WTCC SP19 NUR 111 Theory Exam 1
Define nursing as an art. - ANS -Individualized, creative ways in caring for the client.
Define nursing as a science. - ANS -Based on policies and procedures. Lifelong learning:
current knowledge and practice that follows the nursing process; current knowledge with
evidence-based care.
Florence Nightingale - ANS -Putting the patient the best possible condition for nature to act.
Meet the client where they are. Focused on mutinous health and restoration.
NC Practice Act - ANS -The practice of nursing as an art dedicated to caring and to assisting
clients by providing sustained, vigilant and continuous care to those acutely or chronically ill.
Nurses assist clients to attain or maintain optimal health. Implementing a strategy of care to
accomplish defined goals within the context of a client centered care plan
American Nurses Association (ANA) - ANS -Established a Code of Ethics as well as a Scopes
and Standards of Nursing Practice; Largest and most powerful nursing association today. With
membership to only RNs & represents the interests of all 3.4 million RNs
Wake Tech Dept of Nursing Ed. - ANS -Nursing is an art and science, which integrates and
assimilate knowledge and skills derived from biological, physical social and behavioral sciences.
Identify 3 professional organizations in nursing. - ANS -American Association of Nursing
NC Nursing Association
National League for Nursing
NC Nurses Association (NCNA) - ANS -Equips nurses at all stages to thrive in an
ever-changing healthcare environment. NCNA helps keep NC nurses on the cutting edge of
nursing practice, policy, education and more.
National League for Nursing (NLN) - ANS -Promotes excellence in nursing education to build a
strong and diverse nursing workforce to advance the health of our nation and the global
community. They support nursing research grants and other education programs.
Basic Nursing Education - ANS -Hospital Based Diploma Programs, ADN, BSN
Advanced Nursing Education - ANS -Masters, DNP
,Describe the components of the philosophy and the conceptual module of the Wake Tech
Nursing Program (located in your Student Policy Handbook) - ANS -The Martha Mann Smith
School of Nursing faculty supports the College's core values of Respect, Responsibility, Critical
Thinking, Communication, Collaboration and Accountability as well as the seven core values of
the National League for Nursing (NLN) Education Competencies Model. The NLN values
include: Caring, Diversity, Ethics, Excellence, Holism, Integrity and Client-Centeredness.
Describe the nursing process as a foundation to determine patient needs and deliver nursing
care. - ANS -The nursing process is a dynamic continuous client-centered, problem solving and
decision-making framework that is foundational to nursing practice. It is a critical thinking
process that consists of five steps to follow in a purposeful, goal directed, systematic way to
achieve optimal client outcomes. The five sequential but overlapping steps are called: ADPIE:
Assessment, Diagnosis, Planning, Implementation and Evaluation. The nursing process is a
variation of scientific reasoning that helps nurses organize nursing care and apply the optimal
available evidence to deliver care.
The nursing process provides a framework through which nurses can apply knowledge,
experience, judgment and skills as well as established standards of nursing practice to the
formulation of a plan of nursing care. It promotes the professionalism of nursing while
differentiating the practice of nursing.
Patricia Benner there are 5 levels of proficiency for nurses. - ANS -Novice, Advanced Beginner,
Competent, Proficient, Expert
Benner's Novice - ANS -No experience and relies on policies, procedures and guidelines and
theory
Benner's Advanced Beginner - ANS -Begins to gain experience. Focus is on tasks and
guidelines. Does not have experience to consider complexity.
Benner's Competent - ANS -Has been on the job for 2 -3 years with the same or similar
situations. Begins to master some tasks, does not yet possess the speed and flexibility of a
proficient nurse.
Benner's Proficient - ANS -Perceives the situation as wholes rather than in terms of chopped up
parts or aspects.
Benner's Expert - ANS -Possess and intuitive understanding of most situations and is able to
quickly determine a course of action without much problem solving. Has high a analytical skills
ability that is needed for most all situations.
Identify the nurse-client relationship as a basis for communication. - ANS -Establish trusting
relationship with patient/family. EFFECTIVE communication is key. Verbal and nonverbal 10/90
split, needs to have congruity.
, Intent of comm. Is to elicit a response
Better Communication = Stronger relationships = More Trust= Better Care
Identify communication skills needed in developing therapeutic relationships. - ANS -Active
Listener, assist patient to identify feelings, follow through w/ promises and don't make unrealistic
promises, be truthful, focus on patients well-being. Developed by Hildegard Peplau
Define the four phases of a nurse-client relationship. - ANS -Pre-interaction, Introductory,
Working, Termination Phases.
Pre-interaction Phase - ANS -Similar to planning stage before an interview. The nurse has
information about the patient before face-to-face meeting (name, address, age, health problem).
The nurse will get anxious before the visit. This phrase process may cause feelings of anxiety
within the nurse; these can be reduced by identifying specific topics to discuss before meeting
the client.
Introductory Phase - ANS -Also called the orientation or pre-therapeutic phase, the introductory
phase sets the tone for the therapeutic relationship. During this phase, the nurse and client
closely examine each other to form an opinion of judgement about each other's behavior. The
goal of the introductory phase is to develop trust and security within the relationship.
Working Phase - ANS -This phase has two stages; exploring and understanding and facilitating
and taking action. The purpose of the working phase is to help client meet identified goals.
During this phase, the client may express or demonstrate feelings such as anger, shame, or
self- consciousness. Nurses help clients work through these feelings by helping the client make
decisions; providing support and offering options and information.
Termination Phase - ANS -The termination phase can be difficult and filled with ambivalence
however, if the relationship has evolved through the other phases, the client will have an
improved outlook and be prepared to handle challenges related to his or her health alteration.
There will be a sense of loss when the relationship terminates, and the nurse and client both
have to use an approach that is comfortable when saying good-bye. The nurse can offer
follow-up phone calls, e-mails or other communication approaches to help ease this transition.
Define the communication skills a nurse needs during the working phase of the nurse-client
relationship - ANS -Nurses must possess the following skills
-Empathetic listening and responding
-Respect
-Genuineness
-Concreteness
-Reflecting, paraphrasing, clarifying, and confronting.
List the SIX basic elements of the communication process. - ANS -Sender (Source Encoder),
Message, Channel, Receiver (Decoder), Response (Feedback), TEACHBACK
Define nursing as an art. - ANS -Individualized, creative ways in caring for the client.
Define nursing as a science. - ANS -Based on policies and procedures. Lifelong learning:
current knowledge and practice that follows the nursing process; current knowledge with
evidence-based care.
Florence Nightingale - ANS -Putting the patient the best possible condition for nature to act.
Meet the client where they are. Focused on mutinous health and restoration.
NC Practice Act - ANS -The practice of nursing as an art dedicated to caring and to assisting
clients by providing sustained, vigilant and continuous care to those acutely or chronically ill.
Nurses assist clients to attain or maintain optimal health. Implementing a strategy of care to
accomplish defined goals within the context of a client centered care plan
American Nurses Association (ANA) - ANS -Established a Code of Ethics as well as a Scopes
and Standards of Nursing Practice; Largest and most powerful nursing association today. With
membership to only RNs & represents the interests of all 3.4 million RNs
Wake Tech Dept of Nursing Ed. - ANS -Nursing is an art and science, which integrates and
assimilate knowledge and skills derived from biological, physical social and behavioral sciences.
Identify 3 professional organizations in nursing. - ANS -American Association of Nursing
NC Nursing Association
National League for Nursing
NC Nurses Association (NCNA) - ANS -Equips nurses at all stages to thrive in an
ever-changing healthcare environment. NCNA helps keep NC nurses on the cutting edge of
nursing practice, policy, education and more.
National League for Nursing (NLN) - ANS -Promotes excellence in nursing education to build a
strong and diverse nursing workforce to advance the health of our nation and the global
community. They support nursing research grants and other education programs.
Basic Nursing Education - ANS -Hospital Based Diploma Programs, ADN, BSN
Advanced Nursing Education - ANS -Masters, DNP
,Describe the components of the philosophy and the conceptual module of the Wake Tech
Nursing Program (located in your Student Policy Handbook) - ANS -The Martha Mann Smith
School of Nursing faculty supports the College's core values of Respect, Responsibility, Critical
Thinking, Communication, Collaboration and Accountability as well as the seven core values of
the National League for Nursing (NLN) Education Competencies Model. The NLN values
include: Caring, Diversity, Ethics, Excellence, Holism, Integrity and Client-Centeredness.
Describe the nursing process as a foundation to determine patient needs and deliver nursing
care. - ANS -The nursing process is a dynamic continuous client-centered, problem solving and
decision-making framework that is foundational to nursing practice. It is a critical thinking
process that consists of five steps to follow in a purposeful, goal directed, systematic way to
achieve optimal client outcomes. The five sequential but overlapping steps are called: ADPIE:
Assessment, Diagnosis, Planning, Implementation and Evaluation. The nursing process is a
variation of scientific reasoning that helps nurses organize nursing care and apply the optimal
available evidence to deliver care.
The nursing process provides a framework through which nurses can apply knowledge,
experience, judgment and skills as well as established standards of nursing practice to the
formulation of a plan of nursing care. It promotes the professionalism of nursing while
differentiating the practice of nursing.
Patricia Benner there are 5 levels of proficiency for nurses. - ANS -Novice, Advanced Beginner,
Competent, Proficient, Expert
Benner's Novice - ANS -No experience and relies on policies, procedures and guidelines and
theory
Benner's Advanced Beginner - ANS -Begins to gain experience. Focus is on tasks and
guidelines. Does not have experience to consider complexity.
Benner's Competent - ANS -Has been on the job for 2 -3 years with the same or similar
situations. Begins to master some tasks, does not yet possess the speed and flexibility of a
proficient nurse.
Benner's Proficient - ANS -Perceives the situation as wholes rather than in terms of chopped up
parts or aspects.
Benner's Expert - ANS -Possess and intuitive understanding of most situations and is able to
quickly determine a course of action without much problem solving. Has high a analytical skills
ability that is needed for most all situations.
Identify the nurse-client relationship as a basis for communication. - ANS -Establish trusting
relationship with patient/family. EFFECTIVE communication is key. Verbal and nonverbal 10/90
split, needs to have congruity.
, Intent of comm. Is to elicit a response
Better Communication = Stronger relationships = More Trust= Better Care
Identify communication skills needed in developing therapeutic relationships. - ANS -Active
Listener, assist patient to identify feelings, follow through w/ promises and don't make unrealistic
promises, be truthful, focus on patients well-being. Developed by Hildegard Peplau
Define the four phases of a nurse-client relationship. - ANS -Pre-interaction, Introductory,
Working, Termination Phases.
Pre-interaction Phase - ANS -Similar to planning stage before an interview. The nurse has
information about the patient before face-to-face meeting (name, address, age, health problem).
The nurse will get anxious before the visit. This phrase process may cause feelings of anxiety
within the nurse; these can be reduced by identifying specific topics to discuss before meeting
the client.
Introductory Phase - ANS -Also called the orientation or pre-therapeutic phase, the introductory
phase sets the tone for the therapeutic relationship. During this phase, the nurse and client
closely examine each other to form an opinion of judgement about each other's behavior. The
goal of the introductory phase is to develop trust and security within the relationship.
Working Phase - ANS -This phase has two stages; exploring and understanding and facilitating
and taking action. The purpose of the working phase is to help client meet identified goals.
During this phase, the client may express or demonstrate feelings such as anger, shame, or
self- consciousness. Nurses help clients work through these feelings by helping the client make
decisions; providing support and offering options and information.
Termination Phase - ANS -The termination phase can be difficult and filled with ambivalence
however, if the relationship has evolved through the other phases, the client will have an
improved outlook and be prepared to handle challenges related to his or her health alteration.
There will be a sense of loss when the relationship terminates, and the nurse and client both
have to use an approach that is comfortable when saying good-bye. The nurse can offer
follow-up phone calls, e-mails or other communication approaches to help ease this transition.
Define the communication skills a nurse needs during the working phase of the nurse-client
relationship - ANS -Nurses must possess the following skills
-Empathetic listening and responding
-Respect
-Genuineness
-Concreteness
-Reflecting, paraphrasing, clarifying, and confronting.
List the SIX basic elements of the communication process. - ANS -Sender (Source Encoder),
Message, Channel, Receiver (Decoder), Response (Feedback), TEACHBACK
