NUR 304 Midterm QUESTIONS AND ANSWERS, Exams of Nursing

Download NUR 304 Midterm QUESTIONS AND ANSWERS and more Exams Nursing in PDF only on Docsity! NUR 304 Midterm QUESTIONS AND ANSWERS The Ottawa Charter was developed for which one of the following purposes: A.To achieve health for all by the year 2000 and beyond B. To expand health education for healthier lives C. To guide Canada's health promotion initiatives D. To solidify the US and Canada in coordinated health care services - CORRECT ANSWER_A. To achieve health for all by the year 2000 and beyond Dualism in health care, rooted in the past and currently existing, refers to the: A. combination of values, attitudes, and beliefs with modern health care practices B. Conflicts that exist between two different cultures regarding health care C. differences between society's needs and programs develop by health care administrators D. Recognition that individuals are often multicultural - CORRECT ANSWER_combination of values, attitudes and beliefs with modern health care practices A long-term study known for linking cardiovascular disease with smoking, obesity, and hypertension is: A. the Doll and Hill study B. the Framingham study C. Healthy people 2000 D. Nursing: a social policy statement - CORRECT ANSWER_framingham study The influence of politics and government on health care in developed countries is: A. absent for the most part B. extensive C. focused on chronic disease D. limited to financing issues - CORRECT ANSWER_extensive The foundation for Medicare and Medicaid in the US is attributed to which of the following? A. Healthy people B. lalonde report C. Nursing: a social policy statement D. Social Security act - CORRECT ANSWER_D. Social Security act Which of the following accurately describes diagnostic related groups (DRG)? They were: A. meant to provide for cost saving clients B. created by physicians to increase medicare payments C. designed by hospitals to increase the quality of care D. developed by nurses to facilitate care - CORRECT ANSWER_B. created by physicians to increase medicare payments Which of the following would you most likely be involved in as a nurse coach for an overnight female client with diabetes? A. discussing her choices, options, preferences, and personal goals for optimum nutrition B. joining an exercise group with her to accurate assess her commitment to weight management c. making an appointment for her to consult wit a diabetes nutrionist D. providing her with pamphlets on diet management and exercise routines - CORRECT ANSWER_A. discussing her choices, options, preferences, and personal goals for optimum nutrition B. demonstrates how nursing theories and concepts are interrelated C. is less well organized than a nursing paradigm D. provides a global prospective of nursing as a discipline - CORRECT ANSWER_Provides a global perspective of nursing as a discipline The concept of health is: A. Essential in defininf nurisng's metaparadigm B. easily defined as to what health is C. not as important as the concept of nursing D. totally separate from the concept of illness - CORRECT ANSWER_essential in defining nursing's metaparadigm. Which of the following terms is defined as any activity useful in enhancing the quality of health and well- being of individuals, families, groups, and/or nations? A. Disease prevention B. Health protection C. Health promotion D. High level wellness - CORRECT ANSWER_Health promotion Which one of the following models conceptualizes change in behavior through a five-stage progression that incorporates thought, action, and time? A. Disease prevention B. Health promotion modle C. Precede-proceed model D. Transtheoretical model - CORRECT ANSWER_Transtheoretical model Which of the following statements most accurately represents a health promotion plan as opposed to a nursing process plan? A. A health promotion plan includes existing or potential health problems B. A health promotion plan emphasizes the achievement of optimal health outcomes C. A health promotion plan recognizes the health care provider as the expert regarding the client's health needs D. A health promotion plan focuses on process rather than on outcomes - CORRECT ANSWER_A health promotion plan emphasizes the achievement of optimal health outcomes You are a member of a community group seeking ti adopt a new program that creates a bicycle lane along a popular main street in town. Which of the following model is the most appropriate for this project? A. Consumer information processing mide B.Diffusion of innovations model C. health promotion model D. precede-proceed model - CORRECT ANSWER_Diffusion of innovations model Using the Pender Model of health promotion, which of the following comments indicate a commitment to action in a client whose goal is to reduce personal stress? A. "I know I can learn to do relaxation meditation" B. "I want to feel more relaxed" C. "My husband and I are going on a vacation in two months" D. "My yoga class begins next tuesday" - CORRECT ANSWER_"My yoga class begins next tuesday" When discussing a health-promotion plan for an individual recently diagnosed with diabetes, the nurse explains to the family that the term health promotion means: A. Achieving optimal health B. being free of all disease processes C. maintaining the health status quo D. protecting health - CORRECT ANSWER_Achieving optimal health Of the following, which role of the nurse is essential when using a health-promotion approach to patient care? A. Coordinator of care B. Empowering agent C. member of a profession D. provider of care - CORRECT ANSWER_empowering patient Immunization to prevent diphtheria, polio, and tetanus are considered which of the following? A. Initial prevention B. Primary prevention C. Secodnary Prevention D. Tertiary prevention - CORRECT ANSWER_Primary prevention When initially treating a known problem, the nurse is working at which of the following levels of prevention? A. Intermediate prevention B. Primary prevention C. Secondary prevention D. Tertiary prevention - CORRECT ANSWER_Tertiary prevention In the nursing process, critical analysis of data occurs in which of the following stages? A. Assessment B. Planning D. Child abuse by a parent - CORRECT ANSWER_C. Foreign object inspiration/ Child abuse by a parent A woman is being seen in the gynecology clinic. The nurse notes that the woman has a swollen eye and a bruise on her neck. which is an appropriate statement for the nurse to make? A. I am required by law to notify the police department of your injuries B. women who are physically abused often have injuries like yours C. you mud leave your partner before you are injured again D. it is important that you refrain from doing things that anger your partner - CORRECT ANSWER_B. women who are physically abused often have injuries like yours A nurse is counseling a new mother about postpartum blues. what statement should the nurse incude in the discussion A. breast feeding might make this condition worse B. post partum blkues last about a week or 2 C.meds are available and should be taken ASAP D. very few women experience post partum blues and this is a problem - CORRECT ANSWER_meds are available and should be taken ASAP In the geno clinic, the nurse is counseling a woman who is of child bearing age, is capable of getting pregnant, and is sexually active. what supplement should the nurse recommend to take because of the risk of becoming unknowingly pregnant A. Calcium B. Folate C. Iron D. vitamin A - CORRECT ANSWER_Folate You are performing a preschool assessment of a 5 year old male child. which of the following would be your first step in assessing his nutritional status? A. Assesment of the child's food preferences B. Assesment of the child's visual activity C. Determination of the child's body mass index D. recording the child's vital signs - CORRECT ANSWER_C. Determination of the child's body mass index A mother reports that her 9 year old daughter and 11 year old son are spending at least 3 hours daily watching TV and playing video games. your response to her is based on the AAP recommended screen time for a school aged child which is - CORRECT ANSWER_no more than 2 hours a day your supervising nurse assigns you to develop a teaching module title taking baby home.... helps with adjustment of bringing home a baby. which strategy should you include A. Assure the preschooler that she or he will love the new baby B. avoid discussion about the baby until 1-2 weeks before its arrival C. give the preschool a doll to promote role play D. wait till the new baby arrives to move child into new room - CORRECT ANSWER_C. give the preschool a doll to promote role play Which of the following is a significant influence on whereto a child wear a helmet on a bike A. the bike will be ridden over one mile B. the child has had a previous accident with a head injry C. the helmet fits properly D. the parents wear helmets - CORRECT ANSWER_D. the parents wear helmets To evaluate for a healthy sleep pattern in an 8 year old they will usually sleep how long? - CORRECT ANSWER_8-12 hours advice to parents regarding the best way to respond to the numerous questions preschoolers might have regarding sexuality is to : A. Explain that all those questions will be answered in school B. ignore the questions C. supply age appropriate info with honestly D. avoid these situations - CORRECT ANSWER_C. supply age appropriate info with honestly you are a school nurse and parents have questionined you about who sets the guidelines for lung programs in your state. your repines is based on the knowledge that the national school lunch program follows which nurtiriaonal guidelines? - CORRECT ANSWER_federal nutritional guidelines the incidences of child abuse and neglect have continued to escalate all over the world. in the US how many cases of child abuse and neglect are reported each year? - CORRECT ANSWER_over 3 million child abuse encompasses many aspects. what are the 3 major categories or types of child abuse - CORRECT ANSWER_physical, sexual, emotional/psychological which is an environmental hazard that affects both preschool and school aged children and increases their susceptibility to numerous respiratory infections? - CORRECT ANSWER_tobacco smoke enviromental hazards for nurses in the workplace include: - CORRECT ANSWER_ergonomics breast development is male adolescents is called - CORRECT ANSWER_gynecomastia Substance abuse includes - CORRECT ANSWER_alcohol, tobacco, and other drugs Common Substance Use and Abuse - CORRECT ANSWER_Inhalant abuse among teenagers Medication-related liver and kidney damage Drunk driving injuries and deaths Damage to individuals, families, communities, and nation Tolerance - CORRECT ANSWER_progressive increase in amount needed Drug misuse - CORRECT ANSWER_Inappropriate use of drug May result from lack of understanding Includes polypharmacy Drug abuse - CORRECT ANSWER_Drug use inconsistent with social norms Used for altered feelings produced Leads to deterioration of health Addiction - CORRECT ANSWER_Drug turns on brain pleasure center Brain learns to depend on drugs Use leads to change in how brain works Biological basis of addiction Prescription drug use - CORRECT ANSWER_Socially acceptable U.S. Food and Drug Administration regulated Nonprescription drugs - CORRECT ANSWER_Over the counter (OTC) U.S. Food and Drug Administration regulated Psychotropic - CORRECT ANSWER_Legitimate use in mental disorders: Antidepressants, neuroleptics, tranquilizers Non-legitimate use: Amphetamines, cocaine, heroin, marijuana, alcohol, hallucinogens Cannibus, THC, marijuana in relation to the eyes - CORRECT ANSWER_reddening decreased intra ocular pressure Cocaine use in relation to the eyes - CORRECT ANSWER_pupils dilate Risks for long-term smoking - CORRECT ANSWER_Patients should know that although some damage can exist, there is BENEFIT TO QUITTING SMOKING AT ANY TIME IN LIFE, both long and short- term benefits These are some of the most major risks: Cancers: lung, mouth, largynx, esophagus, bladder as most major ones CVD: MI, CVA or TIA, peripheral vascular disease, aortic aneurysm, hypertension COPD: emphysema or chronic bronchitis Remember Transtheoretical Model of Change (TTM) - CORRECT ANSWER_Nurses need to assess PATIENT'S READINESS FOR CHANGE WHEN COUNSELING ON ADDICTIONS 1. Precontemplation-no plans within 6 months 2. Contemplation-considering within next 6 months 3. Preparation-serious, change within next month 4. Action-active change that needs at least 6 months 5. Maintenance-lifelong current guidelines and opinions on breast self examination suggest that you would.. - CORRECT ANSWER_advise about the advantages and disadvantages meghan, has cysta, pimples, bumps.. nurses best approach is - CORRECT ANSWER_to tell parents and meghn to seek treatment to prevent scarring Which of the following accurately represents the change in morbidity and mortality rate for coronary artery disease? a) Rate has decreased by 25% b) Rate has decreased by 45% c) Rate has increased by 25% d) Rate has increased by 45% - CORRECT ANSWER_A) Rate has decreased by 25% Which of the following nursing interventions would help to acheive the goals of healthy people 2020 related to genetics/genomics? a) Gathering family health history from every client b) Becoming knowledgable about referring clients to genetic testing services as appropriate what is the most responsible for fatal and nonfatal injrueis to people age 65 and older - CORRECT ANSWER_falls what is a socionomic factor that would have the greatest influence on health promoting behaviors in the elderly - CORRECT ANSWER_education elder abuse in the US stimation of number of cases - CORRECT ANSWER_1 - 2 million what is the ration of population of people 55 and over - CORRECT ANSWER_more women than men fall below poverty elderly patients with sleep pattern disturbance should be advised to.. - CORRECT ANSWER_drink milk or tea, light snack beforebed which of the following factors directly contributes to the development of type 2 diabetes? - CORRECT ANSWER_obesity what nutrient has been found to prevent spinal cord birth defects during pregnancy - CORRECT ANSWER_folic acid vitamin D is necesarry because it does what... - CORRECT ANSWER_helps in the absorption of calcium and phosphorus anorexia primarily affects who? - CORRECT ANSWER_adolescent girls who is a typical bulimic - CORRECT ANSWER_college educated female phytochemicals are what - CORRECT ANSWER_provide protection against arthritis, HF, and cancer what is the food and drug administration - CORRECT ANSWER_intervenes to assure food supplement safety after an illness/injury occurs the next step in the nursing process after sorting and grouping is - CORRECT ANSWER_nursing diagnosis central obesity refers to - CORRECT ANSWER_a pattern of obesity with body of fat localized around the abdomen and upper body NEgative energy balance occurs when - CORRECT ANSWER_don't take in enoguh food and work out more, you will lose weight energy needs exceed that produced by the foods consumed the five year post intervention success rate has been shown to be highest in what. - CORRECT ANSWER_... appetite suppressants are based on which of the following theories - CORRECT ANSWER_biological domain a patient is 30 lb overwight you plan on including strategies to help for patient lose weight. what is your heights priority - CORRECT ANSWER_asking how she feels about making a change a male patient is 20 lb overweight. you are to asset with learning how to balance nutrition. his total caloric intake is 1600 calories. approx what percentage of his total calories should come from protein - CORRECT ANSWER_.... a 62 year old female is 5ft 9 and has a waist measurement of 32.5 inch and hips are 44 inch. what is risk for developing cardiovascular disease - CORRECT ANSWER_... mind body dualism is.. - CORRECT ANSWER_a philosophy founded on the notion that the mind and the body conflict with one another the chief messengers f the symptahthetic nervous system are the two catecholamines which are called - CORRECT ANSWER_adreneline, epinephrine Pap smear screens for - CORRECT ANSWER_cervical cancer fasting blood sugar screens for - CORRECT ANSWER_diabetes fecal occult blood test screens for - CORRECT ANSWER_colorectal cancer blood pressure screens or - CORRECT ANSWER_hypertension bone densitometry screens for - CORRECT ANSWER_osteoporosis and osteopenia PSA test screeens for - CORRECT ANSWER_prostate cancer PPD test screens for - CORRECT ANSWER_TB ANOREXIA FROM DISEASES LESS ABILITY TO TASTE SALT, SUGAR DECREASED GI ABSORPTION know basics such as when you can't give an immunization to someone - CORRECT ANSWER_(fever, moderate to severe illness, egg allergy, immunosuppression, such as HIV or chemotherapy, etc.). What is a vaccine information sheet? - CORRECT ANSWER_Often RN responsibility to give this to patient or parent to read before giving vaccine VIS sheet: vaccine information sheet patient or family must read; record date of sheet and then offer to answer questions Where can you find the immunization schedules and do they get updated every year? - CORRECT ANSWER_yes core values of holistic nursing - CORRECT ANSWER_1. Holistic Philosophy, Theory and Ethics 2. Holistic Caring Process 3. Holistic Communication, Therapeutic Healing Environment, and Cultural Diversity 4. Holistic Education and Research 5. Holistic Nurse Self-Reflection and Self-Care SCOPE OF HOLISTIC NURSING - CORRECT ANSWER_DEFINITION: "ALL NURSING PRACTICE THAT HAS HEALING THE WHOLE PERSON AS ITS GOAL" Healing oriented Centered on person, not disease It's a philosophy of practice + a body of knowledge + advanced nursing skills Philosophy honors uniqueness of all human beings Incorporates both conventional nursing and complementary/integrative modalities