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 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
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 EA nurse encounters a concerning safety issue on their unit. What action should the nurse take to follow the chain of command?
- A Wait to see if the issue resolves on its own.
- B Discuss the issue with their colleagues.
- C Inform the chief nursing officer of the issue.
- D Report to their immediate supervisor.
Explanation
Following the chain of command requires the nurse to report concerns first to the next appropriate level of authority, which is the immediate supervisor. This ensures that issues are addressed promptly and systematically by those responsible for unit-level oversight. Escalating concerns appropriately supports patient safety, maintains organizational structure, and ensures timely intervention. Options A and B delay action, while option C bypasses necessary steps in the chain of command.
Correct Answer Is:
D. Report to their immediate supervisorA 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 preferencesA client has remarried and has children from both their previous and current marriage. What type of family structure does this describe?
- A Nuclear family
- B Single-parent family
- C Extended family
- D Blended family
Explanation
A blended family is formed when one or both partners bring children from a previous relationship into a new marriage or partnership. These families combine biological children, stepchildren, or children from prior unions into a single household. This structure reflects the merging of two separate family units into one and is characterized by diverse relationships, roles, and adjustments as family members integrate.
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D. Blended familyA 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.
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A. BeneficenceWhat does the ANA Scope and Standards of Practice emphasize about the nursing process?
- A It is a dynamic and cyclical process
- B It is focused on administrative tasks
- C It is only applicable in hospital settings
- D It is a linear process that follows strict steps
Explanation
The ANA Scope and Standards of Practice describes the nursing process as dynamic, flexible, and cyclical, meaning the nurse continuously assesses, evaluates, and adjusts care based on the client’s changing condition. It is not linear or rigid; instead, the steps—assessment, diagnosis, planning, implementation, and evaluation—flow into one another and may be revisited at any time to ensure effective, individualized care. The process is applicable in all healthcare settings, not just hospitals.
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A. It is a dynamic and cyclical processWhich action does the nurse take during the first phase of the nursing process?
- A Intervene based on priorities of client care.
- B Collect client data.
- C Determine whether outcomes have been achieved.
- 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.
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B. Collect client dataA nurse is reviewing client assessment data to determine problems and issues related to fall risk. Which 2 assessment findings should the nurse identify as a potential fall risk? (Select two.)
- A Normal blood pressure
- B History of falls
- C Presence of family support
- D Wears slip-on, non-skid sneakers
- E Use of multiple medications
Explanation
B. History of falls
A previous fall is one of the strongest predictors of future falls. It indicates that the client may already have underlying balance issues, muscle weakness, sensory deficits, or environmental challenges that increase the likelihood of falling again. Identifying this risk allows the nurse to implement targeted fall-prevention interventions.
E. Use of multiple medications
Polypharmacy, particularly in older adults, increases fall risk due to potential side effects such as dizziness, hypotension, sedation, confusion, or impaired coordination. Medications like antihypertensives, diuretics, sedatives, and psychotropics significantly contribute to instability. Recognizing medication-related risks helps the nurse advocate for medication review and safety interventions.
Correct Answer Is:
B. History of fallsE. Use of multiple medications
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
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."A nurse is evaluating strategies to improve their cultural competency. Which strategies are effective for caring for a diverse population? (Select all that apply.)
- A Recognize that clients from the same cultural background all have identical beliefs and practices.
- B Apply cultural skills to all clients, not just those from minority groups.
- C Seek mentorship from culturally competent colleagues.
- D Use written materials on cultural competence to reduce the need for interactive learning.
- 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.
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