with 100% Correct Answers
Therapeutic communication Correct Answer an interactive process between nurse and
client that helps the client overcome temporary stress, to get along with other people, to
adjust to the unalterable, and to overcome psychological blocks that stand in the way of
self-realization. The client benefits from knowing someone cares and understands and
nurse derives satisfaction from knowing she has been helpful.
Nurse-client relationship Correct Answer • Orientation: establishes trust, rapport,
contract, parameters of relationship, goal setting
• Working phase: boundaries, therapeutic communication (SOLER: sit square-open
posture-lean in-eye contact-relax)
• Termination phase: begins w/ 1st session, ends with goals met, pt may feel
rejected/depressed/abandoned
5 characteristics of RN-pt relationship: mutual definition, goal direction, boundaries,
therapeutic communication, pt goal
Delegation/prioritization Correct Answer Delegation is defined as transfer of
responsibility for the performance of an activity from one individual to another while
retaining accountability for the outcome.
Planning Priorities Hierarchy Correct Answer Urgency of care -ABC's of care
(airway,breathing,circulation)Life threatening situations
Safety of care-Change in assessment status Protection from injury
Patients priority of care-Tasks done routinely or at client request Partner with the client
to set priorities remember patient is champion of own care
Ongoing care- not essential could be put off until a later time
Nurse Practice Act Correct Answer statute in each state and territory that regulates the
practice of nursing
ANA Code of Ethics Correct Answer the nurse performs a service to society and as
such have ethical obligation defined by the professions code of ethics.
Nursing Philosophy Correct Answer The belief system of the profession that provides
perspectives for practice, scholarship in nursing. Currently nursing does not have
universally accepted philosophy.
Critical thinking Correct Answer the objective analysis and evaluation of an issue in
order to form a judgment. Higher complex thinking that requires higher order thinking.
, QSEN Correct Answer stands for Quality and Safety Education for Nurses, a project for
preparing future nurses with the knowledge, skills, and attitudes (ksas) necessary to
continuously improve the quality and safety of the health care systems within which they
work
Professionalism Correct Answer The quality of performing at a high level and
conducting oneself with purpose and pride
Client Rights Correct Answer The legal guarantees that clients have with regard to their
health care.
HIPPA Correct Answer Health Insurance Portability and Accountability Act of 1996 main
purpose is to maintain confidentiality and security of health data.
Documentation Correct Answer major factor in determining accountability and liability is
accurate,complete and competent documentation. Nurses held responsible or liable for
information that is either included or not included.
Nursing Diagnosis Correct Answer A clinical judgement about individual, family or
community responses to actual or potential health problems & life processes.
Writing measurable outcomes Correct Answer subject(client), verb (will have),condition
(BP),criteria (greater than 100 but less than 150) and specific time (within 2 hours)
Action verbs for measurable outcomes Correct Answer list label
Describe
Explain
Discuss
Assemble
Report
Calculate
Has an increase or decrease in
Universal standards of nursing Correct Answer
Teaching/learning Correct Answer -consider specific knowledge needed + whether type
of learning needed is cognitive, psychomotor, and/or effective
-assess motivation, anxiety level, attitudes + beliefs, cultural + environmental influences
of patient
-best to set realistic goals [preferably with mutual agreement] and priorities
-be nonjudgmental and empathetic
-supplement verbal w/ nonverbal instruction
-use demonstration and return demo for teaching skills
-allow for practice periods
-give positive feedback
-ensure by observation that knowledge has been incorporated