NR 222 Week 8 Final Exam
Student Name
Chamberlain University
NR-222 Health & Wellness
Prof. Name
Date
Qn – Nurses assume many roles. Which role is the nurse displaying when the nurse protects the human and legal rights of their clients and helps clients assert those rights when needed?
When a nurse ensures that a patient’s rights are upheld and advocates on their behalf when necessary, the nurse is acting in the advocate role. This role involves standing up for the patient’s best interests and making sure that they receive fair treatment, informed consent, and protection of their dignity and privacy.
Qn – The nurse is preparing a school-aged client for a diagnostic procedure. What should the nurse consider when communicating with a client in this age group?
For school-aged children, communication should be clear, age-appropriate, and honest. Nurses should use familiar terms, explain procedures using demonstrations or visual aids, and provide opportunities for the child to ask questions. It is essential to reduce fear by building trust and involving the child in simple decision-making.
Qn – The nurse is working within a community to decrease disease prevalence. Which activities are considered primary prevention? (Select all that apply.)
Primary prevention focuses on avoiding the onset of illness before it occurs.
| Activity | Primary Prevention |
|---|---|
| Immunization programs | Yes |
| Health education and lifestyle modification | Yes |
| Screening for hypertension | No (Secondary) |
| Providing prenatal vitamins | Yes |
These activities promote health and reduce the risk of disease development.
Qn – Which of the following is true about holistic practice?
Holistic nursing addresses the whole person, including their physical, emotional, mental, social, and spiritual well-being. This approach views health as a balance across all life dimensions and emphasizes the nurse–patient relationship, integrating self-care, empathy, and individualized care.
Qn – Which considerations are important when seeking use of complementary and alternative medicine (CAM) interventions? (Select all that apply.)
| Consideration | Important |
|---|---|
| Understanding possible interactions with medications | Yes |
| Evaluating the credibility of the CAM provider | Yes |
| Using CAM as a replacement for medical treatment | No |
| Ensuring the therapy is evidence-based | Yes |
It is important to assess the safety, effectiveness, and compatibility of CAM with conventional care.
Qn – What is the main purpose of stress management?
The key goal of stress management is to help individuals reduce anxiety and tension, enabling them to function more effectively. It promotes mental clarity, emotional balance, and better physical health by helping individuals adapt to challenges and regain a sense of control.
Qn – Which of the following is considered a complementary or alternative therapy?
Complementary and alternative therapies include practices such as acupuncture, yoga, meditation, and herbal remedies. These therapies are used alongside or instead of conventional medical treatments to support healing and well-being.
Qn – Which stress management interventions should the nurse recommend to a client? (Select all that apply.)
| Intervention | Recommended |
|---|---|
| Deep breathing exercises | Yes |
| Journaling or expressive writing | Yes |
| Excessive screen time | No |
| Practicing mindfulness | Yes |
| Engaging in hobbies | Yes |
These strategies promote relaxation and emotional expression.
Qn – A nurse is providing education to a community support group about techniques to decrease stress. Which of the following would be the initial nursing intervention discussed by the nurse?
The first step is to help participants identify their sources of stress. This awareness allows individuals to recognize triggers and begin to choose appropriate coping mechanisms for managing stress effectively.
Qn – What is the role of the nurse who practices holistic health care?
A holistic nurse takes a comprehensive approach, recognizing the patient as a whole person. This includes addressing physical symptoms, emotional needs, social connections, cultural values, and spiritual beliefs. The nurse encourages active patient participation and supports balance in all aspects of health.
Qn – The nurse is creating a plan of care for a client. Which are true about the nursing process? (Select all that apply.)
| Statement | True |
|---|---|
| The nursing process is linear and rigid | No |
| It is a dynamic, continuous cycle | Yes |
| It involves five steps from assessment to evaluation | Yes |
| It can be applied to individual and group care | Yes |
The nursing process is flexible and allows for ongoing adjustments based on patient response.
Qn – The nurse is creating a plan of care for a client. Which are true about the nursing process? (Select all that apply.)
(Same as above. See previous question.)
Qn – Which are overarching goals of Healthy People 2020? (Select all that apply.)
NR 222 Week 8 Final Exam
| Goal | Included |
|---|---|
| Eliminate health disparities | Yes |
| Promote healthy behaviors across all life stages | Yes |
| Increase global healthcare partnerships | No |
| Improve quality and length of healthy life | Yes |
These goals aim to enhance public health across populations.
Qn – The nurse is looking for an Advanced Directive in a client’s chart. Which document should the nurse identify as an Advanced Directive?
The nurse should look for a living will or a durable power of attorney for healthcare. These legal documents express the patient’s wishes about medical care in case they become unable to make decisions independently.
Qn – If a nurse purposely provides false and misleading information to a client, which ethical principle is the nurse violating?
The nurse is violating the ethical principle of veracity, which is the obligation to tell the truth. This also undermines trust and professional integrity.
Qn – Which factor does Healthy People 2020 identify as the Leading Health Indicator for social determinants of health?
The indicator includes education level, economic stability, and access to health care. These factors influence overall health and contribute to disparities in health outcomes.
Qn – A nurse is conducting a staff development program about human sexuality for nurses who work in a long-term care facility. Which statement would most likely be made by the nurse?
The nurse might say, “Older adults continue to have sexual needs, and it’s important to respect their privacy and autonomy when addressing intimacy and relationships.”
Qn – The school nurse is working on a campaign to prevent adolescent pregnancies. Which intervention should the nurse implement?
A suitable intervention would be offering comprehensive sexual education, which includes contraception, consent, and healthy relationships, combined with access to reproductive health services.
Qn – During an initial interview with a client, the client states, “I am happily married and I have a few very close friends.” Which stage of Erikson’s psychosocial development does this statement support that the client has achieved?
This statement indicates that the client has achieved the Intimacy vs. Isolation stage, which involves forming meaningful, close relationships during early adulthood.
Qn – Which is an example of an assertive statement?
An assertive statement communicates feelings clearly and respectfully. Example: “I understand your perspective, but I prefer to handle the situation differently.”
Qn – The nurse is applying the nursing process when providing health planning to a client. Which action should the nurse take first?
The nurse should begin with the assessment phase, gathering comprehensive data about the client’s physical, emotional, and environmental health.
Qn – Which term is defined as a prearranged experience with a theoretical base used to provide individuals with information and skills needed to make appropriate decisions related to their health?
This refers to planned health education, which uses evidence-based strategies to support informed decision-making and promote healthier behaviors.
Qn – Which is an example of the nurse providing health restoration?
Helping a patient regain strength and independence after surgery—such as providing wound care or coordinating physical therapy—is an example of health restoration.
Qn – Progress toward the achievement of Leading Health Indicator goals are evaluated at regular intervals. According to the Healthy People 2020 Leading Health Indicators: Progress Update, which categories have worsened compared to baseline data? (Select all that apply.)
| Category | Worsened |
|---|---|
| Mental Health | Yes |
| Nutrition and Physical Activity | Yes |
| Immunization rates | No |
| Substance Abuse | Yes |
These areas showed a decline when compared to baseline measures.
Qn – The nurse is planning a teaching session to address the Leading Health Indicator in Healthy People 2020 related to Substance Abuse. Which of the following may be a consequence of substance abuse?
Consequences include impaired judgment, increased risk of chronic illness, family disruption, job loss, mental health disorders, and legal issues.
Qn – Which behavior helps to meet the Leading Health Indicator in Healthy People 2020 regarding Nutrition, Physical Activity, and Obesity?
Engaging in regular physical activity, maintaining a balanced diet, and managing weight contribute to meeting these health goals.
Qn – What is the primary objective for the Healthy People 2020 Leading Health Indicator regarding access to health services?
The goal is to ensure that more individuals have health insurance and access to primary care, allowing them to receive preventive, acute, and chronic care as needed.
Qn – Which topic should the nurse include when conducting a community teaching session aimed at addressing a Healthy People 2020 Leading Health Indicator regarding reproductive and sexual health?
The nurse should include topics like STI prevention, contraception access, prenatal care, and education on healthy sexual behaviors.
NR 222 Week 8 Final Exam
Qn – Which client is displaying a Healthy People 2020 Leading Health Indicator related to clinical preventive services?
A client who receives recommended screenings and immunizations based on age and risk factors is following clinical preventive service guidelines.