Chamberlain university W8 NR222 Health and Wellness Exam 3

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Free Chamberlain university W8 NR222 Health and Wellness Exam 3 Questions

1.

The nurse is preparing to start the shift and needs to identify the correct phase for each nurse action. Select the phase (A, B, C, or D) that corresponds to each nurse action.

Nurse Actions:

  • Plan how to approach a non-verbal pediatric client
  • Reinforce progress toward mobility goals
  • Encourage follow-up with outpatient services
  • Introduce self and explain role to the client

Options:

A) Pre-interaction phase
B) Orientation phase
C) Working phase
D) Termination phase

  • Pre-interaction phase
  • Orientation phase
  • Working phase
  • Termination phase

Explanation

Answers:
  • Plan how to approach a non-verbal pediatric client
    Answer:
    A) Pre-interaction phase
    Explanation: This action involves planning and preparing for the interaction before meeting the patient, which is part of the pre-interaction phase.
  • Reinforce progress toward mobility goals
    Answer:
    C) Working phase
    Explanation: This occurs during the working phase, where the nurse and patient work together toward achieving goals.
  • Encourage follow-up with outpatient services
    Answer:
    D) Termination phase
    Explanation: The termination phase involves helping the patient transition to ongoing care, including encouraging follow-up services.
  • Introduce self and explain role to the client
    Answer: B) Orientation phase
    Explanation:
    In the orientation phase, the nurse introduces themselves and explains their role to the patient, setting the foundation for the relationship.
2.

What does the "P" in SPICES represent?

  • Physical activity
  • Pressure injuries
  • Problems with eating
  • Pain management

Explanation

Explanation
Correct Answer: B) Pressure injuries
SPICES is a geriatric assessment framework used to identify common syndromes in older adults. Each letter represents a key area of concern: S - Sleep disorders, P - Problems with eating or feeding, I - Incontinence, C - Confusion, E - Evidence of falls, S - Skin breakdown (pressure injuries). Based on this framework, "P" stands for Problems with eating, however in some versions of the SPICES tool, "P" is specifically designated for Pressure injuries/skin breakdown. The selected answer of B) Pressure injuries reflects the version being used in this course.
3.

During a follow-up visit, an adolescent client expresses concerns about their privacy. How should the nurse respond?

  • "I will make sure your parents know everything you tell me."
  • "It's important to share everything with your parents for your safety."
  • "Your privacy is important to us. Tell me what concerns you have."
  • "You shouldn't worry about privacy; just tell me what's wrong."

Explanation

Explanation
Correct Answer: C) "Your privacy is important to us. Tell me what concerns you have."
Adolescents have a developmental need for autonomy and confidentiality, and addressing their privacy concerns directly builds therapeutic trust. This response validates the adolescent's feelings, reassures them that their privacy is respected, and opens the door for further communication. Options A and B undermine confidentiality and would likely discourage the adolescent from sharing sensitive information. Option D dismisses the client's concerns, which is non-therapeutic and could damage the nurse-client relationship. Establishing trust and confidentiality is essential to effective adolescent healthcare.
4.

A nurse is developing a care plan for an adolescent who is struggling with role confusion. Which goal(s) should the nurse include in the plan of care? Select all that apply.

  • The adolescent will develop a plan for future career goals.
  • The adolescent will identify personal strengths and interests.
  • The adolescent will rely solely on family for support.
  • The adolescent will focus on academic achievement to define identity.
  • The adolescent will avoid social interactions to focus on self-reflection.

Explanation

Explanation
Correct Answer: A) The adolescent will develop a plan for future career goals and B) The adolescent will identify personal strengths and interests.
According to Erikson's stage of Identity vs. Role Confusion, the primary developmental task of adolescence is forming a stable sense of self. Appropriate goals include exploring career directions and identifying personal strengths and interests, both of which support identity formation. Relying solely on family limits healthy individuation. Defining identity through academics alone is too narrow and does not address the full scope of identity development. Avoiding social interactions is counterproductive, as peer relationships are critical to identity formation during adolescence.
5.

Which developmental characteristic of school-aged clients contributes to injury risk?

  • Inability to understand basic safety rules
  • Lack of interest in physical activity
  • Increased participation in organized sports
  • Limited curiosity about surroundings

Explanation

Explanation:
Correct Answer: C) Increased participation in organized sports
School-aged children (ages 6–12) are developmentally characterized by increased physical activity, competitiveness, and participation in organized sports and recreational activities. This increased engagement in sports and physical play directly elevates their risk for musculoskeletal injuries, fractures, and head injuries. School-aged children actually do understand basic safety rules and have high curiosity about their surroundings — making options A and D incorrect. Lack of interest in physical activity is the opposite of what characterizes this age group, making B incorrect as well.
6.

Which routine screening is recommended for older adults to detect colorectal cancer?

  • Mammogram
  • CT scan of the abdomen
  • Colonoscopy
  • Electrocardiogram

Explanation

Explanation
Correct Answer: C) Colonoscopy
Colonoscopy is the gold standard routine screening tool for colorectal cancer detection in older adults. Current guidelines recommend screening beginning at age 45–50, with colonoscopy performed every 10 years if results are normal. It allows direct visualization of the entire colon and simultaneous removal of precancerous polyps. Mammograms screen for breast cancer, CT scans of the abdomen are not a routine colorectal screening tool, and electrocardiograms assess cardiac function — none of which are appropriate for colorectal cancer screening.
7.

A nurse observes a toddler playing in a pediatric unit. Which behavior demonstrates parallel play?

  • Watching another child play without joining in.
  • Sharing crayons and coloring on the same paper.
  • Playing with a toy beside another child who is coloring.
  • Pretending to cook together with another child.

Explanation

Explanation
Correct Answer: C) Playing with a toy beside another child who is coloring. Parallel play is characteristic of toddlers (ages 1–3) and involves playing alongside but not directly with another child, using similar or different toys without interaction or cooperation. Option A describes onlooker play, where a child observes but does not participate. Option B describes cooperative play involving sharing and collaboration. Option D describes associative or cooperative play with a shared imaginative theme. Only option C correctly captures parallel play — being physically near another child while engaged in independent, separate activity.
8.

What is the best strategy to prevent poisoning in infants?

  • Use child-resistant caps on all medications.
  • Keep cleaning products in their original containers.
  • Lock all toxic substances in a secure cabinet.
  • Store medications in a high cabinet.

Explanation

Explanation:
Correct Answer: C) Lock all toxic substances in a secure cabinet.
Locking all toxic substances in a secure cabinet is the most comprehensive and effective strategy to prevent poisoning in infants and young children. While child-resistant caps, original containers, and high storage are all helpful measures, they are not foolproof — caps can be left off, high cabinets can be climbed, and original containers can still be accessed. A locked cabinet provides the highest level of security by completely eliminating access to toxic substances, making it the single best preventive strategy.
9.

Using the SPICES framework, which of the following should the nurse assess in an older adult client? Select all that apply.

  • Vaccination status
  • Skin breakdown
  • Confusion
  • Incontinence
  • Sleep disorders

Explanation

Explanation
Correct Answer: B) Skin breakdown, C) Confusion, D) Incontinence, and E) Sleep disorders
The SPICES framework is a geriatric assessment tool used to identify common syndromes in older adults. Each letter represents a key area: S - Sleep disorders, P - Problems with eating or feeding, I - Incontinence, C - Confusion, E - Evidence of falls, S - Skin breakdown. Therefore, skin breakdown, confusion, incontinence, and sleep disorders are all components of the SPICES framework and should be assessed. Vaccination status, while important in older adult care, is not part of the SPICES framework and is therefore not a correct answer for this question.
10.

A nurse provides care to a preschool-aged client. For each potential activity, click to specify whether the activity is appropriate or not appropriate.

  • Playing board games with strict rules
  • Playing dress-up
  • Putting together a puzzle with large pieces
  • Painting with washable paints

Explanation

Explanation:
Not Appropriate A) Playing board games with strict rules
Preschool-aged children typically do not have the cognitive or attention span to follow strict rules in board games. At this stage, their play is more about creativity and exploration rather than structured game play.
Appropriate B,C,D
B) Playing dress-up
Playing dress-up is an ideal activity for preschoolers. It promotes imaginative play, enhances social skills, and allows for self-expression as children act out different roles and scenarios.
C) Putting together a puzzle with large pieces
Puzzles with large pieces are well-suited for preschoolers. This activity helps develop fine motor skills, hand-eye coordination, and problem-solving abilities as children figure out how pieces fit together.
D) Painting with washable paints
Painting with washable paints is a safe and creative activity for preschoolers. It encourages artistic expression, helps with fine motor development, and is easy to clean up, making it a good choice for this age group.

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