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NUR 155 Exam 1 (Units 1 & 2) all questions with accurate answers & rationales, Exams of Nursing

Hondros CollegeNursing

NUR 155 Exam 1 (Units 1 & 2) all questions with accurate answers & rationales

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NUR |! 155 |! Exam |! 1 |! (Units |! 1 |! & |! 2) |! all |!
questions |! with |! accurate |! answers |!
& |! rationales
Which |! action |! by |! a |! nurse |! ensures |! confidentiality |! of |! a |! client's |!
computer
record?
1. |! The |! nurse |! logs |! on |! to |! the |! client's |! file |! and |! leaves |! the |! computer |! to |!
answer |! the |! client's |! call |! light.
2. |! The |! nurse |! shares |! her |! computer |! password.
3. |! The |! nurse |! closes |! a |! client's |! computer |! file |! and |! logs |! off.
4. |! The |! nurse |! leaves |! client |! computer |! worksheets |! at |! the |! computer |!
workstation. |! - |! Correct |! answer |! ✔Answer: |! 3 |!
Rationale: |! All |! of |! the |! other |! answers |! endanger |! the |! client's
confidentiality.
The |! case |! management |! model |! using |! critical |! pathways |! would |! be
appropriate |! for |! a |! client |! with |! which |! diagnosis?
1. |! Myocardial |! infarction |! (heart |! attack)
2. |! Diabetes, |! hypertension
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Download NUR 155 Exam 1 (Units 1 & 2) all questions with accurate answers & rationales and more Exams Nursing in PDF only on Docsity!

NUR |! 155 |! Exam |! 1 |! (Units |! 1 |! & |! 2) |! all |!

questions |! with |! accurate |! answers |!

& |! rationales

Which |! action |! by |! a |! nurse |! ensures |! confidentiality |! of |! a |! client's |! computer record?

  1. |! The |! nurse |! logs |! on |! to |! the |! client's |! file |! and |! leaves |! the |! computer |! to |! answer |! the |! client's |! call |! light.
  2. |! The |! nurse |! shares |! her |! computer |! password.
  3. |! The |! nurse |! closes |! a |! client's |! computer |! file |! and |! logs |! off.
  4. |! The |! nurse |! leaves |! client |! computer |! worksheets |! at |! the |! computer |! workstation. |! - |! Correct |! answer |! ✔Answer: |! 3 |! Rationale: |! All |! of |! the |! other |! answers |! endanger |! the |! client's confidentiality. The |! case |! management |! model |! using |! critical |! pathways |! would |! be appropriate |! for |! a |! client |! with |! which |! diagnosis?
  5. |! Myocardial |! infarction |! (heart |! attack)
  6. |! Diabetes, |! hypertension
  1. |! Myocardial |! infarction, |! diabetes, |! hypertension
  2. |! Diabetes, |! hypertension, |! an |! infected |! foot |! ulcer, |! senile |! dementia |! - |! Correct |! answer |! ✔Answer: |! 1 Rationale: |! Critical |! pathways |! work |! best |! for |! clients |! with |! one |! diagnosis. After |! making |! a |! documentation |! error, |! which |! action |! should |! the |! nurse |! take?
  3. |! Use |! correcting |! liquid |! to |! cover |! the |! mistake |! and |! make |! a |! new |! entry.
  4. |! Draw |! a |! line |! through |! it |! and |! write |! error |! above |! the |! entry.
  5. |! Draw |! a |! line |! through |! it |! and |! write |! mistaken |! entry |! above |! it.
  6. |! Draw |! a |! line |! through |! the |! mistake |! and |! write |! mistaken |! entry |! with |! initials |! above |! it |! - |! Correct |! answer |! ✔Answer: |! 4 Rationale: |! It |! is |! the |! most |! complete |! answer. |! The |! client's |! record |! is |! a |! legal |! record |! and |! should |! not |! be |! altered |! with |! correcting |! liquid. |! You |! may |! see |! "error" |! written |! above |! a |! mistake |! even |! though |! many |! authors |! suggest |! not |! writing |! it. |! It |! is |! important |! to |! also |! put |! your |! name |! or |! initials |! next |! to |! the |! words |! of |! the |! mistaken |! entry. During |! the |! first |! day |! a |! nurse |! is |! caring |! for |! a |! client |! who |! has |! been |! in |! the |! hospital |! for |! 2 |! days, |! the |! nurse |! thinks |! that |! the |! client's |! blood |! pressure |! (BP) |! seems |! high. |! What |! is |! the |! next |! step?
  7. |! Ask |! the |! client |! about |! past |! blood |! pressure |! ranges.

be |! a |! HIPAA |! violation |! if |! others |! hear |! protected |! health |! information. |! Option |! 5 |! is |! not |! needed |! unless |! it |! is |! a |! concern |! and |! it |! would |! not |! be |! done |! for |! every |! client. Which |! charting |! entries |! are |! written |! correctly? |! Select |! all |! that |! apply.

  1. |! MS |! 5 |! gr |! given |! IV |! for |! c/o |! abdominal |! pain
  2. |! Lanoxin |! 0.25 |! mg |! given |! orally |! per |! Dr. |! Smith's |! stat |! order
  3. |! KCl |! 15 |! mL |! given |! orally |! for |! K+ |! level |! of |! 2.
  4. |! Regular |! insulin |! 10.0 |! u |! given |! SQ |! for |! capillary |! blood |! glucose |! of |! 180
  5. |! Ambien |! 5 |! mg |! given |! orally |! at |! bedtime |! per |! request |! - |! Correct |! answer |! ✔Answer: |! 2, |! 3, |! and |! 5 Rationale: |! Option |! 1: |! "MS" |! is |! on |! the |! "Do |! Not |! Use" list—the |! nurse |! needs |! to |! write |! out |! morphine |! sulfate. |! Option |! 4 |! has |! three |! errors—should |! not |! have |! a |! trailing |! zero |! after |! the |! decimal |! point; |! "u" |! and |! "SQ" |! are |! on |! the |! "Do |! Not |! Use" |! list. A |! 74-year-old |! female |! is |! brought |! to |! the |! emergency |! department |! c/o |! right |! hip |! pain. |! The |! right |! leg |! is |! shorter |! than |! the |! left |! and |! is |! externally |! rotated. |! During |! inspection, |! the |! nurse |! observes |! what |! appears |! to |! be |! cigarette |! burns |! on |! the |! client's |! inner |! thighs. |! Which |! of |! the |! following |! is |! the |! most |! appropriate |! documentation?
  6. |! Six |! round |! skin |! lesions |! partially |! healed, |! on |! the |! inner |! thighs |! bilaterally
  1. |! Several |! burned |! areas |! on |! both |! of |! the |! client's |! inner |! thighs
  2. |! Multiple |! lesions |! on |! inner |! thighs |! possibly |! related |! to |! elder abuse
  3. |! Several |! lesions |! on |! inner |! thighs |! similar |! to |! cigarette |! burns |! - |! Correct |! answer |! ✔Answer: |! 1 Rationale: |! Option |! 1 |! is |! the |! most |! specific, |! non-assuming, |! and |! nonjudgmental |! charting. |! Option |! 2 |! could |! be |! more |! specific |! by |! describing |! the |! lesions |! and |! not |! calling |! them |! "burns." |! Option |! 3 |! is |! making a |! judgment |! of |! elder |! abuse, |! and |! option |! 4 |! is |! also |! making |! an |! assumption |! that |! the |! lesions |! are |! from |! cigarette |! burns Which |! charting |! rule(s) |! will |! keep |! the |! nurse |! legally |! safe? |! Select |! all |! that |! apply.
  4. |! Use |! military |! time.
  5. |! Document |! worries |! or |! concerns |! expressed |! by |! the |! client.
  6. |! Perform |! most |! of |! the |! charting |! at |! the |! end |! of |! the |! shift.
  7. |! Record |! only |! information |! that |! pertains |! to |! the |! client's |! health |! problems. |! - |! Correct |! answer |! ✔Answer: |! 1, |! 2, |! and |! 4 Rationale: |! Military |! time |! is |! commonly |! used; |! documenting |! worries |! or |! concerns |! provides |! clues |! to |! other |! nurses; |! gossip, |! unprofessional |! comments |! or |! thoughts, |! or |! personnel |! issues |! should |! not

physical |! care.

  1. |! Contact |! the |! client's |! spiritual |! adviser.
  2. |! Inquire |! how |! this |! will |! affect |! other |! aspects |! of |! the |! client's |! life.
  3. |! Provide |! the |! client |! with |! information |! about |! how |! to |! join |! a support |! group. |! - |! Correct |! answer |! ✔Answer: |! 3 Rationale: |! Holism |! implies |! consideration |! of |! all |! aspects |! of |! the |! client's |! life. |! Although |! arranging |! for |! home |! care |! (option |! 1), |! facilitating |! spirituality |! (option |! 2), |! and |! offering |! coping |! resources |! (option |! 4) |! may |! be |! appropriate, |! the |! nurse |! begins |! a |! holistic |! approach |! to |! care |! by |! examining, |! with |! the |! client, |! in |! what |! ways |! the |! illness |! influences |! the |! various |! segments |! of |! her |! life. |! The |! client |! is |! the |! best |! source |! of |! information |! regarding |! personal |! needs. |! Assessment |! should |! always |! precede |! intervention. A |! nurse |! is |! planning |! a |! workshop |! on |! health |! promotion |! for |! older |! adults. |! Which |! topic |! will |! be |! included?
  4. |! Prevention |! of |! falls
  5. |! Cardiovascular |! risk |! factors
  6. |! Adequate |! sleep
  7. |! How |! to |! stop |! smoking |! - |! Correct |! answer |! ✔Answer: |! 3 |! Rationale: |! Learning |! about |! sleep |! will |! increase |! the |! older |! adult's |! well- being, |! which |! is |! the |! focus |! of |! health |! promotion. |! Prevention |! of |! falls |! (option |! 1) |! is |! health |! protection |! because |! the |! focus |! is |! avoiding |! injury. |! Learning |! about |! cardiovascular |! risk |! factors |! (option |! 2) |! relates |! to |!

health |! protection/disease |! prevention. |! How |! to |! stop |! smoking |! (option |!

  1. |! focuses |! on |! health |! protection |! and |! avoiding |! illness. While |! hospitalized, |! a |! client |! is |! very |! worried |! about |! business activities. |! The |! client |! spends |! a |! great |! deal |! of |! time |! on |! the |! phone |! and |! with |! colleagues |! instead |! of |! resting. |! Which |! principle |! of |! need |! therapy |! applies |! to |! this |! client?
  1. |! His |! higher |! level |! need |! cannot |! be |! met |! unless |! the |! lower |! level |! physiological |! need |! is |! met.
  2. |! His |! lower |! level |! physiological |! needs |! are |! being |! deferred |! while |! higher |! needs |! are |! addressed.
  3. |! The |! higher |! need |! takes |! precedence |! and |! the |! lower |! need |! no |! longer |! must |! be |! met.
  4. |! It |! is |! necessary |! for |! someone |! else |! to |! meet |! his |! higher |! level needs |! so |! he |! can |! focus |! on |! the |! lower |! level |! needs. |! - |! Correct |! answer |! ✔Answer: |! 2 Rationale: |! Choices |! are |! often |! related |! to |! learned |! experiences, |! lifestyle, |! and |! values. |! The |! client |! obviously |! values |! the |! business more |! than |! physical |! health. |! When |! a |! person |! feels |! strongly |! enough, |! a |! lower |! level |! need |! (rest) |! can |! be |! postponed |! until |! a |! higher |! level |! need |! (success, safety) |! is |! met. |! It |! is |! very |! likely |! that |! no |! one |! else |! can |! meet |! that |! need |! for |! him |! and |! the |! lower |! need |! must |! still |! be |! met |! eventually.
  1. |! Perceived |! barriers |! to |! action
  2. |! Perceived |! self-efficacy
  3. |! Interpersonal |! influences
  4. |! Situational |! influences |! - |! Correct |! answer |! ✔Answer: |! 2 Rationale: |! Perceived |! self-efficacy |! is |! the |! confidence |! the |! person |! has |! for |! achieving |! the |! desired |! outcome. |! Option |! 1 |! is |! a |! person's perceptions |! about |! available |! time, |! inconvenience, |! expense, |! and |! difficulty |! performing |! the |! activity. |! Option |! 3 |! is |! the |! person's |! perceptions |! concerning |! the |! behaviors, |! beliefs, |! or |! attitudes |! of |! others. |! Option |! 4 |! refers |! to |! the |! person's |! perception |! of |! the |! environment |! and |! how |! it |! assists |! or |! detracts |! from |! the |! healthy |! behavior Which |! of |! the |! following |! are |! overarching |! goals |! of |! Healthy |! People |! 2020? |! Select |! all |! that |! apply.
  5. |! Raise |! the |! education |! and |! literacy |! level.
  6. |! Increase |! quality |! and |! years |! of |! healthy |! life.
  7. |! Eliminate |! health |! disparities.
  8. |! Distribute |! health-related |! information.
  9. |! Promote |! healthy |! behaviors. |! - |! Correct |! answer |! ✔Answer: |! 2, |! 3, |! and |! 5 Rationale: |! The |! Healthy |! People |! 2020 |! goals |! are

broad |! based. |! Options |! 1 |! and |! 4 |! are |! specific |! methods |! to |! promote |! healthy |! behaviors |! and |! would |! be |! seen |! in |! the |! objectives |! for |! a |! Healthy |! People |! 2020 |! topic |! area. The |! nurse |! who |! is |! assisting |! a |! client |! in |! the |! action |! stage |! of |! change |! would |! use |! which |! strategy?

  1. |! Reinforce |! the |! importance |! of |! providing |! rewards |! for |! positive |! behavior.
  2. |! Ask |! the |! client |! if |! he |! or |! she |! would |! like |! information.
  3. |! Guide |! the |! client |! to |! create |! a |! plan |! of |! action.
  4. |! Remind |! the |! client |! of |! previous |! successes |! - |! Correct |! answer |! ✔Answer: |! 1 |! Rationale: |! Option |! 2 |! is |! a |! strategy |! for |! the |! contemplation |! stage, |! option |! 3 |! is |! a |! strategy |! for |! the |! preparation |! stage, |! and |! option |! 4 |! is |! a |! strategy |! for |! the |! maintenance |! stage. Which |! is |! the |! best |! response |! by |! the |! nurse |! if |! a |! client |! fails |! to |! follow |! the |! information |! or |! teaching |! provided?
  5. |! Give |! up, |! because |! the |! client |! doesn't |! want |! to |! change.
  6. |! Develop |! a |! tough |! approach.
  7. |! Reteach |! the |! information, |! because |! the |! nurse |! is |! the |! expert.
  8. |! Reassess |! the |! client's |! importance |! given |! to |! the |! behavior |! and |! readiness |! to |! change |! it. |! - |! Correct |! answer |! ✔Answer: |! 4

Using |! Maslow's |! framework, |! which |! statement |! characterizes |! the |! highest |! level |! of |! need?

  1. |! "Nurse, |! my |! pain |! is |! severe |!. |!. |!. |! is |! it |! time |! for |! my |! shot?"
  2. |! "I |! felt |! welcomed |! when |! I |! first |! joined |! the |! group |! and |! I |! look forward |! to |! the |! monthly |! meetings."
  3. |! "I'm |! very |! proud |! of |! receiving |! the |! Employee |! of |! the |! Month award."
  4. |! "There |! have |! been |! home |! break-ins |! with |! burglary |! in |! our neighborhood. |! We |! are |! thinking |! of |! moving." |! - |! Correct |! answer |! ✔Answer: |! 3 |! Rationale: |! Option |! 1 |! is |! a |! physiological |! need. |! Option |! 2 |! is |! a |! love |! and |! belonging |! need, |! and |! Option |! 4 |! is |! a |! safety |! and |! security |! need. Which |! one |! of |! the |! following |! is |! an |! example |! of |! the |! emotional component |! of |! wellness?
  5. |! The |! client |! chooses |! healthy |! foods.
  6. |! A |! new |! father |! decides |! to |! take |! parenting |! classes.
  7. |! A |! client |! expresses |! frustration |! with |! her |! partner's |! substance |! abuse.
  8. |! A |! widow |! with |! no |! family |! decides |! to |! join |! a |! bowling |! league. |! - |! Correct |! answer |! ✔

Which |! individual |! appears |! to |! have |! "taken |! on" |! the |! sick |! role?

  1. |! A |! client |! who |! is |! obese |! states, |! "I |! deserve |! to |! have |! a |! heart attack."
  2. |! A |! mother |! is |! ill |! and |! says, |! "I |! won't |! be |! able |! to |! make |! your |! lunch |! today."
  3. |! A |! man |! with |! low |! back |! pain |! misses |! several |! physical |! therapy |! appointments.
  4. |! An |! older |! adult |! states, |! "My |! horoscope |! says |! I |! will |! be |! well again." |! - |! Correct |! answer |! ✔ Because |! a |! client |! recently |! diagnosed |! with |! diabetes |! mellitus |! is |! confident |! that |! blood |! sugar |! control |! can |! be |! improved |! with |! diet |! and |! exercise |! alone, |! and |! recently |! checked |! out |! a |! video |! on |! the |! management |! of |! diabetes |! at |! the |! HMO |! education |! center, |! the |! client's |! actions |! are |! most |! representative |! of |! which |! model?
  5. |! Health |! belief |! model
  6. |! Clinical |! model
  7. |! Role |! performance |! model
  8. |! Agent-host-environment |! model |! - |! Correct |! answer |! ✔ Because |! a |! client |! with |! human |! immunodeficiency |! virus |! (HIV) is |! scheduled |! to |! begin |! several |! medications |! to |! manage |! the
  1. |! The |! availability |! and |! accessibility |! of |! health |! care |! services appropriate |! for |! the |! client's |! health |! condition
  2. |! The |! medical |! diagnostic |! terminology |! used |! to |! describe |! the |! client's |! signs |! and |! symptoms |! - |! Correct |! answer |! ✔ Which |! of |! the |! following |! is |! an |! internal |! variable |! affecting |! health |! status, |! beliefs, |! or |! practices?
  3. |! Living |! situation
  4. |! Socioeconomic |! status
  5. |! Family |! structure
  6. |! Genetics |! - |! Correct |! answer |! ✔ A |! client |! recently |! diagnosed |! with |! a |! chronic |! illness |! asks |! for |! help |! in |! understanding |! the |! term |! chronic. |! It |! would |! be |! correct |! for |! the |! nurse |! to |! say |! which |! of |! the |! following?
  7. |! Symptoms |! are |! always |! less |! severe |! than |! with |! an |! acute |! illness.
  8. |! Chronic |! illnesses |! are |! considered |! incurable.
  9. |! Signs |! and |! symptoms |! of |! chronic |! illnesses |! tend |! to |! be |! stable |! for |! many |! years.
  10. |! Chronic |! illnesses |! have |! no |! effective |! treatments. |! - |! Correct |! answer |! ✔

Although |! not |! every |! client |! progresses |! in |! order |! through |! each |! stage, |! what |! is |! the |! usual |! sequence |! in |! Suchman's |! stages |! of |! illness?

  1. |! The |! client |! makes |! contact |! with |! medical |! care.
  2. |! The |! client |! goes |! into |! rehabilitation/recovery.
  3. |! Signs |! and |! symptoms |! appear.
  4. |! The |! client |! takes |! on |! the |! dependent |! role.
  5. |! The |! client |! takes |! on |! the |! sick |! role. |! - |! Correct |! answer |! ✔ A |! married |! mother |! of |! three |! small |! children |! has |! frequent |! immobilizing |! headaches |! of |! unknown |! cause. |! The |! nurse |! anticipates |! that |! the |! woman |! may |! have |! which |! of |! the |! following |! possible |! reactions? |! Select |! all |! that |! apply.
  6. |! She |! feels |! guilty |! when |! unable |! to |! perform |! her |! usual |! activities.
  7. |! She |! is |! angry |! and |! acting |! out.
  8. |! She |! shifts |! some |! responsibilities |! to |! the |! spouse.
  9. |! She |! takes |! on |! a |! job |! to |! help |! pay |! for |! the |! medical |! expenses.
  10. |! She |! has |! fewer |! social |! interactions |! with |! her |! friends. |! - |! Correct |! answer |! ✔