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 step of the nursing process involves learning as much as possible about the client's health condition and health problems?
- A Evaluation
- B Nursing diagnosis
- C Implementation
- D Assessment
Explanation
Explanation
During the assessment phase, the nurse gathers comprehensive information about the client’s physical status, psychosocial background, medical history, and current health concerns. This includes collecting subjective and objective data, reviewing records, and conducting examinations. The goal is to obtain a complete understanding of the client’s condition so that accurate nursing diagnoses and effective care plans can be developed. Assessment is the foundation of all subsequent steps in the nursing process.
During the assessment phase, the nurse gathers comprehensive information about the client’s physical status, psychosocial background, medical history, and current health concerns. This includes collecting subjective and objective data, reviewing records, and conducting examinations. The goal is to obtain a complete understanding of the client’s condition so that accurate nursing diagnoses and effective care plans can be developed. Assessment is the foundation of all subsequent steps in the nursing process.
Correct Answer Is:
D. Assessment
2.
A nurse is caring for a child who has experienced adverse childhood experiences. What action should the nurse take?
- A Encourage the child to address threats after they occur.
- B Avoid discussing the child's past to prevent emotional distress.
- C Assume the child's behavior is due to poor parenting.
- D Establish a trusting relationship with the child and caregiver.
Explanation
Explanation
Establishing trust is essential when caring for a child who has experienced adverse childhood experiences (ACEs). A trauma-informed approach requires the nurse to create a safe, predictable, and supportive environment in which the child feels respected and understood. Developing trust helps reduce fear, encourages open communication, and strengthens the child's sense of safety, which is foundational for healing and effective care. It also supports collaboration with the caregiver to promote emotional stability and long-term resilience.
Establishing trust is essential when caring for a child who has experienced adverse childhood experiences (ACEs). A trauma-informed approach requires the nurse to create a safe, predictable, and supportive environment in which the child feels respected and understood. Developing trust helps reduce fear, encourages open communication, and strengthens the child's sense of safety, which is foundational for healing and effective care. It also supports collaboration with the caregiver to promote emotional stability and long-term resilience.
Correct Answer Is:
D. Establish a trusting relationship with the child and caregiver
3.
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.
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
4.
A nurse is assessing the health disparities among population groups. Which individual(s) should the nurse recognize as at risk for health care disparities? (Select all that apply.)
- A A 37-year-old client with schizophrenia who struggles to maintain employment
- B A 48-year-old homeless veteran with diabetes mellitus
- C A 42-year-old recently arrived refugee with a language barrier
- D A 76-year-old client with multiple chronic diseases who lives on limited income
- E A 25-year-old college student with a urinary tract infection
Explanation
Explanation
A. A 37-year-old client with schizophrenia who struggles to maintain employment
Mental illness combined with unstable employment places this individual at significant risk for reduced access to care, inconsistent insurance coverage, and difficulty navigating the healthcare system, all of which contribute to health disparities.
B. A 48-year-old homeless veteran with diabetes mellitus
Homelessness, chronic illness, and veteran status represent overlapping vulnerability factors. Lack of stable housing and difficulty accessing consistent medical care significantly increase the risk for unmanaged disease, complications, and poor outcomes.
C. A 42-year-old recently arrived refugee with a language barrier
Refugees frequently experience barriers such as limited English proficiency, cultural differences, trauma history, and unfamiliarity with the healthcare system, all of which heighten the potential for disparities in health access and quality.
D. A 76-year-old client with multiple chronic diseases who lives on limited income
Older adults with chronic conditions and financial limitations face challenges in medication affordability, transportation, access to specialists, and preventive care, putting them at substantial risk for healthcare disparities.
B A 48-year-old homeless veteran with diabetes mellitus
C A 42-year-old recently arrived refugee with a language barrier
D A 76-year-old client with multiple chronic diseases who lives on limited income
A. A 37-year-old client with schizophrenia who struggles to maintain employment
Mental illness combined with unstable employment places this individual at significant risk for reduced access to care, inconsistent insurance coverage, and difficulty navigating the healthcare system, all of which contribute to health disparities.
B. A 48-year-old homeless veteran with diabetes mellitus
Homelessness, chronic illness, and veteran status represent overlapping vulnerability factors. Lack of stable housing and difficulty accessing consistent medical care significantly increase the risk for unmanaged disease, complications, and poor outcomes.
C. A 42-year-old recently arrived refugee with a language barrier
Refugees frequently experience barriers such as limited English proficiency, cultural differences, trauma history, and unfamiliarity with the healthcare system, all of which heighten the potential for disparities in health access and quality.
D. A 76-year-old client with multiple chronic diseases who lives on limited income
Older adults with chronic conditions and financial limitations face challenges in medication affordability, transportation, access to specialists, and preventive care, putting them at substantial risk for healthcare disparities.
Correct Answer Is:
A A 37-year-old client with schizophrenia who struggles to maintain employmentB A 48-year-old homeless veteran with diabetes mellitus
C A 42-year-old recently arrived refugee with a language barrier
D A 76-year-old client with multiple chronic diseases who lives on limited income
5.
Which 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
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.
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.
Correct Answer Is:
B, C, E
6.
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.
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.
7.
Which is the best example of a psychomotor learning objective?
- A By the end of the training session, the client will correctly demonstrate taking a pulse
- B By the end of the training session, the client will state three benefits of a healthy diet
- C By the end of the training session, the client will understand the value of exercise
- D By the end of the training session, the client will understand the concept of blood pressure management
Explanation
Explanation
A psychomotor learning objective focuses on hands-on skill performance, requiring the learner to physically perform an activity. Demonstrating how to take a pulse reflects measurable motor skill development and coordination. This makes option A the clearest example of a psychomotor objective. The remaining options address cognitive learning, which involves knowledge, comprehension, or understanding—not physical skill performance.
A psychomotor learning objective focuses on hands-on skill performance, requiring the learner to physically perform an activity. Demonstrating how to take a pulse reflects measurable motor skill development and coordination. This makes option A the clearest example of a psychomotor objective. The remaining options address cognitive learning, which involves knowledge, comprehension, or understanding—not physical skill performance.
Correct Answer Is:
A. By the end of the training session, the client will correctly demonstrate taking a pulse
8.
A nurse is preparing to teach a client who was recently diagnosed with diabetes about insulin administration. Which teaching method(s) would fit the psychomotor domain? (Select all that apply.)
- A Lecturing the client on insulin dosing
- B Client practices injections on a manikin
- C Discussing importance of insulin with the client
- D Answering client questions about blood sugar
- E Client administers insulin while the nurse observes
Explanation
Explanation
B. Client practices injections on a manikin
The psychomotor domain focuses on hands-on skill performance, where the learner physically practices and develops coordination and technique. Practicing insulin injections on a manikin allows the client to build muscle memory, gain confidence, and demonstrate competency in a safe, guided setting.
E. Client administers insulin while the nurse observes
Having the client administer insulin while being observed also directly engages the psychomotor domain. This method assesses the client’s ability to correctly perform the skill, including choosing injection sites, preparing the dose, and using proper technique. It provides real-time feedback and reinforces safe, independent self-care.
E Client administers insulin while the nurse observes
B. Client practices injections on a manikin
The psychomotor domain focuses on hands-on skill performance, where the learner physically practices and develops coordination and technique. Practicing insulin injections on a manikin allows the client to build muscle memory, gain confidence, and demonstrate competency in a safe, guided setting.
E. Client administers insulin while the nurse observes
Having the client administer insulin while being observed also directly engages the psychomotor domain. This method assesses the client’s ability to correctly perform the skill, including choosing injection sites, preparing the dose, and using proper technique. It provides real-time feedback and reinforces safe, independent self-care.
Correct Answer Is:
B Client practices injections on a manikinE Client administers insulin while the nurse observes
9.
A nurse is developing a care plan for a client who has recently been diagnosed with diabetes mellitus. Which indirect nursing intervention should the nurse perform?
- A Administer insulin to the client before meals.
- B Educate the client about the importance of foot care to prevent injury.
- C Monitor the client's blood glucose levels.
- D Collaborate with pharmacy to ensure access to prescribed medications.
Explanation
Explanation
Indirect nursing interventions support client care but do not involve direct interaction or hands-on treatment with the client. Collaborating with the pharmacy ensures the client can obtain necessary medications, which strengthens continuity of care and supports treatment adherence. This action influences client outcomes indirectly by coordinating resources and removing barriers, making it a true indirect nursing intervention. Options A, B, and C are direct care interventions involving direct interaction or teaching.
Indirect nursing interventions support client care but do not involve direct interaction or hands-on treatment with the client. Collaborating with the pharmacy ensures the client can obtain necessary medications, which strengthens continuity of care and supports treatment adherence. This action influences client outcomes indirectly by coordinating resources and removing barriers, making it a true indirect nursing intervention. Options A, B, and C are direct care interventions involving direct interaction or teaching.
Correct Answer Is:
D. Collaborate with pharmacy to ensure access to prescribed medications
10.
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.
B. Advocacy
C. Accountability
D. Responsibility
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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