NURS 200: MIDTERM UPDATED ACTUAL Questions and CORRECT Answers
what are common barriers to effective communication language differences, cultural differences, sensory im-
between the nurse and patient? pairments, environmental factors, emotional factors
what is often required when dealing with language differ- may require a professional/medical interpreter due to
ences? language differences, not family/friends
factors of cultural differences that can affect nurse to pa-
differing beliefs about health, illness, or care; use cultur-
tient communication & what can you do to improve this
ally sensitive communication (avoid assumptions)
barrier of communication?
what are examples of sensory impairments & what can you hearing or vision loss; use written instructions in large
do to improve this barrier of communication? print or amplified devices
what are types of environmental factors that can be a
barrier of effective communication between a nurse and noise or lack of privacy can lead to missed/misheard in-
a patient? what can you do to improve this barrier of formation; move to a quiet area/private area
communication?
what are aspects of emotional factors that can affect nurse
anxiety, pain, stress can interfere with focus and memory;
to patient communication? what can you do to improve
address emotional needs before teaching
this barrier of communication?
-face patient directly when speaking (avoid turning away)
-speak slowly & clearly (no shouting, distorts sound)
what strategies should a nurse use when providing dis- - use written instructions for reinforcement
charge teaching to a client with hearing loss?
-minimize background noise
- ask for teach back demonstration (confirms understand-
ing)
-accuracy: professional interpreters are trained to provide
why should a professional interpreter be used instead of medical translations
a family member or friend?
-confidentiality: protects patient privacy (HIPAA)
, -objectivity: family may withhold or alter information
S: specific - clear & detailed goal
M: measurable - progress can be objectively tracked
what does SMART stand for in patient plans A: achievable - goal is realistic given patient's condition
R: relevant - aligned with patient's priorities & needs
T: time bound - set a deadline to evaluate progress
ensures goals are focused, trackable, and realistic in im-
why are SMART goals important?
proving patient outcomes
-reduces anxiety & fear by clarifying what to expect
-increases cooperation with post-op care & treatments
what are the benefits of preoperative teaching for pa-
-improves recovery by preparing patients for wound care,
tients? list an example
mobility, pain management
ex: client verbalizes understanding of NPO status, prevent-
ing aspiration during surgery
planning step - nurses collaborates with patient to es-
during which step of the nursing process are patient
tablish clear outcomes & goals & teaching strategies with
teaching outcomes determined? what does this involve?
appropriate materials/resources
-speak slowly & clearly using simple terms
-provide written instructions in large print
what are effective teaching strategies for older adults?
-minimize distractions during teaching
-allow processing time & repeat key points
what are common barriers to effective communication language differences, cultural differences, sensory im-
between the nurse and patient? pairments, environmental factors, emotional factors
what is often required when dealing with language differ- may require a professional/medical interpreter due to
ences? language differences, not family/friends
factors of cultural differences that can affect nurse to pa-
differing beliefs about health, illness, or care; use cultur-
tient communication & what can you do to improve this
ally sensitive communication (avoid assumptions)
barrier of communication?
what are examples of sensory impairments & what can you hearing or vision loss; use written instructions in large
do to improve this barrier of communication? print or amplified devices
what are types of environmental factors that can be a
barrier of effective communication between a nurse and noise or lack of privacy can lead to missed/misheard in-
a patient? what can you do to improve this barrier of formation; move to a quiet area/private area
communication?
what are aspects of emotional factors that can affect nurse
anxiety, pain, stress can interfere with focus and memory;
to patient communication? what can you do to improve
address emotional needs before teaching
this barrier of communication?
-face patient directly when speaking (avoid turning away)
-speak slowly & clearly (no shouting, distorts sound)
what strategies should a nurse use when providing dis- - use written instructions for reinforcement
charge teaching to a client with hearing loss?
-minimize background noise
- ask for teach back demonstration (confirms understand-
ing)
-accuracy: professional interpreters are trained to provide
why should a professional interpreter be used instead of medical translations
a family member or friend?
-confidentiality: protects patient privacy (HIPAA)
, -objectivity: family may withhold or alter information
S: specific - clear & detailed goal
M: measurable - progress can be objectively tracked
what does SMART stand for in patient plans A: achievable - goal is realistic given patient's condition
R: relevant - aligned with patient's priorities & needs
T: time bound - set a deadline to evaluate progress
ensures goals are focused, trackable, and realistic in im-
why are SMART goals important?
proving patient outcomes
-reduces anxiety & fear by clarifying what to expect
-increases cooperation with post-op care & treatments
what are the benefits of preoperative teaching for pa-
-improves recovery by preparing patients for wound care,
tients? list an example
mobility, pain management
ex: client verbalizes understanding of NPO status, prevent-
ing aspiration during surgery
planning step - nurses collaborates with patient to es-
during which step of the nursing process are patient
tablish clear outcomes & goals & teaching strategies with
teaching outcomes determined? what does this involve?
appropriate materials/resources
-speak slowly & clearly using simple terms
-provide written instructions in large print
what are effective teaching strategies for older adults?
-minimize distractions during teaching
-allow processing time & repeat key points
