NR 222 Health and Wellness- EXAM 1
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Free NR 222 Health and Wellness- EXAM 1 Questions
Which of the following is an example of a Healthy People 2030 objective?
- A. Promote access to mental health services for underserved populations
- B. Encourage the removal of mental health services from school settings
- C. Decrease availability of crisis hotlines to limit overuse
- D. 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.
The nurse is observing a colleague and suspects they are experiencing compassion fatigue. Which observation validates the nurse's suspicion?
- A. Demonstrating excessive empathy
- B. Discussing strong intimate relationship
- C. Difficulty making clinical decisions
- D. 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 type of therapy is nurse-initiated and does not require formal training?
- A. Therapeutic touch
- B. Acupuncture
- C. Relaxation
- D. Biofeedback
Explanation
C. Relaxation
Relaxation techniques—such as deep breathing, guided imagery, progressive muscle relaxation, and calming environment strategies—are nurse-initiated interventions that require no formal certification. Nurses commonly use these methods to reduce stress, lower anxiety, and promote comfort. These interventions fall within independent nursing practice and can be safely implemented without specialized training or equipment.
Which complementary therapy is often used to reduce stress and promote relaxation through touch?
- A. Chiropractic therapy
- B. Massage therapy
- C. Herbal medicine
- D. Biofeedback
Explanation
Massage therapy is a complementary treatment that uses structured, therapeutic touch to promote relaxation, reduce stress, ease muscle tension, improve circulation, and support overall well-being. It works by manipulating soft tissues—muscles, tendons, and ligaments—stimulating the parasympathetic nervous system and lowering stress hormones like cortisol. Massage is one of the most widely recognized touch-based therapies and is frequently recommended for anxiety reduction, stress relief, and pain management.
A client asks how therapeutic touch works. Which explanation by the nurse reflects an understanding of the therapy?
- A. "It can be used to promote relaxation and reduce anxiety in clients."
- B. "It manipulates the bones and joints to release blocked energy."
- C. "It requires the use of essential oils to activate energy centers."
- D. "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.
A client was recently diagnosed with high cholesterol and decides to decline medication and take garlic instead to lower cholesterol. This client is using _____ therapy.
- A. Complementary
- B. Alternative
- C. Primary
- D. Supportive
Explanation
Alternative therapy is used when a client chooses a non-medical treatment instead of a conventional recommended therapy. In this case, the client declines prescribed cholesterol medication and chooses garlic supplements as the sole treatment. This directly replaces the standard medical approach, making it alternative rather than complementary or supportive. Alternative therapies substitute for traditional medical interventions rather than enhance them.
A nurse is prioritizing care for several clients on a busy hospital unit. Based on Maslow's hierarchy of needs, which client should the nurse attend to first?
- A. A client who is anxious about an upcoming surgery and requests emotional support.
- B. A client who is complaining of severe pain and requests pain medication.
- C. A client who is requesting information about financial assistance for their medical bills.
- D. A client who is feeling very lonely and asks to speak with someone.
Explanation
B. A client who is complaining of severe pain and requests pain medication
Pain relief falls under physiological needs, the highest priority in Maslow’s hierarchy. Uncontrolled pain can impair breathing, circulation, mobility, sleep, and healing. Addressing severe pain is essential to stabilize the client and restore basic functioning. Because physiological needs must be met before emotional, social, or financial needs, this client requires immediate attention to prevent further harm and support recovery.
A nurse is planning a community health initiative. Which activity facilitates active health promotion among local residents?
- A. Implement policy on clean water
- B. Organize a weekly walking group for seniors
- C. Enforce a city-wide smoking ban
- D. Encourage clients to drink vitamin D–fortified milk
Explanation
B. Organize a weekly walking group for seniors
Active health promotion involves engaging people directly in behaviors that improve their health. A weekly walking group requires active participation, encourages physical activity, builds social support, and promotes long-term wellness habits. This aligns with primary prevention strategies that empower community members to take ownership of their health through consistent, healthy actions.
A nurse suspects that a client may have a substance use disorder. Which combination of assessment findings best supports this suspicion?
- A. Agitation and seizures
- B. Steady gait and migraines
- C. Elevated blood pressure and panic attacks
- D. Steady gait and panic attacks
Explanation
Agitation and seizures together strongly suggest possible substance use disorder, particularly during withdrawal from alcohol, benzodiazepines, or stimulants. Agitation reflects central nervous system hyperactivity, while seizures indicate significant neurological instability. When both symptoms appear simultaneously, they are highly concerning and warrant immediate evaluation for substance-related causes.
A nurse is educating a client about health risks. Which of the following is an example of a modifiable health risk?
- A. Female gender
- B. Current age
- C. Sedentary lifestyle
- D. Family history of hypertension
Explanation
C. Sedentary lifestyle
A sedentary lifestyle is a modifiable risk factor because individuals can change it through increased physical activity. Regular exercise helps reduce the risk of chronic diseases such as diabetes, hypertension, obesity, and heart disease. Unlike genetic or age-related risks, physical activity behaviors can be altered with education, motivation, and support, making this a clear example of a modifiable health risk.
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