Exam (elaborations)
NR222 Exam 2 Questions and Answers Graded A+
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Exam of 25 pages for the course NR222 at NR222 (NR222 Exam 2)
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NR222 Exam 21. C ____
2. L ____
3. A ____
4. R ____
5. A ____
a. The nurse acknowledges that it is absolutely reasonable for patients to expect that
their health care providers care about their situations and that it is disappointing when
they have experiences that make them feel like they do not.
b. The nurse uses a relaxation technique before responding to the patient's concerns.
Calm yourself. Take a deep breath. Check your pulse.
c. The nurse says, "I want to help you. I can do that better if you tell me what's making it
difficult for you to come to your appointments and take your medicine each day."
d. The nurse maintains eye contact and allows the patient to discuss her perspective
while remaining attentively quiet.
e. The nurse explains, "One thing I want you to understand is that your blood pressure
medicine will only work if you take the same amount each day. Your follow-up
appointments are important so we can get this - answer1b, 2d, 3a, 4c, 5e
Which of the following are considered social determinants of health? (Select all that
apply.)
1. Lack of primary health care providers in a zip code
2. Poor-quality public school education that prevents a person from developing
adequate reading skills
3. Lack of affordable health insurance
4. Employment opportunities that do not provide paid vacation or sick leave
5. The number of times a person exercises during a week
6. Neighborhood safety that prevents a person from walking around the block or
socializing with neighbors outside of his or her home - answer1, 2, 3, 4, 6
Which of the following changes can help create a more inclusive environment for
lesbian, gay, bisexual, and transgender (LGBT) patients? (Select all that apply.)
1. Explicitly including sexual orientation and gender identity into nondiscrimination
policies
2. Displaying art that reflects LGBT community
3. Modifying health care forms to provide opportunities for gender identity and sexual
orientation disclosure
4. Not asking patients about their gender identity and sexual orientation to avoid making
them uncomfortable
5. Ensuring access to unisex or single-stall bathrooms - answer1, 2, 3, 5
,Which of the following are examples of problems with the health care system that
contribute to health disparities? (Select all that apply.)
1. A health care provider assumes that the patient missed two appointments because
the patient does not care about his or her health and does not inquire about the reasons
for missed visits.
2. The discharge nurse at a hospital uses Teach Back with a patient to ensure that she
has communicated the discharge instructions clearly.
3. A community hospital lacks an adequate staff of social workers who are able to
ensure patients' access to resources they need to take care of their health.
4. A hospital discharges a patient without ensuring that the patient has a primary care
provider and has made a follow-up appointment.
5. A nurse uses a family member as an interpreter to explain the patient's medications.
6. The hospital conducts quality improvement without stratifying data by race - answer1,
3, 4, 5, 6
1. R. ____
2. E. ____
3. S. ____
4. P. ____
5. E. ____
6. C. ____
7. T. ____
a. Ask about and try to understand barriers to care and adherence, and then offer
resources to help the patient overcome them, involving family members if appropriate,
and reassuring the patient that you are and will be available to help.
b. Patients may have different reasons for not disclosing important information. Earn a
patient's confidence through actions and attitude that demonstrate respect, compassion,
and your interest in partnership.
c. Work closely together with the patient by being flexible with regard to issues of
control, negotiating roles when necessary, and stressing that you will be working
together to mutually address medical problems.
d. Provide explanations for the process and your action, checking often for
understanding and using verbal clarification techniques such as Teach Back.
e. Approach each encounter thinking ab - answer1g, 2f, 3a, 4c, 5d, 6e, 7b
A patient is admitted through the emergency department (ED) after a serious car
accident. The nurse assesses the patient and quickly learns that he speaks little
English. Spanish is his primary language. The nurse speaks some Spanish. Which
interventions would be appropriate at this time? (Select all that apply.)
1. The nurse requests a professional interpreter.
2. Since this is an emergent situation, the nurse will interpret and identify the patient's
priority needs.
3. The nurse determines the interpreter's qualifications and makes sure that the
interpreter can speak the patient's dialect.
4. The nurse uses short sentences to explain the treatments provided in the ED.
, 5. The nurse directs questions to the patient by looking at the patient instead of at the
interpreter. - answer1, 3, 4, 5
A new nurse is caring for a hospitalized obese patient who is homeless. This is the first
time the patient has been admitted to the hospital, and the patient is scheduled for
surgery. Which of the following is a universal skill that will help the nurse work
effectively with this patient?
1. The nurse shifts her focus to understanding the patient by asking her, "Describe for
me the course of your illness."
2. The nurse tells the patient, "Your choices of foods and unwillingness to exercise are
adding to your health problems."
3. The nurse asks the patient, "Tell me about the main problems you have had with your
health from not having a home."
4. The nurse explains, "Because you have obesity, it is important to know the effects it
has on wound healing because of reduced tissue perfusion." - answer3
Which statement made by a new graduate nurse about the teach-back technique
requires intervention and further instruction by the nurse's preceptor?
1. "After teaching a patient how to use an inhaler, I need to use the Teach Back
technique to test my patient's understanding."
2. "The Teach Back technique is an ongoing process of asking patients for feedback."
3. "Using Teach Back will help me identify explanations and communication strategies
that my patients will most commonly understand."
4. "Using pictures, drawings, and models can enhance the effectiveness of the Teach
Back technique." - answer1
In the United States, there has never been a president of Asian or Hispanic culture. This
is an example of:
1. Social inequality
2. Marginalization
3. Under inclusion
4. Social location - answer2
A nurse has worked in a home health agency for a number of years. She goes to visit a
patient who has diabetes and who lives in a public housing facility. This is the first time
the nurse has cared for the patient. The patient has four other family members who live
with her in the one-bedroom apartment. Which of the following, based on Campinha-
Bacote's (2002) model of cultural competency, is an example of cultural awareness?
1. The nurse begins a discussion with the patient by asking, "Tell me about your family
members who live with you?"
2. The nurse asks, "What do you believe is needed to make you feel better?"
3. The nurse silently reflects about how her biases regarding poverty can influence how
she assesses the patient.
4. The nurse uses a therapeutic and caring approach to how she interacts with the
patient. - answer3
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