Page 1 of 153
EXAM 2: NR222 / NR 222 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
HEALTH AND WELLNESS | QUESTIONS AND ANSWERS
| GRADE A | 100% CORRECT (VERIFIED SOLUTIONS)
– CHAMBERLAIN
Orientation .....ANSWER.....Meeting and creating rapport and
trust through honesty and empathy
Preinteraction .....ANSWER.....Planning and starting the
preliminary nursing process before the purposeful interaction with
the person begins
Working .....ANSWER.....Mutual problem solving to accomplish
therapeutic goals
Termination .....ANSWER.....Separating from the formal
therapeutic relationship
,Page 2 of 153
Situation .....ANSWER.....Hello Dr. Jones: Your patient, Mr. Smith,
is experiencing chest pain and severe dyspnea.
Background .....ANSWER.....He was admitted to 6 South this
morning following total knee replacement (TKR) and his pulse is
140 and weak, respiration are 50 and labored, with BP
108/56. He is extremely anxious and appears bluish with
clammy skin. 02 sat is 76%.
Assessment .....ANSWER.....My assessment indicates that the
patient is experiencing a pulmonary embolism or cardiac event
status post TKR.
Recommendation .....ANSWER.....Recommend starting 02 at 10
L/min, stat EKG, stat medical consult, and further orders.
Offering Self .....ANSWER.....Making oneself available to clients
in an unconditional manner. Example: "I'll just sit with you for a
while, whether or not you would like to talk."
,Page 3 of 153
Focusing .....ANSWER.....Selecting a single topic or concept that
the client has expressed to explore further. Example: "Let's talk
more about your job."
Broad Openings .....ANSWER.....Allows the client to take the
initiative in talking and emphasizes his or her importance and
control in the process. Example: "What would you like to talk
about today?"
Reflecting .....ANSWER.....Referring questions or statements back
to the client. Example: "What do you think you should do about
it?"
Restating .....ANSWER.....The content or main idea of what the
client said is repeated by the nurse, allowing the client to
continue or correct perceptions. Example: "You are concerned
that this promotion may be beyond your capabilities?"
Voicing Doubt .....ANSWER.....Expresses uncertainty about
whether what the client has said represents reality. Example:
, Page 4 of 153
"Tell me more about how you see these things happening today. I
need to have a better understanding of your perceptions."
Presenting Reality .....ANSWER.....The nurse defines reality or his
or her perceptions in the face of the client misconception of the
environment. Example: "I don't see anyone else in the room."
Asking for Clarification .....ANSWER.....Seeking the meaning of
what has been said for mutual understanding. Example: "Did I
understand you correctly? That you feel you may be fired
because of your hospitalization?"
Seeking Validation .....ANSWER.....Similar to seeking clarification,
the nurse confirms that there is a mutual understanding of what
the client has said. Example: "Tell me if I understand what you
have said."
Summarizing .....ANSWER.....Identifying key concepts for
conclusion to the conversation or development of an action plan.
EXAM 2: NR222 / NR 222 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
HEALTH AND WELLNESS | QUESTIONS AND ANSWERS
| GRADE A | 100% CORRECT (VERIFIED SOLUTIONS)
– CHAMBERLAIN
Orientation .....ANSWER.....Meeting and creating rapport and
trust through honesty and empathy
Preinteraction .....ANSWER.....Planning and starting the
preliminary nursing process before the purposeful interaction with
the person begins
Working .....ANSWER.....Mutual problem solving to accomplish
therapeutic goals
Termination .....ANSWER.....Separating from the formal
therapeutic relationship
,Page 2 of 153
Situation .....ANSWER.....Hello Dr. Jones: Your patient, Mr. Smith,
is experiencing chest pain and severe dyspnea.
Background .....ANSWER.....He was admitted to 6 South this
morning following total knee replacement (TKR) and his pulse is
140 and weak, respiration are 50 and labored, with BP
108/56. He is extremely anxious and appears bluish with
clammy skin. 02 sat is 76%.
Assessment .....ANSWER.....My assessment indicates that the
patient is experiencing a pulmonary embolism or cardiac event
status post TKR.
Recommendation .....ANSWER.....Recommend starting 02 at 10
L/min, stat EKG, stat medical consult, and further orders.
Offering Self .....ANSWER.....Making oneself available to clients
in an unconditional manner. Example: "I'll just sit with you for a
while, whether or not you would like to talk."
,Page 3 of 153
Focusing .....ANSWER.....Selecting a single topic or concept that
the client has expressed to explore further. Example: "Let's talk
more about your job."
Broad Openings .....ANSWER.....Allows the client to take the
initiative in talking and emphasizes his or her importance and
control in the process. Example: "What would you like to talk
about today?"
Reflecting .....ANSWER.....Referring questions or statements back
to the client. Example: "What do you think you should do about
it?"
Restating .....ANSWER.....The content or main idea of what the
client said is repeated by the nurse, allowing the client to
continue or correct perceptions. Example: "You are concerned
that this promotion may be beyond your capabilities?"
Voicing Doubt .....ANSWER.....Expresses uncertainty about
whether what the client has said represents reality. Example:
, Page 4 of 153
"Tell me more about how you see these things happening today. I
need to have a better understanding of your perceptions."
Presenting Reality .....ANSWER.....The nurse defines reality or his
or her perceptions in the face of the client misconception of the
environment. Example: "I don't see anyone else in the room."
Asking for Clarification .....ANSWER.....Seeking the meaning of
what has been said for mutual understanding. Example: "Did I
understand you correctly? That you feel you may be fired
because of your hospitalization?"
Seeking Validation .....ANSWER.....Similar to seeking clarification,
the nurse confirms that there is a mutual understanding of what
the client has said. Example: "Tell me if I understand what you
have said."
Summarizing .....ANSWER.....Identifying key concepts for
conclusion to the conversation or development of an action plan.
