NR-222 Quiz 3

I am uncomfortable with the headscarves (hijab) Muslim women wear and I don't even know what they are called.

Assessment

What family form is represented?​

Blended

Smoothly and accurately performing a motor skill that requires complex movement patterns ​

Complex overt response

Ability to apply knowledge and skills to create something new​

Creating

Have the client discuss the education from his perspective to assess his learning; observe smoking behaviors; reassess for readiness to stop smoking.

Evaluate Outcomes

Ability to judge the value of something for a given purpose ​

Evaluating

Record my findings in a personal reflection journal and assess my new attitude using the nursing process.

Evaluation

Too mentally or physically tired to learn.

Fatigue

Health literacy

Healthcare Access and Quality

Using existing psychomotor skills to create new movement patterns and perform them as needed in response to a particular situation or problem​

Origination

What could Mary do to correct her errors? Select all that apply. ​

Pause periodically to allow for interpretation Seek clarification frequently Use short sentences Speak directly to the client using the first person

A common type of hearing loss that affects learning.

Sensorineural

Which factors can influence a person's health? Select all that apply.

Socioeconomic status Geographic area of residence

Ability to understand the meaning of learned material ​

Understanding

A nurse works with the local community health department to implement a pediatric lead screening program. ​

Upstream Factors​

Advocate for community funding to reopen the nighttime shelter.

Upstream Factors​

One parent dies when the children are very young. The remaining partner remarries and the children form a bond with the stepparent. ​

​ Durability

A single parent becomes ill with colon cancer. The adolescent son steps in as primary caregiver to the younger siblings. ​

​ Resiliency

Motor skills are well developed and movements can be modified when unexpected problems occur ​

Adaptation

Sally and Tommy are an unmarried couple living together with Sally's child from a previous relationship. Sally is currently pregnant. Tommy's brother is living with the couple. ​

Alternative

What family form is represented?​

Alternative

Knowledge deficit of health-related effects of smoking related to verbalized knowledge deficiency as evidenced by smoking behaviors.

Analyze Cues and Prioritize Hypotheses

Breaking down information into organized parts

Analyzing

Using abstract, newly learned ideas in an actual situation

Applying

Nervousness or fear

Apprehension

Which part of Provision 9 addresses our need as nurses to have a united voice in our shared values?​

Articulation and assertion of values

Ability to assess factors that influence client treatment and care. Acquired through the practice of communication. One example is learning a different language.

Cultural awareness

Jared begins to recognize that he may have implicit bias against those from other cultures. What is the first step Jared should take toward cultural competence? ​

Cultural awareness

Identifying and understanding one's own background, recognizing biases, prejudices, and assumptions about others. To develop a greater cultural awareness, time needs to be spent in thinking about and discussing various cultural experiences.

Cultural desire

Motivation and willingness to learn from others. Be open-minded to learn about cultural differences. Accept learning about others as part of your professional nursing role.

Cultural encounter

Interactions to learn about other cultures. Acquired through caring for culturally diverse populations across the lifespan.

Cultural knowledge

Adverse childhood events (ACEs) can have a significant impact on future health. What are the adverse effects of ACEs? Select all that apply.

Decreased self-esteem​ Poor self-control Pessimistic thinking​ Problem avoidance​

Family caregivers are more likely to suffer from declining health. Which disorder is most common?​

Depressionc

At the end of the shift, Jared reflects on what he has learned today through his interactions with Mr. Liu. Which reflection best describes Jared's experiences?​

Developing cultural competence is a process that occurs over time. ​

A father and his two children are experiencing homelessness. Which statement best describes the effects of homelessness on children? Select all that apply.​

Higher incidence of asthma​ Lack of recommended immunizations​ More cavities and dental problems​

Less than optimal health.

Illness

Research the custom, talk to a Muslim woman about it, and understand the value women have about it.

Implementation

When educating a patient on diabetes type 2, what are important factors to consider related to their health literacy? Select all that apply.

Socioeconomic status​ Level of education completed​ Age​ Primary language spoken​

What family values or behaviors may negatively impact health and wellness of one of its members?​

The father consistently smokes marijuana at home​.

The nurse is teaching the client in the domain and should use

cognitive discussion

Social determinants of health (SDOH) represent preventable differences that impact health. Health disparities are external factors that impact a person's ability to achieve health.

external factors preventable differences

An experienced healthcare professional tells a student, "I have found that most Hispanic immigrants live in unsanitary conditions but are hard workers." The student can best classify this statement as

stereotyping

A few hours later, Mr. Liu's call bell rings and Jared enters the room with the medical interpreter. Mr. Liu's spouse is sitting on the couch. She states, "You do not need an interpreter. I speak English." Which response by Jared is most appropriate?​

"Mr. Lee is here to help with medical interpretation services in case I say anything that is confusing."​

The baseline data for this objective shows that of children aged 17 years and under have experienced a parent or guardian serving time in jail. The target goal for this objective is to the percentage of children experiencing a parent or guardian serving time in jail to

7.7% decrease 5.2%

A healthcare professional is practicing cultural competence to improve care. Which step should the professional take first?​

Assess own biases and attitudes

Develops through exposure to other cultures. This exposure can be through reading, travel, movies, visits to ethnic neighborhoods and restaurants, attending ethnic celebrations, speaking with persons from other cultures, and attending religious events outside your own religious affiliation.

Cultural skill

Common characteristics of a group of people.

Culture

Recognize my knowledge deficit related to cultural differences, as evidenced by my inability to understand or accept the customs while delivering nursing care.

Diagnosis

The family includes two parents, a family friend who needs shelter, and the friend's three children. ​

Diversity ​

A nurse cares for a client diagnosed with asthma during an acute attack.

Downstream Factors​

Host a winter coat drive and provide donations to the local hospital to distribute to clients treated for frostbite.

Downstream Factors​

Last month, the family was well fed and both parents were working. Today, one parent lost their job and is unable to afford the rent. ​

Dynamic ​

Food insecurity

Economic Stability

Language and literacy

Education Access

Stacey begins to prepare the room for the teaching session. What should the nurse consider? Select all that apply. ​

Furniture placement​ Temperature​ Distractions​ Privacy​ Noise level​

Assess reading level, comprehension skills, and motivation to quit.Be mindful of cultural differences and actively demonstrate respect and Chamberlain Care® attitude (cultural humility); provide educational sessions with handouts printed in native language; educate about smoking cessation opportunities.

Generate Solutions and Take Action

Early stages of learning a particular skill under the guidance of an instructor that involves imitation and practice of a demonstrated act

Guided response

How does using a systematic process to plan client education assist the nurse? Select all that apply.​

Identifies targeted information that is individualized for the client​ Determines what the client already knows about a health topic before teaching​ Allows the nurse an opportunity to assess the client's health literacy​

Carmen works to organize a community health fair. Specify if each health fair station would be beneficial or not beneficial to persons experiencing homelessness.

Immunizations (influenza and pneumonia)​ Beneficial Free winter clothing, coats, gloves, and hats ​Beneficial Job interviewing skills​ Not Beneficial Food donation boxes for pickup Beneficial

According to the video on health literacy (Blue Cross Blue Shield of Michigan, 2021), what are the consequences of low health literacy? Select all that apply.

Increased emergency room visits​ Increased incidence of chronic conditions​ Poor self-care

Which part of Provision 9 of the American Nurses Association (ANA) Code of Ethics is Amelia displaying through her actions?​

Integrating social justice​

What factor may result in an increased likelihood of developing an acute or chronic health problem?​

Limited access to healthcare clinics providing prevention services​

Higher level of behavior in which a person gains confidence and proficiency in performing a skill that is more complex or involves several more steps than a guided response

Mechanism

A nurse identifies that a client is struggling with food insecurity and recommends a local food bank for assistance. ​

Midstream Factors​

Organize a free health fair in the community, offering immunizations and health screenings.

Midstream Factors​

Desire to learn.

Motivation

A common eye disorder that may impact learning.

Myopia

Crime and violence

Neighborhood and Built Environment

A client recently purchased a home in an older neighborhood where lead paint was used. The client has two young children. The client decides to take the children to a local community clinic's lead screening program. Which Healthy People 2030 domain to mitigate social determinants of health is this clinic addressing?​

Neighborhood and built environment

Which social determinant of health domain should be Carmen's primary focus?

Neighborhood and built environment​

Which outcome would indicate that Carmen's efforts to reduce health disparities have been effective?

No clients are treated for frostbite in the Emergency Department in the past three months

Click to specify if each factor below increases or decreases learning.

No concentration Decreases Learning Actively involved Increases Learning Unmotivated Decreases Learning Topic important to you Increases Learning Mobile devices and alerts Decreases Learning Desire to learn Increases Learning Forced learning Decreases Learning Attentive Increases Learning Need to learn Increases Learning Interest in the topic Increases Learning

Justin and Jacob are a married couple with no biological children. They have two dogs. ​What family form is represented?​

Nuclear​

Being aware of objects or qualities through the use of sensory stimulation ​

Perception

Understand the reasons for this cultural dress, accept it, and feel comfortable so that my care is not affected.

Planning

The client will understand how cigarette smoking contributes to respiratory illnesses, cancer, and heart disease.

Prioritize Hypotheses and Generate Solutions

A healthcare professional is providing health education to an Asian client who is newly diagnosed with diabetes mellitus. The educator notes that the client is nodding yes to everything that is being said. Based on an understanding of cultural attributes in Asian Americans, how should the professional respond?

Prompt further to elicit additional questions or concerns

After the surgery, Marie is discharged to her home with a home health nurse to visit weekly. The home health nurse determines that Marie's son is struggling with caregiver role strain.​ What actions by the nurse may be beneficial? Select all that apply. ​

Provide contact information for nursing and healthcare providers to call with questions or concerns​. Describe the importance of accepting assistance to give the primary caregiver rest​. Provide information about community resources, such as support groups and children's day camps​.

A healthcare professional is providing care for a culturally diverse population. Which action indicates the professional is successful in the role of providing culturally competent care?​

Provides care that fits the client's valued life patterns and set of meanings

Which of the following are domains of learning? Select all that apply.

Psychomotor​ Affective​ Cognitive​

Which actions may best serve this community?​

Raising awareness about community health and prevention resources Teaching community classes about health promotion strategies Working with community leaders to ensure public transportation stops near the clinic ​

Newly arrived in this country; all in extended family smoked; has many stories of family who have died from respiratory illnesses; says that he does not understand how smoking can make one ill; physical assessment indicates clubbing of fingers, wheezing, and shortness of breath walking up one flight of stairs.

Recognize and Analyze Cues

Learning new facts or information and being able to recall them ​

Remembering

Emotions play a large part in learning. When understanding concepts that are not tangible, it is often the affective domain that we teach within. Affective learning encompasses the development of values and expression of feelings. Select the proper step of the levels of affective learning below. ​

Requires active participation through listening and reacting verbally and nonverbally Responding Developing a value system by identifying and organizing values according to their worth Organizing Learner is passive and needs only to pay attention and receive information Receiving Acting and responding with a consistent value system; requires introspection and self-examination of one's own values in relation to an ethical issue or particular experience Characterizing Attaching worth and value to the acquired knowledge as demonstrated by the learner's behavior Valuing

Marie fell last night and broke her hip. She is hospitalized and will need surgery and rehabilitation. Her son, the girls' uncle, will be the primary caregiver for the children until Marie is recovered. Additionally, Marie's sister will be staying with the family to help with household needs.

Resiliency​

Readiness to take a particular action; there are three sets: mental, physical, and emotional ​

Set

Discrimination

Social and Community Context

Carmen believes her clients deserve equal rights and opportunities, including the opportunity to reach their full health potential. What professional value is Carmen displaying?​

Social justice

After leaving the room, Jared expresses frustration to his supervisor and mentions how difficult it is to care for clients who do not speak English. Jared states, "Older Asian adults believe they must be stoic about pain and refuse to talk about mental health problems. Mr. Liu wouldn't even let home health help him."

Stereotyping​

For each observation, click to specify if Ted and Rhonda are demonstrating resilience or crisis. ​

Ted and Rhonda maintain a close relationship through illness.​ Resilience Rhonda adapts to the challenges of Ted's situation.​ Resilience Rhonda refuses to accept supportive help in the home.​ Crisis Ted's oldest son moves home temporarily to help the family. Resilience

After the surgery, Marie is discharged to her home with a home health nurse to visit weekly. The home health nurse determines that Marie's son is struggling with caregiver role strain.​ Which observations indicate that the family is demonstrating hardiness and resiliency in this situation? Select all that apply.

The children continue to attend school daily and are enrolled in an after-school program​. Marie's son contacts a local food bank to provide nutritious foods for the children​. Marie's son accepts physical and financial help from his local church community​.

A nurse determines that housing represents a significant risk to the population in the community. Specify upstream, midstream, and downstream interventions to assist with this social determinant of health. ​

The nurse meets with elected community officials to advocate for more affordable housing options.​ Upstream The nurse works with the local health department to increase the availability of allergy and asthma treatments for high-risk populations.​ Downstream The nurse works with clients to improve substandard housing. ​Midstream

A healthcare professional is using an interpreter to communicate with a client. Which actions are appropriate when working with an interpreter? Select all that apply. ​

Use short sentences and pause periodically for clarification. ​ Avoid medical terminology and jargon. ​ After the encounter, thank the interpreter and client. ​

Jared decides to try again and uses the 4 Cs to begin a new conversation with Mr. Liu. Which questions should Jared ask? Select all that apply. ​

What do you think caused the problem?​ How do you cope with the problem?​ What are your concerns about the problem?​ What do you call the problem you are having?​

Mary Jones (preferred pronouns she, her) is teaching a client through an interpreter who is sitting next to the client. Mary begins by looking at the interpreter and asking, "Can you please tell her that we will be discussing her new medications?" After the client nods their head in agreement, Mary quickly continues through the education session. After 20 minutes, Mary turns to the interpreter and waits. Mary notices that the client looks confused. ​

begins by looking at the interpreter Can you please tell her Mary quickly continues through the education session

Carmen Nelson (preferred pronouns she, her) is a nurse working in a community clinic. The climate in her state is very cold most of the year, and her community has a large population of people experiencing homelessness. There is a day shelter that serves two meals per day available for now, butthe night shelter recently closed due to lack of funding. Last week, two community members were treated in the Emergency Department for frostbite. ​

climate in her state is very cold large population of people experiencing homelessness the night shelter recently closed

Marie Jones (preferred pronouns she, her) is the primary guardian for her two granddaughters, Giselle and Sophia. The girls' mother died in a car accident last year and their father has been incarcerated for the past 3years. He was abusive to their mother, which the girls witnessed numerous times. Marie's son lives with the family to provide financial and social support. ​

mother died in a car accident last year father has been incarcerated for the past 3years abusive to their mother

Liu (preferred pronouns he, him) is a 72-year-old client from China who does not speak English and was admitted to an inpatient rehabilitation unit following a total knee replacement surgery. Mr. Liu was originally discharged to his home but he lives alone and refused to allow home health services to enter his residence. Now, he reports a decreased appetite, weight loss, and being too fatigued to participate in physical therapy. His condition is deteriorating. ​ Jared Solomon is the healthcare professional assigned to care for Mr. Liu today. Jared wants to learn more about Mr. Liu's culture so he can provide appropriate care. Jared locates an interpreter for assistance. During the first interaction, Jared asks Mr. Liu if he is in any pain. Mr. Liu responds, "No." Jared then asks Mr. Liu if he is feeling anxious or depressed about being admitted to the hospital. Mr. Liu responds, "No, I am fine, just leave me alone." Jared observes that Mr. Liu will not make eye contact with him or the translator. ​

refused to allow home health services to enter his residence just leave me alone

Adverse childhood events are potentially calming events occurring during adulthood that can affect brain development and how the body responds to . ​

traumatic childhood kidney stress

Stacey Simpson, a registered nurse in a medical clinic, is preparing to teach a client information about heart-healthy eating due to a recent diagnosis of cardiovascular disease. The 62-year-old client is unemployed with a hearing deficit. The client's preferred learning style is written materials. The client lives alone and has no support system. ​

unemployed hearing deficit no support system