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

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

1.

Which of the following is a key component of the Nurse Practice Act (NPA)?

  • A Oversees standards for medical equipment.

  • B Determines regulatory requirements for hospital activities.

  • C Collaborates with insurance companies for reimbursement.

  • D Establishes guidelines for nursing education.

Explanation

Explanation
A key component of the Nurse Practice Act is defining minimum standards for nursing education, including program requirements, competencies, and preparation for safe entry-level practice. The NPA also outlines the legal scope of practice and protects the public by ensuring nurses are trained and licensed appropriately. It does not regulate medical equipment, hospital operations, or insurance reimbursement, which fall outside its legal authority.
Correct Answer Is:
D. Establishes guidelines for nursing education
2.

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

  • Confidentiality: The nondisclosure of client secrets or information without client authorization

  • Advocacy: The act or process of supporting a cause or proposal

  • Accountability: To be answerable to oneself and others for one’s own choices, decisions, and actions

  • Responsibility: An obligation to perform required professional activities at a level commensurate with one’s education and in compliance with applicable laws and standards

  • 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
3.

A nurse is completing a history and physical examination on a new client. Which information documented by the nurse is considered subjective data? (Select all that apply.)

  • A Cyanosis

  • B Blood pressure

  • C Dizziness

  • D Headache

  • E Skin rash

Explanation

Explanation
C. Dizziness
Dizziness is subjective because it is reported by the client and cannot be measured or directly observed by the nurse. It reflects the client's personal perception of their own condition.
D. Headache
A headache is subjective data because it relies entirely on the client’s description of pain. The nurse cannot observe or quantify the client’s pain without their verbal report, making it a classic example of subjective assessment information.
Correct Answer Is:
C. Dizziness and D. Headache
4.

A client explains to the nurse that they live in a home with their spouse and children. Recently, the client's cousins moved in with them. How will the nurse describe this type of family?

  • A Blended family

  • B Nuclear family

  • C Alternative family

  • D Extended family

Explanation

Explanation
An extended family includes relatives beyond the immediate nuclear family living together or maintaining close household connections. In this case, the client, spouse, children, and cousins all sharing the same home represents an extended family structure. This type of family often supports shared caregiving, cultural traditions, and collaborative household responsibilities across multiple generations or relatives.
Correct Answer Is:
D. Extended family
5.

A nurse is preparing to obtain informed consent from a client who speaks limited English and requires an interpreter. Which nursing actions are appropriate? (Select all that apply.)

  • Use a family member as an interpreter

  • Communicate in short sentences

  • Utilize a professional medical interpreter

  • Use medical jargon in explanations

  • Speak directly to the client

Explanation

Explanation
B. Communicate in short sentences
Using short, clear sentences improves understanding and helps the interpreter convey accurate information. It reduces confusion and supports effective communication during informed consent, which must be fully understood by the client.
C. Utilize a professional medical interpreter
A trained medical interpreter is required when obtaining informed consent from a client who does not speak English fluently. Professional interpreters ensure accuracy, neutrality, and legal compliance, which family members cannot reliably provide.
E. Speak directly to the client
Even though the interpreter is present, the nurse must maintain eye contact and direct conversation toward the client. This supports rapport, respect, and patient-centered communication, ensuring the client remains the primary focus.
Correct Answer Is:
B. Communicate in short sentences
C. Utilize a professional medical interpreter
E. Speak directly to the client
6.

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
7.

A nurse is explaining the purpose of anticipatory guidance to a new parent. Which statement by the nurse is accurate?

  • A "It replaces the need for your child to have regular pediatric check-ups."

  • B "It is used to diagnose medical conditions early."

  • C "It focuses on treating illnesses as they occur."

  • D "It helps parents understand their child's developmental milestones."

Explanation

Explanation
Anticipatory guidance is an essential component of pediatric care that educates parents about what to expect as their child grows, including developmental milestones, safety needs, nutrition, behavior, and preventive health practices. The goal is to prepare parents in advance so they can promote healthy development and prevent problems before they occur. It does not replace pediatric visits, diagnose conditions, or focus on illness treatment; instead, it emphasizes proactive, developmentally appropriate education and support.
Correct Answer Is:
D. "It helps parents understand their child's developmental milestones."
8.

How can nurses help meet social needs in their clients?

  • Provide direct financial assistance to clients.

  • Prescribe medications to reduce office visits to the primary healthcare provider.

  • Offer legal advice to gain trust and provide support.

  • Screen for risk factors and generate referrals to community resources.

Explanation

Explanation
Nurses play a key role in addressing social determinants of health by identifying risk factors such as food insecurity, housing instability, transportation barriers, or lack of social support. By conducting screenings and making referrals to appropriate community agencies, social services, or support programs, nurses help clients access the resources they need. This approach promotes whole-person care and improves health outcomes without stepping outside the nurse’s legal scope of practice.
Correct Answer Is:
D. Screen for risk factors and generate referrals to community resources.
9.

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
10.

Which of the following is an example of objective data?

  • Client complains of nausea.

  • Client mentions feeling fatigued.

  • Client's abdomen is firm to touch.

  • Client states, "My stomach hurts."

Explanation

Explanation
Objective data are observable and measurable findings obtained through physical examination, diagnostic testing, or direct observation. A firm abdomen on palpation is something the nurse can assess and verify, making it objective. The other options are subjective data, as they rely on the client’s personal feelings or descriptions rather than measurable clinical findings.
Correct Answer Is:
C. Client's abdomen is firm to touch.

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