NUR 275 Exam 1 Study Guide Questions
With Correct Answers
Nurse's legal parameters for the State's Nurse Practice Act - verified answer(s)-
✔✔Nonprofessional involvement occurs when you cross professional boundaries and
establish social, personal, or business ties with a patient
Social talking about the weather or news may put patients at ease in the beginning, but too
much chatting—especially about religion, politics, gossip, or personal finances—is
unprofessional. Some disclosure may help establish a therapeutic relationship, but you should
always present such information in the context of the patient.
For example, a nurse is working with parents of a child who was recently diagnosed with
asthma. The nurse's son also has asthma. The nurse may use that information to say, "I have a
child with asthma, too. I noticed that the cough would get worse at night. When is your child's
cough noticed?"
In this example, the nurse uses personal information to quickly redirect the conversation to
focus on the patient and the family.
Careful with social media
No sexual contact bc considered sexual misconduct
Visiting patients beyond your role of providing patient care also breaks professional
boundaries.
,Comprehensive, focused, and emergent assessment - verified answer(s)-✔✔Comprehensive
assessment: are broad and complete. The amount and type of information vary depending on
the patient's needs, purpose of data collection, health care setting, and the nurse's role.
Focused assessment: based on the patient's health issues. This type of assessment occurs in
all settings. It usually involves one or two body systems and is smaller in scope than the
comprehensive assessment, but more in depth on the specific issue or issues.
Emergent assessment: involves a life-threatening or unstable situation, such as a patient who
has experienced a critical traumatic injury.
Remember:
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
Difference between subjective and objective assessment data - verified answer(s)-
✔✔Subjective data: are based on patient experiences and perceptions. The individual
describes the feelings, sensations, or expectations; you then document them as subjective
data or put them in quotes.
Objective data: measurable data. You observe the patient's general appearance; assess vital
signs; listen to the heart, lungs, and abdomen; and assess peripheral circulation.
What critical thinking skills helps the nurse see relationships among data? - verified
answer(s)-✔✔clustering related cues and data
,includes gathering and clustering data to draw inferences and propose diagnoses
As a nurse, you use critical thinking to identify patterns and trends, consider missing or
conflicting assessment information, and decide the type and frequency of future assessments.
Identify strengths and abnormal data.
Cluster data.
Draw inferences.
Propose possible nursing diagnoses.
Check for defining characteristics.
Confirm or rule out diagnoses.
Document conclusions.
What is the nursing process, understand each of the 5 steps - verified answer(s)-✔✔1)
Assessment: complete and accurate health assessment to promote health at the highest level
2) Diagnosing: the clustering of data to make a judgment or statement about the patient's
difficulty or condition.
3) Planning: determining resources; targeting nursing
interventions; writing plan of care
4) Implementing/Intervention: providing treatment or education to the patient
5) Evaluation: Appraising the effectiveness and appropriateness of interventions
, ADPIE
Understand the difference between verbal and non-verbal communication - verified
answer(s)-✔✔Verbal: speaking with the patient
You learn effective interviewing skills through practice and repetition. Your speech is of
moderate pace and volume with clear articulation. A too-soft voice may indicate
embarrassment or discomfort, whereas a too-loud voice may seem too powerful and
controlling. Speech that is too fast indicates that you are rushed, whereas speech that is too
slow may indicate that you think the patient is lacking cognitive ability.
Nonverbal: observe the patient's physical appearance, facial expression, posture and
positioning in relation to the patient, gestures, eye contact, tone of voice, and use of touch.
For example, you should not assume that touch is culturally acceptable to a patient. Instead,
be courteous and ask permission: "Is it OK if I feel your abdomen?"
Understand HIPPA regulations - verified answer(s)-✔✔Regulates the security and privacy of
information.
Confidentiality of documentation is essential, and only information pertinent to the care of
the patient is shared.
The HIPAA Privacy Rule requires an agency to make reasonable efforts to limit use of,
disclosure of, and requests for protected health information to the minimum necessary to
accomplish the intended purpose.
With Correct Answers
Nurse's legal parameters for the State's Nurse Practice Act - verified answer(s)-
✔✔Nonprofessional involvement occurs when you cross professional boundaries and
establish social, personal, or business ties with a patient
Social talking about the weather or news may put patients at ease in the beginning, but too
much chatting—especially about religion, politics, gossip, or personal finances—is
unprofessional. Some disclosure may help establish a therapeutic relationship, but you should
always present such information in the context of the patient.
For example, a nurse is working with parents of a child who was recently diagnosed with
asthma. The nurse's son also has asthma. The nurse may use that information to say, "I have a
child with asthma, too. I noticed that the cough would get worse at night. When is your child's
cough noticed?"
In this example, the nurse uses personal information to quickly redirect the conversation to
focus on the patient and the family.
Careful with social media
No sexual contact bc considered sexual misconduct
Visiting patients beyond your role of providing patient care also breaks professional
boundaries.
,Comprehensive, focused, and emergent assessment - verified answer(s)-✔✔Comprehensive
assessment: are broad and complete. The amount and type of information vary depending on
the patient's needs, purpose of data collection, health care setting, and the nurse's role.
Focused assessment: based on the patient's health issues. This type of assessment occurs in
all settings. It usually involves one or two body systems and is smaller in scope than the
comprehensive assessment, but more in depth on the specific issue or issues.
Emergent assessment: involves a life-threatening or unstable situation, such as a patient who
has experienced a critical traumatic injury.
Remember:
A—Airway (with cervical spine protection if an injury is suspected)
B—Breathing—rate and depth, use of accessory muscles
C—Circulation—pulse rate and rhythm, skin color
D—Disability—level of consciousness, pupils, movement
E—Exposure
Difference between subjective and objective assessment data - verified answer(s)-
✔✔Subjective data: are based on patient experiences and perceptions. The individual
describes the feelings, sensations, or expectations; you then document them as subjective
data or put them in quotes.
Objective data: measurable data. You observe the patient's general appearance; assess vital
signs; listen to the heart, lungs, and abdomen; and assess peripheral circulation.
What critical thinking skills helps the nurse see relationships among data? - verified
answer(s)-✔✔clustering related cues and data
,includes gathering and clustering data to draw inferences and propose diagnoses
As a nurse, you use critical thinking to identify patterns and trends, consider missing or
conflicting assessment information, and decide the type and frequency of future assessments.
Identify strengths and abnormal data.
Cluster data.
Draw inferences.
Propose possible nursing diagnoses.
Check for defining characteristics.
Confirm or rule out diagnoses.
Document conclusions.
What is the nursing process, understand each of the 5 steps - verified answer(s)-✔✔1)
Assessment: complete and accurate health assessment to promote health at the highest level
2) Diagnosing: the clustering of data to make a judgment or statement about the patient's
difficulty or condition.
3) Planning: determining resources; targeting nursing
interventions; writing plan of care
4) Implementing/Intervention: providing treatment or education to the patient
5) Evaluation: Appraising the effectiveness and appropriateness of interventions
, ADPIE
Understand the difference between verbal and non-verbal communication - verified
answer(s)-✔✔Verbal: speaking with the patient
You learn effective interviewing skills through practice and repetition. Your speech is of
moderate pace and volume with clear articulation. A too-soft voice may indicate
embarrassment or discomfort, whereas a too-loud voice may seem too powerful and
controlling. Speech that is too fast indicates that you are rushed, whereas speech that is too
slow may indicate that you think the patient is lacking cognitive ability.
Nonverbal: observe the patient's physical appearance, facial expression, posture and
positioning in relation to the patient, gestures, eye contact, tone of voice, and use of touch.
For example, you should not assume that touch is culturally acceptable to a patient. Instead,
be courteous and ask permission: "Is it OK if I feel your abdomen?"
Understand HIPPA regulations - verified answer(s)-✔✔Regulates the security and privacy of
information.
Confidentiality of documentation is essential, and only information pertinent to the care of
the patient is shared.
The HIPAA Privacy Rule requires an agency to make reasonable efforts to limit use of,
disclosure of, and requests for protected health information to the minimum necessary to
accomplish the intended purpose.
