NR222 Health and Wellness Final
Exam:NR222 Final Exam: Questions &
Answers
The examination for registered nurse (RN) licensure is exactly the same in every state in the United
States. This examination: (Ans- Provides a minimal standard of knowledge for an RN in practice.
RN candidates must pass the NCLEX-RN® to attain licensure. Regardless of educational preparation,
the examination for RN licensure is exactly the same in every state in the United States.
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 of the following statements best describes
this code?
(Ans- Defines the principles of right and wrong to provide patient care.
When giving care, it is essential to provide a specified service according to standards of practice and to
follow a code of ethics. The code of ethics is the philosophical ideals of right and wrong that define the
principles you will use to provide care to your patients. It serves as a guide for carrying out nursing
responsibilities to provide quality nursing care and the ethical obligations of the profession.
,Nurses in an acute care hospital are attending a unit based education program to learn how to use a
new pressure-relieving device for patients at risk for pressure ulcers. This is which type of education?
(Ans-In-service education.
In-service education programs are instruction or training provided by a health care agency or institution.
An in-service program is held in the institution and is designed to increase the knowledge, skills, and
competencies of nurses and other health care professionals employed by the institution.
The nurse spends time with the patient and family reviewing the 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?
(Ans- Educator.
The nurse is demonstrating the role of educator. An educator explains concepts and facts about health,
describes the reason for routine care activities, demonstrates procedures such as home care activities,
reinforces learning or patient behavior, and evaluates the patient's progress in learning through return
demonstration.
Which of the following Internet resources available can assist consumers when comparing quality
care measures? (Ans- Hospital Compare.
Hospital Consumer Assessment of Healthcare.
Both of these are Internet sites that collect patient data to document hospitals' quality of care and patient
satisfaction. WebMD is an Internet source that is disease/condition specific. The Magnet Recognition
Program is a hospital-initiated recognition that assesses quality of nursing care and patient safety.
,A patient in the emergency department has developed wheezing and shortness of breath. The
nurse gives the ordered medicated nebulizer treatment now and in 4 hours. Which standard of
practice is performed? (Ans- Implementation.
Implementation is completing coordinating care and the prescribed plan of care.
Contemporary nursing requires that the nurse has knowledge and skills for
a variety of professional roles and responsibilities. Which of the following
are examples?
(Ans-
Caregiver.
Autonomy and accountability.
Patient advocate.
Health promotion.
A critical care nurse is using a computerized decision support system to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an
example of which Quality and Safety in the Education of Nurses (QSEN) competency? (Ans-
Informatics.
Using decision support systems is one example of using informatics and gaining competency in
informatics.
* Which statement made by a nurse shows that the nurse is engaging in an activity to help cope
with secondary traumatic stress and burnout?
, (Ans- "I am enjoying my quilting group that meets each week at my church."
* Health care reform will bring changes in the emphasis of care. Which of the following models
is expected from health care reform?
(Ans- Moving from an acute illness to a health promotion, illness prevention model.
Health care reform also affects how health care is delivered. There is greater emphasis on
health promotion, disease prevention, and management of illness.
The nurses on an acute care medical floor notice an increase in pressure
ulcer formation in their patients. A nurse consultant decides to compare two
types of treatment. The first is the procedure currently used to assess for
pressure ulcer risk. The second uses a new assessment instrument to
identify at-risk patients. Given this information, the nurse consultant
exemplifies which career?
(Ans- Nurse researcher.
The nurse researcher investigates problems by applying evidence-based practice or by conducting research
to improve nursing care and further define and expand the scope of nursing practice. He or she often works
in an academic setting, hospital, or independent professional or community service agency.
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