NR222 HEALTH AND WELLNESS FINAL
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
A patient in the emergency department has developed
wheezing and shortness of breath. The nurse gives the
ordered medicated nebulizer treatment now and in 4
hours. Which standard of practice is performed? Correct
Answer Implementation.
Implementation is completing coordinating care and the
prescribed plan of care.
Contemporary nursing requires that the nurse has
knowledge and skills for a variety of professional roles and
responsibilities. Which of the following are examples?
Correct Answer Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
A critical care nurse is using a computerized decision
support system to correctly position her ventilated patients
to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety
in the Education of Nurses (QSEN) competency? Correct
Answer Informatics.
,Using decision support systems is one example of
using informatics and gaining competency in
informatics.
* Which statement made by a nurse shows that the nurse
is engaging in an activity to help cope with secondary
traumatic stress and burnout? Correct Answer "I am
enjoying my quilting group that meets each week at my
church."
Nurses experience secondary traumatic stress and
burnout. Personal strategies to help prevent or cope
with secondary traumatic stress or burnout include
healthy eating, making time for yourself to pursue
personal interests, getting plenty of sleep, and regular
exercise and relaxation.
* The nurse assesses the following risk factors for
coronary artery disease (CAD) in a female patient. Which
factors are classified as genetic and physiological?
Correct Answer Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those
related to heredity, genetic predisposition to an
illness, or those that involve the physical functioning
of the body. Certain physical conditions such as being
pregnant or overweight place increased stress on
physiological systems (e.g., the circulatory system),
,increasing susceptibility to illness in these areas. A
person with a family history of diabetes mellitus is at
risk for developing the disease later in life because of
a hereditary and genetic predisposition to the disease.
* 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!"
Correct Answer "I understand. Can you think of the
greatest reason why stopping smoking would be
challenging for you?"
The patient's response indicates that 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 behavior change. Nurses are challenged to
motivate and facilitate health behavior change in
working with individuals.
* A male patient has been laid off from his construction job
and has many unpaid bills. He is going through a divorce
from his marriage of 15 years and has been seeing his
pastor to help him through this difficult time. He does not
have a primary health care provider because he has never
really been sick and his parents never took him to a
physician when he was a child. Which external variables
, influence the patient's health practices? Correct Answer
Difficulty paying his bills.
Family practice of not routinely seeing a health care
provider.
External factors impacting health practices include
family beliefs and economic impact. The way that
patients' families use health care services generally
affects their health practices. Their perceptions of the
seriousness of diseases and their history of
preventive care behaviors (or lack of them) influence
how patients think about health. Economic variables
may affect a patient's level of health by increasing the
risk for disease and influencing how or at what point
the patient enters the health care system.
* When taking care of patients, a nurse routinely asks if
they take any vitamins or herbal medications, encourages
family members to bring in music that the patient likes to
help the patient relax, and frequently prays with her
patients if that is important to them. The nurse is practicing
which model? Correct Answer Holistic.
The nurse is using a holistic model of care that takes
a more holistic view of health by considering
emotional and spiritual well-being and other
dimensions of an individual to be important aspects of
physical wellness. The holistic health model of
nursing attempts to create conditions that promote
optimal health. Nurses using the holistic nursing
model recognize the natural healing abilities of the
EXAM QUESTIONS AND DETAILED
CORRECT ANSWERS | A+ GRADE
VERIFIED ANSWERS
A patient in the emergency department has developed
wheezing and shortness of breath. The nurse gives the
ordered medicated nebulizer treatment now and in 4
hours. Which standard of practice is performed? Correct
Answer Implementation.
Implementation is completing coordinating care and the
prescribed plan of care.
Contemporary nursing requires that the nurse has
knowledge and skills for a variety of professional roles and
responsibilities. Which of the following are examples?
Correct Answer Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
A critical care nurse is using a computerized decision
support system to correctly position her ventilated patients
to reduce pneumonia caused by accumulated respiratory
secretions. This is an example of which Quality and Safety
in the Education of Nurses (QSEN) competency? Correct
Answer Informatics.
,Using decision support systems is one example of
using informatics and gaining competency in
informatics.
* Which statement made by a nurse shows that the nurse
is engaging in an activity to help cope with secondary
traumatic stress and burnout? Correct Answer "I am
enjoying my quilting group that meets each week at my
church."
Nurses experience secondary traumatic stress and
burnout. Personal strategies to help prevent or cope
with secondary traumatic stress or burnout include
healthy eating, making time for yourself to pursue
personal interests, getting plenty of sleep, and regular
exercise and relaxation.
* The nurse assesses the following risk factors for
coronary artery disease (CAD) in a female patient. Which
factors are classified as genetic and physiological?
Correct Answer Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
Genetic and physiological risk factors include those
related to heredity, genetic predisposition to an
illness, or those that involve the physical functioning
of the body. Certain physical conditions such as being
pregnant or overweight place increased stress on
physiological systems (e.g., the circulatory system),
,increasing susceptibility to illness in these areas. A
person with a family history of diabetes mellitus is at
risk for developing the disease later in life because of
a hereditary and genetic predisposition to the disease.
* 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!"
Correct Answer "I understand. Can you think of the
greatest reason why stopping smoking would be
challenging for you?"
The patient's response indicates that 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 behavior change. Nurses are challenged to
motivate and facilitate health behavior change in
working with individuals.
* A male patient has been laid off from his construction job
and has many unpaid bills. He is going through a divorce
from his marriage of 15 years and has been seeing his
pastor to help him through this difficult time. He does not
have a primary health care provider because he has never
really been sick and his parents never took him to a
physician when he was a child. Which external variables
, influence the patient's health practices? Correct Answer
Difficulty paying his bills.
Family practice of not routinely seeing a health care
provider.
External factors impacting health practices include
family beliefs and economic impact. The way that
patients' families use health care services generally
affects their health practices. Their perceptions of the
seriousness of diseases and their history of
preventive care behaviors (or lack of them) influence
how patients think about health. Economic variables
may affect a patient's level of health by increasing the
risk for disease and influencing how or at what point
the patient enters the health care system.
* When taking care of patients, a nurse routinely asks if
they take any vitamins or herbal medications, encourages
family members to bring in music that the patient likes to
help the patient relax, and frequently prays with her
patients if that is important to them. The nurse is practicing
which model? Correct Answer Holistic.
The nurse is using a holistic model of care that takes
a more holistic view of health by considering
emotional and spiritual well-being and other
dimensions of an individual to be important aspects of
physical wellness. The holistic health model of
nursing attempts to create conditions that promote
optimal health. Nurses using the holistic nursing
model recognize the natural healing abilities of the
