GALEN COLLEGE OF NURSING NUR 3450 EXAM 2 STUDY
GUIDE QUESTIONS AND ANSWERS | NUR 3450 EXAM 2
PRACTICE TEST & REVIEW 2026/2027
Exam 2 Study Guide
Chapter 7: Nursing process and standard for care
• Nursing process = systemic clinical process
• Assessment
o Collect subjective and objective data
o Complete a mental status examination
o Psychosocial and physical exam
o Complete a health history
o Primary source = the patient
o Secondary source = family
• Diagnosis
o Synthesize assessment data
o Structural components of nursing diagnosis
▪ Problems
▪ Related factors
▪ Defining characteristics
o Identify problem and etiology
o Prioritize nursing diagnosis
• Outcome identification
o Identify expected outcomes of situations
o Include time estimates
o Nursing outcomes classification (NOC): tool that can be referred to when writing nursing outcome s
• Planning
o Collab with healthcare team
o Identify safe and evidence-based actions
o Plan should be
▪ Safe
▪ Compatible with and appropriate for implementation with other therapies
▪ Realistic and individualized
▪ Evidence based
• Implementation
o Carry out interventions in plan of care
▪ Interventions must be safe, evidence based, individualized and realistic
o Coordination of care
o Health teaching
o Milieu therapy
1
,• Evaluation
o Document results
o Reassess
o Continual process
• Language barriers always provide and interpreter
• Age Considerations
o Children
2
, ▪ Child is best source for inner feelings
▪ Caregivers can describe the child’s behavior
▪ Assessed through interview & observation
▪ Interview the child alone when they are reluctant to share
o Adolescents
▪ Confidentiality
▪ Give overview of how information sharing will work
▪ Use HEADSSS to identify risk factors
• Home environment
• Education & employment
• Activities
• Sexuality
• Suicide risk/symptoms of depression
• Safety
o Older Adults
▪ Do not stereotype
▪ Evaluate physical limitations and make accommodations
• Milieu Therapy
o Psychiatric philosophy that involves a secure environment including people, settings, structure &
emotional climate to support recovery
o Takes naturally occurring events & uses them as learning opportunities
o Milieu management includes:
▪ Orienting patients to rights/responsibilities
▪ Providing culturally sensitive care
▪ Selecting activities that meet pt needs
▪ Using least restrictive environment
• Documentation
o Medical records are legal binding documents
o Should include pt condition, informed consents, treatments, symptoms, reaction to
medications, concerns, & any adverse events
o Documentation of non-adherence:
▪ Do not use the term non-compliance
▪ Research as to why the patient is not adhering the medical advice
Chapter 8: Therapeutic relationships
• Core of patient centered care
o Dignity and respect
o Info sharing
o Patient and family participation
o Collaboration
• Talk therapy
o Based on psychotherapy
• Therapeutic use of self: using our personality traits and talents as gifts to promote healing
• Goals and functions of the nurse-patient relationship
3
GUIDE QUESTIONS AND ANSWERS | NUR 3450 EXAM 2
PRACTICE TEST & REVIEW 2026/2027
Exam 2 Study Guide
Chapter 7: Nursing process and standard for care
• Nursing process = systemic clinical process
• Assessment
o Collect subjective and objective data
o Complete a mental status examination
o Psychosocial and physical exam
o Complete a health history
o Primary source = the patient
o Secondary source = family
• Diagnosis
o Synthesize assessment data
o Structural components of nursing diagnosis
▪ Problems
▪ Related factors
▪ Defining characteristics
o Identify problem and etiology
o Prioritize nursing diagnosis
• Outcome identification
o Identify expected outcomes of situations
o Include time estimates
o Nursing outcomes classification (NOC): tool that can be referred to when writing nursing outcome s
• Planning
o Collab with healthcare team
o Identify safe and evidence-based actions
o Plan should be
▪ Safe
▪ Compatible with and appropriate for implementation with other therapies
▪ Realistic and individualized
▪ Evidence based
• Implementation
o Carry out interventions in plan of care
▪ Interventions must be safe, evidence based, individualized and realistic
o Coordination of care
o Health teaching
o Milieu therapy
1
,• Evaluation
o Document results
o Reassess
o Continual process
• Language barriers always provide and interpreter
• Age Considerations
o Children
2
, ▪ Child is best source for inner feelings
▪ Caregivers can describe the child’s behavior
▪ Assessed through interview & observation
▪ Interview the child alone when they are reluctant to share
o Adolescents
▪ Confidentiality
▪ Give overview of how information sharing will work
▪ Use HEADSSS to identify risk factors
• Home environment
• Education & employment
• Activities
• Sexuality
• Suicide risk/symptoms of depression
• Safety
o Older Adults
▪ Do not stereotype
▪ Evaluate physical limitations and make accommodations
• Milieu Therapy
o Psychiatric philosophy that involves a secure environment including people, settings, structure &
emotional climate to support recovery
o Takes naturally occurring events & uses them as learning opportunities
o Milieu management includes:
▪ Orienting patients to rights/responsibilities
▪ Providing culturally sensitive care
▪ Selecting activities that meet pt needs
▪ Using least restrictive environment
• Documentation
o Medical records are legal binding documents
o Should include pt condition, informed consents, treatments, symptoms, reaction to
medications, concerns, & any adverse events
o Documentation of non-adherence:
▪ Do not use the term non-compliance
▪ Research as to why the patient is not adhering the medical advice
Chapter 8: Therapeutic relationships
• Core of patient centered care
o Dignity and respect
o Info sharing
o Patient and family participation
o Collaboration
• Talk therapy
o Based on psychotherapy
• Therapeutic use of self: using our personality traits and talents as gifts to promote healing
• Goals and functions of the nurse-patient relationship
3
