NUR 226- Exam 1 Study Questions and Correct Answers
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Course
NUR 226
Institution
NUR 226
Which maximum score can be given to a patient when using the Mini-Mental State Examination (MMSE)?
5
20
25
30 - 30
-- A score of 30 would indicate that the patient has good cognitive abilities. The MMSE is performed to assess a person's cognitive function. A score of 5 indicates severe cogniti...
NUR 226- Exam 1 Study Questions and
Correct Answers
Which maximum score can be given to a patient when using the Mini-Mental State
Examination (MMSE)?
5
20
25
30 ✅- 30
-- A score of 30 would indicate that the patient has good cognitive abilities. The MMSE
is performed to assess a person's cognitive function. A score of 5 indicates severe
cognitive impairment. A score of 20 indicates mild cognitive impairment. A score of 25
indicates the patient has no cognitive impairment.
A patient tells the nurse how much pain he is in. Is the nurse collecting subjective data
or objective data? ✅Subjective
The nurse assesses the patient and notices his heart rate is high and is having a hard
time catching his breath. Is the data objective or subjective? ✅Objective
If a nurse has a genuine approach toward her patients, she is using what internal factor
in the process of communication? ✅Liking others
An internal factor of communication by developing an understanding and sensitivity to
others feeling's ✅Empathy
Internal factors of communication ✅- Liking Others
- Empathy
- Ability to listen
- Self-awareness
The Process of Communications, External Factors: ✅- Ensure Privacy (geographic--
private room or psychological--curtain)
- Avoid Interruptions
- Physical Environment (equal status--sit at eye level with chairs at a 90 degrees;
remove distractions; sufficient lighting and room temp.; keep 4-5 feet b/w you and the
client)
- Appearance/Clothing (for you and the patient)
,- Note-taking (keep to a minimum)
The working phase during the interview is also known as the ✅Data-gathering Phase
The following is examples of what kind of questions:
"You mentioned shortness of breath. Tell me more about that." ✅Open-ended
Open-ended Question ✅- Narrative
- Unbiased
- Used to begin the interview or to introduce a new topic
A nurse asks her patient that suffers from migraines, "where are your headaches
located?", this is an example of what kind of question? ✅Closed/direct
Closed/Direct Questions ✅- Asks for specifics
- Leads to a forced response (i.e. yes/no)
Guidelines to follow when asking direct questions: ✅1. ONE question at a time;
process what they say and respond (don't bumerang)
2. Client/Patient appropriate language/verbage (some may not have a college
education)
5 verbal responses when narrating the interview from the client's perspective: ✅1.
Facilitate: exemplifies interest and encourages the patient to keep talking (i.e. "mmmm",
eye contract, nod up and down)
2. Silence: allow some but not too much-- can cause awkwardness OR allows the client
(specifically older adults) to process/catch their thoughts
3. Reflect: repeat parts of what the client discloses
4. Empathy:
5. Clarify: summary
4 verbal responses when narrating the interview from the examiner's perspective: ✅1.
Confrontation: clarify any confusion
2. Interpretation:
3. Explaination:
4. Summary:
10 Interviewing Traps: ✅1. Don't give false hope-- a nurse tells a patient with a
terminal illness that they will better better
2. Don't give unwanted advice-- patients may ask but ultimately it is their decision
3. Avoid authority-- "your doctor/nurse knows best"
4. Don't try to avoid certain languages/topics-- "passed away" vs "died"; reality is that
someone died
5. Avoid impersonal speech/distancing-- "the left breast" vs "your left breast"-- specific
language ("your") shows that you are confidently knowledgable about the disease
, 6. Don't assume your client knows/understands the medical terms you spit out at tham
7. Ask unbiased and open-ended questions-- "Do you smoke?" is better than "you don't
smoke, do you?"; clients may feel the need to please/answer the way they think you
want them to
8. Listen more than you talk
9. It's rude to interrupt
10. Don't ask why-- it leaves implied bad behavior/wrong doing
What is the best technique to improve a patients health literacy? ✅Teach back
What does SBAR stand for? ✅Situation
Background
Assessment
Recommendation
When do you use an SBAR Report? ✅Nurse to nurse or nurse to another healthcare
provider (physician)
A sign is ______ while a symptom is ______. ✅Objective; Subjective
Critical characteristics of a complete health history: ✅1.) Location: specifically where is
the irritation or pain?
2.) Character: descriptive qualities
3.) Quantity: pain scale 1-10
4.) Timing: how long does it last? How often? When does it occur?
5.) Setting:
6.) What makes it better or worse?
7.) Are there any other concerns or symptoms?
8.) How does the patient feel/perceive this is affecting them?
The mnemonic PQRSTU to organize questions: ✅P: Provocative or Palliative (irritates
or relives)
Q: Quality or Quantity
R: Region or Radiation
S: Severity scale 1-10
T: Timing or Onset
U: Understand patient's perception
What is a pedigree or genogram? ✅A family tree used to organize data
Cephalocaudal approach ✅Examination of the musculoskeletal system from head to
toe, proximal to distal, starting with TMJ, spine, upper extremity starting with the
shoulder, lower extremity starting with hip
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