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
In which step of the Clinical Judgment Measurement Model does the nurse focus on carrying out planned nursing interventions?
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Evaluate outcomes
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Analyze cues
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Generate solutions
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Take action
Explanation
In the “Take Action” step of the Clinical Judgment Measurement Model, the nurse implements nursing interventions based on the identified problems and selected solutions. This step involves executing care activities, administering treatments, collaborating with the healthcare team, and providing client education to address the client’s needs. It requires applying clinical skills, prioritizing care, and ensuring interventions are performed safely and effectively to achieve the desired outcomes.
The primary purpose of a patient's medical record is to:
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Provide validation for hospital charges
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Satisfy requirements of accreditation agencies
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Provide the nurse with a defense against malpractice
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Communicate accurate, timely information about the patient
Explanation
Correct Answer: d) Communicate accurate, timely information about the patient
Explanation of Correct Answer
The main purpose of the patient’s medical record is to ensure accurate and timely communication of health information among members of the healthcare team. It provides a comprehensive record of the patient’s condition, treatments, interventions, and responses. This supports continuity of care, informed decision-making, and patient safety. While records may also serve for billing, accreditation, and legal purposes, their primary role is communication for quality care delivery.
What are some of the components of the Health Belief Model that can assist nurses in determining the probability of an individual to make change?
Select all that apply.
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External pressure to change
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The value of health as determined by significant others
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Perceived susceptibility to a health problem, disease, or complications
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Perceived seriousness of disease
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Risk factors of disease attributed to heredity, race, or culture
Explanation
Correct Answers: c) Perceived susceptibility to a health problem, disease, or complications, d) Perceived seriousness of disease, e) Risk factors of disease attributed to heredity, race, or culture
Explanation of Correct Answers
c) Perceived susceptibility to a health problem, disease, or complications
This component refers to the individual’s belief about their risk of developing a health issue. The more vulnerable a person feels, the more likely they are to take preventive or corrective action.
d) Perceived seriousness of disease
This factor represents how severe the individual believes the condition and its consequences to be. If the disease is viewed as life-threatening or highly disruptive, the motivation to change behaviors increases.
e) Risk factors of disease attributed to heredity, race, or culture
Recognizing inherent or demographic risk factors helps shape an individual’s perception of their likelihood of developing a condition. Awareness of personal risk is a motivator in adopting preventive health behaviors.
Which of the following statements accurately describe one of the five stages of health-related behavior change according to the Transtheoretical Model (TTM)?
Select all that apply.
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Sustained change over time occurs in the contemplation phase.
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When a person is considering the adoption of a change within the next 6 months, she or he is said to be in the precontemplation phase.
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Small, sporadic changes occur in the planning phase, as the individual is seriously thinking about making a change within the next month.
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In the action phase, the person has made behavior change which has persisted for 30 days.
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Maintenance begins 6 months after the action has started and continues indefinitely.Maintenance begins 6 months after the action has started and continues indefinitely.
Explanation
Correct Answers: d) In the action phase, the person has made behavior change which has persisted for 30 days, e) Maintenance begins 6 months after the action has started and continues indefinitely
Explanation of Correct Answers
d) In the action phase, the person has made behavior change which has persisted for 30 days
This is correct because the action phase of the TTM involves actively modifying behavior, experiences, or environment. It requires commitment, energy, and sustained effort. Typically, the action stage is defined as behavior change sustained for at least 30 days but less than 6 months.
e) Maintenance begins 6 months after the action has started and continues indefinitely
This is correct because maintenance focuses on preventing relapse and consolidating gains. Once the new behavior has been sustained for at least 6 months, the individual is in the maintenance stage. Continued vigilance and strategies are required to prevent reverting to old habits.
According to Erikson, the developmental task of adolescence is:
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Industry vs. inferiority
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Identity vs. role confusion
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Autonomy vs. shame and doubt
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Role acceptance vs. role confusion
Explanation
Correct Answer: b) Identity vs. role confusion
Explanation of Correct Answer
Identity vs. role confusion is correct because, during adolescence (approximately ages 12 to 18), the primary developmental task is to develop a clear sense of self and personal identity. Adolescents explore different roles, values, and beliefs to form a stable identity. Success leads to fidelity and a strong sense of self, while failure results in confusion about one’s role in society and difficulty making future commitments.
An advanced practice registered nurse is working within the community to open a free clinic to improve access to healthcare. The implementation of this intervention will likely result in which goal?
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Improving the neighborhood
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Decreasing community crime
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Increasing the number of insured community members
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Reduction of health disparities
Explanation
Correct Answer: D Reduction of health disparities
Explanation of Correct Answer
Opening a free clinic (D) directly addresses unequal access to healthcare, a key contributor to health disparities. By providing affordable or no-cost care, vulnerable and underserved populations gain access to essential health services. This improves equity, ensures early detection and treatment of illnesses, and enhances overall community health. The focus of such interventions is not on insurance or crime but on reducing disparities in health outcomes among different groups.
An older adult is being started on a new antihypertensive medication. In teaching the patient about the medication, the nurse:
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Speaks loudly
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Presents the information once
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Expects the patient to understand the information quickly
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Allows the patient time to express himself or herself and ask questions
Explanation
Correct Answer: d) Allows the patient time to express himself or herself and ask questions
Explanation of Correct Answer
Older adults often need additional time to process new information due to age-related changes in learning and memory. Allowing the patient time to express themselves and ask questions (d) promotes understanding, ensures the nurse addresses concerns, and encourages active participation in care. This teaching approach respects the patient’s learning pace and supports retention. Speaking loudly, presenting information only once, or expecting rapid understanding are ineffective strategies that may hinder learning
Which statement best explains the teach-back principle of client education?
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Teach-back provides time for the nurse to verbally reinforce information to the client.
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Teach-back provides an excellent source of feedback and reinforcement.
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Teach-back allows time for the client to ask the nurse questions.
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Teach-back allows the client time for passive listening.
Explanation
The teach-back method is a communication technique used to confirm that the client understands the information taught. After instruction, the client is asked to repeat or demonstrate what they have learned in their own words. This allows the nurse to evaluate comprehension, clarify misunderstandings, and reinforce learning—making it a valuable feedback tool. Teach-back promotes active participation, not passive listening.
A nurse is caring for a client with hypertension. Which activity by the nurse best reflects the implementation phase of the nursing process?
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Analyze the data and determine the client has insufficient knowledge related to the new treatment regimen
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Develop goals and outcomes with client input for hypertension therapy
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Educate the client about keeping a record of blood pressure readings
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Record the client’s history to include past illnesses and over-the-counter medications used
Explanation
The implementation phase of the nursing process involves carrying out the planned nursing interventions that were developed during the planning stage. Teaching the client how to monitor and record blood pressure readings is an active nursing action that directly addresses the care plan and promotes self-management of hypertension. This phase focuses on executing evidence-based interventions to achieve the desired health outcomes and support client participation in care.
Which of the following should guide the nurse in their cultural assessment?
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'Care, Cope, Cause, and Concern.'
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'Call, Cope, Concern, and Clinical.'
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'Call, Cope, Concern, and Cause'.
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'Call, Cure, Cope, and Concern.'
Explanation
Correct Answer: C 'Call, Cope, Concern, and Cause'.
Explanation of Correct Answer
The framework of "Call, Cope, Concern, and Cause" (C) is often used in cultural assessments to explore how clients perceive their illness. Nurses ask: What do you call the problem? How do you cope with it? What concerns you most? What do you think caused it? These questions allow the nurse to understand the client’s cultural perspective, beliefs, and values regarding health and illness, which helps in providing culturally sensitive and individualized care.
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