NR 222 Final Exam Questions With Correct Answers

Autonomy - Answer freedom of action making your own decisions Accountability - Answer responsible professionally and legally for the type and quality of nursing care provided Advocate - Answer you protect your patient's human and legal rights and provide assistance in asserting these rights if needed Caregiver - Answer you help patients maintain and regain health, manage disease and symptoms, and attain a maximal level of function and independence through the healing process Educator - Answer you explain concepts and facts about your health A patient needs to learn to use a walker. Which domain is required for learning this skill? 1. Affective domain 2. Cognitive domain 3. Attentional domain 4. Psychomotor domain - Answer 4. psychomotor domain The nurse is planning to teach a patient about the importance of exercise. When is the best time for teaching to occur? (Select all that apply.) 1. When there are visitors in the room 2. When the patient states that he or she is pain free 3. Just before lunch, when the patient is most awake and alert 4. When the patient is talking about current stressors in his or her life 5. When the patient is being transported for a procedure - Answer 2. When the patient states that he or she is pain free 3. Just before lunch, when the patient is most awake and alert A patient newly diagnosed with cervical cancer is going home. The patient is avoiding discussion of her illness and postoperative orders. What is the nurse's best plan in teaching this patient? 1. Teach the patient's spouse 2. Focus on knowledge the patient will need in a few weeks 3. Provide only the information that the patient needs to go home 4. Convince the patient that learning about her health is necessary - Answer 3. Provide only the information that the patient needs to go home The ______________ is a closed-loop communication technique used to evaluate patient understanding and retention of material. - Answer teach-back method A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. Which type of content is the nurse providing? 1. Simulation 2. Restoring health 3. Coping with impaired function 4. Health promotion and illness prevention - Answer 4. Health promotion and illness prevention A patient who is hospitalized has just been diagnosed with diabetes. He is going to need to learn how to give himself injections. Which teaching method does the nurse use? 1. Simulation 2. Demonstration 3. Group instruction 4. One-on-one discussion - Answer 2. Demonstration Which of the following are considered social determinants of health? (Select all that apply.) 1. Lack of primary health care providers in a zip code 2. Poor-quality public school education that prevents a person from developing adequate reading skills 3. Lack of affordable health insurance 4. Employment opportunities that do not provide paid vacation or sick leave 5. The number of times a person exercises during a week 6. Neighborhood safety that prevents a person from walking around the block or socializing with neighbors outside of his or her home - Answer 1. Lack of primary health care providers in a zip code 3. Lack of affordable health insurance 4. Employment opportunities that do not provide paid vacation or sick leave 5. The number of times a person exercises during the week How can a nurse work on developing cultural awareness? (Select all that apply.) 1. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation 2. Develop greater self-knowledge about personal biases 3. Recognize consciously the multiple factors that influence his or her own world view 4. Engage in an in-depth self-examination of his or her own background 5. Learn as many facts as possible about an ethnic group - Answer 1. Reflect on his or her past learning about health, illness, race, gender, and sexual orientation 2. Develop greater self-knowledge about personal biases 3. Recognize consciously the multiple factors that influence his or her own world view 4. Engage in an in-depth self-examination of his or her own background A nurse prepares to contact a patient's physician about a change in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and Recommendation) communication. 1. "She is a 53-year-old female who was admitted 2 days ago with pneumonia and was started on Levaquin at 5 PM yesterday. She complains of a poor appetite." 2. "The patient reported feeling very nauseated after her dose of Levaquin an hour ago." 3. "Would you like to make a change in antibiotics, or could we give her a nutritional supplement before her medication?" 4. "The patient started complaining of nausea yesterday evening and has vomited several times during the night." - Answer 4. S 1. B 2. A 3. R A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient relationship? 1. Working phase 2. Preinteraction phase 3. Termination phase 4. Orientation phase - Answer 1. Working phase A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments used encouraged openness and allowed the patient to "tell his story." This is an example of which step of the nursing process? 1. Planning 2. Assessment 3. Intervention 4. Evaluation - Answer 4. Evaluation Health belief model - Answer Addresses the relationship between a person's beliefs and behaviors Maslow's hierarchy of needs - Answer model that nurses use to understand the interrelationships of basic human needs Health promotion - Answer activities such as routine exercise and good nutrition help patients maintain or enhance their present levels of health Illness prevention - Answer activities such as immunization programs protect patients from actual or potential threats to health Levels of prevention - Answer primary, secondary, tertiary Primary prevention - Answer Health education programs Immunizations Nutritional programs Physical fitness activities Secondary prevention - Answer Screenings for early detection Breast exams Tertiary prevention - Answer Cardiac or stroke rehab programs Chronic disease management Risk factor - Answer any situation, habit or other variable such as social, environmental, physiological, psychological, developmental, intellectual or spiritual that increases the vulnerability of an individual or group to an illness or accident. American Nurses Association - Answer Protection, promotion, optimization of health and abilities prevention of illness and injury, facilitation of healing alleviation of suffering through diagnosis and treatment of human response and advocacy in the care of individuals, families, groups, communities etc... Culturally congruent care - Answer care that fits a person's life patterns, values, and system of meaning Cultural competency - Answer major element in eliminating health disparities being able to understand people have different cultures and values Responsibility vs. Accountability - Answer Responsibility is having a duty to take care of someone Accountability is held responsible and is trusted Nurse Practice Act (NPA) - Answer Statutory law civil law/ criminal law Healthy people 2020 - Answer Goal to increase quality and years of life and eliminate health disparities Beneficence - Answer to do good Nonmaleficence - Answer do no harm