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Nur100 Exam 1 Chapters 1, 4, 5, 6, 9, 33, & 35 Questions With Complete Solutions

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Nur100 Exam 1 Chapters 1, 4, 5, 6, 9, 33, & 35 Questions
With Complete Solutions

1. Nursing is defined as a profession because nurses: A. Perform
specific skills. B. Practice autonomy. C. Utilize knowledge from
the medical discipline. D. Charge a fee for services rendered.
Correct Answer B- Practice Autonomy

26.Robert, who is 2 years old, is praised for using his potting
instead of wetting his pants. This is an example of learning
behavior by: 1.Imitation 2.Substitution 3.Identification
4.Reinforcement-extinction Correct Answer Answer: 4
Rationale: behaviors that become common depending on
whether they are approved and reinforced

A 20-year-old patient diagnosed with an eating disorder has a
nursing diagnosis of Situational Low Self-Esteem. Which of the
following nursing interventions are appropriate to address self-
es- teem? (Select all that apply.)
1. Offer independent decision-making opportunities.
2. Review previously successful coping strategies.
3. Provide a quiet environment with minimal stimuli.
4. Support a dependent role throughout treatment.
5. Increase calorie intake to promote weight stabilization.
Correct Answer Answer: 1, 2. Offering opportunities for
decision making promotes a sense of control, which is essential
for promoting independence and enhancing self-esteem.
Reviewing successful coping strategies is also a priority
intervention to signal previous mastery and promote effective
coping in an individual with self-esteem issues. The amount of
stimuli is unrelated to self-esteem. Promoting independence is

,an important part of treatment. Although weight stabilization
may be needed, it is likely to have a negative effect on self-
esteem early in treatment.

A 30-year-old patient diagnosed with major depressive disorder
has a nursing diagnosis of Situational Low Self-Esteem related
to negative view of self. Which of the following are appropriate
inter- ventions by the nurse? (Select all that apply.)
1. Encourage reconnecting with high school friends. 2. Role-
play to increase assertiveness skills. 3. Focus on identifying
strengths and accomplishments. 4. Provide time for journaling to
explore underlying thoughts and feelings. 5. Explore new job
opportunities. Correct Answer Answer: 3, 4. Focusing on
strengths and accomplishments to minimize the emphasis on
failures helps the patient alter distorted and negative thinking.
Journaling can allow a patient to explore thoughts and feelings
that can promote insight and eventual behavioral change. The
other interventions represent the nurse imposing ideas on what
needs to occur for the patient to be healthier; allowing the
patient to direct the change process is important.

A 35-year-old woman has Medicaid coverage for herself & 2
young children. She missed an appointment at the local Health
clinic to get an annual mammogram because she had no
transportation. She gets the annual screening because her mother
had breast cancer. Identify some social determinants of this
woman's health. Correct Answer Medicaid insurance, lack of
transportation, woman's age.

A 35-year-old woman has Medicaid coverage for herself and
two young children. She missed an appointment at the local

,health clinic to get an annual mammogram because she has no
transportation. She gets the annual screening because her mother
had breast cancer. Which of the following are social
determinants of this woman's health? (Select all that apply.)
1. Medicaid insurance 2. Annual screening 3. Mother's history
of breast cancer 4. Lack of transportation 5. Woman's age
Correct Answer Answers: 1, 4, 5. Social determinants of health
are the conditions under which persons are born, grow, live,
work, and age. The social determinants of health are mostly
responsible for health disparities. Examples include age, race
and ethnicity, socioeconomic status (as reflected by the woman's
insurance), access to nutritious food, transportation resources,
religion, sexual orientation, level of education, literacy level,
disability (physical and cognitive), and geographic location
(e.g., access to health care).

A 44-year-old male patient has just been told that his wife and
child were killed in an auto accident while coming to visit him
in the hospital. Which of the following statements are
assessment findings that support a nursing diagnosis of Spiritual
Distress related to loss of family members? (Select all that
apply.) 1. "I need to call my sister for support." 2. "I have
nothing to live for now." 3. "Why would my God do this to
me?" 4. "I need to pray for a miracle." 5. "I want to be more
involved in my church." Correct Answer Answer: 2, 3. Patients
most likely to have a diagnosis of Spiritual Distress are facing
loss or terminal or serious illness and have poor personal
relationships. Indicating that there is nothing to live for now and
wondering why God would do this to him reflect dispiritedness
(e.g., expressing lack of hope, meaning, or purpose in life; anger

, toward God). The other responses show a potential for
enhancement of spiritual well-being.

A 50-year-old woman is recovering from a bilateral
mastectomy. She refuses to eat, discourages visitors, and pays
little attention to her appearance. One morning the nurse enters
the room to see the patient with her hair combed and makeup
applied. Which of the following is the best response from the
nurse?
1. "What's the special occasion?"
2. "You must be feeling better today."
3. "This is the first time I've seen you look this good."
4. "I see that you've combed your hair and put on makeup."
Correct Answer Answer: 4. When the nurse uses a matter-of-
fact approach and acknowledges a change in the patient's
behavior or appearance, it allows the patient to establish its
meaning. Telling the patient she has never looked this good
conveys criticism; making assumptions about it being a special
occasion or about an obvious improvement in mood super-
imposes the nurse's opinion and limits the assessment.

A critical care nurse is using a new researched-based
intervention to correctly position her ventilated patients to
reduce pneumonia caused by accumulated respiratory secretions.
This is an example of which Quality and Safety in the Education
of Nurses (QSEN) competency?
1-Patient-centered care
2-Evidence-based practice
3- Teamwork and collaboration
4- Quality improvement Correct Answer 2-Evidence-based
practice

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