NURS 307 EXAM 1 (CH 1-3, 6-10 NURS 307 WITH DR.
NACCASHIAN @ CSUN) | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
autonomy Answer - pt self-determination
beneficence vs nonmaleficence Answer - Beneficence
-guides the actions and behaviors of practitioners toward beneficial patient
outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that might
bring harm to their patients
-ex. refusing to fill a prescription that pharmacist says may harm the patient
Utalitarianism Answer - appropriately use resources for greater good
deontological imperatives Answer - Care delivered according to traditions and
in cultural contexts
Positive patient rapport depends on communication built on... Answer -
Courtesy, Comfort, Connection, Confirmation, Confidentiality
,open-ended question Answer - pt discretion about extent of an answer
direct question Answer - seeks out specific information
EX: OLDCART
leading question Answer - a question that implies that one answer would be
better than another
what should you do if a pt doesnt understand what you are asking? Answer -
Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions Answer - curiosity, anxiety, silence,
depression, crying, emotional or physical intimacy, seduction, anger, avoidance,
financial considerations
while taking pt history, you should remain in a constant state of _____
evaluation of the pt's words and behaviors
A. objective
B. subjective Answer - subjective, you are asking pt for their own history
,sensitive issues that come up during the history taking process include Answer
- alcohol/drug use, domestic violence, spirituality, sexuality
what tools are used to screen for alcohol abuse during the history taking
process? Answer - CAGE (cutting down, annoyance by criticism, guilty feeling,
eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you
by criticizing your drinking? have you felt you ought to CUT down on your
drinking? have you ever had an EYE-OPENER drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was
intoxicated? do you take drugs to RELAX or to fit in? do you ever use drugs
when your ALONE? do you ever FORGET things while using? has a FAMILy
member or FRIEND told you to cut down? have you ever gotten into TROUBLE
from using drugs?)
screening vs assessment Answer - Screening is the process for EVALUATING the
possible presence of a problem VS Assessment is the process for DEFINING the
nature of the problem.
what tools are used to screen for domestic violence during the history taking
process? Answer - HITS
The wording of the question is "In the last year how often did your partner:
1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
, what tools can be used to approach spirituality during the history taking
process? Answer - FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings are
important to you?)
2. Importance and Influenc (how have these beliefs influenced how you handle
stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your healthcare
decisions?)
what is the basic outline/sequence of taking the history? Answer - 1. Chief
Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)
5. Personal and Social History (PSH)
6. Review of Systems
chief complaint (CC) Answer - the main reason for the patient's visit.
History of Present Illness (HPI) Answer - information gathered regarding the
symptoms and nature of the patient's current concern.
can ask about chronology of events, health state before present problem, first
symptoms, exposure to infection or toxic agents, typical attack etc.
OLDCARTS is a good tool to start with (onset, location, duration, characteristics,
aggravating factors, relieving factors, treatment, severity of symptoms)
NACCASHIAN @ CSUN) | QUESTIONS AND ANSWERS | 2026
UPDATE | WITH COMPLETE SOLUTION
autonomy Answer - pt self-determination
beneficence vs nonmaleficence Answer - Beneficence
-guides the actions and behaviors of practitioners toward beneficial patient
outcomes
-ex. provide emergency meds without regard to legal consequence
Nonmaleficence
-principle that urges practitioners to avoid actions and behaviors that might
bring harm to their patients
-ex. refusing to fill a prescription that pharmacist says may harm the patient
Utalitarianism Answer - appropriately use resources for greater good
deontological imperatives Answer - Care delivered according to traditions and
in cultural contexts
Positive patient rapport depends on communication built on... Answer -
Courtesy, Comfort, Connection, Confirmation, Confidentiality
,open-ended question Answer - pt discretion about extent of an answer
direct question Answer - seeks out specific information
EX: OLDCART
leading question Answer - a question that implies that one answer would be
better than another
what should you do if a pt doesnt understand what you are asking? Answer -
Facilitate (encourage pt to say more)
Reflect (repeat what you heard)
Clarify (ask pt to reiterate)
Empathize (show understanding)
Confront (address disturbing pt behavior
Interpret (repeat what you have heard to confirm pt's meaning)
examples of communication tensions Answer - curiosity, anxiety, silence,
depression, crying, emotional or physical intimacy, seduction, anger, avoidance,
financial considerations
while taking pt history, you should remain in a constant state of _____
evaluation of the pt's words and behaviors
A. objective
B. subjective Answer - subjective, you are asking pt for their own history
,sensitive issues that come up during the history taking process include Answer
- alcohol/drug use, domestic violence, spirituality, sexuality
what tools are used to screen for alcohol abuse during the history taking
process? Answer - CAGE (cutting down, annoyance by criticism, guilty feeling,
eye-openers)
TACE (how many drinks does it TAKE to feel drunk? have people ANNOYED you
by criticizing your drinking? have you felt you ought to CUT down on your
drinking? have you ever had an EYE-OPENER drink first thing in the morning?)
CRAFFT (have you ridden in a CAR driven by someone or yourself who was
intoxicated? do you take drugs to RELAX or to fit in? do you ever use drugs
when your ALONE? do you ever FORGET things while using? has a FAMILy
member or FRIEND told you to cut down? have you ever gotten into TROUBLE
from using drugs?)
screening vs assessment Answer - Screening is the process for EVALUATING the
possible presence of a problem VS Assessment is the process for DEFINING the
nature of the problem.
what tools are used to screen for domestic violence during the history taking
process? Answer - HITS
The wording of the question is "In the last year how often did your partner:
1. Hurt you physically?"
2. Insult or talk down to you?"
3. Threaten you with physical harm?"
4. Scream or curse at you?"
, what tools can be used to approach spirituality during the history taking
process? Answer - FICA
1. Faith, belief, meaning (what is your spiritual heritage? what writings are
important to you?)
2. Importance and Influenc (how have these beliefs influenced how you handle
stress?)
3. Community (do you belong to a spiritual community?)
4. Address/Action in care (how do your religious beliefs affect your healthcare
decisions?)
what is the basic outline/sequence of taking the history? Answer - 1. Chief
Complaint (CC)
2. History of Present Illness (HPI)
3. Past Medical History (PMH)
4. Family History (FH)
5. Personal and Social History (PSH)
6. Review of Systems
chief complaint (CC) Answer - the main reason for the patient's visit.
History of Present Illness (HPI) Answer - information gathered regarding the
symptoms and nature of the patient's current concern.
can ask about chronology of events, health state before present problem, first
symptoms, exposure to infection or toxic agents, typical attack etc.
OLDCARTS is a good tool to start with (onset, location, duration, characteristics,
aggravating factors, relieving factors, treatment, severity of symptoms)
