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Exam (elaborations)

NUR230 EXAM 2 EXAM QUESTIONS WITH COMPLETE SOLUTIONS

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NUR230 EXAM 2 EXAM QUESTIONS WITH COMPLETE SOLUTIONS

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  • September 2, 2024
  • 34
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR230
  • NUR230
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Estudyr
ESTUDY




NUR230 EXAM 2 EXAM QUESTIONS WITH
COMPLETE SOLUTIONS
### 1. A home health nurse is planning care for a client discharged after diabetes complications. The
client needs extensive dressing changes, help with daily activities, and education. The nurse is arranging
home visits from aides and therapists. What role is the nurse taking on?

a) Health educator
b) Case manager
c) Client advocate
d) Health promoter

- **Answer:** b) Case manager

### 2. The nurse is discussing discharge care with a client who, along with his family, is upset and finds
the care team's suggestions unacceptable. What should the nurse say?

a) "We will leave you alone to discuss your options."
b) "We only want what's best for you."
c) "Let's discuss other options that might work well for you and your family."
d) "Perhaps you did not understand the recommendations."

- **Answer:** c) "Let's discuss other options that might work well for you and your family."

### 3. The nurse is preparing to discharge a client who will need physical therapy (PT) after a knee
replacement. After reading the PT order, what should the nurse do next?

a) Set up outpatient appointments with the hospital's PT department
b) Schedule a home health therapist to visit the client's home
c) Inform the client about PT settings and let the client choose
d) Teach the client's family the PT exercises

- **Answer:** c) Inform the client about PT settings and let the client choose

### 4. A client with rheumatoid arthritis wants to stay active as long as possible. How can the nurse help
the client meet this goal?

a) Teach the client about nutrition and joint exercises
b) Ask the client why they want to stay active
c) Tell the client activity limitations are inevitable

,ESTUDY


d) Provide referrals to other professionals for help

- **Answer:** d) Provide referrals to other professionals for help

### 5. A nurse is leading a team focused on reducing adolescent pregnancies. The team has defined the
problem and is considering various viewpoints. What role is the nurse demonstrating?

a) Decision making
b) Mutual respect
c) Trust
d) Communication

- **Answer:** a) Decision making

### 6. Nurse managers are reviewing unlicensed assistive personnel (UAP) job descriptions and have
questions about delegating client care tasks. Who should they contact for definitive answers?

a) The hospital's Chief Nursing Officer
b) The hospital's Chief Executive Officer
c) The state board of nursing
d) The American Nurses Association

- **Answer:** c) The state board of nursing

### 7. A nurse is presenting on the importance of collaboration in healthcare. Which documented
benefits should the nurse discuss? Select all that apply.

a) Improved client outcomes
b) Reduction in duplication of healthcare services
c) Increased overall cost of healthcare services
d) Decreased client morbidity and mortality
e) Higher job satisfaction

- **Answer:** a) Improved client outcomes, b) Reduction in duplication of healthcare services, d)
Decreased client morbidity and mortality, e) Higher job satisfaction

### 8. What is a primary barrier to effective nurse-physician collaboration that has persisted over time?

a) Public view that nurses' contributions are less important than physicians'
b) Nurses and physicians perceive inequality in their roles, with nurses being subservient
c) Lack of education on how collaboration improves healthcare quality
d) Lack of published evidence on the effectiveness of collaboration

,ESTUDY



- **Answer:** b) Nurses and physicians perceive inequality in their roles, with nurses being
subservient

### 9. A nurse is discussing a discharge plan with a client who strongly objects to parts of the plan. How
should the nurse respond?

a) "You are not being cooperative in your plan of care."
b) "This plan of care was ordered by the physician."
c) "Let's talk about your objections and possible solutions or alternatives."
d) "I will ask your family to help convince you that this plan of care is best."

- **Answer:** c) "Let's talk about your objections and possible solutions or alternatives."

### 10. A client with type 1 diabetes has an open sore on the shin and struggles with daily exercise. For
post-discharge care, who should the nurse notify?

a) The pharmacy
b) The case manager
c) The occupational therapist
d) The physical therapist

- **Answer:** b) The case manager

### 11. A nurse in the ICU receives a verbal prescription from a first-year medical resident. The nurse
decides to check with the attending provider first. What might be the reason?

a) The resident seems unsure of the prescription.
b) The nurse only takes orders from attending providers.
c) The nurse does not like first-year residents.
d) The nurse may not trust the resident's decision-making.

- **Answer:** d) The nurse may not trust the resident's decision-making.

### 12. A nurse learns a family member has terminal cancer and is assigned this family member as a
client. The nurse from the previous shift says the client is demanding. What should the assigned nurse
do?

a) Discuss the situation with the charge nurse.
b) Avoid reacting negatively to the client.
c) Tell the client to change their behavior.
d) Ask the healthcare provider to control the client.

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- **Answer:** a) Discuss the situation with the charge nurse.

### 13. In a staff meeting, a new nurse manager addresses the issue of nurses criticizing each other.
Some staff suggest talking directly to the individuals involved. What should the nurse manager
recognize?

a) Insist on the new policy against criticism.
b) Recognize the group has defined behavioral norms.
c) Discipline the nurses who spoke out.
d) Request a transfer to another unit.

- **Answer:** b) Recognize the group has defined behavioral norms.

### 14. ED nurses and neurology unit staff nurses are in conflict over the time it takes for face-to-face
handoff communication. What type of conflict is this?

a) Intrapersonal conflict
b) Interpersonal conflict
c) Intergroup conflict
d) Interorganizational conflict

- **Answer:** c) Intergroup conflict

### 15. A hospital plans to replace separate labor and mother/baby units with a combined unit. Nurses
are concerned about their ability to care for laboring mothers. What causes of conflict might still occur?
Select all that apply.

a) Mistrust
b) Miscommunication
c) Ambiguous role expectations
d) Resistance to change
e) Ineffective leadership

- **Answer:** a) Mistrust, d) Resistance to change

### 16. A nurse manager overhears two nurses making unflattering comments about a third nurse. The
manager asks them to address issues directly with the concerned nurse. What type of workplace conflict
is being addressed?

a) Intergroup conflict
b) Sexual harassment

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