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.

Working families with an income too low to purchase health insurance and too high to qualify for Medicaid would be an example of which of the following issues?

  • Low health literacy

  • Health disparity

  • Federally subsidized health care

  • Poor quality health care

Explanation

Correct Answer: b) Health disparity

Explanation of Correct Answer

Health disparity (b) is correct because this situation highlights an inequality in access to health care based on socioeconomic status. Families caught in the "coverage gap" face barriers to obtaining necessary health services due to income level, which reflects a systemic difference in health opportunities and outcomes. This aligns with the definition of health disparities, which are preventable differences in health access and quality among groups.


2.

Which of the following should the nurse recognize as an environmental factor that could impact a client's health?

  • Strained relationships with family members

  • Decreased health literacy

  • Secondhand smoke exposure

  • Limited healthcare access

Explanation

Correct Answer: C Secondhand smoke exposure

Explanation of Correct Answer

Secondhand smoke exposure (C) is considered an environmental factor because it relates to external physical surroundings that directly affect health. Exposure to smoke in the environment can increase the risk of respiratory illnesses, cardiovascular disease, and cancer in nonsmokers. Unlike personal, social, or systemic factors, environmental risks come from conditions in the client’s physical surroundings that they may have limited control over. This makes it a direct environmental determinant of health.


3.

Which of the following should guide the nurse in their cultural assessment?

  • 'Care, Cope, Cause, and Concern.'

  • 'Call, Cope, Concern, and Clinical.'

  • 'Call, Cope, Concern, and Cause'.

  • '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.


4.

Demonstration of the principles of body mechanics used when transferring patients from bed to chair would be classified under which domain of learning?

  • Social

  • Affective

  • Cognitive

  • Psychomotor

Explanation

Correct Answer: d) Psychomotor

Explanation of Correct Answer

Psychomotor is correct because it involves the acquisition of physical skills that require coordination, movement, and the correct use of motor abilities. Demonstrating body mechanics for patient transfers requires practicing techniques, mastering movements, and applying them safely in real situations. This domain emphasizes hands-on performance and the development of proficiency through demonstration and practice.



 


5.

Which action demonstrates the principle of beneficence in nursing practice?

  • Ensuring client privacy and confidentiality.

  • Obtaining informed consent before a procedure.

  • Respecting a client's decision to refuse treatment.

  • Providing pain relief to a client in distress.

Explanation

Correct Answer: D Providing pain relief to a client in distress.

Explanation of Correct Answer

Beneficence refers to actions that promote the well-being of others by doing good and preventing or relieving harm. Providing pain relief to a client in distress (D) is a direct example because it addresses suffering and improves comfort. Nurses demonstrate beneficence when they actively work to enhance a client’s health, reduce harm, and prioritize interventions that promote positive outcomes in care.


6. A nurse is reviewing cultural attributes that may influence a client’s health behaviors and beliefs. Which is considered a cultural attribute?
  • Location of origin
  • Medication side effect
  • Dietary preferences
  • Risk for disease

Explanation

Dietary preferences are strongly influenced by culture and can directly affect a client’s health practices, nutrition choices, and adherence to medical recommendations. Cultural traditions often determine which foods are acceptable, how they are prepared, and when they are eaten. Understanding a client’s dietary practices helps the nurse develop a culturally sensitive care plan that respects beliefs while promoting optimal health outcomes.
7.

A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of content is the nurse providing?

  • Simulation

  • Restoring health

  • Coping with impaired function

  • Health promotion and illness prevention

Explanation

Correct Answer: d) Health promotion and illness prevention

Explanation of Correct Answer

Health promotion and illness prevention (d) is correct because the nurse is educating healthy young women on strategies to maintain wellness and prevent disease. Sunscreen use reduces the risk of skin damage, premature aging, and skin cancers such as melanoma. This type of teaching empowers individuals to make proactive lifestyle choices that minimize health risks before illness occurs. It is preventive in focus, supporting long-term health and wellness.


8. 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?
  • Increasing the number of insured community members
  • Improving the neighborhood
  • Reduction of health disparities
  • Decreasing community crime

Explanation

Opening a free clinic increases access to healthcare services for individuals who are uninsured, underinsured, or face financial barriers to medical care. This intervention directly supports the goal of reducing health disparities by ensuring that all community members, regardless of socioeconomic status, can receive preventive care, treatment, and education. Improved access helps promote health equity, enhances early disease detection, and fosters better overall population health outcomes.
9.

According to Erikson's developmental theory, the primary developmental task of the middle years is to:

  • Achieve intimacy

  • Achieve generativity

  • Establish a set of personal values

  • Establish a sense of personal identity

Explanation

Correct Answer: b) Achieve generativity

Explanation of Correct Answer

Achieve generativity is correct because, in Erikson’s stage of middle adulthood (approximately ages 40 to 65), the focus is on guiding the next generation, contributing to society, and being productive in work and family life. Generativity reflects a sense of responsibility for shaping the future through parenting, mentoring, and community involvement. Failure to achieve generativity can lead to stagnation and self-absorption.


10.

Which scenario displays the concept of teaching?

  • A client demonstrates how to change a dressing on their wound

  • A client explains to the nurse how to take their new prescription medication

  • A nurse demonstrates to a client how to use a blood pressure machine

  • A nurse completes the required continuing education for their job

Explanation

Correct Answer: C A nurse demonstrates to a client how to use a blood pressure machine

Explanation of Correct Answer

Teaching occurs when the nurse imparts knowledge or skills to help the client learn and apply them in practice. In option C, the nurse actively demonstrates the use of a blood pressure machine, which provides instruction, guidance, and support to promote the client’s learning. The other options focus on the client showing what they learned or the nurse’s own professional development, rather than the nurse directly teaching.


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