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NR 222 EXAM 1 STUDY GUIDE Questions
With Verified Answers.
Which nursing interventions are appropriate to include in a plan of care to promote sleep for
patients who are hospitalized? (Select all that apply.)
1. Give patients a cup of coffee 1 hour before bedtime.
2. Plan vital signs to be taken before the patients are asleep.
3. Turn television on 15 minutes before bedtime.
4. Have patients follow at-home bedtime schedule.
5. Close the door to patients' rooms at bedtime. - answer✔2. Plan vital signs to be taken before
the patients are asleep.
4. Have patients follow at-home bedtime schedule.
5. Close the door to patients' rooms at bedtime.
Professional Roles & Responsibility of Nurses
Autonomy & Give example - answer✔in nursing, it involves the initiation of independent
nursing interventions WITHOUT medical orders
EX: Independently advise pt to cough & suggest deep breathing exercises to clear lungs of pt
Professional Roles & Responsibility of Nurses
Accountability - answer✔Responsibility professionally & legally for the type & quality of
nursing care provided. Must remain current & competent in nursing scientific knowledge &
technical skills
Professional Roles & Responsibility of Nurses
Caregiver - answer✔help pts maintain & regain health, manage disease & symptoms, and attain
a maximal level of function & independence through the healing process
Professional Roles & Responsibility of Nurses
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Advocate - answer✔Protect pts human & legal rights & provide assistance in asserting those
rights if needed.
Act on behalf of pt, such as safeguarding their case against errors, suggesting alternative care,
securing pt healthcare rights and facilitating personal & cultural preferences.
Professional Roles & Responsibility of Nurses
Manager - answer✔Nurse managers direct groups of nurses by establishing an environment for
collaborative patient-centered care and safe, evidence-based quality care with positive patient
outcomes.
-manager coordinates the activities of members of a nursing staff in delivering nursing care and
has personnel, policy, and budgetary responsibility for a specific nursing unit or agency
-uses appropriate leadership styles to create a nursing environment for patients and staff that
reflects the mission and values of the health care organization
Professional Roles & Responsibility of Nurses
Communicator - answer✔Communicating allows you to know your patients, including their
preferences, strengths, weaknesses, and needs.
- routinely communicate with patients and families, other nurses and health care professionals,
resource people, and the community.
-Effective communication strategies are fundamental to providing high-quality care, coordinating
and managing patient care, assisting patients in rehabilitation, advocating for patients, assisting
patients and families in decision-making, providing patient education
Professional Roles & Responsibility of Nurses
Educator - answer✔-Your ability to teach effectively improves patients' knowledge, skills, self-
care activities, and ability to make informed decisions.
-As an educator, you identify patients' willingness and ability to learn, explain concepts and facts
about their health, describe the reason for care activities, demonstrate procedures such as self-
care activities, reinforce learning or patient behavior, and evaluate the patient's progress in
learning.
What are the Professional Roles & Responsibility of Nurses - answer✔Autonomy,
Accountability, Advocate, Educator, Communicator, Manager, Caregiver
A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The
nurse explains the risk and benefits of the operation to the family and discusses the patient's
wishes with them. The nurse is acting as the patient's:
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1. Educator
2. Advocate
3. Caregiver
4. Communicator - answer✔Advocate
Contemporary nursing requires that the nurse have knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples of these roles and
responsibilities? (Select all that apply.)
1. Caregiver
2. Autonomy
3. Patient advocate
4. Health promotion
5. Genetic counselor - answer✔Caregiver
Autonomy
Patient Advocate
Health promotion
The nurse spends time with a patient and family reviewing a dressing change procedure for the
patient's wound. The patient's spouse demonstrates how to change the dressing. The nurse is
acting in which professional role?
1. Educator
2. Advocate
3. Caregiver
4. Communicator - answer✔Educator
You are preparing a presentation for your classmates regarding the clinical care coordination
conference for a patient with terminal cancer. As part of the preparation, you have your
classmates read the Nursing Code of Ethics for Professional Registered Nurses. Your instructor
asks the class why this document is important. Which statement best describes this code?
1. Improves self-health care
2. Protects the patient's confidentiality
3. Ensures identical care to all patients
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4. Defines the principles of right and wrong to provide patient care - answer✔Defines the
principles of right and wrong to provide patient care
Continuing care types (2) - answer✔• Long-term care: assisted living, nursing centers
• Psychiatric and older-adult day care
In a continuing care setting, you will apply __________ nursing principles to help patients adapt
to permanent health changes so that they can remain active and engaged. -
answer✔gerontological
Discharge planning - answer✔is a coordinated, interprofessional process that develops a plan for
continuing care after a patient leaves a health care agency.
When does discharge planning start? - answer✔discharge planning with coordination of services
must begin the moment a patient is admitted to a hospital
What is involved in discharge planning? - answer✔• Determining the appropriate post-hospital
destination for a patient usually done by case manager or social worker
• Identifying a patient's needs for a smooth and safe transition from the acute care hospital/post-
acute care agency to the patient's discharge destination
• Beginning the process of meeting a patient's needs while the patient is still hospitalized, with
approaches such as early mobility protocols, health education, and new medication regimens.
Healthcare Disparities (definition) - answer✔Health care disparities are the differences in health
care outcomes and dimensions of health care, including access, quality, and equity, among
population groups
Disparities can be related to what variables? (6) - answer✔Disparities can be related to many
variables, such as race, ethnicity, gender, location, disability, or social determinants
Social determinants - answer✔They are the conditions in the environments in which people are
born, live, learn, work, play, worship, and age that affect health, functioning, and quality-of-life
outcomes and risks
How many social determinant categories are there?
Where can you find this information? - answer✔5
Healthy People 2030
What are the social determinant categories? - answer✔Economic Stability
