NR 222 Health and Wellness- EXAM 2
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Free NR 222 Health and Wellness- EXAM 2 Questions
A nurse is caring for an adolescent client who states their family includes their parents, aunt, and uncle. How should the nurse describe this type of family?
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Alternative Family
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Extended Family
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Blended Family
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Nuclear Family
Explanation
Correct Answer: B Extended Family
Explanation of Correct Answer
An extended family (B) includes not only the parents and their children but also other relatives such as grandparents, aunts, uncles, or cousins who live together or play a significant role in the household. In this case, the adolescent identifies both parents and an aunt and uncle as part of the family, making it an extended family. A nuclear family is limited to parents and children, while blended and alternative families reflect other structures.
A nurse is preparing to teach a client how to use oxygen safely at home. The nurse plans to use discussion as well as a pamphlet that will reinforce key points of safe home oxygen therapy. Which domain of learning does the nurse plan to utilize?
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Psychomotor
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Implementation
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Affective
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Cognitive
Explanation
Correct Answer: D Cognitive
Explanation of Correct Answer
The cognitive domain of learning involves acquiring knowledge and understanding through reading, discussion, and listening. In this scenario, the nurse uses both discussion and a pamphlet to reinforce important safety information, which targets the client’s intellectual skills such as comprehension and application. The client is expected to process, retain, and recall facts about safe oxygen use. This makes the cognitive domain the correct choice, as it emphasizes knowledge-based learning and understanding rather than physical skills or emotional attitudes.
According to Piaget, the school-age child is in the third stage of cognitive development, which is characterized by:
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Concrete operations
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Conventional thought
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Postconventional thought
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Identity vs. role-diffusion
Explanation
Correct Answer: a) Concrete operations
Explanation of Correct Answer
Concrete operations is correct because Piaget’s third stage of cognitive development, typically occurring between ages 7 and 11, involves the ability to think logically about concrete events. Children in this stage can classify objects, understand the concept of conservation, and perform mental operations such as sequencing and reversibility. However, their reasoning is still limited to tangible, real-world situations rather than abstract ideas.
A hospital creates a Facebook page for the bariatric surgery program. The owner of the site posts healthy recipes, lifestyle information, and information about upcoming workshops. This is an example of:
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Health literacy
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Coercive advertising
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A teaching plan
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Social marketing
Explanation
Correct Answer: d) Social marketing
Explanation of Correct Answer
Social marketing (d) is correct because it involves using marketing strategies and social platforms to influence health behaviors and promote positive lifestyle choices. In this case, the hospital uses Facebook to share healthy recipes, provide education, and encourage participation in workshops. The goal is to engage the community, spread awareness, and support healthier decisions through accessible online content, which characterizes social marketing.
A nurse is conducting an admission interview with a patient. To maintain the patient's territoriality and maximize communication, the nurse should sit:
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4 to 12 feet from the patient
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0 to 18 inches from the patient
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12 feet or more from the patient
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18 inches to 4 feet from the patient
Explanation
Correct Answer: d) 18 inches to 4 feet from the patient
Explanation of Correct Answer
18 inches to 4 feet (d) is correct because this distance is considered the personal space zone appropriate for professional interactions such as interviews. It allows the nurse to respect the patient’s comfort and territoriality while still being close enough to maintain effective communication, observe nonverbal cues, and foster trust. This distance balances privacy with therapeutic presence.
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?
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Health care needs
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Health literacy
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Sources of client data
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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.
What role does reflection play in the critical thinking process for nurses?
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Performing clinical procedures
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Documenting client care concisely, completely and accurately
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Purposefully reviewing a situation to discover its meaning
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Creating a detailed concept map
Explanation
Correct Answer: C Purposefully reviewing a situation to discover its meaning
Explanation of Correct Answer
Reflection (C) is a key part of critical thinking because it allows nurses to look back on clinical experiences, analyze their actions, and evaluate outcomes. By purposefully reviewing a situation, nurses can discover its meaning, identify what went well, and recognize areas for improvement. This process promotes learning from experience, strengthens clinical judgment, and supports continuous professional growth in nursing practice.
A nurse on a pediatric unit is caring for a child and family. The child and their sister are cared for by their grandparents. This is an example of which type of family form?
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Blended family
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Single parent family
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Alternative family
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Nuclear family
Explanation
Correct Answer: C Alternative family
Explanation of Correct Answer
An alternative family (C) refers to nontraditional family structures, such as grandparents raising grandchildren, same-sex parents, or other variations outside of the typical nuclear or single-parent model. In this scenario, the grandparents serve as the primary caregivers, which does not fit the definition of a nuclear family (parents and children) or a blended family (step-parents and step-siblings). Therefore, this family unit is best described as an alternative family form.
A nurse is documenting in a patient’s medical record. If an error is made while recording, the nurse should:
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Erase it or scratch it out
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Leave a blank space in the note
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Draw a single line through the error and initial it
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Obtain a new nurse's note and rewrite the entries
Explanation
Correct Answer: c) Draw a single line through the error and initial it
Explanation of Correct Answer
The correct method is to draw a single line through the error and add the nurse’s initials. This maintains the integrity and legality of the medical record by ensuring that all entries, even incorrect ones, remain visible and traceable. Erasing, scratching out, leaving blank spaces, or rewriting entries can make the documentation appear falsified, which compromises accuracy, accountability, and the legal validity of the medical record.
Which characteristic(s) accurately reflect the family unit in today's society? Select all that apply.
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Blended families with step-siblings are common.
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Families must include two biological parents.
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Grandparents may serve as primary caregivers.
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Families can include same-sex couples.
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Family members must live in the same household.
Explanation
Correct Answers: A Blended families with step-siblings are common. C Grandparents may serve as primary caregivers. D Families can include same-sex couples.
Explanation of Correct Answers
A Blended families with step-siblings are common.
In today’s society, blended families are increasingly common due to remarriage or partnerships where children from previous relationships come together, forming step-sibling relationships.
C Grandparents may serve as primary caregivers.
It is not uncommon for grandparents to take on primary caregiving roles, especially in cases where parents are unavailable due to work, illness, or other circumstances.
D Families can include same-sex couples.
Modern definitions of family recognize that same-sex couples, with or without children, form legitimate and important family units. This reflects societal acceptance and legal recognition of diverse family structures.
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