NU 311 Clinical Nursing Skills Exam 4 Questions With
Complete Solutions
Active listening Correct Answer -Part of therapeutic
communication
- The active listener focuses on the sender and attends to both
verbal and non-verbal communication. This requires full
attention and the use of all senses. This type of comunication
begins conversations with open ended questions such as "What
brings you to the hospital" and seeks clarification through more
direct (closed) and probing questions.
ANA Code of Ethics Provision 6 Correct Answer "The nurse,
through individual and collective effort, establishes, maintains,
and improves the ethical environment of the work setting and
conditions of employment that are conducive to safe, quality
health care."
ANA Code of Ethics Provision 8 Correct Answer "The nurse
collaborates with other health professionals and the public to
protect and promote human rights, health diplomacy, and health
initiatives."
Appropriate timing Correct Answer -Part of verbal
communication
- When information is sent while the receiver
is distracted, the receiver may either not hear the message or
may received a distorted version of the message.
Assessment Correct Answer -Part of SBAR
- what you found, what you think
,• Pertinent objective & subjective information
- Most recent vitals
- Mental status
- Respiratory rate and quality
- B/P, pulse rate & quality
- Pain
- Neuro changes
- Skin color
- Rhythm changes
Assisting with feeding Correct Answer -Patients with oral
mucositis (inflammation of mucous membranes) benefit from
rinsing with solutions such as saline, saline-sodium bicarbonate
mouthwash, sodium bicarbonate solution, topical anesthetics or
from using mucosal coating agents (NCI, 2014). Consult with
health care provider to determine best therapy.
-Watch patient successfully swallow first bites of food and
drink. If patient is able to eat independently, stop here. Return
after 15 or 20 minutes or stay at side for communication and
additional teaching.
Background Correct Answer -Part of SBAR
- brief, related, to the point
• State the admission diagnosis and date of admission
• State the pertinent medical history
• A Brief Synopsis of the treatment to date
Be Assertive Correct Answer -Part of therapeutic
communication
-Is the expression of beliefs or feelings without infringing on
another's right.
, - Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as
what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some
confuse being __________ with being aggressive. An aggressive
person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive
(not speaking up) and move over time towards becoming
passive-aggressive (quietly sabotage). Beware, don't fall prey to
these type behaviors.
Bladder Scan Correct Answer To obtain the most reliable
reading, measure PVR within 5 to 15 minutes of voiding
(Huether et al., 2017). A volume less than 50 mL is considered
normal. Two or more PVR measurements greater than 100 mL
require further investigation. If one is not available, obtain a
PVR by measuring urine emptied from the bladder after a
straight catheterization.
care for a gastrotomy or jejunostomy tube Correct Answer 4.
Remove old dressing. Fold dressing with drainage contained
inside; remove gloves inside out over dressing. Discard in
appropriate container.
5. Assess exit site for evidence of tenderness, leakage, swelling,
excoriation, infection, bleeding, or excessive movement (more
than image inch or 6 mm) of the tube in or out of the stomach.
6. Clean skin around stoma site with warm water and mild soap
or saline (according to agency policy) with 4 × 4-inch gauze. (If
Complete Solutions
Active listening Correct Answer -Part of therapeutic
communication
- The active listener focuses on the sender and attends to both
verbal and non-verbal communication. This requires full
attention and the use of all senses. This type of comunication
begins conversations with open ended questions such as "What
brings you to the hospital" and seeks clarification through more
direct (closed) and probing questions.
ANA Code of Ethics Provision 6 Correct Answer "The nurse,
through individual and collective effort, establishes, maintains,
and improves the ethical environment of the work setting and
conditions of employment that are conducive to safe, quality
health care."
ANA Code of Ethics Provision 8 Correct Answer "The nurse
collaborates with other health professionals and the public to
protect and promote human rights, health diplomacy, and health
initiatives."
Appropriate timing Correct Answer -Part of verbal
communication
- When information is sent while the receiver
is distracted, the receiver may either not hear the message or
may received a distorted version of the message.
Assessment Correct Answer -Part of SBAR
- what you found, what you think
,• Pertinent objective & subjective information
- Most recent vitals
- Mental status
- Respiratory rate and quality
- B/P, pulse rate & quality
- Pain
- Neuro changes
- Skin color
- Rhythm changes
Assisting with feeding Correct Answer -Patients with oral
mucositis (inflammation of mucous membranes) benefit from
rinsing with solutions such as saline, saline-sodium bicarbonate
mouthwash, sodium bicarbonate solution, topical anesthetics or
from using mucosal coating agents (NCI, 2014). Consult with
health care provider to determine best therapy.
-Watch patient successfully swallow first bites of food and
drink. If patient is able to eat independently, stop here. Return
after 15 or 20 minutes or stay at side for communication and
additional teaching.
Background Correct Answer -Part of SBAR
- brief, related, to the point
• State the admission diagnosis and date of admission
• State the pertinent medical history
• A Brief Synopsis of the treatment to date
Be Assertive Correct Answer -Part of therapeutic
communication
-Is the expression of beliefs or feelings without infringing on
another's right.
, - Make "I" statements
- State facts, avoid judgments
- Ask directly for what you need; don't make another guess as
what
you want.
- Use body language (eye contact and speak clearly)
-____________ people look for win-win solutions. Some
confuse being __________ with being aggressive. An aggressive
person looks for a win- lose solution.
-Commonly, nurses begin early in their career by being passive
(not speaking up) and move over time towards becoming
passive-aggressive (quietly sabotage). Beware, don't fall prey to
these type behaviors.
Bladder Scan Correct Answer To obtain the most reliable
reading, measure PVR within 5 to 15 minutes of voiding
(Huether et al., 2017). A volume less than 50 mL is considered
normal. Two or more PVR measurements greater than 100 mL
require further investigation. If one is not available, obtain a
PVR by measuring urine emptied from the bladder after a
straight catheterization.
care for a gastrotomy or jejunostomy tube Correct Answer 4.
Remove old dressing. Fold dressing with drainage contained
inside; remove gloves inside out over dressing. Discard in
appropriate container.
5. Assess exit site for evidence of tenderness, leakage, swelling,
excoriation, infection, bleeding, or excessive movement (more
than image inch or 6 mm) of the tube in or out of the stomach.
6. Clean skin around stoma site with warm water and mild soap
or saline (according to agency policy) with 4 × 4-inch gauze. (If
