NSG 3130 EXAM 1 LATEST WITH

NSG 3130 EXAM 1 LATEST WITH

ACTUAL QUESTIONS AND ANSWERS

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Immigrants who begin to use technology while continuing to adhere to their traditional mode of dress are exhibiting what aspect of cultural identity?

• Assimilation
• Acculturation
• Ethnocentrism
• Socialization - CORRECT ANSWER -B. Acculturation

What action by a nurse would indicate an understanding that foreign-speaking patients experience a clash of more than one culture when admitted to a health care facility?

• Sharing written patient information pamphlets for the patient to read
• Explaining medical terms and verifying that the patient understands
• Contacting the pharmacy for generic and brand name medications
• Orienting the patient's family to the hospital lounge and visiting hours - CORRECT

ANSWER -B. Explaining medical terms and verifying that the patient understands

The nurse is caring for a surgical patient who speaks only Mandarin Chinese. The nurse

will: (Select all that apply.)

• Ask a family member to translate
• Consider the body structure of the patient for rehab needs
• Determine the patients role & functions within the family
• Explore the cultural practices for foods, eye contact & body space for care provision
• Use the translation services of the institution for communication of the care plan -

CORRECT ANSWER -B,C,D,E

Which client would benefit from Pender's health promotion model? (Select all that apply)

• A 32-year-old who has yearly breast exams and other routine health screenings
• A 50-year-old client who exercises four times a week

• An overweight 29-year-old who engages in risky behaviors
• An active 21-year-old client who does not smoke or drink alcohol - CORRECT

ANSWER -A & B

The nurse conducting community wellness events recognizes that which elements contribute to an individual's health and wellness? (Select all that apply.)

• Culture
• Health policies
• Access to health care
• Environmental
• Age
• Genetics
• All apply - CORRECT ANSWER -G. All apply

The nurse is drawing a blood specimen on a client and accidentally punctures themself with the contaminated needle. After allowing the site to bleed, which of the following steps should the nurse take?

• Ask the client if they have a contagious infection.
• Gently squeeze the area to evacuate any infection.
• Wash the puncture site with soap and water.
• Notify the charge nurse immediately - CORRECT ANSWER -C. Wash the puncture

site with soap and water.

The nurse is preparing to leave a client's isolation room. Which action should the nurse take first when removing a grossly soiled gown?

• Untie the strings at the waist first.
• Release the neck ties of the gown and allow the gown to fall forward.
• Untie the strings at the neck first.
• Grasp the sleeve of the dominant arm, and remove it with a gloved hand. -

CORRECT ANSWER -A. Untie the strings at the waist first.

The nurse is prioritizing a client's problems based on Maslow's hierarchy of needs. The nurse would address which problem first?

• Lack of sleep
• Social isolation
• Fear of the unknown
• Poor understanding - CORRECT ANSWER -A. Lack of sleep

A client sets a goal with their nurse to lose 100lbs. The client is apprehensive, but went ahead and scheduled the surgery for 5 months out, intending to lose the weight in that timeframe. What stage of health behavior change is this client in?

• Pre-contemplation
• Contemplation
• Preparation
• Action - CORRECT ANSWER -B. Contemplation

Which of the following is an example of an external variable that could impact someone's health?

• Religious beliefs
• Family history of diabetes
• Friends
• Advanced age - CORRECT ANSWER -C. Friends

Which of the following external variables should be addressed with a patient when providing education during a routine health care visit? Select all that apply.

• Use of tobacco
• Gender
• Age
• Lack of physical activity
• High fat diet - CORRECT ANSWER -A, D, E

Which statement best reflects a principle common to all theories of health, wellness, and illness?

• Health is synonymous with a sense of well-being.
• People are able to control factors that control health.
• Being able to meet the demands of one's role is necessary for health.
• Many variables influence a person's perception of health. - CORRECT ANSWER -D.

Many variables influence a person's perception of health.

The client reports that he believes he will "never kick the habit" of smoking because he has tried before and failed. Using the transtheoretical model (TTM), what stage of health behavior change is the client functioning in?

• Contemplation stage
• Preparation stage
• Termination stage
• Precontemplation stage - CORRECT ANSWER -D. Precontemplation stage

A nurse is caring for a Chinese client orders rice for every meal without consulting the client. What may the nurse be displaying?

• Discrimination
• Racism
• Prejudice
• Stereotyping - CORRECT ANSWER -D. Stereotyping

The nurse is providing care for a client who has an elevated serum calcium level. Which of the following signs and symptoms should the nurse monitor for? (Select all that apply).

• Blood clots
• Numbness and tingling around mouth
• diarrhea
• Bone pain - CORRECT ANSWER -A & D

You are caring for a client who needs to eat what is known as a DASH diet. Which of the following would be appropriate to tell the client to eat? (Select all that apply.)

• Plenty of whole grains, nuts and seeds
• Eating plenty of fruits and vegetables
• Foods rich in calcium and magnesium
• Full-fat dairy products - CORRECT ANSWER -A, B, C

The nurse is providing care for a client who needs to be positioned for an enema. Which position would be appropriate?

• Orthopneic
• Fowler's
• Dangling
• Sim's - CORRECT ANSWER -D. Sim's

Which of the following would be a correct interpretation of health disparities?

• Equal access to resources for everyone, regardless of their ability to pay, culture, etc.
• Patient satisfaction with their healthcare
• The differences in care received from one person to another based on

socioeconomic status, race, age, etc.

• Providing culturally competent care such as offering translation services - CORRECT

ANSWER -C. The differences in care received from one person to another based on socioeconomic status, race, age, etc.

When considering different healthcare delivery systems, what category would a patient who is currently in the ICU for sepsis fall into?

• Restorative
• Secondary
• Tertiary
• Primary - CORRECT ANSWER -B. Secondary

Identify which of the following are basic types of health promotion activities. (Select all that apply)

• A nurse who models healthy lifestyle behaviors
• A school of nursing that is holding a blood pressure fair
• A billboard promoting abstinence to prevent sexually transmitted infections and

unplanned pregnancies

• A wellness assessment program - CORRECT ANSWER -B & C

An Asian American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method?

• Magnetic therapy
• Prayer
• Foods considered to be yang
• Foods considered to be yin - CORRECT ANSWER -D. Foods considered to be yin