NR222 Exam 2

Taking into account all of the agents that affect middle-age adults, the nurse plans a health education workshop focused on developing an individualized lifestyle change program for each participant. Which of the following actions should the nurse stress that individuals take first? a. Limiting unprotected exposure to sun b. Starting a smoking cessation program c. Exercising at least three times a week d. Scheduling a complete physical and dental exam

D. Scheduling a complete physical and dental exam

A nurse is explaining the concept of "presence." The nurse should include that presence means that the person: a. is in the same room as another. b. multitasks in order to examines all aspects of a situation. c. sets goals in response to what another is saying. d. practices active listening and focuses on what is being said.

D. practices active listening and focuses on what is being said.

The nurse caring for an Orthodox Jewish client plans a diet that adheres to the practices of the client's faith. The nurse recognizes that which principles are consistent with dietary kosher laws? Select all that apply. 1. Meat and milk can be eaten together. 2. Eating fish with scales and fins is allowed. 3. Unleavened bread is eaten during Passover week. 4. Meat from animals who are vegetable eaters is allowed. 5. Meat is allowed if the food animal is ritually slaughtered.

2. Eating fish with scales and fins is allowed. 3. Unleavened bread is eaten during Passover week. 4. Meat from animals who are vegetable eaters is allowed. 5. Meat is allowed if the food animal is ritually slaughtered.

The nurse notes that the client whose religion is Orthodox Judaism has received a cheeseburger with fries and skim milk as a beverage. Considering this finding, what is the best nursing action? 1. Ask the client if he likes cheeseburgers. 2. Replace the skim milk with whole milk. 3. Call the dietary department and ask for a replacement meal tray. 4. Ask the dietary department to replace the cheeseburger with a pork sausage patty.

3. Call the dietary department and ask for a replacement meal tray.

A nurse is standing beside the patient's bed. Nurse: How are you doing? Patient: I don't feel good. Which element will the nurse identify as feedback? a. Nurse b. Patient c. How are you doing? d. I don't feel good.

d. I don't feel good.

A nurse is teaching a patient who has low health literacy about chronic obstructive pulmonary disease (COPD) while giving COPD medications. Which technique is most appropriate for the nurse to use? a. Use complex analogies to describe COPD. b. Ask for feedback to assess understanding of COPD at the end of the session. c. Offer pamphlets about COPD written at the eighth grade level with large type. d. Include the most important information on COPD at the beginning of the session.

d. Include the most important information on COPD at the beginning of the session.

A nurse is teaching a group of healthy adults about the benefits of flu immunizations. Which type of patient education is the nurse providing? a. Health analogies b. Restoration of health c. Coping with impaired functions d. Promotion of health and illness prevention

d. Promotion of health and illness prevention

Which behavior indicates the nurse is using a process recording correctly to enhance communication with patients? a. Shows sympathy appropriately b. Uses automatic responses fluently c. Demonstrates passive remarks accurately d. Self-examines personal communication skills

d. Self-examines personal communication skills

A nurse teaches a patient with heart failure healthy food choices. The patient states that eating yogurt is better than eating cake. Which element represents feedback? a. The nurse b. The patient c. The nurse teaching about healthy food choices d. The patient stating that eating yogurt is better than eating cake

d. The patient stating that eating yogurt is better than eating cake

Which learning objective/outcome has the highest priority for a patient with life-threatening, severe food allergies that require an EpiPen (epinephrine)? a. The patient will identify the main ingredients in several foods. b. The patient will list the side effects of epinephrine. c. The patient will learn about food labels. d. The patient will administer epinephrine.

d. The patient will administer epinephrine.

A nurse uses SBAR when providing a hands-off report to the oncoming shift. What is the rationale for the nurse's action? a. To promote autonomy b. To use common courtesy c. To establish trustworthiness d. To standardize communication

d. To standardize communication

2.A person states, "My grandmother is the decision maker in our family." Which of the following is being described by the person? a. Culture b. Race c. Ethnicity d. Values

a. Culture

The nurse is caring for a patient who has emigrated from another country. The patient is in need of abdominal surgery but seems reluctant to sign the surgical permits. What is one tactic that the nurse should use? a. Determine the family social hierarchy. b. Encourage the patient to sign the permits. c. Call the physician so that surgery can be canceled. d. Impress on the patient that her life is in jeopardy.

a. Determine the family social hierarchy.

While preparing a teaching plan, the nurse describes what the learner will be able to accomplish after the teaching session about healthy eating. Which action is the nurse completing? a. Developing learning objectives b. Providing positive reinforcement c. Presenting facts and knowledge d. Implementing interpersonal communication

a. Developing learning objectives

A nurse is preparing to teach a kinesthetic learner about exercise. Which technique will the nurse use? a. Let the patient touch and use the exercise equipment. b. Provide the patient with pictures of the exercise equipment. c. Let the patient listen to a video about the exercise equipment. d. Provide the patient with a case study about the exercise equipment.

a. Let the patient touch and use the exercise equipment.

A nurse is taking a history on a patient who cannot speak English. Which action will the nurse take? a. Obtain an interpreter. b. Refer to a speech therapist. c. Let a close family member talk. d. Find a mental health nurse specialist.

a. Obtain an interpreter.

Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient? a. Preinteraction b. Orientation c. Working d. Termination

a. Preinteraction

A nurse wants to present information about flu immunizations to the older adults in the community. Which type of communication should the nurse use? a. Public b. Small group c. Interpersonal d. Intrapersonal

a. Public

A patient who is going to surgery has been taught how to cough and deep breathe. Which evaluation method will the nurse use? a. Return demonstration b. Computer instruction c. Verbalization of steps d. Cloze test

a. Return demonstration

A nurse is describing a patient's perceived ability to successfully complete a task. Which term should the nurse use to describe this attribute? a. Self-efficacy b. Motivation c. Attentional set d. Active participation

a. Self-efficacy

After a teaching session on taking blood pressures, the nurse tells the patient, "You took that blood pressure like an experienced nurse." Which type of reinforcement did the nurse use? a. Social acknowledgment b. Pleasurable activity c. Tangible reward d. Entrusting

a. Social acknowledgment

Which situation will cause the nurse to intervene and follow up on the nursing assistive personnel's (NAP) behavior? a. The nursing assistive personnel is calling the older-adult patient "honey." b. The nursing assistive personnel is facing the older-adult patient when talking. c. The nursing assistive personnel cleans the older-adult patient's glasses gently. d. The nursing assistive personnel allows time for the older-adult patient to respond.

a. The nursing assistive personnel is calling the older-adult patient "honey."

A patient had a stroke and must use a cane for support. A nurse is preparing to teach the patient about the cane. Which learning objective/outcome is most appropriate for the nurse to include in the teaching plan? a. The patient will walk to the bathroom and back to bed using a cane. b. The patient will understand the importance of using a cane. c. The patient will know the correct use of a cane. d. The patient will learn how to use a cane

a. The patient will walk to the bathroom and back to bed using a cane.

A patient is aphasic, and the nurse notices that the patient's hands shake intermittently. Which nursing action ismost appropriate to facilitate communication? a. Use a picture board. b. Use pen and paper. c. Use an interpreter. d. Use a hearing aid.

a. Use a picture board.

A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most assertive? a. "I think you've had a hard day." b. "I feel uncomfortable hearing that statement." c. "I don't think you should say things like that. It is not right." d. "I have been checking on you regularly. How can you say that?"

b. "I feel uncomfortable hearing that statement."

A nurse is assessing the ability to learn of a patient who has recently experienced a stroke. Which question/statement will best assess the patient's ability to learn? a. "What do you want to know about strokes?" b. "Please read this handout and tell me what it means." c. "Do you feel strong enough to perform the tasks I will teach you?" d. "On a scale from 1 to 10, tell me where you rank your desire to learn."

b. "Please read this handout and tell me what it means."

A nurse is determining if teaching is effective. Which finding best indicates learning has occurred? a. A nurse presents information about diabetes. b. A patient demonstrates how to inject insulin. c. A family member listens to a lecture on diabetes. d. A primary care provider hands a diabetes pamphlet to the patient.

b. A patient demonstrates how to inject insulin.

A nurse is teaching a patient about heart failure. Which environment will the nurse use? a. A darkened, quiet room b. A well-lit, ventilated room c. A private room at 85° F temperature d. A group room for 10 to 12 patients with heart failure

b. A well-lit, ventilated room

A nurse is asked about the goal of patient education. What is the nurse's best response? The goal of educating others is to help people a. Meet standards of the Nurse Practice Act. b. Achieve optimal levels of health. c. Become dependent on the health care team. d. Provide self-care only in the hospital.

b. Achieve optimal levels of health.

Which of the following best represents the dominant values in American society on individual autonomy and self-determination? a. Physician orders b. Advance directive c. Durable power of attorney d. Court-appointed guardian

b. Advance directive

The staff is having a hard time getting an older-adult patient to communicate. Which technique should the nurse suggest the staff use? a. Try changing topics often. b. Allow the patient to reminisce. c. Ask the patient for explanations. d. Involve only the patient in conversations

b. Allow the patient to reminisce.

A confused older-adult patient is wearing thick glasses and a hearing aid. Which intervention is the priority to facilitate communication? a. Focus on tasks to be completed. b. Allow time for the patient to respond. c. Limit conversations with the patient. d. Use gestures and other nonverbal cues.

b. Allow time for the patient to respond.

Which of the following actions demonstrates a health care professional providing culturally competent care? a. Encouraging the person to take medications as prescribed b. Asking the person to describe his folk healing methods c. Demonstrating the proper way to administer an insulin injection d. Assisting the person with discussing his health problems with the family

b. Asking the person to describe his folk healing methods

A patient has heart failure and kidney failure. The patient needs teaching about dialysis. Which nursing action ismost appropriate for assessing this patient's learning needs? a. Assess the patient's total health care needs. b. Assess the patient's health literacy. c. Assess all sources of patient data. d. Assess the goals of patient care.

b. Assess the patient's health literacy.

A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place? a. Kinesthetic b. Cognitive c. Affective d. Psychomotor

b. Cognitive

The nurse asks a patient where the pain is, and the patient responds by pointing to the area of pain. Which form of communication did the patient use? a. Verbal b. Nonverbal c. Intonation d. Vocabulary

b. Nonverbal

During the initial home visit, a home health nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient? a. Preinteraction b. Orientation c. Working d. Termination

b. Orientation

A nurse is sitting at the patient's bedside taking a nursing history. Which zone of personal space is the nurse using? a. Socio-consultative b. Personal c. Intimate d. Public

b. Personal

A nurse is trying to help a patient begin to accept the chronic nature of diabetes. Which teaching technique should the nurse use to enhance learning? a. Lecture b. Role play c. Demonstration d. Question and answer sessions

b. Role play

The nurse is caring for a member of the Jewish faith who needs to undergo a critical procedure on Saturday. The patient is refusing the procedure because it is scheduled to be done on the Sabbath. The nurse impresses on the patient the urgency of the procedure, stating that delaying the procedure would put his life at risk. The patient continues to refuse. What should the nurse do? a. Cancel the procedure. b. Seek permission from the patient to contact the patient's rabbi. c. Have a family member sign the permit. d. Have the procedure done against patient wishes.

b. Seek permission from the patient to contact the patient's rabbi.

An older-adult patient is wearing a hearing aid. Which technique should the nurse use to facilitate communication? a. Chew gum. b. Turn off the television. c. Speak clearly and loudly. d. Use at least 14-point print.

b. Turn off the television.

When caring for a patient of a different culture, it is important for the nurse to understand that a. The nurse should protect the patient from family intrusion in her health care decisions. b. Working within the established family hierarchy produces better outcomes. c. Women as primary caregivers make independent health decisions. d. Gender is not a factor when it comes to role expectations.

b. Working within the established family hierarchy produces better outcomes.

8. The nurse is interviewing a patient who is being admitted to the hospital. The patient's family went home before the nurse's interview. The nurse asks the patient, "Who decides where to go on vacation?" In asking this, what is the nurse trying to do? A. Assess the family structure. B. Assess the family form. C. Assess the family function. D. Make a categorical generalization.

A. Assess the family structure.

When asked to describe the differences between ethnicity and race, what should the student nurse explain? A. Ethnicity refers to a shared identity, whereas race is limited to biological attributes. B. Ethnicity and race are actually the same and are based in cultural norms. C. Ethnicity can be understood only through an ethic worldview. D. Race refers to a shared identity, whereas ethnicity is limited to biological attributes.

A. Ethnicity refers to a shared identity, whereas race is limited to biological attributes.

Providing culturally congruent care means providing care that A. Fits the patient's valued life patterns and set of meanings. B. Is based on meanings generated by predetermined criteria. C. Is the same as the values of the professional health care system. D. Holds one's own way of life as superior to those of others.

A. Fits the patient's valued life patterns and set of meanings.

The nurse is providing discharge teaching for an older adult woman who will need dressing changes at home. Her husband, who is also elderly, is her only source of care. The husband states that he will not be able to perform the dressing changes. What does the nurse need to arrange for? A. Home care service referrals B. Extra dressing supplies C. Cancellation of the discharge D. An order for antibiotics

A. Home care service referrals

A man tells a nurse that he is concerned about his risk of developing cancer. Which of the following behaviors would place the man at higher risk of developing cancer? a. Smoking a half of a pack of cigarettes a day b. Exercising three times a week c. Consuming green, leafy vegetables several times a week d. Visiting a chiropractor every week

A. Smoking a half of a pack of cigarettes a day

A nurse attends a seminar on teaching/learning. Which statement indicates the nurse has a good understanding of teaching/learning? a. "Teaching and learning can be separated." b. "Learning is an interactive process that promotes teaching." c. "Teaching is most effective when it responds to the learner's needs." d. "Learning consists of a conscious, deliberate set of actions designed to help the teacher."

c. "Teaching is most effective when it responds to the learner's needs."

A nurse is teaching a patient about hypertension. In which order from first to last will the nurse implement the steps of the teaching process? 1. Set mutual goals for knowledge of hypertension. 2. Teach what the patient wants to know about hypertension. 3. Assess what the patient already knows about hypertension. 4. Evaluate the outcomes of patient education for hypertension. a. 1, 3, 2, 4 b. 2, 3, 1, 4 c. 3, 1, 2, 4 d. 3, 2, 1, 4

c. 3, 1, 2, 4

Which assessment finding will cause the nurse to begin teaching a patient because the patient is ready to learn? a. A patient has the ability to grasp and apply the elastic bandage. b. A patient has sufficient upper body strength to move from a bed to a wheelchair. c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices. d. A patient has normal eyesight to identify the markings on a syringe and coordination to handle a syringe

c. A patient with a below-the-knee amputation is motivated about how to walk with assistive devices.

A patient with heart failure is learning to reduce salt in the diet. When will be the best time for the nurse to address this topic? a. At bedtime, while the patient is relaxed b. At bath time, when the nurse is cleaning the patient c. At lunchtime, while the nurse is preparing the food tray d. At medication time, when the nurse is administering patient medication

c. At lunchtime, while the nurse is preparing the food tray

A nurse is preparing to teach a patient about smoking cessation. Which factors should the nurse assess to determine a patient's ability to learn? a. Sociocultural background and motivation b. Stage of grieving and overall physical health c. Developmental capabilities and physical capabilities d. Psychosocial adaptation to illness and active participation

c. Developmental capabilities and physical capabilities

A nurse has started admitting a new person on home care and is beginning to establish a relationship. Which of the following would be the most important thing for the nurse to do? a. Complete the paperwork in a timely fashion b. Establish open communication c. Conduct a complete physical health assessment d. Provide feedback to the person's questions

B) Establish open communication

A health care professional is providing culturally competent care. Which of the following actions is being performed by the professional? (select all that apply) a. Recognizing and accepting cultural diversity b. Respecting the patient's values, beliefs, and expectations c. Understanding the pathophysiology of disease processes d. Providing health care services that are respectful of the individual's cultural beliefs

B) Respecting the patients values, beliefs, and expectations. D) Providing health care services that are respectful of the individuals cultural beliefs.

The nurse makes sure that the distance between himself and the client is at least 6 feet before he begins to ask questions related to the client's health history. Which of the following statements is true? a. This is the ideal space for intimate communication. b. This distance is too far for the nurse to build a therapeutic relationship while obtaining the information. c. This is the recommended distance between client and nurse for effective therapeutic communication. d. The nurse should position himself an additional foot away to facilitate the conversation.

B) This distance is too far for the nurse to build a therapeutic relationship while obtaining the information.

Care that includes the nurse learning about cultural issues involved in the patient's health care belief system and enable patients and families to achieve meaningful and supportive care is known as A. Ethnocentrism. B. Culturally competent care. C. Cultural imposition. D. Culturally congruent care.

B. Culturally competent care.

Which of the following statements about nonverbal communication is true? a. Nonverbal behavior is not usually contextual. b. Nonverbal behavior is culturally and situationally bound. c. Nonverbal communication is the most important type of communication. d. Nonverbal communication is easy to interpret.

B. Nonverbal behavior is culturally and situationally bound.

A nurse is using therapeutic communication with a patient. Which technique will the nurse use to ensure effective communication? a. Interpersonal communication to change negative self-talk to positive self-talk b. Small group communication to present information to an audience c. Electronic communication to assess a patient in another city d. Intrapersonal communication to build strong teams

c. Electronic communication to assess a patient in another city

A nurse is teaching a culturally diverse patient with a learning disability about nutritional needs. What must the nurse do first before starting the teaching session? a. Obtain pictures of food. b. Get an interpreter. c. Establish a rapport. d. Refer to a dietitian

c. Establish a rapport.

A nurse is educating a client about the four-step approach to active listening. Which of the following actions should the nurse suggest the client take first? a. Formulate a nonaggressive response. b. Mirror the person's feelings. c. Hear what is being said. d. Listen to the response.

C) Hear what is being said.

A patient has been admitted to the hospital numerous times. The nurse asks the patient to share a personal story about the care that has been received. Which interaction is the nurse using? a. Nonjudgmental b. Socializing c. Narrative d. SBAR

c. Narrative

A health care professional is offering an educational session about providing culturally congruent care. Which of the following information would be included the presentation? a. Hispanic Americans value keeping balance and harmony with the earth. b. The oldest male is the decision maker in African American families. c. Native Americans are present oriented, taking one day at a time. d. The hot and cold concept of disease is part of the Asian American culture.

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

The nurse is caring for a patient who does not speak English. She decides to use an interpreter to explain procedures and to answer questions that the patient may have. In performing the interview, what should the nurse do? A. Direct questions to the interpreter to ask the patient. B. Disregard the age and gender of the interpreter. C. Direct questions to the patient. D. Ask the interpreter to ask the patient for clarification at the end

C. Direct questions to the patient.

The family is a central institution in American society; however, the concept, structure, and functioning of the family unit continue to change over time. The uniqueness of each family is referred to as family A. Durability. B. Resiliency. C. Diversity. D. Forms.

C. Diversity

It is essential for family members to realize that a family's beliefs, values, and practices strongly influence the health-promoting behaviors of its members, and to understand that A. American families are part of the same culture with the same values and beliefs. B. Economic status has little effect on a family's ability to access adequate health care. C. Family environment in early life has a strong influence on later health practices. D. All families place a high value on good health and health practices.

C. Family environment in early life has a strong influence on later health practices.

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet? a. Pork roast, rice, vegetables, mixed fruit, milk b. Crab salad on a croissant, vegetables with dip, potato salad, milk c. Sweet and sour chicken with rice and vegetables, mixed fruit, juice d. Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea

c. Sweet and sour chicken with rice and vegetables, mixed fruit, juice

A nurse is teaching a patient about healthy eating habits. Which learning objective/outcome for the affective domain will the nurse add to the teaching plan? a. The patient will state three facts about healthy eating. b. The patient will identify two foods for a healthy snack. c. The patient will verbalize the value of eating healthy. d. The patient will cook a meal with low-fat oil.

c. The patient will verbalize the value of eating healthy.

A smiling patient angrily states, "I will not cough and deep breathe." How will the nurse interpret this finding? a. The patient's denotative meaning is wrong. b. The patient's personal space was violated. c. The patient's affect is inappropriate. d. The patient's vocabulary is poor.

c. The patient's affect is inappropriate.

A toddler is going to have surgery on the right ear. Which teaching method is most appropriate for this developmental stage? a. Encourage independent learning. b. Develop a problem-solving scenario. c. Wrap a bandage around a stuffed animal's ear. d. Use discussion throughout the teaching session

c. Wrap a bandage around a stuffed animal's ear.

The nurse is caring for a male patient newly diagnosed with type 1 diabetes mellitus. The patient is not adjusting well to the diagnosis and is refusing to learn how to self-inject insulin. The patient's wife is critical of the patient's refusal to learn; a small argument ensues, and the wife leaves, stating, "I'll be back later when I cool off." What should the nurse do? A. Ask the patient if he would like his wife excluded at visiting time. B. Tell the wife in the hall that her behavior is unacceptable and cannot be tolerated. C. Realize that the wife will be an important part of therapy. D. Tell the patient that he needs to listen to his wife more.

C. Realize that the wife will be an important part of therapy.

When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the morning. Which therapeutic response is most appropriate? a. "You will be okay. Your surgeon will talk to you in the morning." b. "Why can't you sleep? You have the best surgeon in the hospital." c. "Don't worry. The surgeon ordered a sleeping pill to help you sleep." d. "It must be difficult not to know what the surgeon will find. What can I do to help?"

d. "It must be difficult not to know what the surgeon will find. What can I do to help?"