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
An older client with a history of lung disease is admitted to the hospital with shortness of breath and a productive cough. The client states, “I’ve been so nervous. I haven’t eaten all day.” What need should the nurse prioritize?
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Lack of oxygen
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Lack of nutrition
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Lack of support
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Lack of rest
Explanation
A. Lack of oxygen
According to Maslow’s hierarchy of needs, oxygenation is the highest physiological priority because it is essential for immediate survival. This client has shortness of breath and a productive cough with a known history of lung disease, which indicates impaired gas exchange. Before addressing nutrition, support, or rest, the nurse must ensure adequate oxygenation by assessing respiratory status, administering oxygen, and stabilizing breathing.
A nurse is caring for a client newly diagnosed with high blood pressure. The client says, “I know I need to take my medication, but I am worried about side effects.” Which component of the Health Belief Model is influencing the client’s behavior?
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Perceived barriers
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Perceived financial costs
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Perceived severity
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Perceived benefits
Explanation
A. Perceived barriers
Perceived barriers refer to an individual’s belief about the obstacles that may prevent them from taking action to improve their health. In this case, the client understands the need for medication but is hesitant because of fear of side effects. This fear is a barrier that interferes with adherence to treatment. The Health Belief Model emphasizes that perceived barriers strongly influence whether a person follows recommended health behaviors.
A nurse is updating meal options for children. Which strategy supports healthy eating habits?
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Offer larger portions of high-calorie foods.
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Incorporate more fruits and vegetables into meals.
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Increase the availability of sugary beverages.
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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.
A nurse is caring for a client who is beginning a fitness program to improve health. Which is the best statement for the nurse to make?
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"You should engage in muscle-strengthening activities at least 6 days a week."
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"You should alternate moderate-intensity and vigorous activity for 50 minutes each day."
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"You should perform 250 minutes of vigorous activity each week."
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"You should exercise at a moderate intensity for 150 minutes each week."
Explanation
D. "You should exercise at a moderate intensity for 150 minutes each week."
This recommendation aligns with the U.S. Department of Health and Human Services Physical Activity Guidelines for adults. Beginners benefit from engaging in 150 minutes per week of moderate-intensity aerobic activity, such as brisk walking or cycling, because it is safe, achievable, and supports cardiovascular health. This guideline is evidence-based and widely used for promoting health and disease prevention.
A nurse is educating a community group about the mission of Healthy People 2030. Which statement describes this mission?
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To reduce healthcare costs by 50% by 2030
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To promote the health and well-being of all
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To provide free healthcare to all citizens
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To eliminate chronic diseases by 2030
Explanation
Healthy People 2030 is a national initiative led by the U.S. Department of Health and Human Services (HHS). Its mission is to promote the health and well-being of all people by improving health outcomes, addressing health disparities, strengthening public health, and guiding evidence-based practice. It emphasizes prevention, equity, and helping individuals and communities achieve their highest level of health. The initiative sets goals and measurable objectives for the nation, focusing on improving quality of life, supporting healthy behaviors, and creating environments that allow people to thrive.
Which therapy is an example of complementary alternative medicine (CAM)?
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Transcutaneous electrical nerve stimulator (TENS) unit
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Acupuncture
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Hyperbaric oxygen therapy
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Patient Controlled Analgesia (PCA)
Explanation
B. Acupuncture
Acupuncture is a well-established form of complementary and alternative medicine (CAM). It involves inserting fine needles into specific points on the body to promote healing, reduce pain, and restore energy balance. It is used alongside conventional treatments to enhance comfort, improve well-being, and manage chronic conditions. Its focus on holistic energy pathways distinguishes it from traditional biomedical treatments.
A nurse is administering the Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) tool to a client. Which assessment questions are appropriate for the TAPS tool? Select all that apply.
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How often have you used tobacco or any other nicotine product?
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How often have you used any drugs, including marijuana?
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Have people annoyed you by criticizing your drinking?
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How often have you used a medication just for the feeling?
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Have you ever felt bad or guilty about your drinking?
Explanation
A. How often have you used tobacco or any other nicotine product?
The TAPS tool screens for tobacco and nicotine use because these products are commonly misused and contribute to long-term health risks. Asking about frequency of nicotine use directly aligns with the TAPS screening purpose. This question is appropriate because it identifies patterns of tobacco-related behaviors that may require further assessment or intervention.
B. How often have you used any drugs, including marijuana?
The TAPS tool specifically assesses illicit drug use, including marijuana, which remains a key component of substance-use screening. This question fits within the required domains of the TAPS tool and helps identify frequency, risk behaviors, and potential patterns associated with drug use. It is an essential part of comprehensive substance-use assessment.
D. How often have you used a medication just for the feeling?
The TAPS tool includes prescription medication misuse, making this question directly relevant. Misusing prescribed medications for their effects is a major risk factor for dependence and overdose. Asking about frequency of using medication “for the feeling” detects non-medical use, which the TAPS tool is designed to identify.
The nurse is observing a colleague and suspects they are experiencing compassion fatigue. Which observation validates the nurse's suspicion?
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Demonstrating excessive empathy
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Discussing strong intimate relationship
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Difficulty making clinical decisions
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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.
A client asks how therapeutic touch works. Which explanation by the nurse reflects an understanding of the therapy?
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"It can be used to promote relaxation and reduce anxiety in clients."
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"It manipulates the bones and joints to release blocked energy."
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"It requires the use of essential oils to activate energy centers."
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"It is only effective when performed by licensed massage therapists."
Explanation
Therapeutic touch is a complementary, energy-based therapy in which the practitioner works with the client’s energy field by holding their hands slightly above the body or using very light touch. The goal is to promote relaxation, reduce anxiety, decrease perception of pain, and support overall well-being. It does not require physical manipulation of muscles or joints, nor does it depend on tools like oils. It is based on the idea that balancing the client’s energy field can support the body’s natural healing processes and improve comfort.
Which of the following is an example of a Healthy People 2030 objective?
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Promote access to mental health services for underserved populations
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Encourage the removal of mental health services from school settings
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Decrease availability of crisis hotlines to limit overuse
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Discourage mental health screenings in older adults
Explanation
A. Promote access to mental health services for underserved populations
Healthy People 2030 emphasizes improving access to quality mental health care, reducing mental health disparities, and supporting early identification and treatment. Increasing availability of mental health services—especially for underserved populations—is a direct reflection of Healthy People 2030’s goals. It aligns with national objectives to enhance well-being, improve outcomes, and reduce barriers to mental health support.
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