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.
Which situation justifies the nurse entering the client’s intimate space?
- The nurse greets the client during rounds
- The nurse performs a physical assessment
- The nurse discusses discharge instructions
- The nurse asks about dietary preferences
Explanation
Correct Answer Is:
B. The nurse performs a physical assessmentExplanation
Intimate space is the area closest to a person and is typically reserved for physical contact. In nursing practice, entering this space is appropriate when performing a physical assessment, providing personal care, or conducting procedures that require close contact. The other situations can be handled within personal or social space and do not require entering the client’s intimate zone.
2. 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.
- Model professionalism and respectful communication in future interactions.
- Join the conversation to avoid being targeted.
- Report the behavior to the nurse manager.
- Assume the issue is for management to address.
- 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.
3.
The nurse is educating the caregiver of a toddler about healthy eating habits. Which should the nurse include in the teaching?
- Reward with sweets for finishing vegetables.
- Serve finger foods to satisfy their need for control.
- Offer large portion sizes to encourage full meals.
- Allow the toddler unlimited snacks throughout the day.
Explanation
Correct Answer Is:
B. Serve finger foods to satisfy their need for control.Explanation
Toddlers are in Erikson’s stage of autonomy versus shame and doubt and have a strong need for independence and control. Offering finger foods allows toddlers to feed themselves, promotes fine motor development, and supports autonomy while reducing mealtime power struggles. This approach encourages positive eating behaviors and helps toddlers develop healthy relationships with food. Using rewards, large portions, or unlimited snacks can interfere with appetite regulation and healthy eating habits.
4. A nurse is using Piaget's theory of cognitive development to implement nursing care. Which stage will the nurse use when teaching an adolescent client?
- A Formal operations
- B Post-conventional operations
- C Latent operations
- D Concrete operations
Explanation
In adolescence, individuals enter Piaget’s formal operational stage, where they develop the ability to think abstractly, reason logically, and consider hypothetical situations. This allows them to engage in complex problem-solving and understand long-term consequences, making this stage essential for planning age-appropriate teaching strategies for adolescent clients.
5. Which action should the nurse include?
- Encourage the client to perform strength and balance exercises.
- Recommend the client to wear socks around the house.
- Suggest the client keep the home dimly lit to avoid any glares.
- Advise the client to use throw rugs to prevent slipping.
Explanation
Encouraging strength and balance exercises, such as tai chi or light resistance training, helps improve muscle tone, coordination, and stability, reducing the risk of falls. Fall prevention programs that combine exercise with environmental safety measures are especially beneficial for older adults to maintain mobility and independence safely.
6. According to Piaget, what is a key characteristic of the sensorimotor period?
- Object permanence
- Abstract thinking
- Conservation
- 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.
7.
Review the transcribed phone call:
“This is Rachel, RN. I’m calling about Mr. Singh. He’s more confused than usual. He has dementia.”
What component of ISBAR is missing from this communication?
- Recommendation
- Background
- Situation
- Identity
Explanation
Correct Answer Is:
A. RecommendationExplanation
The nurse clearly provides Identity (“This is Rachel, RN”), the Situation (“He’s more confused than usual”), and relevant Background (“He has dementia”). However, the communication lacks a Recommendation, which is the part of ISBAR where the nurse states what action is needed, such as requesting an assessment, medication review, or further evaluation. Without a recommendation, the message does not clearly guide the next steps in patient care.
8. A nurse is planning health promotion education for a group of adolescent clients. Which information should the nurse plan to include?
- It is normal to have a significant fear of gaining weight.
- Iron intake should be decreased starting in adolescence.
- The recommendation is to sleep at least 8–10 hours per night.
- The pneumococcal meningitis vaccine is not safe during adolescence.
Explanation
Adolescents experience rapid physical growth, hormonal changes, and increased cognitive demands, making 8–10 hours of sleep per night essential for health and development. Adequate sleep supports mood stability, academic performance, immune function, and growth hormone regulation. Sleep deprivation in adolescence increases risks for obesity, depression, poor concentration, and accidents. Teaching healthy sleep habits helps adolescents balance academic, social, and extracurricular responsibilities while maintaining wellness.
9. Which 2 health conditions are commonly associated with obesity in school-aged children? Select two health conditions.
- A Diabetes
- B Kidney failure
- C Visual problems
- D Chicken pox
- E Hypertension
Explanation
A. Diabetes Obesity in school-aged children increases the risk of developing type 2 diabetes due to insulin resistance caused by excess body fat. Children with obesity often experience altered glucose metabolism, which can lead to persistently elevated blood glucose levels and early onset diabetes if not addressed with lifestyle modifications. E. Hypertension Excess body weight in children puts additional strain on the cardiovascular system, raising blood pressure. Childhood hypertension is increasingly linked to obesity and can contribute to long-term cardiovascular complications if not identified and managed early through healthy diet, physical activity, and routine screening.
10. Older adult clients are at increased risk for which condition?
- Autism Spectrum Disorder
- Cancer
- Kawasaki disease
- Clubfoot
Explanation
As individuals age, the risk of developing cancer increases due to cumulative exposure to carcinogens, decreased immune surveillance, and genetic mutations that accumulate over time. Aging cells are less effective at repairing DNA damage, which can lead to abnormal cell growth and malignancy. Common cancers in older adults include breast, prostate, colorectal, and lung cancer. Regular screenings and preventive health behaviors are essential to detect cancer early and improve outcomes.
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