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NURS246 EXAM 2 | QUESTIONS AND ANSWERS | 2025-2026 | GRADED A+
Typology: Exams
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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
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
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
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
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
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
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