NR222 Study Questions

A healthcare professional is providing education to the parents of an Asian American child who has recently been diagnosed with Type I diabetes. Which of the following actions should be taken by the health care professional?

Provide instructions to the child's father.

A health care professional is searching for a funding source to develop a colorectal cancer screening program for ethnic and racial minorities in the community. Which of the following federal agencies would most likely be able to assist with this initiative?

The Office of Minority Health

A health care provider is working with an African American woman who has recently suffered a stroke and is homebound. She insists that she must get out of the house and attend Sunday worship services. What is the most likely explanation for her insisting that she participate in this cultural practice?

The church serves as a social support for its members.

Which of the following statements about the financing of healthcare in the United States is accurate?

The largest percentage of healthcare dollars is spent on hospital care.Most workers who have an employer-sponsored health insurance plan are enrolled in preferred provider organizations (PPOs).

A healthcare professional is caring for an individual who is homeless. Which of the following considerations should be made?

The percentage of the population who has health insurance is much lower among the homeless than the general population.

A nurse is using feminist ethics when planning a program for women to promote screening and early detection of breast cancer. Which of the following considerations would be made by the nurse?

Understanding of the oppression of women Importance of responsibility when caring for others

A nurse reflects on previous experiences with minority populations and considers how these interactions have influenced her present care to these populations. Which part of values clarification and reflection has the nurse used?

b. Examine the influence of beliefs.

A nurse is providing care to a 15-year old female who has recently been diagnosed with a sexually transmitted infection (STI). Which of the following actions should the nurse take next?.

b. Facilitate interaction between the adolescent and her parents/guardians.

A nurse uses ethical reasoning to solve an ethical dilemma. Why would the nurse use this process?

b. Facilitates gathering of the most important information

What is the most effective policy a staff nurse can implement to help decrease medical errors on the unit?

b. Foster a collaborative working environment on the unit.

A nurse discussing the care of a person on the surgical unit following gastric bypass surgery with a friend is in violation of the:

b. Health Insurance Portability and Accountability Act of 1996

Which form of managed care restricts providers to caring for individuals who are members of their organization?

b. Health maintenance organization (HMO)

A nurse is working with a community to increase its awareness about the dangers of lead poisoning. Which of the following provides the best explanation as to why the nurse is performing this action?

b. It is a moral responsibility. c. It is an ethical responsibility.

Which could result in a change in a nurse practitioner's practice?

b. Moving to another state when she gets married

A nurse includes the statement, "Treat others the way you would like to be treated." when teaching a group of adolescents about bullying. Which type of ethical theory is being used in this example?

b. Normative theory

When providing an educational session about the Arab American population, which of the following information would be included?

Members of the Arab American population are more likely to have college degrees than Americans at large.

A healthcare professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation?

Native Americans are present oriented, taking one day at a time.

A nurse whose religious beliefs prohibit abortion has been asked to participate in a termination of the pregnancy of a 16-year-old victim of date rape. According to the revised American Nurses Association's (ANA's) Code of Ethics for Nurses, which of the following actions should the nurse take next?

c. Notify her supervisor about her beliefs and request a change in assignment.

A community planning committee is working on the development of a community nursing center. Which of the following essential components should be included in this center?

c. Nurse as chief manager

What is the main focus of the National Institutes of Health (NIH)?

Addressing and reducing health disparities

Which of the following individuals will most likely experience a disparity in health and health care?

African American man,Unemployed woman, Single white woman

Which of the following ethnic groups has a disproportionately high death rate from unintentional injuries and suicide?

American Indian/Alaska Native Americans

Which of the following was the fastest-growing minority group in the United States between 2000 and 2010?

Hispanic American

An Asian American family has recently immigrated to the United States. Which of the following would provide an appropriate rationale when encouraging the family to send their child to school?

Exposure to different cultures in school will enhance socialization.

A healthcare professional is caring for an individual who is homeless and has recently been diagnosed with Type II diabetes. Which of the following factors is the most important to consider when planning care?

Finding supportive housing for the individual

A community health nurse is presenting information about the current health of the nation to a local political action group in 2011. Which of the following information would be included in this presentation?

Funding of public health programs has improved the health of the nation, Provision of health care has improved the health of the nation, Consumer education has improved the health of the nation.

A pregnant woman with two toddlers living at less than 135% of the federal poverty level would be eligible for:

c. Medicaid

Which addition to a community best demonstrates the concept of the Healthy People 2020 report?

c. New recreational health center

The interrelationship of poverty and health care dollars spent by Blacks and other minorities is affected greatly by:

lack of access to preventive health care services

A person reports that she has been seeking care from an acupuncturist to help relieve the chronic pain that she has been experiencing. Which of the following statements would be the most appropriate response from the nurse?

"Tell me more about your treatments from the acupuncturist."

A health care professional is leading a community action coalition to address the problem of homelessness within the neighborhood. Which of the following statements would most likely be made by health care professional?

Homelessness should be of concern to everyone in the neighborhood.

Which of the following actions demonstrates a healthcare professional providing culturally competent care?

Asking the person to describe his folk healing methods

A family has recently become homeless. Which of the following factors most likely contributed to this situation?

Being unable to find affordable housing

The nurse recommended to a 50-year-old woman that she schedule a routine mammogram. Which of the following would be the most important factor in this woman's decision to schedule this exam?

Cultural values

A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person?

Culture

Which of the following would be considered part of a vulnerable population?

Deaf man. Cocaine-addicted teenage girl, Handicapped child

Which of the following statements about ethnic minorities in the United States is accurate?

It is estimated that ethnic minorities will increase to one in two by 2050.

A health care provider is discussing the importance of receiving routine preventive care with a Hispanic family who has recently immigrated to the United States. Which of the following would best describe why they may be disinterested in receiving professional care?

Lack of interpreter services Lack of health insurance

A healthcare professional is caring for an Arab American individual. Which of the following cultural practices of this ethnic minority should be considered when planning care?

Religion plays an important role in this culture.

A healthcare professional is providing culturally competent care. Which of the following actions is being performed by the professional?

Respecting the patient's values, beliefs, and expectations, Providing health care services that are respectful of the individual's cultural beliefs

A nurse is developing a continuing education program about strategies to work with culturally diverse populations for health care professionals in the community. Which of the following organizations would provide information that could be included in this presentation?

The American Nurses Association,The National League for Nursing,The American Association of Colleges of Nursing

Which nurse is at risk of making a medical error?

Working overtime

A 24-year-old man with severe cognitive impairment, and no relatives participating in his care, needs to make a decision about removal of a brain tumor that will render him totally dependent for completion of all activities of daily living. The nurse participates in ethical decision making on his behalf, knowing that the client is unable to benefit from which of the following ethical concepts?

a. Autonomy

Which of the following types of ethical theories tells us how people act toward each other and their environments and what they believe are good or moral actions?

a. Descriptive value theories

Considering the provider and client perspective, which of the following is the most autonomous form of insurance?

a. Fee-for-service plan

The country with the highest life expectancy for women in 2011 was:

a. France

An individual states that his family has insurance, but that paying for routine medical costs is very expensive because most routine services are paid for out of pocket. Which type of insurance plan does this individual most likely have?

a. High deductible health insurance plan (HDHP)

A woman reports that she has strong spiritual practices. Which of the following is she most likely to experience?

a. Improved coping skills and social support

Which nurse is functioning as a care manager?

a. Nurse working with a family to coordinate care after their child experiences a second hospitalization for an asthma exacerbation

A nurse complies with the Patient Self-Determination Act when asking:

a. a person upon admission to the hospital if he or she has an advanced directive

An emergency department provides care for all individuals regardless of circumstances and ability to pay.

a. ethic of justice.

Which of the following best demonstrates the practice of transcultural nursing?

b. Adapting nursing care to meet the need of a person from an ethnic minority

The person known as the father of British and American public health is:

b. Edwin Chadwick.

Which concept is aimed at interrupting potential ethical problems before they develop?

b. Preventive ethics

An 18-year-old woman in whom a sexually transmitted disease (STD) was recently diagnosed asks the nurse not to tell her mother that she has an STD. Her mother asks the nurse what is causing her daughter's vaginal discharge. Which of the following actions should the nurse take? a. Follow the principle of veracity and tell the mother the diagnosis.

b. Respect the principle of confidentiality and support the client's request not to tell her mother the diagnosis.

A nurse is told by a colleague that an Asian American individual on home care is using complementary and alternative medicine (CAM). Which of the following conclusions can accurately be drawn from this statement?

b. The client may be using meditation, acupuncture, or another therapy.

A Medicare client reports to the home care nurse that he is receiving care through an accountable care organization (ACO). Which of the following considerations should be made when delivering care to this individual?

b. The focus of care is prevention and management of individuals with chronic disease.

Adoption of a Canadian-style health care system in the United States has the potential to:

b. create further health disparities.

A community health nurse most effectively preserves the health of a person with tuberculosis (TB) and the community by:

b. providing direct observed therapy (DOT) for the individual with TB

Which of the following concepts of ethics is described as the "duty to maximize the benefits of actions while minimizing harm"?

c. Beneficence

A nurse believes that it is his responsibility to ensure the safety of the public by administering flu shots to everyone in the community. Which ethical theory is being used by the nurse?

c. Consequentialism theory

Which of the following is a major factor limiting health care services in the United States?

c. Lack of funding

Which health care provider represents a primary care provider?

c. Pediatric nurse practitioner

Which of the following is a health plan consisting of hospitals and physician providers providing health care services to plan members (usually at discounted rates) in return for expedited claims payment?

c. Preferred provider organization (PPO)

Two working adults do not have access to health insurance for their family from their employers and do not meet the financial criteria for Medicaid. For which of the following federal programs may the children in this family be eligible?

c. State Children's Health Insurance Program (SCHIP)

The country with the lowest infant mortality rate in 2011 was:

c. Sweden

A liver for which two people are tissue-typed has become available after the death of a donor in a car accident. Client A is a 45-year-old substance abuser whose liver is damaged as a result of his use of alcohol. Client B is a 16-year-old adolescent in need of a liver transplant because of a birth abnormality. Which of the following would be useful for a nurse in giving input as to which of the two should receive the liver?

c. Use a guided set of moral principles in decision-making before advocating for either.

An elderly client has recently been diagnosed with cancer. The client's family has asked the nurse to withhold this information from the client because they feel that this information would cause the client to give up on life and become very depressed. The nurse believes the client should be told this information. Which ethical principle is being upheld by the nurse?

c. Veracity

A system used to evaluate the necessity, appropriateness, and efficiency of the use of the healthcare system, the purpose of which is to lower costs by discouraging unnecessary treatments, is known as:

c. utilization review

Which person is at highest risk for being uninsured?

d. 27-year-old who attends college and works part time in a small pizza parlor

Which of the following statements is true with regard to health promotion?

d. Health promotion involves collaboration of many professional groups.

A client is scheduled to have open-heart surgery. His physical condition is such that he is at high risk to experience complications during the procedure, but he has not been advised of this possibility. Which of the following ethical concepts has been ignored in rendering care for this client?

d. Informed consent

Which of the following statements best describes the application of moral or ethical theory to the practices involved in health promotion?

d. Making ethical decisions regarding human health involves the consideration of multiple factors.

Which is a violation of the Health Insurance Portability and Accountability Act of 1996?

d. Nurse discussing the person's case with his or her school nurse

A nurse would like to improve his cultural competence. Which of the following is the best strategy to use? a. Explore complementary and alternative medicine practices used by other cultures.

d. Participate in continuing education programs about cultural diversity.

When providing preoperative teaching for a client who will be undergoing total knee arthroplasty, the nurse asks the client questions to assess his understanding of the surgery. Which type of ethics is the nurse implementing?

d. Preventive ethics