NR 222 – Exam 3 (Week 8) at Chamberlain University
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Free NR 222 – Exam 3 (Week 8) at Chamberlain University Questions
An older adult client reports difficulty falling asleep in the hospital due to unfamiliar surroundings. Which action should the nurse take?
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A Keep the television on throughout the night for background noise.
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B Offer a warm beverage with caffeine before bedtime.
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C Encourage the client to nap frequently during the day.
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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.
Which is an essential component of establishing a therapeutic relationship with a client?
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Offer the client advice and solutions.
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Maintain a professional distance.
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Encourage dependency on the nurse.
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Demonstrate active listening and empathy.
Explanation
Establishing a therapeutic relationship requires active listening and empathy, which help build trust, respect, and open communication. Active listening ensures the nurse fully understands the client’s feelings and concerns, while empathy allows the nurse to convey genuine understanding and compassion. These skills promote emotional safety and help clients feel valued, fostering collaboration and participation in their care plan.
What does the "S" in the SURETY model stand for in therapeutic communication?
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Speak softly to the client
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Sit at an angle facing the client
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Stand close to the client
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Smile genuinely at the client
Explanation
In the SURETY model of therapeutic communication, the “S” stands for Sit at an angle facing the client. This posture conveys openness and attentiveness without appearing confrontational. Sitting at an angle fosters comfort, encourages dialogue, and demonstrates the nurse’s active engagement in the interaction, helping build trust and rapport with the client.
A nurse recommends the human papillomavirus (HPV) vaccine to an adolescent. What is the primary reason?
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To protect against cervical cancer
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To reduce the risk for genital herpes
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To treat an existing HPV infection
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To boost immunity against all viruses
Explanation
Correct Answer Is:
A. To protect against cervical cancerExplanation
The primary purpose of the HPV vaccine is to prevent infection with high-risk strains of human papillomavirus that are strongly associated with cervical cancer and other anogenital and oropharyngeal cancers. The vaccine is most effective when given during adolescence, before exposure to HPV through sexual contact. It is a preventive measure, not a treatment, and does not protect against other viruses or sexually transmitted infections such as herpes.Which 2 health conditions are commonly associated with obesity in school-aged children? Select two health conditions.
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A Diabetes
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B Kidney failure
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C Visual problems
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D Chicken pox
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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.
A nurse is providing discharge teaching to a 40-year-old client. According to Erikson, which psychosocial task is most relevant for this client's age group?
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Generativity vs. Stagnation
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Initiative vs. Guilt
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Trust vs. Mistrust
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Intimacy vs. Isolation
Explanation
According to Erikson’s psychosocial theory, individuals aged 40 to 65 years are in the stage of Generativity vs. Stagnation. During this period, adults focus on contributing to society through meaningful work, parenting, mentoring, or community involvement. Successfully achieving generativity leads to feelings of accomplishment and purpose. Failure to do so can result in stagnation, where individuals feel unproductive, disconnected, and lacking contribution to the next generation.
A nurse enters a client's room to ask them questions about their medical history. Which level of communication is the nurse using?
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A Electronic communication
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B Small group communication
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C Interpersonal communication
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D Intrapersonal communication
Explanation
C. Interpersonal communication Interpersonal communication refers to direct, face-to-face interaction between two or more individuals. In this scenario, the nurse is speaking directly with the client to gather information, which makes it interpersonal communication. This form of communication is essential in nursing to develop trust, collect accurate data, and provide compassionate patient care.
A nurse is caring for a 5-year-old client who is frequently scolded for trying to dress themselves. According to Erikson's stages of psychosocial development, what is the likely outcome if this behavior continues?
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The client will develop feelings of inferiority.
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The client will develop a sense of despair.
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The client will develop feelings of mistrust.
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The client will develop feelings of guilt.
Explanation
According to Erikson, children aged 3–6 years are in the initiative vs. guilt stage. During this phase, they develop initiative by exploring their environment and asserting independence, such as dressing themselves. If efforts are punished or criticized, the child may internalize guilt and hesitation, feeling that their attempts at autonomy are wrong, which can inhibit confidence and initiative in later stages of development.
Which communication technique is considered non-therapeutic?
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Active listening
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Asking for explanations
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Validation
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Clarifying
Explanation
Asking for explanations, such as “Why did you do that?”, is non-therapeutic because it can sound judgmental and make clients defensive. This technique shifts focus away from understanding the client’s feelings and instead implies that their behavior requires justification. Therapeutic communication encourages open dialogue through empathy and nonjudgmental inquiry, helping clients express their thoughts freely.
Why should a nurse share their name, qualifications, and experience when first meeting a client?
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It helps the client understand the procedure being performed.
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It ensures the client knows when they will be discharged.
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It allows the client to ask questions about their medication.
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It builds trust and establishes professional credibility.
Explanation
Correct Answer Is:
D. It builds trust and establishes professional credibility.Explanation
Sharing name, qualifications, and experience helps establish a professional nurse–client relationship from the start. It reassures the client that the nurse is competent and qualified to provide care, which reduces anxiety and promotes openness. This introduction fosters trust, clarifies the nurse’s role, and encourages effective communication, all of which are essential for safe, respectful, and patient-centered nursing care.How to Order
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