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
- Sources of client data
- Health care needs
- Goals of client needs
- Health literacy
Explanation
Which of the following is an example of providing culturally and linguistically appropriate services?
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Provide language assistance resources for those with limited English proficiency
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Use anyone who speaks the client's language of choice to translate
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Inform individuals in need of language services how to access them
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Charge the client for the cost of translation services
Explanation
Correct Answer: A Provide language assistance resources for those with limited English proficiency
Explanation of Correct Answer
Providing language assistance resources (A) supports culturally and linguistically appropriate services by ensuring clients with limited English proficiency can fully understand their care. This promotes equity, safety, and respect for cultural diversity. Such services must be accessible, free of charge, and provided by qualified interpreters or translated materials. This ensures effective communication, reduces health disparities, and aligns with best practices for client-centered care.
A nurse is giving information during a change-of-shift report:
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Two or more nurses always visit all patients to review their plan of care
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The nurse should identify nursing diagnoses and clarify patient priorities
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Nurses should exchange judgments they have made about patient attitudes
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Patient information is communicated from a nurse on a sending unit to a nurse on a receiving unit
Explanation
Correct Answer: b) The nurse should identify nursing diagnoses and clarify patient priorities
Explanation of Correct Answer
The correct answer is that the nurse should identify nursing diagnoses and clarify patient priorities. During a change-of-shift report, the primary purpose is to ensure continuity of care by communicating essential, factual, and relevant patient information. This includes the patient’s current condition, nursing diagnoses, ongoing treatments, and care priorities. Clear communication helps the incoming nurse plan effectively and provide safe, individualized care.
In a community health setting, a nurse is evaluating the impact of social determinants on a client's ability to manage their chronic illness. Which client statement requires further assistance from the nurse?
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"I am attending the community center's health fair next week."
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"After paying my rent, I have no money left to buy my medications."
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"The medical transportation company is in my area only on Tuesdays."
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"I have met with social services and will receive heating assistance."
Explanation
Correct Answer: B "After paying my rent, I have no money left to buy my medications."
Explanation of Correct Answer
The inability to afford medications (B) directly impacts the client’s ability to manage a chronic illness. This financial barrier is a critical social determinant of health because it prevents adherence to treatment, increases the risk of complications, and leads to poorer health outcomes. The nurse must address this issue immediately by exploring assistance programs, social support services, or low-cost alternatives to ensure the client’s care is not compromised.
- 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
A nurse is assigned to care for four clients. According to the ANA Code of Ethics, which client should the nurse see first?
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A client who requests to speak with the nurse.
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A client who is experiencing chest pain.
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A client who requires assistance with toileting.
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A client scheduled for physical therapy.
Explanation
Correct Answer: B A client who is experiencing chest pain.
Explanation of Correct Answer
The ANA Code of Ethics emphasizes prioritizing client safety and well-being. A client experiencing chest pain (B) is the highest priority because this may indicate a life-threatening emergency such as myocardial infarction or pulmonary embolism. Addressing urgent physiological needs takes precedence over comfort, communication, or scheduled activities. Once the life-threatening situation is stabilized, the nurse can then attend to other client needs in order of urgency and importance.
As a nursing professional, how does the ANA Code of Ethics guide nursing practice?
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Defines the scope of practice for all nurses
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Enhances the professional wage compensation
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Offers a foundation for ethical practice and decision-making
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Provides legal protection from potential malpractice events
Explanation
Correct Answer: C Offers a foundation for ethical practice and decision-making
Explanation of Correct Answer
The ANA Code of Ethics (C) serves as a guiding framework for nurses by establishing values, principles, and standards that support ethical practice and decision-making. It helps nurses navigate complex situations, prioritize client well-being, and uphold integrity in professional conduct. Rather than setting legal boundaries or financial guidelines, it provides the moral foundation for nursing practice, ensuring consistency, accountability, and trust in the nurse-client relationship.
- Increasing the number of insured community members
- Improving the neighborhood
- Reduction of health disparities
- Decreasing community crime
Explanation
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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Develop goals and outcomes with client input for hypertension therapy
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Record the client's history to include past illnesses and over-the-counter medications used
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Analyze the data and determine the client has insufficient knowledge related to the new treatment regimen
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Educate the client about keeping a record of blood pressure readings
Explanation
Correct Answer: D Educate the client about keeping a record of blood pressure readings
Explanation of Correct Answer
The implementation phase of the nursing process involves carrying out the planned interventions to address the client’s needs. Educating the client about keeping a record of blood pressure readings (D) demonstrates this phase, as the nurse is putting the care plan into action. Implementation is about actively delivering care and interventions that have been planned, which in this case includes health teaching to support hypertension management.
Which of the following is correctly charted according to the six guidelines for quality recording?
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Was depressed today
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Respiration rapid; lungs sound clear
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Had a good day. Up and about in room
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Crying. States she doesn't want visitors to see her like this
Explanation
Correct Answer: d) Crying. States she doesn't want visitors to see her like this
Explanation of Correct Answer
“Crying. States she doesn’t want visitors to see her like this” is correct because it is objective, specific, and factual. It describes the patient’s observable behavior (crying) and directly quotes the patient’s own words, which avoids interpretation or vague language. This aligns with the six guidelines for quality documentation: factual, accurate, complete, current, organized, and using patient’s statements when appropriate.
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