NR 222 Health and Wellness- EXAM 2_w5 at Chamberlain University

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Ace Your Test with NR 222 Health and Wellness- EXAM 2_w5 Actual Questions and Solutions - Full Set

Free NR 222 Health and Wellness- EXAM 2_w5 at Chamberlain University Questions

1.

A client living in a low-income neighborhood reports difficulty accessing healthcare services. Which action(s) should the nurse take? (Select all that apply.)

  • A Encourage the client use over-the-counter medications.
  • B Suggest the client move to a different neighborhood.
  • C Advise the client to rely on home remedies for all health issues.
  • D Arrange for transportation services to healthcare appointments.
  • E Provide information on local clinics with sliding scale fees.

Explanation

Explanation
D. Arrange for transportation services to healthcare appointments
Transportation is a major barrier in low-income communities, and assisting the client with accessing transportation directly improves their ability to attend healthcare appointments, obtain preventive care, and manage chronic conditions. This intervention reduces missed visits, enhances continuity of care, and addresses a key social determinant of health that contributes to health disparities.
E. Provide information on local clinics with sliding scale fees
Clients in low-income neighborhoods often struggle with affordability. Providing resources for clinics that offer sliding scale fees increases access to necessary healthcare services regardless of financial limitations. This empowers the client by connecting them with affordable, reliable care options, supporting both immediate and long-term health needs.
Correct Answer Is:
D and E
2.

The nurse is preparing to educate a toddler about hand hygiene. What is an effective way to teach a young child?

  • A Use scary images of germs.
  • B Provide a worksheet to explain handwashing steps.
  • C Give a lecture about bacteria.
  • D Read a storybook about germs and handwashing.

Explanation

Explanation
Young children learn best through simple, engaging, and age-appropriate methods such as stories, pictures, and play. A storybook captures the toddler’s attention, helps them understand the concept of germs in a non-frightening way, and models appropriate behavior through characters and illustrations. This method supports language development, improves comprehension, and makes learning about hygiene enjoyable and memorable—far more effective than lectures, worksheets, or fear-based teaching.
Correct Answer Is:
D. Read a storybook about germs and handwashing
3.

Which of the following statements correctly match the cultural example with its corresponding definition? (Select all that apply.)

  • A A Somali family celebrates American holidays while continuing to wear their customary clothing — Acculturation
  • B A Japanese child learns to bow, greet, and eat with chopsticks as part of Japanese culture — Enculturation
  • C A Polish immigrant fully adopts American traditions and keeps none of their original cultural practices — Assimilation
  • D A Mexican-American enjoys mariachi music and dance — Cultural identity
  • E A Somali family abandons their traditional dress and holidays after moving to the U.S. — Enculturation

Explanation

Explanation
A. Acculturation
Acculturation occurs when individuals or families adopt certain aspects of a new culture while retaining elements of their original culture. A Somali family celebrating American holidays but continuing traditional dress exemplifies adapting to a new society without losing cultural heritage.
B. Enculturation
Enculturation is the process through which a child learns their own culture from birth. A Japanese child learning cultural practices such as bowing, greeting, and eating with chopsticks reflects learning their native culture, which is the core of enculturation.
C. Assimilation
Assimilation happens when an individual fully adopts the practices, traditions, and values of a dominant culture, losing connections to their original culture. A Polish immigrant who adopts all American traditions and leaves behind their own culture demonstrates complete assimilation.
D. Cultural identity
Cultural identity refers to the sense of belonging to a cultural group and expressing that identity through traditions, music, art, or practices. A Mexican-American enjoying mariachi music and dance reflects pride and connection to cultural heritage.
Correct Answer Is:
A, B, C, D
4.

What is the primary purpose of the ANA Code of Ethics for Nurses?

  • A To guide ethical decision-making in nursing
  • B To provide a set of rules for nurses to follow
  • C To describe the legal responsibilities of nurses
  • D To outline the technical skills required for nursing

Explanation

Explanation
The ANA Code of Ethics serves as a foundational framework that helps nurses navigate complex ethical situations and uphold professional values. It outlines principles such as respect for human dignity, advocacy, accountability, and justice, providing guidance rather than rigid rules. Its purpose is not to define legal responsibilities or technical skills, but to support nurses in delivering ethically sound, compassionate, and professional care across all settings.
Correct Answer Is:
A. To guide ethical decision-making in nursing
5.

What is the primary purpose of the teach-back method in client education?

  • A Assess the client's ability to memorize provided information.
  • B Provide additional information to the client.
  • C Evaluate the client's physical health status.
  • D Confirm client understanding of information taught by the nurse.

Explanation

Explanation
The teach-back method ensures that the client accurately understands the instructions, concepts, or health information the nurse has provided. By asking the client to restate the information in their own words or demonstrate a skill, the nurse can verify comprehension and identify any gaps or misunderstandings. This promotes safer care, increases adherence to the plan of care, and improves health outcomes by ensuring clarity and retention of essential information.
Correct Answer Is:
D. Confirm client understanding of information taught by the nurse
6.

When assessing a client before conducting a learning session, which behavior indicates to the nurse the client is ready to learn?

  • A The client is drowsy after receiving pain medication.
  • B The client reports having pain after a surgical procedure.
  • C The client appears upset after receiving a cancer diagnosis.
  • D The client asks about the prescribed medications.

Explanation

Explanation
A client who asks questions and shows interest in understanding their treatment is demonstrating readiness to learn. Curiosity, engagement, and seeking clarification indicate that the client is mentally and emotionally prepared to absorb new information. In contrast, pain, sedation, or emotional distress interfere with concentration and the ability to process new material. Therefore, option D reflects true readiness for effective learning.
Correct Answer Is:
D. The client asks about the prescribed medications
7.

For each definition, click to identify whether it defines advocacy, responsibility, accountability, or confidentiality. Which selections are correct? (Select all that apply.)

  • A. Confidentiality: The nondisclosure of client secrets or information without client authorization
  • B. Advocacy: The act or process of supporting a cause or proposal
  • C. Accountability: To be answerable to oneself and others for one’s own choices, decisions, and actions
  • D. Responsibility: An obligation to perform required professional activities at a level commensurate with one’s education and in compliance with applicable laws and standards
  • E. Advocacy: To be answerable for one’s decisions and outcomes

Explanation

Explanation
A. Confidentiality
Confidentiality refers to the legal and ethical obligation to protect a client’s private information and not disclose it without authorization. This ensures trust within the nurse–client relationship and protects the client’s autonomy and privacy.
B. Advocacy
Advocacy means supporting a client’s needs, rights, and preferences. This can include speaking on the client’s behalf, promoting their safety, or ensuring their wishes are respected in the healthcare setting. It is an essential role in protecting vulnerable and dependent patients.
C. Accountability
Accountability means the nurse is answerable for their own actions, decisions, and professional conduct. This includes accepting responsibility for outcomes, practicing within scope, and maintaining ethical and legal standards. It ensures safe, competent nursing care.
D. Responsibility
Responsibility involves carrying out professional duties competently and ethically, consistent with one’s education and legal scope of practice. It includes following policies, ensuring safe care, and meeting professional obligations required by law and regulatory bodies.
Correct Answer Is:
A. Confidentiality
B. Advocacy
C. Accountability
D. Responsibility
8.

A nurse discovers that a colleague has been stealing client pain medications for personal use. The colleague is a close friend. Which ethical principles are in conflict in this situation?

  • A. Fidelity and Veracity
  • B. Justice and Beneficence
  • C. Confidentiality and Justice
  • D. Autonomy and Nonmaleficence

Explanation

Explanation
This situation creates a conflict between confidentiality (the desire to protect a friend and keep their behavior private) and justice (the obligation to ensure patient safety and fair, ethical practice). Stealing medications places clients at risk of inadequate pain control and violates professional and legal standards. Justice requires reporting the misconduct to protect clients and uphold the integrity of healthcare, even when confidentiality toward a colleague is challenged.
Correct Answer Is:
C. Confidentiality and Justice
9.

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

  • A 'Care, Cope, Cause, and Concern.'
  • B 'Call, Cope, Concern, and Clinical.'
  • C 'Call, Cure, Cope, and Concern.'
  • D 'Call, Cope, Concern, and Cause'.

Explanation

Explanation
This framework guides nurses in cultural assessment by helping them explore the client's perspective on their illness.
"Call" asks what the client calls the problem,
"Cope" explores how they cope with it,
"Concern" identifies what worries them most,
and "Cause" asks what they believe caused the issue.
Using this approach allows the nurse to understand the client’s cultural beliefs and incorporate them into individualized care.
Correct Answer Is:
D. 'Call, Cope, Concern, and Cause'.
10.

The nurse is caring for an urban community where over 30% of the community lives more than 20 miles from a grocery store. Which action should the nurse take to improve food access in this community?

  • A Distribute grocery store coupons
  • B Provide safe transportation to grocery stores
  • C Increase affordable housing in the community
  • D Improve access to healthcare clinics

Explanation

Explanation
Living far from a grocery store is a hallmark of a food desert, where residents lack access to healthy, affordable foods. Providing safe, reliable transportation directly improves the community’s ability to reach food sources and purchase fresh groceries. While coupons, housing, or healthcare access may improve overall well-being, they do not address the fundamental barrier of physical access to food created by geographic distance.
Correct Answer Is:
B. Provide safe transportation to grocery stores

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