NUR 111 Exam 1 Questions with Complete Solutions
Describe the communication process Correct Answer-Stimulus, source (seder/encoder), message, channel, receiver (decoder), feedback/communication
Identify factors that influence communication Correct Answer-
Developmental level, gender, sociocultural differences, roles and responsibilities, space/territoriality, physical/mental/emotional state, values, environment
Discuss types of communication used in healthcare and the role of the nurse in each type. Correct Answer-Verbal, nonverbal, electronic Correct Answer-
Define therapeutic communication and helping relationships. Correct Answer-the face-to-face process of interacting that focuses on advancing
the physical and emotional well-being of a patient. Involves: listening, conversation skills, silence, touch, humor, interviewing techniques
Discuss and utilize SBAR communication technique when communicating with physicians and other nurses. Correct Answer-S (Situation), B (Background), A (Assessment), R (Recommendation)
Discuss role of documentation in healthcare and demonstrate appropriate
documentation techniques. Correct Answer-"If you didn't chart it, it didn't happen". Source oriented records (paper documentation in which each healthcare group/discipline keeps data on its own form), problem oriented records, computerized documentations, PIE (problem, intervention, evaluation), Focus charting, charting by exception, case management model
Discuss professional responsibilities when using electronic communication Correct Answer-Date and time, timing, legibility, permanence, accepted terminology, correct spelling, signature, accuracy
Discuss the role of computers in healthcare and the impact on the nursing profession. Correct Answer-Pros: Facilitates focus on client outcome, fast, efficient use of time, legible, link various sources, links to
monitors, bedside terminals. Cons: Client privacy concerns, breakdowns make information unavailable, systems expensive, extended training periods
Ergonomics Correct Answer-Study and design of the work environment as it relates to operator fatigue, discomfort and productivity
Discuss the personal attributes of the professional nurse. Correct Answer-Open-mindedness, profound sense of value of the person, self-
awareness, sense of personal responsibility, motivation, leadership skills,
bravery
Define and discuss leadership principles, commitment to profession, and
work ethics Correct Answer-Commitment to excellence, problem-
solving, passion, integrity, respectfulness, accessibility, empathy, responsibility c Compare and contrast clinical reasoning, clinical judgement, and critical thinking Correct Answer-Clinical reasoning (Specific- thinking about patient care issues such as managing patient problems), clinical judgement (The result of critical thinking and clinical reasoning) , critical thinking (the objective analysis and evaluation of an issue in order to form a judgment. Five components: Knowledge base, experience, nursing process competencies, attitudes, standards)
Define the nursing process and it's characteristics Correct Answer-A systematic problem-solving process that guides all nursing actions. Systematic, dynamic, interpersonal, outcome oriented, universally applicable
Discuss the 5 steps of the nursing process and the goals and activities of each step. Correct Answer-Assessment (preparing for data collection, collecting data, identifying cues and making inferences, validating data, clustering related data and identifying patterns, reporting and recording data), diagnosis (the reasoning process used in interpreting assessment data, analyze data, identify health problems, risks, and strengths, determine risk factors to be managed, formulate diagnostic statements) , planning (establish priorities, identify expected patient outcomes, select evidence-based nursing intervention, communicate the plan of care), implementing (do it!, continue data collection, modify plan of care as needed, document), evaluating (measure how well the patient has achieved the desired outcomes, identify factors contributing to the patients success or failure, modify the plan of care if indicated) Describe and demonstrate the steps in concept mapping care planning Correct Answer-
Altruism Correct Answer-The selfless giving of others
Autonomy Correct Answer-The patient has the right to determine their own course of healthcare
Human Dignity Correct Answer-The person has dignity just because they are human
Integrity Correct Answer-Admit when you make a mistake. You wont try to cover it up or blame someone else
Social justice Correct Answer-Protecting the rights of everyone
Reflective journaling Correct Answer-A tool used to clarify concepts through reflection by thinking back or recalling situations
Concept mapping Correct Answer-A visual representation of patient problems and interventions that illustrates an interrelationship
Cues Correct Answer-Information obtained through use of the senses
Inferences Correct Answer-Judgment or interpretation of cues
