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
A nurse is assessing a client who believes that health is maintained through spiritual practices and rituals. How should the nurse proceed with the assessment?
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A Focus solely on the client's physical health and ignore spiritual practices.
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B Inform the client that spiritual practices have no impact on health.
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C Suggest that the client see a spiritual advisor instead of a healthcare provider.
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D Ask the client to describe their spiritual practices and how they relate to health.
Explanation
This approach demonstrates culturally sensitive and client-centered care. By inviting the client to share their beliefs and practices, the nurse gains valuable insight into how the client perceives health, healing, and illness. Understanding these spiritual beliefs helps the nurse develop a holistic care plan that respects the client’s values, enhances communication, and builds trust. This approach aligns with best practices in cultural assessment by acknowledging that spirituality can be an important determinant of health behaviors and decision-making.
Correct Answer Is:
D. Ask the client to describe their spiritual practices and how they relate to healthA 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.)
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A Cyanosis
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B Blood pressure
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C Dizziness
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D Headache
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E Skin rash
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. HeadacheWhen assessing a client before conducting a learning session, which behavior indicates to the nurse the client is ready to learn?
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A The client is drowsy after receiving pain medication.
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B The client reports having pain after a surgical procedure.
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C The client appears upset after receiving a cancer diagnosis.
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D The client asks about the prescribed medications.
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 medicationsWhich is an example of a nursing intervention?
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A Client will list foods high in sodium by discharge.
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B Less redness noted to right lower extremity.
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C Verbalizes anxiety about upcoming procedure.
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D Keep head of bed elevated during meals.
Explanation
This option is a nursing intervention because it describes a specific, independent action that the nurse will perform to promote the client’s health and safety. Elevating the head of the bed during meals helps reduce the risk of aspiration, improves swallowing, and supports adequate ventilation. It is part of the implementation phase of the nursing process, where the nurse carries out evidence-based, goal-directed actions in the plan of care. Option A is a client goal, option B is an evaluation finding, and option C is subjective assessment data.
Correct Answer Is:
D. Keep head of bed elevated during mealsWhich action does the nurse take during the first phase of the nursing process?
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A Intervene based on priorities of client care.
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B Collect client data.
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C Determine whether outcomes have been achieved.
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D Identify pertinent nursing diagnoses.
Explanation
The first phase of the nursing process is assessment, during which the nurse gathers comprehensive data about the client’s physical, psychological, social, and environmental status. This includes collecting subjective information from the client and objective findings from physical examination and diagnostics. Accurate and thorough data collection forms the foundation for all subsequent steps in the nursing process, including diagnosing, planning, implementing, and evaluating care.
Correct Answer Is:
B. Collect client dataA nurse is admitting a client to the emergency department. Which of the following would the nurse complete first when using the clinical judgment process?
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Recognize cues
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Evaluate outcomes
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Take action
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Generate solutions
Explanation
The first step in the clinical judgment process (NCSBN model) is to recognize cues, which involves gathering relevant assessment data such as vital signs, symptoms, history, and observable changes in condition. This foundational step allows the nurse to identify what information is most important before analyzing the situation, generating solutions, and taking action. Accurate cue recognition guides all subsequent decisions and interventions in the clinical judgment cycle.
Correct Answer Is:
A. Recognize cuesA nurse is evaluating strategies to improve their cultural competency. Which strategies are effective for caring for a diverse population? (Select all that apply.)
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A Recognize that clients from the same cultural background all have identical beliefs and practices.
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B Apply cultural skills to all clients, not just those from minority groups.
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C Seek mentorship from culturally competent colleagues.
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D Use written materials on cultural competence to reduce the need for interactive learning.
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E Learn basic Spanish to avoid using certified medical translation services.
Explanation
B. Apply cultural skills to all clients, not just those from minority groups.
Cultural competence must be applied universally because every client—regardless of background—has unique values, beliefs, and practices that influence their health behaviors. Making cultural care the standard for all clients prevents stereotyping and ensures equitable, individualized care. This approach strengthens communication, trust, and therapeutic relationships across the entire population served.
C. Seek mentorship from culturally competent colleagues.
Mentorship is an effective way to develop cultural competence because it allows the nurse to learn directly from individuals with experience in cross-cultural communication and holistic care. Working alongside culturally skilled colleagues enhances awareness, builds confidence, and refines practical strategies for interacting effectively with diverse populations. It supports lifelong learning and professional growth in cultural humility.
Correct Answer Is:
B Apply cultural skills to all clients, not just those from minority groups.C Seek mentorship from culturally competent colleagues.
Which of the following is an example of objective data?
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Client complains of nausea.
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Client mentions feeling fatigued.
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Client's abdomen is firm to touch.
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Client states, "My stomach hurts."
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.What is a common psychological effect of adverse childhood experiences (ACEs)?
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A Improved social skills
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B Increased resiliency
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C Enhanced academic performance
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D Development of anxiety disorders
Explanation
Adverse childhood experiences (ACEs) are linked to long-term psychological consequences that can persist into adulthood. Exposure to trauma, instability, abuse, or neglect disrupts normal emotional development and increases stress responses. As a result, individuals with ACEs have a significantly higher risk of developing anxiety disorders, along with depression, PTSD, and behavioral challenges. ACEs negatively impact emotional regulation and coping abilities, making anxiety one of the most common psychological outcomes.
Correct Answer Is:
D. Development of anxiety disordersThe nurse is preparing to educate a toddler about hand hygiene. What is an effective way to teach a young child?
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A Use scary images of germs.
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B Provide a worksheet to explain handwashing steps.
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C Give a lecture about bacteria.
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D Read a storybook about germs and handwashing.
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 handwashingHow to Order
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