Download NURS246 EXAM 2 | QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+ and more Exams Nursing in PDF only on Docsity!
NURS246 EXAM 2 | QUESTIONS AND ANSWERS |
2025 - 2026 | GRADED A+
The nurse desires to improve competency when caring for families within the lgbtq+ community. Which first step should the nurse take to improve this competency? Evaluate personal background, beliefs, and biases During a family assessment, the nurse learns that one parent is heterosexual and the other family member is bisexual of the opposite sex. How should the nurse document this family structure? Mixed-orientation A school nurse working at a middle school recognizes that several students identify as lgbtq+. Which of the following should the school nurse keep in mind when assessing these students? Greater risk of teen pregnancy The nurse notes that a transgender man has elevated liver enzymes and poor bone density. What should the nurse consider as a reason for these findings? Masculinizing hormone therapy
During a health assessment a middle-aged gay man asks the nurse not to document his sexual preference because his primary health care provider is not aware. What should this request indicate to the nurse? Fear of not receiving required care A nurse is presenting information to their unit regarding the use of pronouns. Which statement by the nurse would require further education? "the correct pronoun is always discernible form how the person chooses to express their gender" The nurse is providing care for a family who has an intersex child. Which action by the nurse would require and intervention? Providing information to the family prior to their readiness The nurse is working with an adolescent individual who is undergoing the process of coming out as transgender. The nurse understands that which of the following would be the final stage in this process? Surgical affirmation
- select materials that show both genders performing a variety of roles
- instruct the preschool staff members on ways to reduce the stigma of these children The nurse prepares to assess an adolescent's sexual history. On which questions should the nurse focus when completing this assessment. Select all
- partners
- practices
- protection
- pregnancy prevention The nurse is assessing a middle-aged gay man. The nurse knows that when assessing this patient, which of the following should be taken into consideration? Select all
- earlier onset of physical disability
- greater risk of cardiovascular disease
- higher rate of chronic gastrointestinal problems The nurse is presenting at a conference regarding a gender affirming approach to care. Which statements by the nurse reflect an understanding of this approach? Select all
- gender identity forms in response to interrelated factors
- gender identity occurs on a spectrum
- mental health issues can exist and could be a result of stigma and/or negative experiences A married couple arrives for an appointment for genetic testing after discovery of genetic diseases in their family histories. What should the nurse explain about genetic conditions to this couple? They can be attributed to a mutation in a gene A family in the community has an inherited genetic disorder. What should the nurse realize about this family and their associated family members? The diagnosed family members may not want to discuss the genetic information with the rest of the family The nurse plans to attend a continuing education program for genetics. In which situations will the nurse use this knowledge In all health care settings
A family learns that their newborn has a genetic anomaly. Which statement best describes what genes control Functions of the human body at the cellular level The nurse learns that a disease is present in more than one generation of a family. What does this suggest to the nurse The family may have either a biologically or environmentally based genetic disease or a combination of both The nurse notes that through genetic testing, a female carrier of an x-linked condition has on normal copy of the gene on the x chromosome and one mutated copy of the gene on the other x chromosome. What should this indicate to the nurse Sons will have a 50% chance of having the condition A female learns of a genetic predisposition to breast cancer. What should the nurse identify as being the first line of defense for this person More frequent mammograms to detect early cell changes
After giving birth to a newborn with a genetic disorder, the new mother asks when identification of genetic disorders can occur. How should the nurse respond? Select all
- after birth
- before conception
- during an acute or chronic illness Nurses play a critical role in. Helping individuals and families find accurate information and access to resources on genetic risks. What are the nurse's responsibilities? Select all
- reflect on their own beliefs and values
- provide individuals and families with accurate information about genetic testing so they can make well-informed decisions
- communicate factual info with family members when a genetic risk is present
- conduct thorough risk assessment and genetic family histories as part of individual assessments
- consider genetics and genomics as critical nursing knowledge no matter what setting the nurse works in Preconception counseling is an intervention that includes providing information and support to couples before a pregnancy to promote health and reduce risks. What is the role of the nurse in preconception counseling? Select all
The nurse notes that a family with a child newly diagnosed with a chronic illness has no experience with the disease. Therefore, required routines and family life are disorganized. Which need is the family experiencing Reeducation The parents of a child with muscular dystrophy have a negative view of the child's future and feel hopeless about future care needs. Which view of the child is the family demonstrating Floundering A mother of a child with asthma is confident about her ability to manage the child's care. The father is not as confident about his abilities to manage the child's asthma. Which view of the child is the mother demonstrating Accommodating The nurse understands that which of the following would not be apart of the contextual aspect when addressing the social construction of family health Routine meetings
The nurse is conducting an information session regarding factors that affect self- management of care. Which statement by the nurse would have to be addressed as not being factual "gender has an impact on self-management of care" The nurse prepares to assess a family with a member who has a chronic illness. On what should the nurse focus during this assessment? Select all
- sibling needs
- core processes
- economic restraints
- developmental milestones While providing care for a family, the nurse reviews the common reactions of siblings to a diabetes diagnosis. Which statement is true regarding siblings of individuals with diabetes? Select all
- some siblings of children with a chronic illness feel pressure to be the good child
- most siblings of children with a chronic illness feel shame-related embarrassment about their sibling
- some siblings of children with a chronic illness experience an increased level of compassion
- attachment
- commitment The mother of a child with a chronic illness is exhausted and does not feel supported by other family members when providing the child with care. Which instrumental support should the nurse recommend for this mother and family? Select all
- create a schedule for meal preparation
- assign chores for laundry and groceries
- take turns providing the child with physical care The nurse is preparing a presentation about the needs of family caregivers for a senate hearing on caring for people with chronic health problems. What should the nurse suggest as positive actions to improve the economic status of these caregivers? Select all
- implement flextime
- provide tax credit for caregiving
- expand funding for the national family caregiver program
- include the care of extended family members through the family and medical leave act
The family of a client with a terminal illness hesitates to agree to palliative care because of not wanting to give up on a possible cure. How should the nurse respond while also including a principle of palliative care? The client can continue to receive treatment intended to cure the disease The family of a client receiving palliative care for a terminal illness hesitate to call for the nurse because all staff seem to be too busy to address the client's needs. Which action should the nurse take to improve the connection with the family Enter the room and stand or sit at the bedside to talk with the client and family The spouse of a client nearing death is concerned because the client's breathing is "so noisy." how should the nurse refer to the client's respiratory status when talking with the spouse Congestion The family of a client nearing end of life asks if they can leave to get dinner. Which client observation causes the nurse to suggest that they family wait a while longer before leaving the client Apneic periods of 15 to 30 seconds
An interprofessional team meeting is scheduled to discuss the care needs for a client with a terminal illness. What should the nurse expect when participating in this meeting? Select all
- client goals direct care
- focus is on problem solving
- client's family can be in attendance The nurse suspects that a client receiving palliative care is nearing end of life. What did the nurse assess to make this clinical determination? Select all
- sleeping more often
- refusing to eat
- inability to swallow
- talking with a deceased spouse The nurse providing palliative care to a client with a terminal illness is experiencing moral distress. Which situation most likely caused the nurse to experience this emotional response? Select all
- the nurse continues to provide chemotherapy to the client upon the family's request
The staff development trainer is preparing an educational program for nurses who provide palliative care. Which suggestion should the trainer make to encourage a trusting relationship between nurse and family? Select all Palliative care can begin as soon as there is a diagnosis of a life-limiting illness. What principles of palliative care should guide nursing practice? Select all To provide optional palliative and end-of-life care, nurses need to be aware of t-the nurse is unable to relieve dyspnea because of a fear of overmedicating the Client
- another health care provider suggested another course of treatment that "might do the trick"
- the adult children want everything possible done yet the client is exhausted and wants it to end
- maintain a nonjudgmental approach when providing care
- listen to the family's experience with illness and suffering
- acknowledge the strengths of the individual family members
- demonstrate compassion by showing an understanding of the family's suffering
- the focus of palliative care is on supporting quality of life
- education and support for the family is a high priority
- the interprofessional team is there to support the patient and family
- it is appropriate for palliative care to be delivered while curative treatments are also in place
A key principle of palliative care is patient and family-centered care and the awareness that every person has the right to define their family. Select all true statements that apply
- every person has the right to decide who can be involved in their care planning
- this philosophy aligns with the concept of chosen family, or family of choice
- chosen families may include partners, spouses, friends, and biological and adopted children
- chosen family members are not required to have biological connections with the patients to participate in care planning
- the palliative care team prioritizes care of the patient and the family The nurse suspects that a family has closed boundaries. Why will this family not be amenable to nursing interventions? They reject influences from the outside environment The nurse assesses a family's ability to transition to having a baby. To which concept is transition the most similar? Change
Although the nurse desires to use duvall's family developmental theory to guide the care of a family, the nurse decides against it. Which is the major reason for the nurse to make this decision? The theory is based on traditional nuclear families and does not address diverse family structures The nurse is planning care for a family with a new baby. Which reason should the nurse identify as a risk for conflict between the nurse and client during this time? Agreement between grandparents and the nurse The nurse plans to discuss an expectant client's decision regarding infant feeding. What is important for the nurse to do when considering feeding management for this family? Assist the parents to form a nurturing relationship surrounding the feeding of the infant The nurse plans care for a postpartum client arriving for a wellness visit. What should the nurse tell the client about postpartum depression? Most mothers are reluctant to ask for professional help
