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
Which action is an example of passive health promotion?
- Following healthy diet guidelines.
- Following recommended screening guidelines for colon cancer.
- Laws mandating the use of seatbelts in the car.
- Joining a drug addiction support group.
Explanation
C. Laws mandating the use of seatbelts in the car
Passive health promotion involves actions that protect health without requiring individuals to actively change their behaviors. Seatbelt laws are enforced at a community or governmental level and promote safety by requiring compliance, not by asking individuals to adopt new voluntary habits. This makes seatbelt legislation a clear example of passive health promotion.
A client is experiencing prolonged stress due to a chronic illness. According to the General Adaptation Syndrome (GAS), the client is in which stage?
- Recovery
- Alarm
- Exhaustion
- Resistance
Explanation
C. Exhaustion
In the exhaustion stage, the body has been exposed to a stressor for a prolonged period and its adaptive resources become depleted. Chronic illness creates ongoing physical and emotional strain, pushing the body beyond its ability to maintain long-term resistance. Clients may show fatigue, decreased immune function, mood changes, and reduced coping capacity. This stage reflects the breakdown of compensatory mechanisms caused by sustained stress.
A nurse provides education to a client who reports difficulty falling asleep and frequent awakenings during the night. Which client statement indicates that learning was effective?
- "I will remain in bed if I cannot sleep."
- "I will drink chamomile tea before bed."
- "I should exercise in the evenings."
- "I should take a long nap during the day."
Explanation
Chamomile tea is a mild, natural sleep aid that can help promote relaxation and improve sleep onset. It supports good sleep hygiene because it calms the nervous system without stimulants or disrupting nighttime rest. Using calming pre-bed routines helps reinforce healthy sleep patterns and makes it easier to fall asleep. This response demonstrates understanding of behaviors that improve sleep quality.
Which role does the nurse play in advancing the global health initiative?
- Working exclusively in the community hospitals.
- Focusing only on local communities.
- Collaborating with international organizations.
- Avoiding involvement in policymaking.
Explanation
C. Collaborating with international organizations
Nurses advance global health by partnering with international agencies such as the WHO, UNICEF, and global non-profits to address worldwide health issues. Through collaboration, nurses participate in disease prevention, health education, emergency response, and capacity building in underserved regions. This role aligns directly with global health initiatives, which require cross-border cooperation and shared strategies to improve global health outcomes and reduce disparities.
Nurses often work in stressful environments. Which of the following negative impacts of stress may occur?
- Low blood pressure
- Increased immune system
- Increased depression
- Low blood sugar
Explanation
C. Increased depression
Chronic stress disrupts neurotransmitter balance, increases cortisol levels, and exhausts emotional coping mechanisms. Over time, these physiological and psychological changes significantly raise the risk of depression. Nurses exposed to continuous stress may experience mood changes, decreased motivation, emotional fatigue, and feelings of hopelessness, all of which are linked to stress-induced depressive symptoms.
Which is an example of primordial prevention?
- Improving access to safe walking trails in urban areas to promote activities
- Educating an older adult about healthy eating habits
- Developing a to-do checklist routine for diabetic foot care
- Handing out flyers for free mammograms at a rural public fair
Explanation
A. Improving access to safe walking trails in urban areas to promote activities
Primordial prevention focuses on preventing the emergence of risk factors themselves, long before disease or behavioral risks appear. Creating environments that support healthy living—such as safe walking trails—reduces the likelihood that risk factors like inactivity, obesity, or high blood pressure will develop. This early, population-level action fits the definition of primordial prevention.
A client asks how therapeutic touch works. Which explanation by the nurse reflects an understanding of the therapy?
- "It can be used to promote relaxation and reduce anxiety in clients."
- "It manipulates the bones and joints to release blocked energy."
- "It requires the use of essential oils to activate energy centers."
- "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 parish nurse is helping a client who has been dealing with domestic violence (DV) at home. Considering Maslow's hierarchy of needs, which action should the nurse prioritize?
- Secure an apartment in a confidential location.
- Contract with an attorney for legal advice.
- Enroll the client in a support group for DV survivors.
- Purchase clothing items from the local thrift store.
Explanation
A. Secure an apartment in a confidential location
Maslow’s hierarchy of needs places physiological and safety needs at the foundation. For a DV survivor, the highest priority is immediate safety and protection from harm. Securing confidential housing removes the client from danger, stabilizes their environment, and establishes a foundation for all higher-level needs. Without physical safety, the client cannot effectively benefit from emotional support, legal assistance, or social resources.
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.
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.
- Complementary
- Alternative
- Primary
- 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.
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