which action by the nurse indicates successful implementation of this technique -"does this make sense" -"do you think you can do this at home" -"what would you tell your spouse about changing the dressing" -"would you tell me if you don't understand something so we can go over it" - ANSWER "what would 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 -culture -race -ethnicity -values - ANSWER culture A nurse is beginning to use patient centered care and cultural competence to improve nursing care. Which step should the nurse take first -Assessing own biases and attitudes -learning about world views of others -understanding organizational forces -developing cultural skills - ANSWER Assessing own biases and attitudes A nurse is providing care to a patient from a different culture. Which action by the nurse indicates cultural competence? -Communicate efficiently in a multicultural context -functions effectively in a multicultural context -visit a foreign country -speaks a different language - ANSWER functions effectively in a multicultural context The nurse learns about cultural issues involved in the patient's healthcare belief system and enables patients and families to achieve meaningful and supportive care. Which concept is a nurse demonstrating? -Marginalized groups -healthcare disparity -transcultural nursing -culturally congruent care - ANSWER culturally congruent care A nurse is working with a patient. When she asked about family members the patient states that they have a spouse children and aunt and uncle how are the nurse described this type of family -Nuclear -blended -extended -alternative - ANSWER extended A nurse is assessing the family unit to determine the families ability to adapt to the change of a member having surgery which area is the nurse monitoring -family durability -family resiliency -family diversity -family forms - ANSWER family resiliency A patient is aphasic and the nurse notices that the patient's hand shake a lot which nursing action is the most appropriate to facilitate communication -use picture board -use pen and paper -use interpreter -use hearing aid - ANSWER use picture board A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates empathy -"tomorrow will be better" -"this must be hard news to hear" -"what's your biggest fear about this diagnosis" -"I believe you can overcome this I've seen how strong you are" - ANSWER "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 -learn about persons interest -sit close to the person -show interest and concerns -define parameters of relationship with the person - ANSWER show interest and concerns define parameters of relationship with the person Which of the following scenarios best describes the nurse using meta-communication -using both touch and silence when counseling an individual -practicing reflection when interacting with individual -discussing with an individual how to solve a problem -understanding that an individual needs a break before proceeding - ANSWER understanding that an individual needs a break before proceeding A nurse and client engaged in meaningful conversation when suddenly there's assignments between the two. To facilitate effective client centered communication the nurse should -ask what the patient is thinking so they can understand each other -restate what person said before the silence to get clarification -change the subject to one that is more pleasant for the person to discuss -wait quietly to give the person time to reflect where they want to lead the conversation - ANSWER wait quietly to give the person time to reflect where they want to lead the conversation Before meeting the patient and nurse talks to other caregivers about the patient. Which phase of helping relationship is the nurse in with this patient? -pre-interaction -orientation -working -termination - ANSWER pre-interaction During the initial home visit a home health nurse lets the patient know that the visits are expected to end in about a month which phase of helping relationship is the nurse in with this patient -pre-interaction -orientation -working -termination - ANSWER orientation