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
The greatest cause of illness and death in the young adult population is:
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Violence
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Substance abuse
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Cardiovascular disease
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Sexually transmitted disease
Explanation
Correct Answer: a) Violence
Explanation of Correct Answer
Violence is correct because accidents, homicide, and suicide—often linked to violent behaviors or environments—are the leading causes of death in the young adult age group. Risk-taking behaviors, exposure to interpersonal violence, and accidents are more significant health threats for this population than chronic conditions. While substance abuse, cardiovascular disease, and sexually transmitted diseases affect young adults, violence accounts for the greatest mortality risk during these years.
Which of the following is performed during the assessment phase of the nursing process?
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Establishing client outcomes
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Identifying actual or potential health problems
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Completing health history and physical exam
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Determining short and long-term goals
Explanation
Correct Answer: C Completing health history and physical exam
Explanation of Correct Answer
The assessment phase of the nursing process involves collecting both subjective and objective data to create a comprehensive picture of the client’s health status. Completing a health history and physical exam (C) is the primary activity in this phase, as it provides the information needed to make informed nursing diagnoses. Identifying problems and setting goals occur in later phases, but assessment always begins with gathering data.
A nurse is caring for an Asian American client who seems uncomfortable when the nurse touches her shoulder while speaking. What action should the nurse take?
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Suggest lightly touching the client’s arm instead of the shoulder.
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Apologize to the client and avoid unnecessary physical contact.
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Continue to use therapeutic touch as a form of reassurance.
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Explain that touch is a common practice in the hospital setting.
Explanation
Apologizing and refraining from further touch demonstrates cultural humility, respect for personal boundaries, and responsiveness to nonverbal cues—core elements of therapeutic communication. Touch norms vary widely across and within cultures; many clients may prefer minimal touch from non-family members, especially in public or clinical settings. By acknowledging discomfort and adapting behavior, the nurse preserves trust, reduces anxiety, and supports client autonomy. The nurse can then ask the client about preferred ways to communicate support (e.g., verbal reassurance, maintaining eye level, offering choices) and document these preferences in the care plan to guide all staff interactions.
A nurse is reviewing a client's electronic medical record. Which of the following is an example of objective data?
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Client rates pain 6 out of 10.
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Client states "I am nauseated."
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Client reports feeling anxious.
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Client grimaces with movement.
Explanation
Correct Answer: D Client grimaces with movement.
Explanation of Correct Answer
Objective data refers to observations or measurements made by the nurse that can be seen, heard, or measured. A client grimacing with movement (D) is an observable sign that the nurse can directly assess and document. Unlike subjective reports, this type of data does not rely on the client’s description but rather on the nurse’s objective observation of the client’s physical response.
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?
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Simulation
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Restoring health
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Coping with impaired function
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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.
The nurse is teaching a parenting class to a group of pregnant adolescents. The nurse pretends to be the baby's father, and the adolescent mother is asked to show how she would respond to the father if he gave her a can of beer. Which teaching approach did the nurse use?
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Role play
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Discovery
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An analogy
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A demonstration
Explanation
Correct Answer: a) Role play
Explanation of Correct Answer
Role play (a) is a teaching approach in which learners act out real-life situations to practice appropriate responses and decision-making. In this case, the nurse takes on the role of the baby’s father, and the adolescent mother practices how she would respond. This interactive strategy helps learners build confidence, develop communication skills, and prepare for real-life scenarios in a safe and supportive environment.
Which of the following is a visual representation that shows the relationship between a client’s problems and interventions?
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Plan of care
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Progress note
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Concept map
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Flow chart
Explanation
A concept map is a visual tool that illustrates the relationships among a client’s health problems, nursing diagnoses, goals, and interventions. It helps organize complex client data and shows how various aspects of care are interconnected. By using a concept map, nurses can see patterns, prioritize nursing actions, and promote critical thinking in clinical decision-making. It also serves as an effective teaching and planning tool for holistic, individualized care.
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?
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Suggest the client explore curative treatment options.
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Refrain from mentioning palliative care to avoid causing distress to the client.
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Share information about palliative care options.
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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.
A nurse is caring for an Asian American client who seems uncomfortable when the nurse touches her shoulder while speaking. What action should the nurse take?
-
Apologize to the client and avoid unnecessary physical contact.
-
Suggest lightly touching the client's arm instead of the shoulder.
-
Continue to use therapeutic touch as a form of reassurance.
-
Explain that touch is a common practice in the hospital setting.
Explanation
Correct Answer: A Apologize to the client and avoid unnecessary physical contact.
Explanation of Correct Answer
Apologizing and avoiding unnecessary physical contact (A) shows cultural sensitivity and respect for the client’s personal boundaries. Different cultures have varying views on touch, and for some individuals, physical contact may be considered intrusive or uncomfortable. By recognizing the client’s response and adjusting behavior, the nurse demonstrates cultural competence, maintains trust, and ensures the client feels safe and respected in the care environment.
The nurse completes an assessment of a client. What finding(s) are subjective data? (Select all that apply.)
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The client’s blood pressure is 118/76
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The client says they feel nauseous
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The client has a red rash on their arm
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The client explains why they are scared
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The client has sweat on their forehead
Explanation
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