Exam 2: NR222 / NR 222 Health & Wellness
Exam Review| Grade A| Questions and
Verified Answers (2023/ 2024 Update)
Q: The nurse at an outpatient clinic asks a patient who is Chinese American with newly
diagnosed hypertension if he is limiting his sodium intake as directed. The patient does not make
eye contact with the nurse but nods his head. What should the nurse do next?
A. Ask the patient how much salt he is consuming each day
B. Discuss the health implications of sodium and hypertension
C. Remind the patient that many foods such as soy sauce contain “hidden” sodium
D. Suggest some low-sodium dietary alternatives
Answer:
A. Ask the patient how much salt he is consuming each day
In an Asian culture spoken messages often have little to do with their meanings. It is important
for the nurse to clarify how much salt the patient is consuming in his diet.
Q: A female Jamaican immigrant has been late to her last two clinic visits, which in turn had to
be rescheduled. The best action that the nurse could take to prevent the patient from being late to
her next appointment is:
A. Give her a copy of the city bus schedule.
B. Call her the day before her appointment as a reminder to be on time.
C. Explore what has prevented her from being at the clinic in time for her appointment.
D. Refer her to a clinic that is closer to her home.
Answer:
C. Explore what has prevented her from being at the clinic in time for her appointment
Present-time orientation is in conflict with the dominant organizational norm in health care that
emphasizes punctuality and adherence to appointments. Nurses need to expect conflicts and
make adjustments when caring for ethnic groups.
Q: A nursing student is taking postoperative vital signs in the postanesthesia care unit. She
knows that some ethnic groups are more prone to genetic disorders. Which of the following
patients is most at risk for developing malignant hypertension?
A. Ashkenazi Jew
B. Chinese American
C. African American
D. Filipino
Answer:
C. African American
Certain genetic disorders are linked with specific ethnic groups such as malignant hypertension
among African Americans.
Q: A community health nurse is making a healthy baby visit to a new mother who recently
emigrated to the United States from Ghana. When discussing contraceptives with the new mom,
the mother states that she won’t have to worry about getting pregnant for the time being. The
nurse understands that the mom most likely made this statement because:
A. She won’t resume sexual relations until her baby is weaned.
B. She is taking the medroxyprogesterone (Depo-Provera) shot.
C. Her husband was recently deployed to Afghanistan.
D. She has access to free condoms from the clinic.
Answer:
A. She won’t resume sexual relations until her baby is weaned.
In some African cultures such as in Ghana and Sierra Leone some women will not resume sexual
relations with their husbands until the baby is weaned.
Q: During their clinical post-conference meeting, several nursing students were discussing their
patients with their instructor. One student from a middle-class family shared that her patient was
homeless. This is an example of caring for a patient from a different:
A. Ethnicity.
B. Culture.
C. Heritage.
D. Religion.
Answer:
B. Culture.
Culture is the context in which groups of people interpret and define their experiences relevant to
life transitions. This includes events such as birth, illness, and dying. It is the system of meanings
by which people make sense of their experiences.
Q: When interviewing a Native American patient on admission to the hospital emergency
department, which questions are appropriate for the nurse to ask? (Select all that apply.)
A. Do you use any folk remedies?
B. Do you have a family physician?
C. Do you use a Shaman?
D. Does your family have a history of alcohol abuse?
Answer:
A. Do you use any folk remedies?
B. Do you have a family physician?
C. Do you use a Shaman?
Obtain information about folk remedies and cultural healers that the patient uses. Assessment
data yield information about the patient’s beliefs about the illness and the meaning of the signs
and symptoms.
Q: The patient for whom you are caring needs a liver transplant to survive. This patient has
been out of work for several months and doesn’t have health insurance or enough cash. What
principles would be a priority in a discussion about ethics?
A. Accountability because you as the nurse are accountable for the well-being of this patient
B. Respect for autonomy because this patient’s autonomy will be violated if he does not receive
the liver transplant
C. Ethics of care because the caring thing that a nurse could provide this patient is resources for
a liver transplant
D. Justice because the first and greatest question in this situation is how to determine the just
distribution of resources