NR 222 – Exam 3 (Week 8) at Chamberlain University
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Free NR 222 – Exam 3 (Week 8) at Chamberlain University Questions
1. A nurse is assessing an adolescent client for potential risk factors of injury. Which finding should the nurse prioritize?
- A. Sleep disturbances with loss of appetite
- B. Increased loneliness and sadness
- C. Risk-taking behaviors while driving
- D. Curiosity about sexual activities
Explanation
Risk-taking behaviors while driving, such as speeding, texting, or driving under the influence, pose an immediate threat to life and are the leading cause of death among adolescents. These actions require prompt intervention through education, counseling, and safety planning. While emotional and developmental factors like loneliness or curiosity are important, preventing injury and fatal outcomes from reckless driving takes priority in adolescent health assessment and nursing care.
2. An older adult client reports difficulty falling asleep in the hospital due to unfamiliar surroundings. Which action should the nurse take?
- A Keep the television on throughout the night for background noise.
- B Offer a warm beverage with caffeine before bedtime.
- C Encourage the client to nap frequently during the day.
- D Provide a familiar item from home, such as a blanket or pillow.
Explanation
Providing a familiar object from home helps reduce anxiety and improve comfort by creating a sense of familiarity in an unfamiliar environment. This can promote relaxation and support a healthy sleep routine for hospitalized older adults, who may be more vulnerable to sleep disturbances due to changes in routine and surroundings.
3. A community health nurse is planning to assess four clients. According to Erikson's theory, which client should the nurse see first?
- A. 11-year-old client who struggles with schoolwork and feels incompetent.
- B. 5-year-old client who invites other children to play on the playground.
- C. 32-year-old client who is actively seeking a partner using dating apps.
- D. 40-year-old client who parents two children and volunteers at their school.
Explanation
According to Erikson’s stage of Industry vs. Inferiority (ages 6–12), the primary developmental task is mastering skills and gaining a sense of competence through successful school and social experiences. A child who feels incompetent is at risk for developing inferiority, which can negatively affect self-esteem, motivation, and future achievement. The nurse should prioritize this client to address emotional distress, support learning strategies, and prevent long-term psychological impact.
4. A nurse is helping the client explore their feelings and problem-solve. Which phase of the therapeutic relationship does this represent?
- A. Pre-orientation phase
- B. Termination phase
- C. Working phase
- D. Orientation phase
Explanation
The working phase of the therapeutic relationship involves exploring feelings, promoting insight, and problem-solving to achieve client goals. During this phase, trust has already been established, allowing the nurse and client to work collaboratively toward behavior change, coping, and emotional growth. This is the most active and goal-directed part of the nurse-client relationship.
5.
What is the rationale for utilizing a team of members from diverse health disciplines to collaborate and provide perioperative care for a client?
- A. To improve client outcomes
- B. To honor a client’s request
- C. To meet the needs of the primary healthcare provider
- D. To continue with historical precedence
Explanation
Correct Answer Is:
A. To improve client outcomesExplanation
Using an interprofessional team in perioperative care brings together the expertise of nurses, surgeons, anesthesiologists, pharmacists, and other healthcare professionals. Collaboration allows for comprehensive assessment, coordinated planning, and timely interventions across all phases of care. This teamwork reduces errors, improves communication, enhances patient safety, and leads to better surgical outcomes, recovery, and overall quality of care.
6.
A nurse is conducting a class on infant safety in the home environment. Which safety precaution(s) should the nurse emphasize to the caregivers to help prevent injuries? Select all that apply.
- A. Avoid giving whole grapes to infants due to choking hazards.
- B. Place safety gates at the top and bottom of stairs to prevent falls.
- C. Place pillows and stuffed animals in the crib to ensure the infant's comfort.
- D. Install outlet covers on all unused electrical outlets within the infant's reach.
- E. Never leave the infant unattended in or near water, even for a moment.
Explanation
Correct Answer Is:
A. Avoid giving whole grapes to infants due to choking hazards.B. Place safety gates at the top and bottom of stairs to prevent falls.
D. Install outlet covers on all unused electrical outlets within the infant's reach.
E. Never leave the infant unattended in or near water, even for a moment.
Explanation
A. Avoid giving whole grapes to infants due to choking hazards.Whole grapes are a major choking risk for infants because their size, shape, and texture can easily obstruct the airway. Infants lack the chewing ability and airway control needed to safely manage foods like whole grapes. Caregivers should either avoid these foods entirely or cut them into very small, appropriate pieces to reduce choking risk.
B. Place safety gates at the top and bottom of stairs to prevent falls.
Infants and young children are at high risk for falls as they begin to crawl and walk. Installing safety gates at stairways helps prevent serious injuries such as head trauma or fractures. Falls are one of the leading causes of injury in infants, making stairway barriers an essential home safety measure.
D. Install outlet covers on all unused electrical outlets within the infant's reach.
Infants explore their environment by touching and inserting objects, which increases the risk of electrical shock. Outlet covers prevent infants from placing fingers or objects into electrical outlets. This simple intervention significantly reduces the risk of burns, shock, and other electrical injuries in the home.
E. Never leave the infant unattended in or near water, even for a moment.
Drowning can occur quickly and silently, even in small amounts of water such as bathtubs, buckets, or sinks. Infants lack the ability to protect their airway or escape danger. Constant supervision around water is critical, as even brief lapses can result in serious injury or death.
7. Which of the following is an example of lateral violence?
- A A nurse documents a client's refusal of care in the medical record.
- B A nurse reports a medication error to the supervisor.
- C A nurse delegates tasks to a nursing assistant.
- D A nurse withholds important shift information from a colleague.
Explanation
D. A nurse withholds important shift information from a colleague Lateral violence involves hostile, harmful, or undermining behavior among colleagues on the same level within the workplace. Withholding critical information intentionally compromises teamwork and patient safety. This behavior is a form of professional bullying that fosters a toxic environment, damages trust, and can lead to errors, stress, and poor staff morale.
8. A toddler is in which of Erikson's stages of development?
- A Intimacy vs. Isolation.
- B Initiative vs. Guilt.
- C Autonomy vs. Shame and Doubt.
- D Trust vs. Mistrust.
Explanation
C. Autonomy vs. Shame and Doubt Toddlers (ages 1–3 years) are in Erikson's stage of Autonomy vs. Shame and Doubt. During this stage, children begin to assert independence by making simple choices and performing tasks like dressing or feeding themselves. Supporting autonomy builds confidence, whereas over-criticism or control can lead to feelings of shame and self-doubt.
9.
Which behavior demonstrates a successful resolution of the Industry versus Inferiority stage?
- A. The client avoids difficult tasks.
- B. The client prefers imaginative play.
- C. The client expresses concern about appearance.
- D. The client completes a science project independently.
Explanation
Correct Answer Is:
D. The client completes a science project independently.Explanation
Erikson’s stage of industry versus inferiority occurs during school age (approximately 6–12 years). During this stage, children develop a sense of competence by learning, completing tasks, and mastering new skills. Successfully completing a science project independently reflects perseverance, problem-solving, and pride in accomplishment, which are key indicators of industry. Avoiding tasks reflects inferiority, imaginative play is typical of earlier stages, and concern about appearance aligns more with adolescence.
10. A nurse is caring for a 26-year-old client. Which basal metabolic index (BMI) is considered obese?
- A. BMI of
- B. BMI of 20
- C. BMI of 28
- D. BMI of 32
Explanation
A BMI of 32 falls within the obese range, which is defined as a BMI of 30 or greater according to the World Health Organization (WHO) classification. Obesity indicates excessive body fat accumulation that increases the risk for chronic conditions such as type 2 diabetes, hypertension, cardiovascular disease, and certain cancers. Identifying obesity allows nurses to provide targeted education on nutrition, exercise, and weight management strategies to promote health and reduce disease risk.
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