NR 222 – Exam 3 (Week 8) at Chamberlain University
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Free NR 222 – Exam 3 (Week 8) at Chamberlain University Questions
A nurse is planning care for young-adult clients. Which information should the nurse consider when planning care?
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Young adults focus on being active and tend not to seek primary care prevention causing health risks in later years.
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Young adults tend to suffer more somatic symptoms and self-medicate.
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Young adults focus on self-care and have a decreased risk for chronic illness.
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Young adults often grow out of substance abuse behaviors from their adolescent years.
Explanation
Correct Answer Is:
A. Young adults focus on being active and tend not to seek primary care prevention causing health risks in later years.Explanation
Young adults generally perceive themselves as healthy and often prioritize work, social life, and independence over preventive healthcare. As a result, they may delay routine screenings, immunizations, and wellness visits. This lack of preventive care can increase the risk of undetected conditions and contribute to health problems later in life. Nurses should emphasize health promotion, routine checkups, and risk-reduction behaviors when planning care for this population.A nurse is establishing a therapeutic relationship with a newly admitted client. Which action should the nurse take to demonstrate appropriate use of therapeutic boundaries?
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Prioritize the client’s needs over the nurse’s own
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Share personal beliefs to guide the client’s choices
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Accept gifts of significant value from the client
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Give advice to help the client make decisions
Explanation
Correct Answer Is:
A. Prioritize the client’s needs over the nurse’s ownExplanation
Therapeutic boundaries are professional limits that ensure the nurse–client relationship remains focused on the client’s well-being. Prioritizing the client’s needs over the nurse’s personal needs demonstrates professionalism, respect, and ethical practice. This approach supports trust, safety, and client-centered care. Sharing personal beliefs, accepting valuable gifts, or giving direct advice can blur professional boundaries, create dependency, or shift focus away from the client’s autonomy and therapeutic goals.Which nurse statement is an example of sharing observations?
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“I understand how you feel.”
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“You seem anxious today.”
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“Can you describe your pain for me?”
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“Why do you think you feel this way?”
Explanation
Correct Answer Is:
B. “You seem anxious today.”Explanation
Sharing observations involves the nurse objectively stating what they notice about a client’s behavior, appearance, or affect. Saying “You seem anxious today” reflects an observed emotional state without judgment and invites the client to confirm or clarify their feelings. The other options represent empathy, questioning, or probing rather than sharing an observation.What is the definition of false reassurance in communication?
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Providing emotional support through active listening
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Encouraging the client to express feelings
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Offering comfort without factual basis
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Clarifying client concerns with open-ended questions
Explanation
False reassurance occurs when a nurse offers comfort or positive statements without evidence or reality-based support, such as saying, “Everything will be fine.” This minimizes the client’s feelings, discourages open communication, and can lead to mistrust. Effective therapeutic communication instead involves acknowledging concerns honestly and providing realistic information while offering emotional support.
Which of the following is an example of lateral violence?
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A A nurse documents a client's refusal of care in the medical record.
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B A nurse reports a medication error to the supervisor.
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C A nurse delegates tasks to a nursing assistant.
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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.
According to Piaget, what is a key characteristic of the sensorimotor period?
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Object permanence
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Abstract thinking
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Conservation
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Egocentrism
Explanation
During the sensorimotor period (birth to about 2 years), infants learn about the world through sensory experiences and motor actions. A major milestone of this stage is the development of object permanence—the understanding that objects continue to exist even when they cannot be seen, heard, or touched. This marks the beginning of memory and cognitive representation, showing the infant’s ability to form mental images of objects and events.
Which of the following describes the focus of moral reasoning at the Conventional level in Kohlberg's theory?
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Obedience to authority
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Personal interest
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Universal ethical principles
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Social approval
Explanation
The nurse is providing education to the caregivers of a toddler. What action should the nurse take to support the toddler's autonomy?
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Punish the toddler for making poor choices.
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Make all decisions for the toddler to ensure their safety.
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Limit the toddler's choices to prevent mistakes.
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Allow the toddler to experience consequences of their decisions.
Explanation
Supporting autonomy during the toddler stage (Erikson’s stage of Autonomy vs. Shame and Doubt) involves encouraging independence and decision-making within safe limits. Allowing toddlers to experience natural consequences helps them learn responsibility, build confidence, and develop self-control. For instance, if a toddler refuses to wear a coat and feels cold, they learn from the experience without punitive measures. This fosters self-efficacy and healthy emotional development.
A nurse overhears two colleagues making fun of a new nurse's charting during lunch. What action(s) should the nurse take? Select all that apply.
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Model professionalism and respectful communication in future interactions.
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Join the conversation to avoid being targeted.
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Report the behavior to the nurse manager.
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Assume the issue is for management to address.
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Support the new nurse by reviewing documentation standards together.
Explanation
A. Model professionalism and respectful communication in future interactions: Demonstrating professionalism reinforces a respectful workplace culture and sets a behavioral example for others. The nurse’s actions can influence peers to follow ethical communication standards and discourage bullying or gossip. C. Report the behavior to the nurse manager Workplace bullying and gossip undermine teamwork and morale. Reporting the behavior ensures management can address it formally, fostering accountability and a healthy work environment. It aligns with the nurse’s ethical responsibility to promote professional conduct and patient safety. E. Support the new nurse by reviewing documentation standards together Providing guidance helps the new nurse build confidence and competence, reducing the risk of further ridicule. Constructive mentorship demonstrates empathy and commitment to a supportive learning culture within the team.
During a client education session, which strategy should the nurse use to promote therapeutic communication?
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Use frequent hand gestures to increase client understanding.
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Use clarification to ensure understanding of the message.
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Give the client advice to help solve their problems.
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Hold and maintain continuous eye contact.
Explanation
Clarification is a key therapeutic communication technique that ensures both the nurse and client share an accurate understanding of the message. It promotes trust, prevents miscommunication, and encourages clients to express their thoughts more clearly. This approach helps the nurse verify meaning and demonstrate active listening during client education sessions.
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