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 reviewing cultural attributes that may influence a client's health behaviors and beliefs. Which is considered a cultural attribute?
- A Location of origin
- B Medication side effect
- C Risk for disease
- D Dietary preferences
Explanation
Dietary preferences are strongly influenced by cultural traditions, religious practices, family customs, and societal norms. These choices shape how individuals select, prepare, and consume food, and they play a significant role in health behaviors and nutritional status. While location of origin can provide context, and risks for disease or medication side effects are clinical considerations, dietary patterns reflect true cultural attributes that nurses must understand to provide culturally competent care.
Correct Answer Is:
D. Dietary preferencesWhat is a common psychological effect of adverse childhood experiences (ACEs)?
- A Improved social skills
- B Increased resiliency
- C Enhanced academic performance
- 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.
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D. Development of anxiety disordersWhen 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
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 medicationsA nurse is working with a client after heart surgery. The client has difficulty showering and the nurse readily assists the client. What ethical principle has the nurse illustrated in assisting the client?
- A Beneficence
- B Justice
- C Veracity
- D Non-maleficence
Explanation
Beneficence is the ethical principle that refers to doing good, promoting wellbeing, and acting in the best interest of the client. By assisting a postoperative client who cannot shower independently, the nurse is providing compassionate care that supports healing, dignity, and safety. This action demonstrates a commitment to helping the client meet basic needs and reducing discomfort during recovery. The nurse’s willingness to assist aligns directly with beneficence, which emphasizes kindness, support, and actively enhancing the client’s wellbeing.
Correct Answer Is:
A. BeneficenceA nurse is admitting a transgender client for a routine health check. Which action should the nurse take?
- A Use gender-neutral pronouns to avoid making a mistake.
- B Avoid asking about gender identity to prevent discomfort.
- C Use the name and pronouns listed on the client's insurance card.
- D Ask the client what name and pronouns they prefer to use.
Explanation
Asking the client about their preferred name and pronouns demonstrates respect, cultural humility, and client-centered care. This approach avoids assumptions, builds therapeutic trust, and ensures that communication aligns with the client’s identity. It is essential for creating an affirming and safe healthcare environment. Options A and C risk misgendering, and option B prevents the nurse from gathering necessary, respectful information for appropriate care.
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D. Ask the client what name and pronouns they prefer to useA nurse has implemented a fall prevention plan for a client at high risk. According to the Clinical Judgment Measurement Model, what should the nurse do next?
- A Educate the client about the importance of fall prevention.
- B Reassess the client's potential risk factors for falls.
- C Communicate the fall prevention plan to the healthcare team.
- D Evaluate the fall prevention plan's effectiveness.
Explanation
After the nurse has implemented interventions, the next step in the Clinical Judgment Measurement Model is evaluation, where the nurse determines whether the actions taken have been effective in reducing fall risk. This involves assessing client outcomes, monitoring for any falls or near-miss events, and deciding whether the care plan needs modification. Evaluation ensures nursing interventions are producing the desired results and supports continuous improvement in client safety.
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D. Evaluate the fall prevention plan's effectivenessWhich characteristic(s) accurately reflect diverse family units? (Select all that apply.)
- A Diverse families share the same religious or spiritual beliefs.
- B Diverse families can be formed with adopted or foster children.
- C Diverse families may include members from multiple generations.
- D Diverse family members must share the same cultural background.
- E Diverse families may have elder siblings as primary caregivers.
Explanation
B. Diverse families can be formed with adopted or foster children.
Diverse family structures include many forms beyond biological relationships. Families created through adoption or foster care are recognized as valid family units and represent the broad diversity seen in modern society. This reflects the idea that families are defined by caregiving roles, emotional bonds, and legal responsibilities—not solely by biology.
C. Diverse families may include members from multiple generations.
Multigenerational households are common in many cultures and represent an important and growing form of family diversity. These families may include grandparents, parents, children, or extended relatives living together, sharing responsibilities, and contributing to caregiving.
E. Diverse families may have elder siblings as primary caregivers.
In some family structures, older siblings assume caregiving responsibilities due to parental absence, cultural norms, or family circumstances. This reflects the flexibility and variation within family roles, demonstrating that caregiving is not limited to traditional parental figures.
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B, C, EA 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
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.
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C. Dizziness and D. HeadacheA nurse is planning care for a client who is a member of a minority ethnic group. Which action demonstrates the nurse's awareness of implicit bias?
- A The nurse follows the standard care plan without modifications.
- B The nurse assumes the client prefers traditional remedies.
- C The nurse avoids discussing cultural preferences to prevent discomfort.
- D The nurse discusses cultural preferences to incorporate into the care plan.
Explanation
Discussing cultural preferences directly with the client reflects an awareness of implicit bias because the nurse is avoiding assumptions and seeking information from the client rather than relying on stereotypes. This approach supports individualized, culturally responsive care, reduces the risk of bias influencing decision-making, and ensures that the care plan aligns with the client’s beliefs, values, and needs.
Correct Answer Is:
D. The nurse discusses cultural preferences to incorporate into the care plan.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
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. ConfidentialityB. Advocacy
C. Accountability
D. Responsibility
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