NRSG 257 Exam 2 UPDATED ACTUAL Questions and CORRECT
Answers
What are some examples of social injustice and examples Not getting an interpreter for a patient who does not speak english, black patients
of advocacy for patients and families? are undertreated for pain - Get an interpreter, check your bias, treat every patient
the same
How does the ANA assist in advocacy for patients and Provision 9 - promote social justice and eliminate health inequities
communities? code of ethics Provision 10 - participate in global nursing to promote human and environmental
health
How does the ANA assist in advocacy for patients and Standard 8 - advocates for policies that increases access and improves care
communities? scope and standards of practice delivery (what ANA is doing)
Standard 12 - the RN leads within the professional practice setting and the
profession
Why should nurses be politically active? able to recognize important issues in today's health care and can aim their
political power to fix them, helps us advocate for patients, legislators do not have
a healthcare background therefore don't understand the consequences
What are the demographic drivers of health care delivery rapidly aging population, more people in need, chronic disease and illnesses,
today? where you live, race and education
What are the key factors to high quality care? Client centered care, evidenced based practice/research, informatics, teamwork
and collaboration, just culture, lifelong learning
Why does your zip code matter? Areas of pollution and sanitary conditions, money connected with zip codes
Why does the United States have some of the poorest Due to cost of care, people will wait to go until it is absolutely necessary and
health outcomes? most of the time it is past prevention - People cannot afford healthcare
What is therapeutic communication? focused on making the patient feel important, develop trust, actively listen to
what they are saying
What are the different types of therapeutic open ended questions, reflection and restating, clarification, summarizing, sharing
communication? hope, therapeutic touch
What are the definitions and examples of the 3 verbal - written and spoken, nonverbal - body language, facial expression,
predominant communication styles of verbal, nonverbal, paraverbal - vocal cues, attitude
and para-verbal?
How does the process of communication occur? Sender - message - receiver - response (feedback) - sender
What are communication builders? eye contact, nodding, positive facial expression, proximity, open posture,
empathetic listening, light touch, etc.
, What are communication blockers? anger, eye rolling, closed posture, arm/leg crossing, slouching, turning away,
fidgeting, sighing, time checks, not stopping, inattention, no eye contact, etc.
What are the components of SBAR communication? situation - what is going on, background - what is the clinical background or
context, assessment - what you think the problem is, recommendation
What are the other communication tools used in AIDET (acknowledge, introduce, duration, explanation, thank you), ask me 3,
healthcare? bedside shift report, call out/team huddle, check-back/paraphrasing, handoff
verbal, teach back, whiteboards, hourly rounding
What is the significance of communication as it relates to confront the issue head on, conflict can be a good thing
conflict in the workplace?
What are the different types of violence/incivility found in
the workplace?
Why is violence and/or incivility in the workplace an
issue?
Why is thinking/reasoning important for nursing practice? heave to think what we do through to not harm the patient
What are differences between critical thinking and clinical critical thinking - different between doing a task and thinking about whether or
reasoning? not we should do that task, critical reasoning - applying critical thinking to the
patient and their situation
How does clinical judgment relate to critical making a decision based off of what you know about the patient, your experience,
thinking/clinical reasoning? and the evidence
How is reflection useful within nursing? So that you can look at your actions and find ways you can reprove, do the best
you can until you know how to do better
What is the nursing process and how does it relate to Helps to guide our clinical reasoning process, Use the nursing process and
clinical reasoning? clinical reasoning to get to our clinical judgment
How is the nursing process related to nursing care plans? Nursing process helps to define the problem and the outcome you want to get to,
it is your GPS
What types of data are collected during the assessment Subjective and objective data
phase?
What is the difference between medical diagnoses and Medical diagnosis - specific disease, medical problem and treating it, Nursing
nursing diagnoses? diagnosis - nature of the problem, fallout of medical diagnosis
What are the types of NANDA-I nursing diagnoses and Problem focus (actual problem, can have evidence to show choice), risk diagnosis
when are they appropriate to use (does not have as evidenced by, related to something but no evidence), and
health promotion (teaching, readiness for)
What are SMART goals? Specific, measurable, achievable, relevant, timely - If certain elements missed
wouldn't know if goal was reached correctly
Answers
What are some examples of social injustice and examples Not getting an interpreter for a patient who does not speak english, black patients
of advocacy for patients and families? are undertreated for pain - Get an interpreter, check your bias, treat every patient
the same
How does the ANA assist in advocacy for patients and Provision 9 - promote social justice and eliminate health inequities
communities? code of ethics Provision 10 - participate in global nursing to promote human and environmental
health
How does the ANA assist in advocacy for patients and Standard 8 - advocates for policies that increases access and improves care
communities? scope and standards of practice delivery (what ANA is doing)
Standard 12 - the RN leads within the professional practice setting and the
profession
Why should nurses be politically active? able to recognize important issues in today's health care and can aim their
political power to fix them, helps us advocate for patients, legislators do not have
a healthcare background therefore don't understand the consequences
What are the demographic drivers of health care delivery rapidly aging population, more people in need, chronic disease and illnesses,
today? where you live, race and education
What are the key factors to high quality care? Client centered care, evidenced based practice/research, informatics, teamwork
and collaboration, just culture, lifelong learning
Why does your zip code matter? Areas of pollution and sanitary conditions, money connected with zip codes
Why does the United States have some of the poorest Due to cost of care, people will wait to go until it is absolutely necessary and
health outcomes? most of the time it is past prevention - People cannot afford healthcare
What is therapeutic communication? focused on making the patient feel important, develop trust, actively listen to
what they are saying
What are the different types of therapeutic open ended questions, reflection and restating, clarification, summarizing, sharing
communication? hope, therapeutic touch
What are the definitions and examples of the 3 verbal - written and spoken, nonverbal - body language, facial expression,
predominant communication styles of verbal, nonverbal, paraverbal - vocal cues, attitude
and para-verbal?
How does the process of communication occur? Sender - message - receiver - response (feedback) - sender
What are communication builders? eye contact, nodding, positive facial expression, proximity, open posture,
empathetic listening, light touch, etc.
, What are communication blockers? anger, eye rolling, closed posture, arm/leg crossing, slouching, turning away,
fidgeting, sighing, time checks, not stopping, inattention, no eye contact, etc.
What are the components of SBAR communication? situation - what is going on, background - what is the clinical background or
context, assessment - what you think the problem is, recommendation
What are the other communication tools used in AIDET (acknowledge, introduce, duration, explanation, thank you), ask me 3,
healthcare? bedside shift report, call out/team huddle, check-back/paraphrasing, handoff
verbal, teach back, whiteboards, hourly rounding
What is the significance of communication as it relates to confront the issue head on, conflict can be a good thing
conflict in the workplace?
What are the different types of violence/incivility found in
the workplace?
Why is violence and/or incivility in the workplace an
issue?
Why is thinking/reasoning important for nursing practice? heave to think what we do through to not harm the patient
What are differences between critical thinking and clinical critical thinking - different between doing a task and thinking about whether or
reasoning? not we should do that task, critical reasoning - applying critical thinking to the
patient and their situation
How does clinical judgment relate to critical making a decision based off of what you know about the patient, your experience,
thinking/clinical reasoning? and the evidence
How is reflection useful within nursing? So that you can look at your actions and find ways you can reprove, do the best
you can until you know how to do better
What is the nursing process and how does it relate to Helps to guide our clinical reasoning process, Use the nursing process and
clinical reasoning? clinical reasoning to get to our clinical judgment
How is the nursing process related to nursing care plans? Nursing process helps to define the problem and the outcome you want to get to,
it is your GPS
What types of data are collected during the assessment Subjective and objective data
phase?
What is the difference between medical diagnoses and Medical diagnosis - specific disease, medical problem and treating it, Nursing
nursing diagnoses? diagnosis - nature of the problem, fallout of medical diagnosis
What are the types of NANDA-I nursing diagnoses and Problem focus (actual problem, can have evidence to show choice), risk diagnosis
when are they appropriate to use (does not have as evidenced by, related to something but no evidence), and
health promotion (teaching, readiness for)
What are SMART goals? Specific, measurable, achievable, relevant, timely - If certain elements missed
wouldn't know if goal was reached correctly