NUR 109 EXAM 2 STUDY
GUIDE 2026/2027
1 of 264
Term
critical thinking attitudes and applications in nursing practice pt 2
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, Identify the correct diagnostic label with associated defining characteristics or risk
factors and a related factor.
A related factor allows you to individualize a nursing diagnosis for a specific patient.
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2 of 264
Definition
Tell me what makes your headaches begin.
An open-ended question that probes such as "Tell me what makes your
headaches begin" encourages a fuller description of a situation. The
statement "So you've had headaches periodically in the last week, and
sometimes they cause you to feel nauseated—correct?" is a summative
statement. Asking whether the patient has taken anything for the
headaches is a closed-ended question. Saying "Uh huh, tell me more" is
an example of back channeling.
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A nursing student is working with a faculty member to identify a nursing diagnosis
for an assigned patient. The student has assessed that the patient is undergoing
radiation treatment and has had liquid stool and the skin is clean and intact;
therefore she selects the nursing diagnosis Impaired Skin Integrity. The faculty
, member explains that the student has made a diagnostic error for which of the
following reasons?
During a visit to the clinic, a patient tells the nurse that he has been having
headaches on and off for a week. The headaches sometimes make him feel
nauseated. Which of the following responses by the nurse is an example of
probing?
Which of the following patients are at most risk for tachypnea?
(Select all that apply.)
A.) Patient just admitted with four rib fractures
B.) Woman who is 9 months’ pregnant
C.) Adult who has consumed alcoholic beverages
D.) Adolescent waking from sleep
E.) Three-pack–per-day smoker with pneumonia
The use of standard formal nursing diagnostic statements serves several purposes
in nursing practice, including which of the following?
(Select all that apply.)
A.) Defines a patient’s problem, giving members of the health care team a common
language for understanding the patient’s needs
B.) Allows physicians and allied health staff to communicate with nurses how they
provide care among themselves
C.) Helps nurses focus on the scope of nursing practice
D.) Creates practice guidelines for collaborative health care activities
E.) Builds and expands nursing knowledge
Don't know?
3 of 264
Term
, A nurse enters a patient's room and begins a conversation. During this
time the nurse evaluates how a patient is tolerating a new diet plan. The
nurse decides to also evaluate the patient's expectations of care.
Which statement is appropriate for evaluating a patient's expectations
of care?
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Patient will report stool soft and formed with each defecation.
Stool that is soft and formed at each defecation is measurable upon observation.
"Patient will have normal stool evacuation" is a goal. Indicating that the patient will
have fewer bowel movements is not specific enough for measuring improvement,
and having a patient take a stool softener every 4 hours is an intervention.
Making a judgment of the value of improved adherence for the patient
Determining all consequences associated with the patient missing specific
medicines
Tips for making good clinical decisions during implementation include making a
judgment of the value of the consequence to the patient, reviewing all possible
consequences associated with each nursing action, determining the probability of
all possible consequences, and reviewing the set of all possible nursing
interventions for a patient's problems.
The nurse asks, "Did you believe that you received the information you
needed to follow your diet?"
Evaluating patient expectations of care involves measuring his or her
perceptions of care (e.g., if this particular patient thinks that he or she had
received sufficient information).
GUIDE 2026/2027
1 of 264
Term
critical thinking attitudes and applications in nursing practice pt 2
Give this one a try later!
, Identify the correct diagnostic label with associated defining characteristics or risk
factors and a related factor.
A related factor allows you to individualize a nursing diagnosis for a specific patient.
Don't know?
2 of 264
Definition
Tell me what makes your headaches begin.
An open-ended question that probes such as "Tell me what makes your
headaches begin" encourages a fuller description of a situation. The
statement "So you've had headaches periodically in the last week, and
sometimes they cause you to feel nauseated—correct?" is a summative
statement. Asking whether the patient has taken anything for the
headaches is a closed-ended question. Saying "Uh huh, tell me more" is
an example of back channeling.
Give this one a try later!
A nursing student is working with a faculty member to identify a nursing diagnosis
for an assigned patient. The student has assessed that the patient is undergoing
radiation treatment and has had liquid stool and the skin is clean and intact;
therefore she selects the nursing diagnosis Impaired Skin Integrity. The faculty
, member explains that the student has made a diagnostic error for which of the
following reasons?
During a visit to the clinic, a patient tells the nurse that he has been having
headaches on and off for a week. The headaches sometimes make him feel
nauseated. Which of the following responses by the nurse is an example of
probing?
Which of the following patients are at most risk for tachypnea?
(Select all that apply.)
A.) Patient just admitted with four rib fractures
B.) Woman who is 9 months’ pregnant
C.) Adult who has consumed alcoholic beverages
D.) Adolescent waking from sleep
E.) Three-pack–per-day smoker with pneumonia
The use of standard formal nursing diagnostic statements serves several purposes
in nursing practice, including which of the following?
(Select all that apply.)
A.) Defines a patient’s problem, giving members of the health care team a common
language for understanding the patient’s needs
B.) Allows physicians and allied health staff to communicate with nurses how they
provide care among themselves
C.) Helps nurses focus on the scope of nursing practice
D.) Creates practice guidelines for collaborative health care activities
E.) Builds and expands nursing knowledge
Don't know?
3 of 264
Term
, A nurse enters a patient's room and begins a conversation. During this
time the nurse evaluates how a patient is tolerating a new diet plan. The
nurse decides to also evaluate the patient's expectations of care.
Which statement is appropriate for evaluating a patient's expectations
of care?
Give this one a try later!
Patient will report stool soft and formed with each defecation.
Stool that is soft and formed at each defecation is measurable upon observation.
"Patient will have normal stool evacuation" is a goal. Indicating that the patient will
have fewer bowel movements is not specific enough for measuring improvement,
and having a patient take a stool softener every 4 hours is an intervention.
Making a judgment of the value of improved adherence for the patient
Determining all consequences associated with the patient missing specific
medicines
Tips for making good clinical decisions during implementation include making a
judgment of the value of the consequence to the patient, reviewing all possible
consequences associated with each nursing action, determining the probability of
all possible consequences, and reviewing the set of all possible nursing
interventions for a patient's problems.
The nurse asks, "Did you believe that you received the information you
needed to follow your diet?"
Evaluating patient expectations of care involves measuring his or her
perceptions of care (e.g., if this particular patient thinks that he or she had
received sufficient information).