Pass your nursing exam guaranteed! EXACT NR 222 Health and Wellness- EXAM 2 questions with detailed answers. Students confirm 90%+ match rate with actual exam content.
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An advanced practice registered nurse is working within the community to open a free clinic to improve access to healthcare. The implementation of this intervention will likely result in which goal?
Improving the neighborhood
Decreasing community crime
Increasing the number of insured community members
Reduction of health disparities
Correct Answer: D Reduction of health disparities
Explanation of Correct Answer
Opening a free clinic (D) directly addresses unequal access to healthcare, a key contributor to health disparities. By providing affordable or no-cost care, vulnerable and underserved populations gain access to essential health services. This improves equity, ensures early detection and treatment of illnesses, and enhances overall community health. The focus of such interventions is not on insurance or crime but on reducing disparities in health outcomes among different groups.
When assessing a client before conducting a learning session, which behavior indicates to the nurse the client is ready to learn?
The client reports having pain after a surgical procedure
The client appears upset after receiving a cancer diagnosis.
The client asks about the prescribed medications.
The client is drowsy after receiving pain medication.
Correct Answer: C The client asks about the prescribed medications.
Explanation of Correct Answer
A client who actively asks questions about prescribed medications (C) demonstrates interest, engagement, and motivation to learn, which are key indicators of readiness to learn. Readiness involves not only the physical ability to focus but also the emotional and cognitive willingness to receive information. Curiosity and inquiry show that the client is receptive and able to participate in the teaching process effectively.
When a nurse is teaching a patient about how to administer an epinephrine injection in case of a severe allergic reaction, he or she tells the patient to hold the injection like a dart. Which of the following instructional methods did the nurse use?
Telling
Analogy
Demonstration
Simulation
Correct Answer: B. Analogy
Explanation of Correct Answer
Analogy (B) is correct because the nurse is comparing the unfamiliar action (holding an epinephrine injector) to a familiar action (holding a dart). Using analogies helps patients understand new skills by linking them to something they already know, which makes learning easier and recall stronger during emergencies. This method is particularly effective when teaching new or intimidating skills like using an auto-injector.
A nurse is teaching a group of young college-age women the importance of using sunscreen when going out in the sun. What type of content is the nurse providing?
Simulation
Restoring health
Coping with impaired function
Health promotion and illness prevention
Correct Answer: d) Health promotion and illness prevention
Explanation of Correct Answer
Health promotion and illness prevention (d) is correct because the nurse is educating healthy young women on strategies to maintain wellness and prevent disease. Sunscreen use reduces the risk of skin damage, premature aging, and skin cancers such as melanoma. This type of teaching empowers individuals to make proactive lifestyle choices that minimize health risks before illness occurs. It is preventive in focus, supporting long-term health and wellness.
An older adult client who lives alone tells the nurse that they cannot drive themselves to the grocery store. What is the most appropriate nursing action?
Recommend the client for assisted living
Call their family member to discuss the situation
Contact a local nursing home for assistance
Provide the client with community resources
Correct Answer: D Provide the client with community resources
Explanation of Correct Answer
Providing the client with community resources (D) is the most appropriate action because it directly addresses the client’s need for grocery access while supporting independence. Community resources, such as senior transport services, grocery delivery programs, or volunteer organizations, can help the client maintain autonomy and quality of life. This approach promotes safe living at home, respects the client’s preferences, and avoids unnecessary transitions to more dependent living arrangements.
According to Piaget, the school-age child is in the third stage of cognitive development, which is characterized by:
Concrete operations
Conventional thought
Postconventional thought
Identity vs. role-diffusion
Correct Answer: a) Concrete operations
Explanation of Correct Answer
Concrete operations is correct because Piaget’s third stage of cognitive development, typically occurring between ages 7 and 11, involves the ability to think logically about concrete events. Children in this stage can classify objects, understand the concept of conservation, and perform mental operations such as sequencing and reversibility. However, their reasoning is still limited to tangible, real-world situations rather than abstract ideas.
Which of the following statements accurately describe one of the five stages of health-related behavior change according to the Transtheoretical Model (TTM)?
Select all that apply.
Sustained change over time occurs in the contemplation phase.
When a person is considering the adoption of a change within the next 6 months, she or he is said to be in the precontemplation phase.
Small, sporadic changes occur in the planning phase, as the individual is seriously thinking about making a change within the next month.
In the action phase, the person has made behavior change which has persisted for 30 days.
Maintenance begins 6 months after the action has started and continues indefinitely.Maintenance begins 6 months after the action has started and continues indefinitely.
Correct Answers: d) In the action phase, the person has made behavior change which has persisted for 30 days, e) Maintenance begins 6 months after the action has started and continues indefinitely
Explanation of Correct Answers
d) In the action phase, the person has made behavior change which has persisted for 30 days
This is correct because the action phase of the TTM involves actively modifying behavior, experiences, or environment. It requires commitment, energy, and sustained effort. Typically, the action stage is defined as behavior change sustained for at least 30 days but less than 6 months.
e) Maintenance begins 6 months after the action has started and continues indefinitely
This is correct because maintenance focuses on preventing relapse and consolidating gains. Once the new behavior has been sustained for at least 6 months, the individual is in the maintenance stage. Continued vigilance and strategies are required to prevent reverting to old habits.
A nurse is preparing to teach a client how to use oxygen safely at home. The nurse plans to use discussion as well as a pamphlet that will reinforce key points of safe home oxygen therapy. Which domain of learning does the nurse plan to utilize?
Psychomotor
Implementation
Affective
Cognitive
Correct Answer: D Cognitive
Explanation of Correct Answer
The cognitive domain of learning involves acquiring knowledge and understanding through reading, discussion, and listening. In this scenario, the nurse uses both discussion and a pamphlet to reinforce important safety information, which targets the client’s intellectual skills such as comprehension and application. The client is expected to process, retain, and recall facts about safe oxygen use. This makes the cognitive domain the correct choice, as it emphasizes knowledge-based learning and understanding rather than physical skills or emotional attitudes.
A nurse manager reports a staff nurse to the state board of nursing (BON) for demonstrating unsafe practice. Which action can the state's BON take?
Transfer the nurse to a different department.
Require the nurse to complete additional education or training.
Allow the nurse to continue practicing without consequence.
Ignore the incident if it is their first offense.
Correct Answer: B Require the nurse to complete additional education or training.
Explanation of Correct Answer
The state board of nursing (BON) has the authority to regulate nursing practice and protect public safety. When unsafe practice is reported, the BON may require the nurse to complete remedial education or training (B) as part of disciplinary action. Other possible actions include probation, license suspension, or revocation depending on severity. The BON does not transfer staff between departments, nor should it ignore unsafe practice, as its duty is to uphold professional standards.
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