NR222 Exam 1 Health & Wellness FINAL EXAM STUDY
GUIDE 2025/2026 ACCURATE QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES ||
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CHAMBERLAIN COLLEGE OF NURSING
The nurse is completing a health history with the daughter of a
newly admitted patient who is confused and agitated. The
daughter reports that her mother was diagnosed with
Alzheimer's disease 1 year ago but became extremely confused
last evening and was hallucinating. She was unable to calm her,
and her mother thought she was a stranger. On the basis of this
history, the nurse suspects that the patient is experiencing:
......ANSWER........Delirium.
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Hallmark characteristics of delirium are acute confusion,
hallucinations, and agitation. It is not a new onset of dementia
since she already has a diagnosis of Alzheimer's disease and, as
dementia worsens, we see a gradual rather than sudden
changes in memory usually not accompanied with hallucinations.
Depression does not present with acute confusion and agitation.
The nurse sees a 76-year-old woman in the outpatient clinic. She
states that she recently started noticing a glare in the lights at
home. Her vision is blurred; and she is unable to play cards with
her friends, read, or do her needlework. The nurse suspects that
the woman may have: ......ANSWER........Cataract(s).
Cataracts normally result in blurred vision, sensitivity to glare,
and gradual loss of vision. Presbyopia is a common eye
condition resulting in a person having difficulty adjusting to near
and far vision. The symptoms are not reflective of depression
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since her vision affects her ability to interact. She has not chosen
to avoid her friends.
A nurse is caring for a patient preparing for discharge from the
hospital the next day. The patient does not read. His family
caregiver will be visiting before discharge. What can the nurse
do to facilitate the patient's understanding of his discharge
instructions? ......ANSWER........Sit facing the patient so he is able
to watch your lip movements and facial expressions.
Present one idea or concept at a time.
Include the family caregiver in the teaching session.
Teaching and communication are more effective with older
adults when you sit and face the patient and present one idea
or concept at a time. This requires planning. Speaking loudly can
distort sound. Speak in a normal tone. Sending instructions is
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helpful but will not directly facilitate the patient's own
understanding. Sharing information with a caregiver provides
someone to clarify instructions.
* Health care reform will bring changes in the emphasis of care.
Which of the following models is expected from health care
reform? ......ANSWER........Moving from an acute illness to a
health promotion, illness prevention model.
Health care reform also affects how health care is delivered.
There is greater emphasis on health promotion, disease
prevention, and management of illness.
The nurses on an acute care medical floor notice an increase in
pressure ulcer formation in their patients. A nurse consultant
decides to compare two types of treatment. The first is the
procedure currently used to assess for pressure ulcer risk. The