NR 222 Health and Wellness- EXAM 2 at Chamberlain University

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Free NR 222 Health and Wellness- EXAM 2 at Chamberlain University Questions

1. A nurse is implementing a care plan for a client with a terminal illness who requests information about palliative care options. What action should the nurse take?
  • Suggest the client explore curative treatment options.
  • Refrain from mentioning palliative care to avoid causing distress to the client.
  • Share information about palliative care options.
  • Encourage the client to consult with their health care provider for information.

Explanation

Sharing information about palliative care options demonstrates respect for the client’s right to make informed decisions regarding their care. Palliative care focuses on comfort, quality of life, and symptom management rather than curing disease. By providing accurate information, the nurse supports the client’s autonomy, promotes understanding, and helps the client make choices aligned with their values and goals. This action also fulfills the nurse’s ethical duty to advocate for patient-centered care and open communication.
2. A nurse is evaluating the quality of care provided in a healthcare facility. Which indicator aligns with the Institute of Medicine’s (IOM) domain of safety?
  • Timeliness of care delivery
  • Rate of hospital-acquired infections
  • Client satisfaction scores
  • Number of beds in the facility

Explanation

The Institute of Medicine (IOM) identifies safety as one of the six domains of healthcare quality, emphasizing the prevention of harm to patients during care delivery. The rate of hospital-acquired infections (HAIs) directly measures patient safety, as these infections indicate lapses in infection control practices and patient protection.
3.

Which of the following interventions can be appropriately applied by the nurse, after clarifying behaviors which the person is willing to change? Select all that apply.

  • Motivate using personalized messages.

  • Assess and offer resources to decrease barriers to change.

  • Implement compliance as a condition of continued care.

  • Assess and increase self-efficacy.

  • Enlist persons from the same culture to apply pressure for healthy choices.

Explanation

Correct Answers: a) Motivate using personalized messages, b) Assess and offer resources to decrease barriers to change, d) Assess and increase self-efficacy

Explanation of Correct Answers

a) Motivate using personalized messages

Personalized motivation makes health teaching more meaningful and directly relevant to the patient’s values and goals. When the nurse tailors the message to the individual, it increases the patient’s willingness and commitment to make lasting behavior changes.

b) Assess and offer resources to decrease barriers to change


Identifying and addressing barriers such as finances, transportation, or lack of information ensures the patient has the means to follow through. Providing support and resources empowers the patient and removes obstacles that could hinder progress.

d) Assess and increase self-efficacy


Self-efficacy, or confidence in one’s ability to succeed, is critical for long-term success. The nurse can encourage patients by teaching practical skills, providing reinforcement, and celebrating small achievements to build belief in their ability to sustain healthy behaviors.


4.

An internal impulse that causes a person to take action is:

  • Anxiety

  • Motivation

  • Adaptation

  • Compliance

Explanation

Correct Answer: b) Motivation

Explanation of Correct Answer

Motivation is the correct answer because it represents the internal drive that prompts an individual to act, learn, or change behavior. It is essential in health education since a motivated person is more likely to participate actively, retain information, and implement healthier choices. Motivation directs energy toward goals and sustains effort until those goals are achieved.


5.

The nurse completes an assessment of a client. What finding(s) are subjective data? Select all that apply.

 

  • The client says they feel nauseous

  • The client's blood pressure is 118/76

  • The client has a red rash on their arm

  • The client has sweat on their forehead

  • The client explains why they are scare

Explanation

Correct Answers: A The client says they feel nauseous. E The client explains why they are scared.

Explanation of Correct Answers

A The client says they feel nauseous.

This is subjective data because it comes directly from the client’s personal experience and cannot be observed or measured by the nurse. Only the client can describe how they feel internally, making it subjective information.

E The client explains why they are scared.

Feelings and emotions, such as fear, are subjective because they reflect the client’s personal perceptions and mental state. The nurse cannot objectively measure fear but must rely on the client’s verbal report, making this subjective data.


6.

The term referring to the sender's attitude toward the self, the message, and the listener is:

  • Denotative meaning

  • Metacommunication

  • Connotative meaning

  • Nonverbal communication

Explanation

Correct Answer: b) Metacommunication

Explanation of Correct Answer

Metacommunication (b) is correct because it refers to the underlying message or the attitude conveyed beyond the literal words spoken. It reflects the sender’s feelings, tone, body language, and relational stance toward the self, the message, and the listener. For example, a nurse might say “I’m fine” verbally, but with a tense posture or flat tone, the metacommunication reveals otherwise. It is the key to interpreting the true intent behind communication.


7. A nurse manager reports a staff nurse to the state board of nursing (BON) for demonstrating unsafe practice. Which action can the state’s BON take?
  • Require the nurse to complete additional education or training.
  • Ignore the incident if it is their first offense.
  • Allow the nurse to continue practicing without consequence.
  • Transfer the nurse to a different department.

Explanation

The state board of nursing (BON) is responsible for protecting the public by regulating nursing practice and ensuring nurses meet professional standards. When unsafe practice is reported, the BON investigates and may take corrective or disciplinary action. One possible outcome is requiring the nurse to complete additional education or training to correct deficiencies and ensure safe practice. Other potential actions include probation, suspension, or license revocation, depending on the severity of the violation.
8.

A nurse is caring for a client with kidney failure. Which assessment should the nurse conduct to determine the client's learning needs about dialysis?

  • Health care needs

  • Health literacy

  • Sources of client data

  • Goals of client needs

Explanation

Correct Answer: B Health literacy

Explanation of Correct Answer

Health literacy (B) refers to the client’s ability to obtain, process, and understand basic health information needed to make appropriate health decisions. By assessing health literacy, the nurse can determine how well the client comprehends dialysis-related information and instructions. This ensures teaching strategies are tailored to the client’s understanding level, improving self-care, adherence to treatment, and overall outcomes.


9.

A nurse is educating a new graduate nurse about accountability. Which information should the nurse include?

  • Accountability is supporting a particular client's desire

  • Accountability is protecting clients' personal health information.

  • Accountability is the ability to answer for one's actions

  • Accountability is the willingness to respect and adhere to one's professional obligations

Explanation

Correct Answer: C Accountability is the ability to answer for one's actions

Explanation of Correct Answer

Accountability in nursing means that a nurse is responsible and answerable for their own actions, decisions, and professional conduct. It ensures that the nurse can justify interventions and care provided, aligning practice with standards, policies, and ethical principles. By being accountable, the nurse builds trust with clients, colleagues, and the healthcare system while maintaining professional integrity and responsibility for safe, quality care.


10. Which action demonstrates the principle of beneficence in nursing practice?
  • Obtaining informed consent before a procedure.
  • Ensuring client privacy and confidentiality.
  • Respecting a client’s decision to refuse treatment.
  • Providing pain relief to a client in distress.

Explanation

The ethical principle of beneficence refers to taking actions that promote the well-being and best interests of the client. By providing pain relief to a client in distress, the nurse is actively working to reduce suffering and improve comfort. This principle emphasizes doing good, preventing harm, and helping clients achieve the best possible health outcomes through compassionate, evidence-based care.

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