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Final Review Questions for NR222 Health & Wellness questions and answers rated A+ 2025/2026
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Final Review Questions for NR222 Health & Wellness questions and answers rated A+ 2025/2026
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Final Review Questions for NR222Health & Wellness
A 35-year-old woman is speaking with you about her recent diagnosis of a chronic illness. She
is concerned about her treatment options in relation to her ability to continue to care for her
family. As she considers the options and alternatives, she incorporates information, her values,
and emotions to decide which plan will be the best fit for her. She is using which form of
cognitive development?
A. Conventional reasoning
B. Formal operations
C. Integrity versus despair
D. Postformal thought - ANS-D. Postformal thought
Adults recognize that there are various solutions to problems and that different situations
demand different solutions.
A 46-year-old woman from Bosnia came to the United States 6 years ago. Although she did not
celebrate Christmas when she lived in Bosnia, she celebrates Christmas with her family now.
This woman has experienced assimilation into the culture of the United States because she:
A. Chose to be bicultural.
B. Adapted to and adopted the American culture.
C. Had an extremely negative experience with the American culture.
D. Gave up part of her ethnic identity in favor of the American culture. - ANS-B. Adapted to and
adopted the American culture.
Assimilation results when an individual gradually adopts and incorporates the characteristics of
the dominant culture.
A 48-year-old woman complains to her nurse that she is experiencing frequent episodes of
insomnia. What are some measures the nurse should educate her about? (select all that apply)
A. Insomnia is common for this age group.
B. Engage in activity 1 to 2 hours before bed to encourage sleep.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
D. Occasional napping should be avoided.
E. Have a regular schedule for waking and sleep. - ANS-A. Insomnia is common for this age
group.
C. Avoid or reduce the amount of caffeinated beverages that are consumed.
E. Have a regular schedule for waking and sleep.
,Insomnia is a common finding in this age category. This condition may be the result of
overstimulation resulting from drinking too much caffeinated beverages, strenuous exercise
within two hours of bedtime, not having a regular schedule for waking and sleep in a 24-hour
period (National Sleep Foundation, 2012). Frequently-occurring insomnia can lead to
distractibility and irritability and fatigue during the daytime hours. Rest is essential to allow
restorative functions of the body to occur. The effects of insomnia can be counteracted by
regularly scheduled, high-quality sleep and occasional napping when fatigued.
A 50-year-old man is initiating an exercise program to help improve his cardiovascular health.
What are some of the recommended guidelines that the nurse should instruct him on? (select all
that apply)
A, Every adult over the age of 50 should start with a daily running program.
B. Overexertion should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
D. Adults over the age of 50 benefit from intense strength training.
E. Suggested activities include walking, jogging, swimming and bicycling. - ANS-B. Overexertion
should be avoided.
C. Increase fluid intake during periods of strenuous exercise in hot weather.
E. Suggested activities include walking, jogging, swimming and bicycling.
Some suggested activities for the middle-aged adult include brisk walking, jogging, swimming,
bicycling, and skipping rope as well as walking or biking to work. Activities that focus on skill and
coordination should be attempted by the adult over age 40 rather than activities necessitating
speed and strength. Moderation is important for all groups of individuals. Caution is
recommended for adults nearing age 65 to prevent muscle strains and/or falls, etc.
Overexertion, as evidenced by dizziness, chest pressure or chest pain, and unresolved
shortness of breath should be avoided. Also, in hot weather, strenuous exercise should be
balanced with rest periods and increased intake of fluids to prevent heat stroke.
A 6-month-old child from Guatemala was adopted by an American family in Indiana. The child's
socialization into the American midwestern culture is best described as:
A. Assimilation.
B. Acculturation.
C. Biculturalism.
D. Enculturation. - ANS-D. Enculturation.
Socialization into one's primary culture as a child is known as enculturation.
A child's immunization may cause discomfort during administration, but the benefits of
protection from disease, both for the individual and society, outweigh the temporary discomforts.
Which principle is involved in this situation?
A. Fidelity
B. Beneficence
,C. Nonmaleficence
D. Respect for autonomy - ANS-B. Beneficence
The immunization is a clear effort to provide benefit. Beneficence refers to "doing good." Fidelity
refers more to keeping promises. Nonmaleficence refers to the commitment to avoid harm.
Respect for autonomy refers to the commitment to include patients in the decision-making
process regarding health care plans.
A community health nurse is making a healthy baby visit to a new mother who recently
emigrated to the United States from Ghana. When discussing contraceptives with the new mom,
the mother states that she won't have to worry about getting pregnant for the time being. The
nurse understands that the mom most likely made this statement because:
A. She won't resume sexual relations until her baby is weaned.
B. She is taking the medroxyprogesterone (Depo-Provera) shot.
C. Her husband was recently deployed to Afghanistan.
D. She has access to free condoms from the clinic. - ANS-A. She won't resume sexual relations
until her baby is weaned.
In some African cultures such as in Ghana and Sierra Leone some women will not resume
sexual relations with their husbands until the baby is weaned.
A condition of the bone that is the result of bone lysis exceeding the rate of bone matrix
synthesis is called:
A. osteoarthritis.
B. kyphosis.
C. osteopenia.
D. osteoporosis. - ANS-C. osteopenia.
Osteopenia is a condition of subnormally mineralized bone, usually as a result of a rate of bone
lysis that exceeds the rate of bone matrix synthesis. Thoracic kyphosis is an angulation of the
posterior spine that is sometimes referred to as "hunchback." Osteoarthritis is a degenerative
joint disease that influences activity and endurance and is most frequently seen in the knees
and hands. Osteoporosis is a disorder characterized by abnormal loss of bone density and
deterioration of bone tissue, with an increased fracture risk. It occurs most frequently in
postmenopausal women who have fair complexions and are small, sedentary individuals, and
people on long-term steroid use.
A critical care nurse is using a computerized decision support system 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?
A. Patient-centered care
B. Safety
C. Teamwork and collaboration
D. Informatics - ANS-D. Informatics
, Using decision support systems is one example of using and gaining competency in informatics.
A female Jamaican immigrant has been late to her last two clinic visits, which in turn had to be
rescheduled. The best action that the nurse could take to prevent the patient from being late to
her next appointment is:
A. Give her a copy of the city bus schedule.
B. Call her the day before her appointment as a reminder to be on time.
C. Explore what has prevented her from being at the clinic in time for her appointment.
D. Refer her to a clinic that is closer to her home. - ANS-C. Explore what has prevented her
from being at the clinic in time for her appointment.
Present-time orientation is in conflict with the dominant organizational norm in health care that
emphasizes punctuality and adherence to appointments. Nurses need to expect conflicts and
make adjustments when caring for ethnic groups.
A homebound older American would likely receive which of the following nutrition services?
A. Congregate Nutrition Services Program
B. Meals on Wheels
C. Nutrition Services Incentive Program (NSIP)
D. Indian Tribal Organization (ITO) - ANS-B. Meals on Wheels
The Congregate Nutrition Services Program and the Nutrition Services Incentive Program gives
states, territories, and Indian Tribal Organizations the ability to purchase food or cover the cost
of commodities from USDA or Area Agencies on Aging. For NSIP, money or commodity
allocation is determined by the share of population who received meals under Congregate or
Meals on Wheels in the year prior. Meals on Wheels is a nutrition/health promotion program to
help keep older adults in their communities.
A male patient has been laid off from his construction job and has many unpaid bills. He is going
through a divorce from his marriage of 15 years and has been seeing his pastor to help him
through this difficult time. He does not have a primary health care provider because he has
never really been sick and his parents never took him to the physician when he was a child.
Which external variables influence the patient's health practices? (Select all that apply.)
A. Difficulty paying his bills
B. Seeing his pastor as a means of support
C. Family practice of not routinely seeing a health care provider
D. Stress from the divorce and the loss of a job - ANS-A. Difficulty paying his bills
C. Family practice of not routinely seeing a health care provider
External factors impacting health practices include family beliefs and economic impact.
A nurse is applying Henderson's theory as a basis for theory based-nursing practice. Which
other elements are important for theory-based nursing practice? (Select all that apply.)
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