NR222 Health and Wellness Final Exam 2023/24
* Health care reform will bring changes in the emphasis of care. Which of the following models is expected from health care reform?
The nurses on an acute care medical floor notice an increase in pressure ulcer formation in their patients. A nurse cons...
1). * health care reform will bring changes in the emphasis of care. which of the following
models is expected from health care reform?
Ans: Moving from an acute illness to a health promotion, illness prevention model.
Health care reform also affects how health care is delivered. There is greater emphasis
on health promotion, disease prevention, and management of illness.
2). The nurses on an acute care medical floor notice an increase in pressure ulcer formation
in their patients. a nurse consultant decides to compare two types of treatment. the first is
the procedure currently used to assess for pressure ulcer risk. the second uses a new
assessment instrument to identify at-risk patients. given this information, the nurse
consultant exemplifies which career?
Ans: Nurse researcher.
The nurse researcher investigates problems by applying evidence-based practice or by
conducting research to improve nursing care and further define and expand the scope of
nursing practice. He or she often works in an academic setting, hospital, or independent
professional or community service agency.
3). An 18-year-old woman is in the emergency department with fever and cough. the nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. which standard of practice
is performed?
Ans: Assessment.
Assessment is the collection of comprehensive data pertinent to the patient's health
and/or the situation.
4). A nurse is caring for a patient with end-stage lung disease. the patient wants to go home
on oxygen and be comfortable. the family wants the patient to have a new surgical
procedure. the nurse explains the risk and benefits of the surgery to the family and
discusses the patient's wishes with them. the nurse is acting as the patient's:
Ans: Advocate.
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, An advocate protects the patient's human and legal right to make choices about his or
her care. An advocate may also provide additional information to help a patient decide
whether or not to accept a treatment or find an interpreter to help family members
communicate their concerns.
5). A nurse meets with the registered dietician and physical therapist to develop a plan of care
that focuses on improving nutrition and mobility for a patient. this is an example of which
quality and safety in the education of nurses (qsen) competency?
Ans: Teamwork and collaboration.
This is an example of the competency of teamwork and collaboration. This competency
focuses on the nurse functioning effectively within nursing and interprofessional teams,
fostering open communication, mutual respect, and shared decision making to achieve
quality patient care.
6). Match the advance practice nurse specialty with the statement about the role.
Ans: Clinical nurse specialist
Expert clinician in a specialized area of practice such as adult diabetes
Nurse anesthetist
Provides care and services under the supervision of an anesthesiologist.
Nurse practitioner
Provides comprehensive care, usually in a primary care setting, directly managing the
medical care of patients who are healthy or who have chronic conditions.
Nurse-midwife
Provides independent care including pregnancy and gynecological services.
7). The examination for registered nurse (rn) licensure is exactly the same in every state in the
united states. this examination:
Ans: Provides a minimal standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of educational
preparation, the examination for RN licensure is exactly the same in every state in the
United States.
8). You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. as part of the preparation you
have your classmates read the nursing code of ethics for professional registered nurses.
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, your instructor asks the class why this document is important. which of the following
statements best describes this code?
Ans: Defines the principles of right and wrong to provide patient care.
When giving care, it is essential to provide a specified service according to standards of
practice and to follow a code of ethics. The code of ethics is the philosophical ideals of
right and wrong that define the principles you will use to provide care to your patients. It
serves as a guide for carrying out nursing responsibilities to provide quality nursing care
and the ethical obligations of the profession.
9). Nurses in an acute care hospital are attending a unit based education program to learn
how to use a new pressure-relieving device for patients at risk for pressure ulcers. this is
which type of education?
Ans: In-service education.
In-service education programs are instruction or training provided by a health care
agency or institution. An in-service program is held in the institution and is designed to
increase the knowledge, skills, and competencies of nurses and other health care
professionals employed by the institution.
10). The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. the patient's spouse demonstrates how to change the
dressing. the nurse is acting in which professional role?
Ans: Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and
facts about health, describes the reason for routine care activities, demonstrates
procedures such as home care activities, reinforces learning or patient behavior, and
evaluates the patient's progress in learning through return demonstration.
11). Which of the following internet resources available can assist consumers when comparing
quality care measures?
Ans: Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals' quality of
care and patient satisfaction. WebMD is an Internet source that is disease/condition
specific. The Magnet Recognition Program is a hospital-initiated recognition that
assesses quality of nursing care and patient safety.
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, 12). A patient in the emergency department has developed wheezing and shortness of breath.
the nurse gives the ordered medicated nebulizer treatment now and in 4 hours. which
standard of practice is performed?
Ans: Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
13). Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. which of the following are examples?
Ans: Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
14). 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?
Ans: Informatics.
Using decision support systems is one example of using informatics and gaining
competency in informatics.
15). * which statement made by a nurse shows that the nurse is engaging in an activity to help
cope with secondary traumatic stress and burnout?
Ans: "I am enjoying my quilting group that meets each week at my church."
Nurses experience secondary traumatic stress and burnout. Personal strategies to help
prevent or cope with secondary traumatic stress or burnout include healthy eating,
making time for yourself to pursue personal interests, getting plenty of sleep, and regular
exercise and relaxation.
16). * the nurse assesses the following risk factors for coronary artery disease (cad) in a
female patient. which factors are classified as genetic and physiological?
Ans: Mother died from CAD at age 48.
History of hypertension.
Elevated cholesterol level.
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