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NURS 299 EXAM 2 UNLV QUESTIONS WITH COMPLETE ANSWERS.
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NURS 299 EXAM 2 UNLV QUESTIONS WITH COMPLETE ANSWERS.
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NURS 299 EXAM 2 UNLV QUESTIONSWITH COMPLETE ANSWERS
1. A nurse is determining which family assessment tool would be best to implement with
a family when planning home visits for health promotion. Which of the following criteria
should the nurse use to evaluate these tools?
a. The number of questions asked on the assessment tool
b. The linkages of the assessment to Healthy People 2020
c. The amount of involvement that the family has in completing the tool
d. The capability of the tool to assess goals and outcomes - Answer c. The amount of
involvement that the family has in completing the tool
17. Which concept is aimed at interrupting potential ethical problems before they
develop?
a. Feminist ethics
b. Preventive ethics
c. Metaethics
d. Normative ethics - Answer b. Preventive ethics
24. Which nurse is functioning as a care manager?
a. A nurse working with a family to coordinate care for a child with multiple previous
hospital admissions due to exacerbation of asthma
b. A nurse providing asthma education in an office setting to a child with moderate,
persistent asthma
c. A nurse administering the appropriate anti-inflammatory medication to a child
hospitalized for exacerbation of asthma
d. Nurse making a home visit to perform a respiratory assessment on a child discharged
from the hospital following an admission for an asthma exacerbation - Answer a. A
nurse working with a family to coordinate care for a child with multiple previous hospital
admissions due to exacerbation of asthma
A 24-year-old man with severe cognitive impairment, and no relatives participating in his
care, needs to make a decision about removal of a brain tumor that will render him
totally dependent for completion of all activities of daily living. The nurse participates in
ethical decision-making on his behalf, knowing that the care recipient is unable to
benefit from which of the following ethical concepts?
a. Autonomy
b. Justice
c. Beneficence
d. Advocacy - Answer a. Autonomy
,A 27-year-old woman has not received a Pap test in 3 1/2 years. This assessment
finding identifies an alteration in which functional pattern?
a. Health perception-health management pattern
b. Elimination pattern
c. Activity-rest pattern
d. Self-perception-self-concept pattern - Answer a. Health perception-health
management pattern
A blended family has six children, aged 2, 4, 4, 5, 7, and 10, respectively. During a visit
to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas
the other children are playing loudly in the garage. Which of the following conclusions
can the nurse make from this observation?
a. This child has most likely been abused.
b. This child is one of multiple children closely spaced in age.
c. This family suffers from low self-esteem.
d. This family provides harsh punishment for their children. - Answer b. This child is one
of multiple children closely spaced in age.
A BMI of 18 would reflect
a. underweight.
b. normal weight.
c. overweight.
d. severe overweight. - Answer a. underweight.
A care recipient is experiencing an alteration in the health perception-health
management pattern and an alteration in the values-beliefs pattern. Which of the
following best describes the behavior of this person?
a. Never sees a physician
b. Only sees a physician if not feeling well
c. Sees a physician for screenings only
d. Sees a physician for follow-up care of a chronic disease - Answer b. Only sees a
physician if not feeling well
A care recipient is scheduled to have open-heart surgery. His physical condition is such
that he is at high risk to experience complications during the procedure, but he has not
been advised of this possibility. Which of the following ethical concepts has been
ignored in rendering care for this care recipient?
a. Beneficence
b. Autonomy
c. Justice
d. Informed consent - Answer d. Informed consent
A care recipient reports that her family will be moving because her husband is taking a
new job in another state. She is very unhappy about the decision and does not want to
move. What action should the nurse take next?
,a. Assess the care recipient's and family's coping mechanisms in handling stress.
b. Encourage the care recipient to act excited about the move.
c. Talk to the husband to get his perspective on the move.
d. Tell her that all families must cope with new situations from time to time. - Answer a.
Assess the care recipient's and family's coping mechanisms in handling stress.
A care recipient who fails to take his insulin on a regular basis may have a conflict in
which of the following functional health patterns? (Select all that apply)
a. Health perception-health management
b. Cognitive-perceptual
c. Elimination
d. Values-beliefs - Answer a. Health perception-health management
b. Cognitive-perceptual
d. Values-beliefs
A clear liquid diet would be most appropriate for - Answer d. a patient who has had
major surgery within the past 18 hours.
A community believes many people in that community lead sedentary lives because
they lack safe areas in which to exercise. What action should the nurse take in order to
confirm or reject these beliefs?
a. Walk around the neighborhood.
b. Interview members of the community.
c. Obtain town morbidity and mortality rates.
d. Go to the town hall to obtain the number of parks in the community. - Answer b.
Interview members of the community.
A community health nurse is presenting information about the current health of the
nation to a local political action group in 2011. Which of the following information would
be included in this presentation? (Select all that apply.)
a. Funding of public health programs has improved the health of the nation.
b. Provision of health care has improved the health of the nation.
c. Advances in technology have improved the health of the nation.
d. Consumer education has improved the health of the nation. - Answer a. Funding of
public health programs has improved the health of the nation.
b. Provision of health care has improved the health of the nation.
d. Consumer education has improved the health of the nation.
A community health nurse most effectively preserves the health of a person with
tuberculosis (TB) and the community by
a. administering and reading the purified protein derivative (PPD) of all close contacts.
b. providing direct observed therapy (DOT) for the individual with TB.
c. isolating the person because it is likely drug resistant.
d. telling the person to wear a mask when leaving the home. - Answer b. providing
direct observed therapy (DOT) for the individual with TB.
, A community is considering banning smoking in all schools. Based on the community's
current stage of change, which action should the nurse take next?
a. Provide the community with statistics regarding childhood smoking rates.
b. Point out positive outcomes associated with banning smoking such as maintenance
of good lung function.
c. Help the community develop a plan to implement the ban.
d. Praise the members of the community for their actions. - Answer b. Point out positive
outcomes associated with banning smoking such as maintenance of good lung function.
A community is in the maintenance stage of change. Which of the following would be an
appropriate intervention for the community health nurse?
a. Highlight past successes
b. Discuss the benefits of changing
c. Develop strategies to prevent relapse
d. Provide information - Answer a. Highlight past successes
A community nurse develops a plan to address the problem of teenage pregnancies.
Which of the following actions should the nurse take next?
a. Determine the rate of teenage pregnancies.
b. Evaluate the success of her plan.
c. Provide educational programs at local schools regarding pregnancy prevention.
d. Determine which factors related to teenage pregnancy require intervention. - Answer
c. Provide educational programs at local schools regarding pregnancy prevention.
A community nurse has collected rates of alcohol-related motor vehicle accidents
involving teenagers. Which action should the nurse take next?
a. Develop a plan to address the high rates of alcohol-related motor vehicle accidents.
b. Partner with high school nurses to educate students about the risks of drinking and
driving.
c. Diagnose the community with ineffective health management patterns related to the
high levels of drunk driving.
d. Establish support groups for teenagers with alcohol abuse. - Answer c. Diagnose the
community with ineffective health management patterns related to the high levels of
drunk driving.
A community planning committee is working on the development of a community
nursing center. Which of the following essential components should be included in this
center?
a. Physician as medical director
b. Interdisciplinary staff
c. Nurse as chief manager
d. Partnership with an academic institution - Answer c. Nurse as chief manager
A food restriction shared by both Muslims and Jews is - Answer b. not eating pork or
any food products from pigs.
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