NR-222 Health and Wellness - Set 5 - Part 3

Correct Answer: An extended family household

The extended form consists of relatives such as grandparents, aunts, uncles, and cousins in addition to the nuclear family. A married couple, their children, and her parents match that pattern exactly. Option a is incorrect because blending depends on children arriving from previous relationships. Both children here belong to the current couple, so no prior partnership contributed anyone to the household. Option c is incorrect because alternative covers grand families, communal groups, cohabiting partners, and adults living alone. A conventional nuclear core with grandparents attached has its own name already. Option d is incorrect because two parents are raising these children together in this home. The single parent form starts either with the loss of one parent or with one person choosing to parent alone.

Correct Answer: Lower the pitch and reduce background noise

Presbycusis takes the high frequencies first, so a louder, higher voice becomes harder to understand. Dropping the pitch and cutting background noise restores the consonants that carry meaning in speech. Option a is incorrect because shouting pushes the voice up in pitch, distorts the words, and signals disrespect to everyone within earshot. Volume was never the barrier for this resident. Option b is incorrect because a word that landed outside her audible range will land there again on the second try. Rephrasing with different words gives the ear a new chance at the meaning. Option c is incorrect because standing out of view removes lip movement and facial expression, which older adults rely on to fill in what they cannot hear. Face her at eye level instead.

Correct Answer: Burnout arising from the work environment

Burnout comes from chronic workplace stress and shows the three dimensions named here: emotional exhaustion, cynicism toward the work, and a reduced sense of accomplishment. The source is the job, and the nurse disengages. Option a is incorrect because that condition traces back to the patients' suffering rather than to staffing and hours. It also tends to make a nurse give more, while this one has pulled back. Option c is incorrect because trauma like intrusion, avoidance, and hyperarousal define that syndrome, and it usually follows a specific horrifying case. No nightmares or intrusive images appear anywhere in this stem. Option d is incorrect because moral injury leaves guilt, shame, and a lost sense of meaning after someone violates deeply held beliefs. Being overworked is demoralizing without wounding moral identity in that way.

Correct Answer: Personal fable and a sense of invulnerability

The personal fable is the adolescent belief that his experience is unique and that harmful outcomes happen to other people. It drives unprotected sex, impaired driving, and other risk taking. Option a is incorrect because the imaginary audience is the belief that everyone is watching and judging him, which shows up as intense self consciousness about a blemish or a hospital gown. Option b is incorrect because role confusion describes drifting without a settled sense of self. This boy has a clear, if faulty, view of his own risk, so the failure lies elsewhere. Option c is incorrect because concrete thinking belongs to younger children who reason only about what is in front of them. A 16 year old reasons abstractly and reaches a distorted conclusion anyway.

Correct Answer: Educating clients about modifiable risks and screening

Education is the key to health promotion in young adults, because lifestyle choices made now produce illness decades later. Nothing needs treating yet, so the intervention has to be informational and behavioral. Option b is incorrect because routine specialist referral adds cost and appointments without changing behavior. Young adults need modifiable risks named and explained, and a specialist visit does not accomplish that. Option c is incorrect because waiting for symptoms is the trap this age group already falls into. They ignore symptoms and postpone care, so a reactive clinic model reaches almost none of them. Option d is incorrect because telling healthy students to hold off on activity inverts the goal. Physical activity is one of the habits the nurse is trying to build during the years habits actually form.

Correct Answer: Normalize the topic, then ask what has been tried

Normalizing lowers the cost of an honest answer, and an open question invites narrative rather than a single word. Saying that many teens have tried vaping makes admitting it far less risky. Option a is incorrect because a yes or no question invites a one word denial. Closed questions are exactly what adolescents use to end a line of inquiry they would rather not follow. Option b is incorrect because warnings from an authority figure collide with the developmental push toward autonomy. Lecturing recruits resistance, and the client stops talking long before any useful history is collected. Option d is incorrect because a parent in the room removes the privacy that makes disclosure possible. Part of every adolescent visit should be conducted alone, and drug screening is precisely that part.

Correct Answer: Rapid pulse, dilated pupils, and dry mouth

The alarm reaction fires the sympathetic nervous system and releases epinephrine and norepinephrine. Heart rate, blood pressure, and blood glucose rise, pupils dilate, the mouth dries, and gut activity slows. Option b is incorrect because that picture describes parasympathetic dominance, the rest and digest pattern. It is the opposite of what catecholamines produce, and no stage of the stress response looks like it. Option c is incorrect because outwardly normal vital signs while reserves quietly drain belongs to the resistance stage. That is the phase in which a person appears to be coping while the effort costs a great deal. Option d is incorrect because collapse and organ failure mark exhaustion, which arrives only after prolonged unrelieved stress. Minutes after bad news the body is mobilizing, not running out of resources.

Correct Answer: Include him in discharge teaching with her permission

Durability means the connection outlasts changes in structure, so a former spouse can still be central support. With her permission he is taught the plan, because he is the person carrying it out. Option a is incorrect because striking him from the record erases the only person driving her to appointments. Household rosters and legal ties are poor guides to who actually supports a client. Option b is incorrect because reassigning the work to a daughter who was never mentioned invents a caregiver. Plans built on assumed helpers tend to collapse in the first week after discharge. Option c is incorrect because no rule bars teaching a former spouse when the client wants him involved. The client controls who receives her health information, and she has clearly chosen him.

Correct Answer: Elevate the head of bed and monitor oximetry

The triad of loud snoring, witnessed apnea, and daytime sleepiness points to obstructive sleep apnea, and opioids worsen airway collapse. Non supine positioning with continuous oximetry protects airway and oxygenation right now. Option a is incorrect because polysomnography confirms the diagnosis on another day. Booking a test does nothing for a client who may desaturate within the hour, and the opioid is already ordered. Option c is incorrect because weight reduction is the strongest long term modifiable factor, and it belongs in discharge teaching. A drowsy postoperative client cannot absorb education, and nothing about it protects his airway tonight. Option d is incorrect because he has never been diagnosed, so there is no home device to fetch. Even with one available, positioning and monitoring come first while the family drives back and forth.

Correct Answer: Offering fluids on a schedule through the shift

Older adults lose thirst sensation, so fluids are offered on a schedule rather than on request. Offering drinks is a routine, predictable task that fits within the assistive personnel scope. Option a is incorrect because working out why a fall happened is analysis, and a fall is a symptom with a differential. Medications, orthostatic changes, vision, and footwear all have to be weighed by the nurse. Option b is incorrect because family instruction belongs to the nurse, who must confirm understanding with return demonstration. Handing that off leaves nobody accountable for whether the transfer is actually done safely. Option d is incorrect because selecting a safety device follows from a risk assessment the nurse performs. Assistive personnel may apply and check equipment once ordered, but they do not decide it is needed.