NR 222 Health and Wellness- EXAM 1 at Chamberlain University
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Free NR 222 Health and Wellness- EXAM 1 at Chamberlain University Questions
A client experiencing increased stress begins taking a prescribed medication as well as attending a free yoga class in the park. This client is using _____ therapy.
- Complementary
- Alternative
- Curative
- Primary
Explanation
Complementary therapy refers to using a non-medical treatment along with conventional medical care. This client continues taking a prescribed medication while adding stress-reducing yoga classes. Yoga enhances relaxation, lowers anxiety, and supports the effects of medical therapy without replacing it. Because both methods are used together, the combination clearly represents complementary therapy rather than alternative or curative approaches.
The nurse is observing a colleague and suspects they are experiencing compassion fatigue. Which observation validates the nurse's suspicion?
- Demonstrating excessive empathy
- Discussing strong intimate relationship
- Difficulty making clinical decisions
- Rarely uses available sick days
Explanation
C. Difficulty making clinical decisions
Compassion fatigue develops when a caregiver becomes emotionally exhausted from prolonged exposure to others’ suffering. One hallmark sign is impaired clinical judgment, where the nurse struggles to think clearly, prioritize care, or make decisions effectively. Cognitive fatigue, decreased concentration, and mental overload are well-documented symptoms that often appear when compassion fatigue affects job performance.
Which Affordable Care Act (ACA) program links reimbursement to clinical outcomes and client satisfaction with the care received?
- Hospital Readmission Reduction Program
- Hospital-Acquired Condition Reduction Program
- Bundled Payments for Care Improvement
- Hospital Value-Based Purchasing Program
Explanation
The Hospital Value-Based Purchasing (VBP) Program directly ties Medicare reimbursement to both clinical outcomes and patient satisfaction scores (HCAHPS). Hospitals are rewarded for delivering high-quality, patient-centered care and penalized when outcomes or satisfaction fall below national benchmarks. This program was designed to improve overall healthcare quality by financially incentivizing better performance in safety, effectiveness, patient experience, and efficiency.
A nurse is updating meal options for children. Which strategy supports healthy eating habits?
- Offer larger portions of high-calorie foods.
- Incorporate more fruits and vegetables into meals.
- Increase the availability of sugary beverages.
- Reduce the variety of meal options to limit choices.
Explanation
B. Incorporate more fruits and vegetables into meals
Adding more fruits and vegetables supports children’s nutrition by increasing fiber, vitamins, and minerals while reducing intake of excess calories, sugar, and unhealthy fats. Fruits and vegetables promote healthy growth, prevent obesity, and support long-term wellness habits. This strategy aligns with evidence-based dietary guidelines that prioritize balanced meals and nutrient-dense foods for children.
The public health nurse is discussing the factors that influence health with a group of staff nurses. Which factor mentioned by the staff nurses suggests the need for further education?
- Genetic makeup
- Mental health issues
- Lifestyle choices
- Size of home
Explanation
D. Size of home
While housing quality and safety can influence health, the size of a home alone is not considered a core determinant of health. Determinants include genetics, mental health, lifestyle behaviors, environment, socioeconomic status, and access to care. Simply having a larger or smaller home does not directly impact health outcomes. This response shows a misunderstanding and indicates the need for further education.
A school nurse is creating an educational pamphlet for the caregivers of adolescents about how to recognize those impacted by substance use disorders. Which suspicious behavior(s) should the school nurse include in the pamphlet? Select all that apply.
- Poor coordination
- Problems thinking clearly
- Suicidal thoughts
- Strong friendships
- Agitation
Explanation
A. Poor coordination
Substance use affects the central nervous system, often resulting in impaired motor control, slowed reflexes, stumbling, or difficulty with balance. These changes may appear suddenly or intermittently. Caregivers observing clumsiness or noticeable changes in coordination should consider substance use as a possible contributing factor and monitor the adolescent for other warning signs.
B. Problems thinking clearly
Substance use interferes with cognitive functioning, leading to confusion, trouble concentrating, poor judgment, and difficulty completing tasks. Adolescents may appear distracted, forgetful, or mentally “foggy.” This cognitive decline is a hallmark sign of intoxication, withdrawal, or chronic substance misuse and is an important behavior for caregivers to recognize.
C. Suicidal thoughts
Substance use significantly increases the risk of depression and suicidal ideation. Mood-altering substances impair emotional regulation and decision-making, making adolescents more vulnerable to self-harm. Suicidal thoughts or statements should always be taken seriously, as they indicate a high-risk situation requiring immediate mental health intervention and safety assessment.
E. Agitation
Many substances—particularly stimulants or withdrawal from depressants—can cause restlessness, irritability, and agitation. Sudden mood swings, anger outbursts, or heightened anxiety may signal substance-related changes in brain chemistry. Persistent agitation is a concerning behavioral shift that caregivers should monitor closely in adolescents.
The nurse is planning a community action program to promote a tobacco-free lifestyle among adolescents. Which strategy will be effective?
- Create local media campaigns to counter tobacco products.
- Host a community event where tobacco companies can advertise all products.
- Ask local markets to reduce the cost of tobacco products.
- Allow tobacco companies to promote their products in youth community centers.
Explanation
Local media campaigns aimed at adolescents are proven, evidence-based strategies for reducing youth tobacco use. These campaigns challenge misleading marketing, educate young people on the harms of nicotine, and promote healthy alternatives. By shaping positive attitudes and correcting misconceptions, media efforts reduce the likelihood of experimentation and long-term addiction. Public health programs consistently show that counter-advertising is one of the most effective tools for preventing adolescent tobacco initiation.
A nurse is preparing a presentation on health and illness. Which example best demonstrates illness?
- A client known to have problems with recalling events
- A client with laboratory results indicating elevated potassium
- A client with seasonal allergies controlled with medication
- A client currently reporting severe abdominal pain
Explanation
D. A client currently reporting severe abdominal pain
Illness is the subjective experience of feeling unwell. It reflects how a person perceives and responds to physical or emotional discomfort. Severe abdominal pain is a clear, active, subjective experience of illness because the client feels and reports distress. Even without a diagnosis, the client’s perceived suffering represents illness in nursing concepts.
A nurse is caring for a postoperative client who is unable to sleep and refusing to see their partner. The client states, “I’m feeling anxious.” Using Maslow’s hierarchy of needs, which area should the nurse prioritize when planning care for the client?
- Anxiousness
- Refusal to see partner
- Inability to sleep
- Wound care
Explanation
Maslow’s hierarchy places physiological needs at the highest priority because they are essential for survival. For a postoperative client, wound care directly affects breathing, circulation, infection prevention, and healing—all critical physiological needs. Addressing wound care reduces complications, supports recovery, and stabilizes the client before addressing emotional or social needs. Maslow instructs nurses to ensure physical safety and biological integrity before treating anxiety or relationship concerns.
The nurse is developing a care plan to meet a client’s basic physiological needs. The nurse consults with ______ to assist with obtaining food, housing, and financial resources.
- Employment services
- Mental health services
- Social services
- Recreational services
Explanation
C. Social services
Social services directly assist clients in meeting basic physiological needs, including access to food programs, emergency housing, rental assistance, transportation support, and financial aid. These resources are essential for survival and recovery. When a nurse identifies unmet basic needs that jeopardize the client’s health, social services is the department equipped to provide immediate, practical support to stabilize the client’s living conditions and promote overall well-being.
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