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NR222 Exam 2 - unit 3,4,5 Questions with Correct Answers
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NR222 Exam 2 - unit 3,4,5
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NR222 Exam 2 - unit 3,4,5A patient is admitted through the emergency department (ED) after a serious car
accident. The nurse assesses the patient and quickly learns that he speaks little
English. Spanish is his primary language. The nurse speaks some Spanish. Which
interventions would be appropriate at this time?
(Select all that apply.)
A. The nurse requests a professional interpreter.
B. Since this is an emergent situation, the nurse will interpret and identify the patient's
priority needs.
C. The nurse determines the interpreter's qualifications and makes sure that the
interpreter can speak the patient's dialect.
D. The nurse uses short sentences to explain the treatments provided in the ED.
E. The nurse directs questions to the patient by looking at the patient instead of at the
interpreter. - answerA. The nurse requests a professional interpreter.
C. The nurse determines the interpreter's qualifications and makes sure that the
interpreter can speak the patient's dialect.
D. The nurse uses short sentences to explain the treatments provided in the ED.
E. The nurse directs questions to the patient by looking at the patient instead of at the
interpreter.
Which of the following are considered social determinants of health?
Select all that apply.
A. Lack of primary health care providers in a zip code
B. Poor-quality public school education that prevents a person from developing
adequate reading skills
C. Lack of affordable health insurance
D. Employment opportunities that do not provide paid vacation or sick leave
,E. The number of times a person exercises during a week
F. Neighborhood safety that prevents a person from walking around the block or
socializing with neighbors outside of his or her home - answerA. Lack of primary health
care providers in a zip code
B. Poor-quality public school education that prevents a person from developing
adequate reading skills
C. Lack of affordable health insurance
D. Employment opportunities that do not provide paid vacation or sick leave
F. Neighborhood safety that prevents a person from walking around the block or
socializing with neighbors outside of his or her home
In the United States, there has never been a president of Asian or Hispanic culture. This
is an example of:
a. Social inequality
b. Marginalization
c. Under inclusion
d. Social location - answerb. Marginalization
Which of the following are examples of problems with the health care system that
contribute to health disparities?
(Select all that apply.)
A. A health care provider assumes that the patient missed two appointments because
the patient does not care about his or her health and does not inquire about the reasons
for missed visits.
B. The discharge nurse at a hospital uses Teach Back with a patient to ensure that she
has communicated the discharge instructions clearly.
C. A community hospital lacks an adequate staff of social workers who are able to
ensure patients' access to resources they need to take care of their health.
D. A hospital discharges a patient without ensuring that the patient has a primary care
provider and has made a follow-up appointment.
E. A nurse uses a family member as an interpreter to explain the patient's medications.
, F. The hospital conducts quality improvement without stratifying data - answerA. A
health care provider assumes that the patient missed two appointments because the
patient does not care about his or her health and does not inquire about the reasons for
missed visits.
C. A community hospital lacks an adequate staff of social workers who are able to
ensure patients' access to resources they need to take care of their health.
D. A hospital discharges a patient without ensuring that the patient has a primary care
provider and has made a follow-up appointment.
E. A nurse uses a family member as an interpreter to explain the patient's medications.
F. The hospital conducts quality improvement without stratifying data by race, ethnicity,
language, socioeconomic status, sexual orientation, and other axes of social group
identities.
Which statement made by a new graduate nurse about the teachback technique
requires intervention and further instruction by the nurse's preceptor?
"After teaching a patient how to use an inhaler, I need to use the Teach Back technique
to test my patient's understanding."
"The Teach Back technique is an ongoing process of asking patients for feedback."
"Using Teach Back will help me identify explanations and communication strategies that
my patients will most commonly understand."
"Using pictures, drawings, and models can enhance the effectiveness of the Teach
Back technique." - answer"After teaching a patient how to use an inhaler, I need to use
the Teach Back technique to test my patient's understanding."
During an encounter with an elderly patient, the nurse recognizes that a thorough
cultural assessment is necessary because the patient has recently come to the United
States from Russia and has never been hospitalized before. The nurse wants to discuss
cultural similarities between herself and the patient. Which step of the LEARN
mnemonic is this?
Listen
Explain
Acknowledge
Recommend treatment
Negotiate agreement - answerAcknowledge
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