NURS 302 Final Exam Study Guide Comprehensive Review Chamberlain University.

NURS 302 Final Exam Study Guide Comprehensive Review Chamberlain University




Which |of |the |following |statements |related |to |theory-based |nursing |practice |are |correct



1. |Nursing |theory |differentiates |nursing |from |other |disciplines

2. |Nursing |theories |are |standardized |and |do |not |change |over |time

3. |Integrating |theory |into |practice |promotes |coordinated |care |delivery

4. |Nursing |knowledge |is |generated |by |theory

5. |The |theory |of |nursing |process |is |used |in |planning |patient |care

6. |Evidence |based |practice |results |from |theory-testing |research |- |answers1,3,4,6

The |components |of |the |nursing |meta |paradigm |include:



1. |Person, |health, |environment, |and |theory

2. |Health, |theory, |concepts |and |environments

3. |Nurses, |physicians, |health |and |patient |needs

4. |Person, |health, |environment |and |nursing |- |answers4

The |cognitive |skills |of |relaxation |therapy |includes |which |of |the |following?



A. |Focusing

B. |Passivity

C. |Receptivity

D. |Analysis |

E. |Centralism |- |answersA,b,c

A |nurse |conducts |an |assessment |of |a |42-year-old |woman |at |a |health |clinic. |The |woman |is |married |
and |lives |in |an |apartment |with |her |husband. |She |reports |having |frequent |voiding |and |pain |when |she |
passes |urine. |The |nurse |asks |whether |she |has |to |go |to |the |bathroom |at |night, |and |the |patient |
responds, |"Yes." |The |patient |had |an |episode |of |diarrhea |1 |week |ago. |She |weighs |136 |kg |(300 |lb). |The
|nurse |documents |the |assessment |findings |listed |below. |Which |of |the |assessment |findings |require |

priority |follow-up |by |the |nurse? |(Select |all |that |apply.)

,1. |The |patient |has |no |history |of |chronic |disease.

2. |Patient |urinates |at |night.

3. |Patient |reports |having |difficulty |cleansing |herself |after |voiding |or |passing |stool.

4. |Body |temperature |38°C |(100.4°F)

5. |Recent |history |of |weight |gain

6. |Knowledge |of |perineal |care

7. |Last |normal |bowel |movement |2 |days |ago

8. |Frequency |of |diarrhea |- |answers2,3,4,5,6,7,8

A |nurse's |assessment |reveals |a |patient |having |frequent |voiding |and |pain |when |she |urinates. |Her |body
|temperature |is |38°C |(100.4°F). |The |nurse |asks |whether |she |has |to |go |to |the |bathroom |at |night, |and |

the |patient |responds, |"Yes." |When |asked |how |often, |the |patient |replies, |"About |three |times |a |night." |
The |nurse |asks |if |having |to |urinate |at |night |is |recent |or |normal |for |the |patient. |The |patient |explains,
|"I |usually |go |once |a |night |but |that |is |all." |The |nurse |then |asks, |"When |you |feel |the |need |to |go, |can |

you |reach |the |toilet |in |time?" |The |patient |says, |"Oh, |yes, |I |can." |The |nurse |asks, |"And |have |you |had |
any |leaking |of |urine?" |The |patient |denies |leaking. |When |asked |if |she |is |having |any |back |or |abdominal
|pain, |the |patient |denies |discomfort. |The |nurse |then |gathers |a |urine |specimen |from |the |patient |and |

inspects |its |character, |noting |it |is |cloudy |and |foul |smelling. |Which |of |the |following |nursing |diagnoses |
are |indicated |by |cues |- |answers2

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 |to |the |
abdomen, |has |liquid |stool, |and |the |skin |is |clean |and |intact. |The |student |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?




1. |Incorrect |clustering |of |data

2. |Wrong |diagnosis

3. |Condition |is |a |collaborative |problem

4. |Premature |ending |assessment |- |answers2

A |nurse |assesses |a |42-year-old |woman |at |a |health |clinic. |The |woman |is |married |and |lives |in |a |condo |
with |her |husband. |She |reports |having |frequent |voiding |and |pain |when |she |urinates. |The |nurse |asks |
whether |she |has |to |go |to |the |bathroom |at |night, |and |the |patient |responds, |"Yes, |usually |twice |or |
more." |The |patient |had |an |episode |of |diarrhea |1 |week |ago. |She |weighs |136 |kg |(300 |lb) |and |reports |
having |difficulty |cleansing |herself |after |voiding |or |passing |stool. |Which |of |the |following |demonstrate |

,assessment |findings |that |cluster |to |indicate |the |nursing |diagnosis |Impaired |Urination. |(Select |all |that |
apply.)



1. |Age |42

2. |Dysuria

3. |Difficulty |performing |perineal |hygiene

4. |Nocturia

5. |Episode |of |diarrhea

6. |Weighs |136 |kg |(300 |lb)

7. |Frequent |voiding |- |answers2,4,7

Review |the |following |nursing |diagnoses |and |identify |the |diagnoses |that |are |stated |correctly. |(Select |
all |that |apply.)



1. |Offer |frequent |skin |care |because |of |Impaired |Skin |Integrity

2. |Risk |for |Infection

3. |Chronic |Pain |related |to |osteoarthritis |evidenced |by |reduced |hip |range |of |motion

4. |Activity |Intolerance |related |to |physical |de-conditioning |evidenced |by |exertional |dyspnea

5. |Lack |of |Knowledge |related |to |laser |surgery |- |answers2, |4

A |nurse |is |assigned |to |a |new |patient |admitted |to |the |medical |unit. |The |nurse |collects |a |nursing |
history |and |interviews |the |patient. |Place |the |following |steps |for |making |a |nursing |diagnosis |in |the |
correct |order.



1. |Consider |the |context |of |patient's |health |problem |and |select |a |related |factor.

2. |Review |assessment |findings, |noting |objective |and |subjective |clinical |cues.

3. |Cluster |cues |that |form |a |pattern.

4. |Gather |thorough |patient |data |about |the |patient's |health |problem.

5. |Identify |the |nursing |diagnosis.

6. |Consider |whether |data |are |expected |or |unexpected |based |on |the |patient's |problem. |- |answers4, |2,
|3, |6, |1, |5

, Gather |thorough |patient |data |about |the |patient's |health |problem.



Review |assessment |findings, |noting |objective |and |subjective |clinical |cues.



Cluster |cues |that |form |a |pattern.



Consider |whether |data |are |expected |or |unexpected |based |on |the |patient's |problem.



Consider |the |context |of |patient's |health |problem |and |select |a |related |factor.



Identify |the |nursing |diagnosis.

A |nurse |interviews |and |conducts |a |physical |examination |of |a |patient |that |includes |the |following |
findings: |reduced |range |of |motion |of |lower |hip, |reduced |strength |in |left |leg, |and |difficulty |turning |in |
bed |without |assistance. |This |data |set |is |an |example |of:



1. |Collaborative |data |set.

2. |Diagnostic |label.

3. |Related |factors.

4. |Data |cluster.

5. |Validated |data |set |- |answers4

A |nurse |reviews |data |gathered |regarding |a |patient's |response |to |a |diagnosis |of |cancer. |The |nurse |
notes |that |the |patient |is |restless, |avoids |eye |contact, |has |increased |blood |pressure, |and |expresses |a |
sense |of |helplessness. |The |nurse |compares |the |pattern |of |assessment |findings |for |Anxiety |with |those |
of |Fear |and |selects |Anxiety |as |the |correct |diagnosis. |This |is |an |example |of |the |nurse |avoiding |an |error
|in |which |of |the |following? |(Select |all |that |apply.)




1. |Data |collection

2. |Data |clustering

3. |Data |interpretation

4. |Making |a |diagnostic |statement