Download NUR 1211 Final Exam: Questions and Answers for Illinois Valley Community College and more Exams Nursing in PDF only on Docsity!
NUR 1211 FINAL EXAM 202 5 / 2 LATEST VERSIONS EACH
WITH 200 QUESTIONS AND CORRECT VERIFIED ANSWERS
WITH RATIONALES ALREADY GRADED A+/BRAND NEW-
ILLINOIS VALLEY COMMUNITY COLLEGE.
A Caregiver is working with a client who was diagnosed with HIV several months earlier. The Caregiver should recognize that a client with HIV is considered to have AIDS at the point when the CD4+ T-lymphocyte cell count drops below what threshold? A) 75 cells/mm3 of blood B) 200 cells/mm3 of blood C) 325 cells/mm3 of blood D) 450 cells/mm3 of blood - CORRECT ANS:>>>B) 200 cells/mm3 of blood Rationale: When CD4+ T-cell levels drop below 200 cells/mm3 of blood, the person is said to have AIDS. A Caregiver is planning a clients care and is relating it to normal immune response. During what stage of the immune response should the Caregiver know that antibodies or cytotoxic T cells combine and destroy the invading microbes? A) Recognition stage B) Proliferation stage C) Response stage D) Effector stage - CORRECT ANS:>>>D) Effector stage Rationale: In the effector stage, either the antibody of the humoral response or the
cytotoxic (killer) T cell of the cellular response reaches and couples with the antigen on the surface of the foreign invader. A Caregiver is planning the assessment of a client who is exhibiting signs and symptoms of an autoimmune disorder. The Caregiver should be aware that the incidence and prevalence of autoimmune diseases is known to be higher among what group? A) Young adults B) Native Americans C) Women D) Hispanics - CORRECT ANS:>>>C) Women Many autoimmune diseases have a higher incidence in females than in males, a phenomenon believed to be correlated with sex hormones. Middle-aged adults are part of an age group that is known to be interested in health and health promotion, and the Caregiver is planning health promotion activities accordingly. To what suggestions do members of this age group usually respond with enthusiasm? Select all that apply. A) How lifestyle practices can improve health B) How to eat healthier C) How exercise can improve your life
An elderly female client has come to the clinic for a scheduled follow-up appointment. The Caregiver learns from the clients daughter that the client is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the client not to adhere to her therapeutic regimen? A) Ethnic background of health care provider B) Costs of the prescribed regimen C) Presence of a learning disability D) Personality of the physician - CORRECT ANS:>>>B) Costs of the prescribed regimen Rationale: Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments. A gerontology Caregiver has observed that clients often fail to adhere to a therapeutic regimen. What strategy should the Caregiver adopt to best assist an older adult in adhering to a therapeutic regimen involving wound care? A) Demonstrate a dressing change and allow the client to practice. B) Provide a detailed pamphlet on a dressing change. C) Verbally instruct the client how to change a dressing and check for comprehension. D) Delegate the dressing change to a trusted family member. - CORRECT ANS:>>>A) Demonstrate a dressing change and allow the client to practice.
Rationale: The Caregiver must consider that older adults may have deficits in the ability to draw inferences, apply information, or understand major teaching points. Demonstration and practice are essential in meeting their learning needs. A 20-year-old man newly diagnosed with type 1 diabetes needs to learn how to self- administer insulin. When planning the appropriate educational interventions and considering variables that will affect his learning, the Caregiver should prioritize which of the following factors? A) Clients expected lifespan B) Clients gender C) Clients occupation D) Clients culture - CORRECT ANS:>>>D) Clients culture Rationale: One of the major variables that influences a clients readiness to learn is the clients culture, because it affects how a person learns and what information is learned. The Caregiver is planning to teach a 75 - year-old client with coronary artery disease about administering her prescribed antiplatelet medication. How can the Caregiver best enhance the clients ability to learn? A) Provide links to Web sites that contain evidence-based information. B) Exclude family members from the session to prevent distraction. C) Use color-coded materials that are succinct and engaging.
A) Demonstrating an injection technique to a client for anticoagulant therapy B) Explaining the side effects of a medication to an adult client C) Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students D) Instructing an adolescent client about safe and nutritious food preparation - CORRECT ANS:>>>C) Discussing the importance of preventing sexually transmitted infections (STI) to a group of high school students Rationale: Health promotion encourages people to live a healthy lifestyle and to achieve a high level of wellness. Discussing the importance of STI prevention to a group of high school students is the best example of a health-promotion teaching project. This proactive intervention is a more precise example of health promotion than the other cited examples. Health promotion ranks high on the list of health-related concerns of the American public. Based on current knowledge, what factor should the Caregiver prioritize in an effort to promote health, longevity, and weight control in clients? A) Good nutrition B) Stress reduction C) Use of vitamins D) Screening for health risks - CORRECT ANS:>>>A) Good nutrition
It has been suggested that good nutrition is the single most significant factor in determining health status, longevity, and weight control. A balanced diet that uses few artificial ingredients and is low in fat, caffeine, and sodium constitutes a healthy diet. The nursing profession and Caregivers as individuals have a responsibility to promote activities that foster well-being. What factor has most influenced Caregivers abilities to play this vital role? A) Caregivers are seen as nurturing professionals. B) Caregivers possess a baccalaureate degree as the entry to practice. C) Caregivers possess an authentic desire to help others. D) Caregivers have long-established credibility with the public. - CORRECT ANS:>>>D) Caregivers have long-established credibility with the public. Caregivers, by virtue of their expertise in health and health care and their long-established credibility with consumers, play a vital role in health promotion.
C) An audio-recorded version of discharge instructions that can be accessed at home D) A discussion and demonstration between the Caregiver and the client - CORRECT ANS:>>>D) A discussion and demonstration between the Caregiver and the client Demonstration and practice are essential ingredients of a teaching program, especially when teaching skills. It is best to demonstrate the skill and then give the learner ample opportunity for practice. You are the Caregiver planning to teach tracheostomy care to a client who will be discharged home following a spinal cord injury. When preparing your teaching, which of the following is the most important component of your teaching plan? A) Citing the evidence that underlies each of your teaching points B) Alleviating the clients guilt associated with not knowing appropriate self-care C) Determining the clients readiness to learn new information
D) Including your nursing colleagues in the planning process - CORRECT ANS:>>>C) Determining the clients readiness to learn new information Assessment in the teachinglearning process is directed toward the systematic collection of data about the person and familys learning needs and readiness to learn. Client readiness is critical to accepting and integrating new information. Unless the client is ready to accept new information, client teaching will be ineffective. A public health Caregiver is preparing to hold a series of health-promotion classes for middle-aged adults that will address a variety of topics. Which site would best meet the learning needs of this population? A) A well-respected physicians office B) A large, local workplace C) The local hospital D) An ambulatory clinic - CORRECT ANS:>>>B) A large, local workplace The workplace has become a center for health-promotion activity. Health-promotion programs can generally be offered almost anywhere in the community, but the workplace is often more convenient for the adult, working population. This makes this option preferable to a hospital, doctors office, or ambulatory clinic. A Caregiver has been studying research that examines the association between stress
A) Adolescence B) School age C) Preschool D) Before birth - CORRECT ANS:>>>D) Before birth Health promotion should begin prior to birth because the health practices of a mother prior to the birth of her child can be influenced positively or negatively. This makes the other options incorrect. A Caregiver is working with a teenage boy who was recently diagnosed with asthma. During the current session, the Caregiver has taught the boy how to administer his bronchodilator by metered-dose inhaler. How should the Caregiver evaluate the teaching learning process? A) Ask the boy specific questions about his medication. B) Ask the boy whether he now understands how to use his inhaler. C) Directly observe the boy using his inhaler to give himself a dose. D) Assess the boys respiratory health at the next scheduled visit. - CORRECT ANS:>>>C) Directly observe the boy using his inhaler to give himself a dose. Demonstration and practice are essential ingredients of a teaching program, especially when teaching skills. It is best to demonstrate the skill and then give the learner ample
opportunity for practice. By observing the client using the inhaler, the Caregiver may identify what learning needs to be enhanced or reinforced. A team of public health Caregivers are doing strategic planning and are discussing health promotion activities for the next year. Which of the following initiatives best exemplifies the principles of health promotion? A) A blood pressure clinic at a local factory B) A family planning clinic at a community center C) An immunization clinic at the largest local mall D) A workplace safety seminar - CORRECT ANS:>>>B) A family planning clinic at a community center Health promotion may be defined as those activities that assist people in developing resources that maintain or enhance well-being and improve their quality of life.
D) Learning needs of caregivers - CORRECT ANS:>>>A) Health-promotion needs of the group. The Caregiver must be aware of the participants specific health-promotion needs when teaching specific groups of people with physical and mental disabilities. A public health Caregiver is planning educational interventions that are based on Beckers Health Belief Model. When identifying the variables that affect local residents health promotion behaviors, what question should the Caregiver seek to answer? A) Do residents believe that they have ready access to health promotion resources? B) Why have previous attempts at health promotion failed? C) How much funding is available for health promotion in the community? D) Who is available to provide health promotion education in the local area? - CORRECT ANS:>>>A) Do residents believe that they have ready access to health promotion resources?
Barriers, Beckers second variable, are defined as factors leading to unavailability or difficulty in gaining access to a specific health promotion alternative. A nursing student is collaborating with a public health Caregiver on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the Caregiver best define health? A) Health is an outcome systematically maximizing wellness. B) Health is a state that is characterized by a lack of disease. C) Health is a condition that enables people to function at their optimal potential. D) Health is deliberate attempt to mitigate the effects of disease. - CORRECT ANS:>>>C) Health is a condition that enables people to function at their optimal potential. Health is viewed as a dynamic, ever-changing condition that enables people to function at an optimal potential at any given time. A parish Caregiver is describing the relationships between health and physical fitness to a group of older adults who all attend the same church. What potential benefits of a regular exercise program should the Caregiver describe? Select all that apply. A) Decreased cholesterol levels
Caregiver should consider that success depends primarily on what quality in the participants? A) Desire to expand knowledge B) Self-awareness C) Adequate time- and task-management D) Taking responsibility for oneself - CORRECT ANS:>>>D) Taking responsibility for oneself Taking responsibility for oneself is the key to successful health promotion, superseding the importance of desire to learn information, self-awareness, or time-management. A public health Caregiver is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness? A) The women demonstrate an understanding of the importance of a healthy diet. B) The women are able to describe the importance of vitamin supplements during pregnancy. C) The women can list the minerals nutrients that should be consumed daily. D) The women can interpret the nutrition facts listed on food packaging. - CORRECT ANS:>>>A) The women demonstrate an understanding of the importance of a
healthy diet. Nutritional awareness involves an understanding of the importance of a healthy diet that supplies all of the essential nutrients. A Caregiver has planned a teachinglearning interaction that is aimed at middle school-aged students. To foster successful health education, the Caregivers planning should prioritize which of the following components? A) Pretesting B) Social and cultural patterns C) Client awareness D) Measurable interventions - CORRECT ANS:>>>B) Social and cultural patterns A clients social and cultural patterns must be appropriately incorporated into the teachinglearning interaction.
