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NR 222 FINAL EXAM HEALTH AND WELLNESS
CHAMBERLAIN UNIVERSITY
Roles of the nurse: The nurse is providing Norvasc to a patient with a blood pressure of 164/89. What role is the nurse playing: A. Advocate B. Educator C. Communicator D. Caregiver The nurse is teaching a newly diagnosed diabetic client how to complete an accu check. What role is the nurse playing: A. Advocate B. Educator C. Communicator D. Caregiver Which role is the nurse displaying when the nurse protects the human and legal rights of their clients and helps clients assert those rights when needed? A. Advocate B. Educator C. Communicator D. Caregiver What is defined as having the purpose to diagnose and treat human responses to actual or potential health problems? A. Learning process B. Therapeutic communication C. Nursing process D. Healthy People 2020 Healthy People 2020 What are the 4 goals of Healthy People 2020 (Select all that apply) : A. Promote quality of life across all life stages B. Achieve health literacy C. High quality, longer lives, free of disease D. Create social and physical environments that promote good health E. Achieve health equity F. Provide vaccines at infancy to promote wellbeing of infants
Which factor does Healthy People 2020 identify as the Leading Health Indicator for social determinants of health? A. Age B. Race/ethnicity C. Family structure D. Education Progress toward the achievement of Leading Health Indicator goals are evaluated at regular intervals. According to the Healthy People 2020 Leading Health Indicators: Progress Update , which categories have worsened compared to baseline data? (Select all that apply.) A. Environmental quality B. Substance abuse C. Oral health D. Social determinants E. Mental health The nurse is planning a teaching session to address the Leading Health Indicator in Healthy People 2020 related to Substance Abuse. Which of the following may be a consequence of substance abuse? A. Diabetes B. Arthritis C. Pregnancy D. MVAs Which behavior helps to meet the Leading Health Indicator in Healthy People 2020 regarding Nutrition, Physical Activity, and Obesity? A. Eating a high fat diet B. Having a sedentary lifestyle C. Feeling stressed D. Exercising regularly What is the primary objective for the Healthy People 2020 Leading Health Indicator regarding access to health services? A. To promote health by encouraging regular health care visits B. To ensure children receive scheduled immunizations C. To provide pregnant women with options for prenatal care providers D. To ensure individuals use hospital emergency rooms for disease management Which topic should the nurse include when conducting a community teaching session aimed at addressing a Healthy People 2020 Leading Health Indicator regarding reproductive and sexual health? A. Preventing sexually transmitted infections for college-aged males
C. Encourage parents of all teenage girls to make sure their daughters start oral contraceptives early. D. Offer all teenagers free condoms when they come in for routine physical exams. Which term is defined as a prearranged experience with a theoretical base used to provide individuals with information and skills needed to make appropriate decisions related to their health? A. Health promotion B. Health equity C. Health Education D. Health literacy Which ANA standard notes: The registered nurse employs strategies to promote health and a safe environment? A. 9 B. 5 C. 5B D. 6 What is the nurse’s role in health promotion? A. To decrease the need for communities to seek medical attention with diseases like DM & HTN. B. To provide vaccines to underprivileged communities and promote child well-being C. To educate on HIV prevention to homeless communities D. Deliver a health care system that improves the health of the general public How do nurses use their knowledge to help patients and their communities? Select all that apply. A. Use their medical knowledge to promote health in their community B. Volunteer at health screenings to give advice on diet or exercise C. Provide diagnoses and next steps on treatment D. Provide minor surgical procedures to underserved communities E. Educate on proper handwashing and importance of vaccines Which statement best describes nursing and health restoration? A. Patients recovering from and adapting to changes resulting from illness or injury often seek information about their conditions and need information and skills to help them regain or maintain their levels of health. B. The nurse does not need to address health care literacy and willingness to learn as they are restoring health with the help of medical team. C. Restoration is considered a tertiary level of prevention and therefore nurses defer education to physical therapist, occupational therapist, or speech therapist, since this level is out of the scope of practice for the nurse.
Which is an example of the nurse providing health restoration? A. Screening for breast cancer among middle-age women B. Providing education to individuals at risk for diabetes C. Providing rehabilitation care to a client who has had a stroke D. Teaching clients about their benefits of diet and exercise Holistic Health How do we incorporate holistic health care into a patient’s care plan? A. Provide pamphlets on holistic centers that offer nonpharmological treatments B. Understand the patients may prefer complementary therapies instead of pharmaceutical and work with the treating provider to ensure the safest methods are elected. C. We do not incorporate holistic healthcare into hospital settings as it is considered dangerous and lacks scientific proof. D. We page chaplain services for the patient, as we understand holistic services are used for end of life care planning. Which of the following is true about holistic practice? A. It is not medically supported in the medical community B. It is about understanding only the spiritual portion of a person C. Practitioners seek to support a person’s natural healing systems. D. Practitioners use feelings and affective behaviors to provide healing Which considerations are important when seeking use of complementary and alternative medicine (CAM) interventions? ( Select all that apply. ) A. Some interventions may lack a strong scientific evidence base because they have not undergone rigorous clinical trials. B. Some CAM providers may not be credentialed in the standardized national system. C. It is always best to use an alternative therapy before consulting an allopathic physician. D. Some clients may benefit from some therapies and others may not; it depends on what is wrong and which therapy is used. E. If the client believes in the therapy, it will always provide beneficial outcomes. Which of the following is considered a complementary or alternative therapy? A. Guided imagery B. Affirmations C. Journaling D. Self-knowledge What is the role of the nurse who practices holistic health care? A. Provide spiritual audio media to clients B. Recommend aromatherapy for all clients
What is the importance of using SBAR? A. To accurately communicate patient problems to other members of the health care team. B. Used in case a nurse leaves unexpectedly, the next nurse can use instead of verbal report. C. To ensure the patient does not leave AMA D. To substitute if you are unable to chart at the end of your shift Stress What are some stress management techniques? Select all that apply A. Understand stress triggers B. Meditation C. Drinking D. Guided imagery E. Yoga F. Smoking Which type of stress can either grow or regress depending on how he or she manages the situation? A. PTSD B. Crisis C. Flashback D. General Adaption Syndrome (GAS) What is the main purpose of stress management? A. To allow the brain time for rest B. To increase stress tolerance level C. To improve quality of life patient rates his pain as an 8 on a scale of 0–10. The nurse uses SBAR to contact the patient’s health care provider. Which part would be the S in SBAR: A. Request a change of the pain medication order for the patient. B. The patient had a knee replacement and returned from the postanesthesia care unit 6 hours ago. He has 1 tablet of oxycodone HCl 5 mg/ibuprofen 400 mg PO ordered every 6 hours. This is the first pain medication he has taken since being admitted to the unit. C. His current medication order is not sufficiently managing the patient’s pain. He does not want to sit up or move because of the pain he is experiencing. D. The patient is rating his pain as an 8 on a scale of 0 – 10. He had his pain medication 30 minutes ago.
Which stress management interventions should the nurse recommend to a client? ( Select all that apply. ) A. Humor B. Social Support C. Exercise D. Affirmations E. Smoking A nurse is providing education to a community support group about techniques to decrease stress. Which of the following would be the initial nursing intervention discussed by the nurse? A. Practice guided imagery techniques B. Demonstrate deep breathing techniques C. Help clients identify their stressors D. Work on billing for the cost of the appointment Which situation would cause a client to experience eustress? A. A new diagnosis of terminal cancer B. Completing research on a cure for AIDS C. Obtaining an unwanted divorce D. Planning a celebration for an 80 - year-old parent Nursing Process What are the steps of the nursing process? A. Assessment, Diagnosis, Planning, Intervention, Evaluation B. Assessment, Diagnosis, Prevention, Implementation, Evaluation C. Assessment, Diagnosis, Planning, Implementation, Evaluation D. Assessment, Diagnosis, Prevention, Intervention, Evaluation Which best describes the nursing process? A. Diagnose and treat human responses to actual or potential health problems B. To determine a medical diagnosis with diagnostic interventions C. The process used to properly discharge a patient D. To assess learning needs in order to be discharged home with home health How does the nurse use the nursing process to promote health? A. To determine if patient is ready for surgery B. Helps develop and review goals made towards improving patient’s health. C. Increases communication with patient D. Determines if the patient is ready to be evaluated by PT/OT/SLP
What level of prevention would cardiac rehab post MI fall under? A. Primary B. Secondary C. Tertiary D. Restorative The nurse is working within a community to decrease disease prevalence. Which activities are considered primary prevention? (Select all that apply.) A. Administering the influenza and pneumonia vaccines to several older adults. B. Obtaining BP readings weekly for a person with HTN C. Providing physical therapy to clients who have suffered a stroke D. Offering an education seminar titled, “ Eating for a Healthy Heart” to a group ANA Code of Ethics Refers to freedom from external control A. Value B. Veracity C. Fidelity D. Autonomy Taking positive actions to help others A. Nonmaleficence B. Justice C. Autonomy D. Beneficence To tell the truth A. Veracity B. Justice C. Honesty D. Kindness If a nurse purposely provides false and misleading information to a client, which ethical principle is the nurse violating? A. Value B. Veracity C. Fidelity D. Autonomy
Culture Emphasizes the need to provide care based on an individual’s cultural beliefs, practices, and values is best described as? A. Culture awareness B. Culture acceptance C. Culturally congruent care D. Culture competency Therapeutic communication What best describes the outcome of therapeutic communication? A. Promotes personal growth and helps patients reach their health-related goals B. Promotes open communication with treating provider C. Gives the patient several options for treatment D. None of these options All of the following negatively affect therapeutic communication? A. Ask personal questions B. Give personal opinions C. Sympathy D. Summarizing Teaching Domains Which domain of teaching is known as open discussion with feelings, allowing the patient to vent? A. Cognitive B. Affective C. Psychomotor D. Therapeutic Teaching a patient how to administer insulin via novolog pen is considered what domain of learning? A. Cognitive B. Affective C. Psychomotor D. Therapeutic The nurse initially discussed signs and symptoms of high blood pressure which can be considered what domain of learning? A. Cognitive B. Affective C. Psychomotor
