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NUR 1211 FINAL EXAM NEWEST 2024
ACTUAL EXAM COMPLETE 250
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
The nurse is preparing discharge teaching for a 51-year- old woman diagnosed with urinary retention secondary to multiple sclerosis. The nurse will teach the patient to self- catheterize at home upon discharge. What teaching method is most likely to be effective for this patient? A) A list of clear instructions written at a sixth-grade level B) A short video providing useful information and demonstrations C) An audio-recorded version of discharge instructions that can be accessed at home D) A discussion and demonstration between the nurse and the patient Correct Answer D) A discussion and demonstration between the nurse and the patient Demonstration and practice are essential ingredients of a teaching program, especially when teaching skills. It is best to demonstrate the skill and then give the learner ample opportunity for practice.
You are the nurse planning to teach tracheostomy care to a patient who will be discharged home following a spinal cord injury. When preparing your teaching, which of the following is the most important component of your teaching plan? A) Citing the evidence that underlies each of your teaching points B) Alleviating the patients guilt associated with not knowing appropriate self-care C) Determining the patients readiness to learn new information D) Including your nursing colleagues in the planning process Correct Answer C) Determining the patients readiness to learn new information Assessment in the teachinglearning process is directed toward the systematic collection of data about the person and familys learning needs and readiness to learn. Patient readiness is critical to accepting and integrating new information. Unless the patient is ready to accept new information, patient teaching will be ineffective. A public health nurse is preparing to hold a series of health-promotion classes for middle-aged adults that will
D) Stress decreases concentration. Correct Answer B) Stress decreases immune function. Studies have shown the negative effects of stress on health and a cause-and-effect relationship between stress and infectious diseases, traumatic injuries (e.g., motor vehicle crashes), and some chronic illnesses. A public health nurse understands that health promotion should continue across the lifespan. When planning health promotion initiatives, when in the lifespan should health promotion begin? A) Adolescence B) School age C) Preschool D) Before birth Correct Answer D) Before birth Health promotion should begin prior to birth because the health practices of a mother prior to the birth of her child can be influenced positively or negatively. This makes the other options incorrect. A nurse is working with a teenage boy who was recently diagnosed with asthma. During the current session, the nurse has taught the boy how to administer his
bronchodilator by metered-dose inhaler. How should the nurse evaluate the teaching learning process? A) Ask the boy specific questions about his medication. B) Ask the boy whether he now understands how to use his inhaler. C) Directly observe the boy using his inhaler to give himself a dose. D) Assess the boys respiratory health at the next scheduled visit. Correct Answer C) Directly observe the boy using his inhaler to give himself a dose. Demonstration and practice are essential ingredients of a teaching program, especially when teaching skills. It is best to demonstrate the skill and then give the learner ample opportunity for practice. By observing the patient using the inhaler, the nurse may identify what learning needs to be enhanced or reinforced. A team of public health nurses are doing strategic planning and are discussing health promotion activities for the next year. Which of the following initiatives best exemplifies the principles of health promotion? A) A blood pressure clinic at a local factory B) A family planning clinic at a community center
Emotional readiness also affects the motivation to learn. A person who has not accepted an existing illness or the threat of illness is not motivated to learn. A nurse is planning an educational event for a local group of citizens who live with a variety of physical and cognitive disabilities. What variable should the nurse prioritize when planning this event? A) Health-promotion needs of the group. B) Relationships between participants and caregivers. C) Wellness state of each individual D) Learning needs of caregivers Correct Answer A) Health-promotion needs of the group. The nurse must be aware of the participants specific health-promotion needs when teaching specific groups of people with physical and mental disabilities. A public health nurse is planning educational interventions that are based on Beckers Health Belief Model. When identifying the variables that affect local residents health promotion behaviors, what question should the nurse seek to answer? A) Do residents believe that they have ready access to health promotion resources?
B) Why have previous attempts at health promotion failed? C) How much funding is available for health promotion in the community? D) Who is available to provide health promotion education in the local area? Correct Answer A) Do residents believe that they have ready access to health promotion resources? Barriers, Beckers second variable, are defined as factors leading to unavailability or difficulty in gaining access to a specific health promotion alternative. A nursing student is collaborating with a public health nurse on a local health promotion initiative and they recognize the need for a common understanding of health. How should the student and the nurse best define health? A) Health is an outcome systematically maximizing wellness. B) Health is a state that is characterized by a lack of disease. C) Health is a condition that enables people to function at their optimal potential. D) Health is deliberate attempt to mitigate the effects of disease. Correct Answer C) Health is a condition that enables people to function at their optimal potential.
such as osteoporosis; and improving flexibility and overall muscle strength and endurance. An occupational health nurse is in the planning stages of a new health promotion campaign in the workplace. When appraising the potential benefits of the program, the nurse should consider that success depends primarily on what quality in the participants? A) Desire to expand knowledge B) Self-awareness C) Adequate time- and task-management D) Taking responsibility for oneself Correct Answer D) Taking responsibility for oneself Taking responsibility for oneself is the key to successful health promotion, superseding the importance of desire to learn information, self-awareness, or time-management. A public health nurse is assessing the nutritional awareness of a group of women who are participating in a prenatal health class. What outcome would most clearly demonstrate that the women possess nutritional awareness? A) The women demonstrate an understanding of the importance of a healthy diet.
B) The women are able to describe the importance of vitamin supplements during pregnancy. C) The women can list the minerals nutrients that should be consumed daily. D) The women can interpret the nutrition facts listed on food packaging. Correct Answer A) The women demonstrate an understanding of the importance of a healthy diet. Nutritional awareness involves an understanding of the importance of a healthy diet that supplies all of the essential nutrients. A nurse has planned a teachinglearning interaction that is aimed at middle school-aged students. To foster successful health education, the nurses planning should prioritize which of the following components? A) Pretesting B) Social and cultural patterns C) Patient awareness D) Measurable interventions Correct Answer B) Social and cultural patterns
C) To identify the presence of infectious diseases D) To detect health problems at an early age so they can be treated promptly Correct Answer D) To detect health problems at an early age so they can be treated promptly The goal of health screening in the adolescent population has been to detect health problems at an early age so that they can be treated at this time. A nurse recognizes that individuals of different ages have specific health promotion needs. When planning to promote health among young adults, what subject is most likely to meet this demographic groups learning needs? A) Family planning B) Management of risky behaviors C) Physical fitness D) Relationship skills training Correct Answer A) Family planning Because of the nationwide emphasis on health during the reproductive years, young adults actively seek programs that address prenatal health, parenting, family planning, and womens health issues.
A community health nurse has been asked to participate in a health fair that is being sponsored by the local senior center. The nurse should select educational focuses in the knowledge that older adults benefit most from what kind of activities? A) Those that help them eat well B) Those that help them maintain independence C) Those that preserve their social interactions D) Those that promote financial stability Correct Answer B) Those that help them maintain independence Although their chronic illnesses and disabilities cannot be eliminated, the elderly can benefit most from activities that help them maintain independence and achieve an optimal level of health. A recent nursing graduate is aware that the nursing scope of practice goes far beyond what is characterized as bedside care. Which of the following is a nurses primary responsibility? A) To promote activities that enhance community cohesion B) To encourage individuals self-awareness C) To promote activities that foster well-being
Health care professionals are involved in the promotion of health as much as in the treatment of disease. Health promotion has evolved as a part of health care for many reasons. Which of the following factors has most influenced the growing emphasis on health promotion? A) A changing definition of health B) An awareness that wellness exists C) An expanded definition of chronic illness D) A belief that disease is preventable Correct Answer A) A changing definition of health The concept of health promotion has evolved because of a changing definition of health and an awareness that wellness exists at many levels of functioning. A nurse is working with a male patient who has recently received a diagnosis of human immunodeficiency virus (HIV). When performing patient education during discharge planning, what goal should the nurse emphasize most strongly? A) Encourage the patient to exercise within his limitations. B) Encourage the patient to adhere to his therapeutic regimen. C) Appraise the patients level of nutritional awareness.
D) Encourage a disease-free state. Correct Answer B) Encourage the patient to adhere to his therapeutic regimen. One of the goals of patient education is to encourage people to adhere to their therapeutic regimen. This is a very important goal because if patients do not adhere to their therapeutic regimen, they will not attain their optimal level of wellness. Research has shown that patient adherence to prescribed regimens is generally low, especially when the patient will have to follow the regimen for a long time. Which of the following individuals would most likely benefit from health education that emphasizes adherence? A) An older adult who is colonized with methicillin-resistant Staphylococcus aureus (MRSA) B) An 80-year-old man who has a small bowel obstruction C) A 52-year-old woman who has a new diagnosis of multiple sclerosis D) A child who fractured her humerus in a playground accident Correct Answer C) A 52-year-old woman who has a new diagnosis of multiple sclerosis Many people do not adhere to their prescribed regimens; rates of adherence are generally low, especially when the
E) Variables that affect the patients ability to adopt specific behaviors Nurses success with health education is determined by ongoing assessment of the variables that affect a patients ability to adopt specific behaviors, to obtain resources, and to maintain a healthy social environment. Nurses who are providing patient education often use motivators for learning with patients who are struggling with behavioral changes necessary to adhere to a treatment regimen. When working with a 15-year-old boy who has diabetes, which of the following motivators is most likely to be effective? A) A learning contract B) A star chart C) A point system D) A food-reward system Correct Answer A) A learning contract Using a learning contract or agreement can also be a motivator for learning. Such a contract is based on assessment of patient needs; health care data; and specific, measurable goals. As the nurse working in a gerontology clinic, you know that some elderly people do not adhere to therapeutic
regimens because of chronic illnesses that require long- term treatment by several health care providers. What is the most important consideration when dealing with this segment of the population? A) Health care professionals must know all the dietary supplements the patient is taking. B) Health care professionals must work together to provide coordinated care. C) Health care professionals may negate the efforts of another health care provider. D) Health care professionals must have a peer witness their interactions with the patient. Correct Answer B) Health care professionals must work together to provide coordinated care. Above all, health care professionals must work together to provide continuous, coordinated care; otherwise, the efforts of one health care professional may be negated by those of another. An adult patient will be receiving outpatient intravenous antibiotic therapy for the treatment of endocarditis. The nurse is preparing to perform health education to ensure the patients adherence to the course of treatment. Which of the following assessments should be the nurses immediate priority?
