NUR 101 UPDATED ACTUAL Exam
Questions and CORRECT Answers
the nursing process. - CORRECT ANSWER - a systematic, rational method of planning
and providing nursing care.
steps of the nursing process. - CORRECT ANSWER - • Assessment
• Diagnosing
• Planning
• Implementing
• Evaluating
objective data - CORRECT ANSWER - (Signs): observable and measurable, obtained
through the senses.
the importance of nursing diagnoses. - CORRECT ANSWER - Facilitates individual care
• Defines the domain of nursing
• Improves communication within the profession
• Increases nursing autonomy and accountability
how to select nursing diagnoses - CORRECT ANSWER - * Analyze the data
• identify health problems, risks, and strengths
• formulate diagnostic statements
characteristics of goals. - CORRECT ANSWER - must equal desired client outcomes
must be: realistic, measureable, and concise
how to select nursing interventions - CORRECT ANSWER - are specific, measurable,
observable, and realistic actions performed by the nurse
,• Interventions should be related to the etiology statement
evaluation of goal achievement - CORRECT ANSWER - * Collect data from the client
based on the criteria established as patient goals
• Determine which problems have been solved and which need to be reassessed
• Analyze effectiveness of nursing interventions
Functional Health Patterns - CORRECT ANSWER - An approach to a comprehensive
assessment. Uses a structured database format, based upon an accepted theoretical framework or
practice standard. (Gordon's 11)
Gordon's 11 Functional Health Patterns - CORRECT ANSWER - * Health perception-
health management
• Nutrition-metabolic
• Elimination
• Activity-exercise
• Sleep-rest
• Cognitive-perceptual
• Self-perception-self-concept
• Role-relationship
• Sexual-reproduction
• Coping-stress
• Values-beliefs
verbal communication - CORRECT ANSWER - spoken, written, influenced by tone,
volume, and pace
factors that influence the communication process - CORRECT ANSWER -*
Development
• gender
,• values and perceptions
• personal space
• territoriality
• roles and relationships
• environment
• congruence
• interpersonal attitudes
• boundaries
communication skills in each phase of the nursing process - CORRECT ANSWER -*
assessing: uses verbal and nonverbal communication skills, uses active listening,
• diagnosing: helps identify nursing diagnosis' that are related to ineffective communication, i.e.,
anxiety, social isolation, impaired verbal communication, powerlessness, impaired social
interaction
• planning: nurses and patients work together to determine appropriate goals/outcomes
• Implementing: therapeutic communication is vital for successful implementation of the care
plan.
• Evaluating: analysis of client communication by active listening, and observing nonverbal cues
effective groups - CORRECT ANSWER - - structured goals, 2-way communication,
participation/leadership, ability/information/power, shared decision-making, structured
controversy, equal conflict mgmt, cohesion, individuality endorsed.
assertive communication - CORRECT ANSWER - • Promotes client safety
• Minimizes miscommunication
• Honest, direct, and appropriate
• Open to ideas
• Includes "I" statements, not "You"
, communication techniques for infants - CORRECT ANSWER - Gentle soothing voice,
since they respond to sensory stimuli
common interdisciplinary team members - CORRECT ANSWER - RN, LPN, Student RN,
Physician, PT, OT, Chaplin, CNA, pharmacist, dietitian
nurse's role in working with interdisciplinary team members - CORRECT ANSWER -
Nurses must work with ALL members of the interdisciplinary team in order to provide optimal
patient care.
chain of infection - CORRECT ANSWER - Etiologic agent
Reservoir
Portals of exit
Modes of Transmission
Portals of entry
susceptible host
normal flora of the skin - CORRECT ANSWER - Dry Staphylococcus epidermidis
Moist Staphylococcus aureus
microbial characteristics which influence it ability to cause infection and disease - CORRECT
ANSWER - * Number of microbes present
• Virulence of microbes
• Invasiveness of that microbe
• Susceptibility of the host
• Compatibility
heath care associated infection - CORRECT ANSWER - "Infections that occur as a result
of delivery of healthcare services in a health care facility"
Questions and CORRECT Answers
the nursing process. - CORRECT ANSWER - a systematic, rational method of planning
and providing nursing care.
steps of the nursing process. - CORRECT ANSWER - • Assessment
• Diagnosing
• Planning
• Implementing
• Evaluating
objective data - CORRECT ANSWER - (Signs): observable and measurable, obtained
through the senses.
the importance of nursing diagnoses. - CORRECT ANSWER - Facilitates individual care
• Defines the domain of nursing
• Improves communication within the profession
• Increases nursing autonomy and accountability
how to select nursing diagnoses - CORRECT ANSWER - * Analyze the data
• identify health problems, risks, and strengths
• formulate diagnostic statements
characteristics of goals. - CORRECT ANSWER - must equal desired client outcomes
must be: realistic, measureable, and concise
how to select nursing interventions - CORRECT ANSWER - are specific, measurable,
observable, and realistic actions performed by the nurse
,• Interventions should be related to the etiology statement
evaluation of goal achievement - CORRECT ANSWER - * Collect data from the client
based on the criteria established as patient goals
• Determine which problems have been solved and which need to be reassessed
• Analyze effectiveness of nursing interventions
Functional Health Patterns - CORRECT ANSWER - An approach to a comprehensive
assessment. Uses a structured database format, based upon an accepted theoretical framework or
practice standard. (Gordon's 11)
Gordon's 11 Functional Health Patterns - CORRECT ANSWER - * Health perception-
health management
• Nutrition-metabolic
• Elimination
• Activity-exercise
• Sleep-rest
• Cognitive-perceptual
• Self-perception-self-concept
• Role-relationship
• Sexual-reproduction
• Coping-stress
• Values-beliefs
verbal communication - CORRECT ANSWER - spoken, written, influenced by tone,
volume, and pace
factors that influence the communication process - CORRECT ANSWER -*
Development
• gender
,• values and perceptions
• personal space
• territoriality
• roles and relationships
• environment
• congruence
• interpersonal attitudes
• boundaries
communication skills in each phase of the nursing process - CORRECT ANSWER -*
assessing: uses verbal and nonverbal communication skills, uses active listening,
• diagnosing: helps identify nursing diagnosis' that are related to ineffective communication, i.e.,
anxiety, social isolation, impaired verbal communication, powerlessness, impaired social
interaction
• planning: nurses and patients work together to determine appropriate goals/outcomes
• Implementing: therapeutic communication is vital for successful implementation of the care
plan.
• Evaluating: analysis of client communication by active listening, and observing nonverbal cues
effective groups - CORRECT ANSWER - - structured goals, 2-way communication,
participation/leadership, ability/information/power, shared decision-making, structured
controversy, equal conflict mgmt, cohesion, individuality endorsed.
assertive communication - CORRECT ANSWER - • Promotes client safety
• Minimizes miscommunication
• Honest, direct, and appropriate
• Open to ideas
• Includes "I" statements, not "You"
, communication techniques for infants - CORRECT ANSWER - Gentle soothing voice,
since they respond to sensory stimuli
common interdisciplinary team members - CORRECT ANSWER - RN, LPN, Student RN,
Physician, PT, OT, Chaplin, CNA, pharmacist, dietitian
nurse's role in working with interdisciplinary team members - CORRECT ANSWER -
Nurses must work with ALL members of the interdisciplinary team in order to provide optimal
patient care.
chain of infection - CORRECT ANSWER - Etiologic agent
Reservoir
Portals of exit
Modes of Transmission
Portals of entry
susceptible host
normal flora of the skin - CORRECT ANSWER - Dry Staphylococcus epidermidis
Moist Staphylococcus aureus
microbial characteristics which influence it ability to cause infection and disease - CORRECT
ANSWER - * Number of microbes present
• Virulence of microbes
• Invasiveness of that microbe
• Susceptibility of the host
• Compatibility
heath care associated infection - CORRECT ANSWER - "Infections that occur as a result
of delivery of healthcare services in a health care facility"
