NUR 111 COMPREHENSIVE EXAM QUESTIONS AND
ANSWERS RATED A+
✔✔Describe and demonstrate the steps in concept mapping care planning - ✔✔
✔✔Altruism - ✔✔The selfless giving of others
✔✔Autonomy - ✔✔The patient has the right to determine their own course of healthcare
✔✔Human Dignity - ✔✔The person has dignity just because they are human
✔✔Integrity - ✔✔Admit when you make a mistake. You wont try to cover it up or blame
someone else
✔✔Social justice - ✔✔Protecting the rights of everyone
✔✔Reflective journaling - ✔✔A tool used to clarify concepts through reflection by
thinking back or recalling situations
✔✔Concept mapping - ✔✔A visual representation of patient problems and interventions
that illustrates an interrelationship
✔✔Cues - ✔✔Information obtained through use of the senses
✔✔Inferences - ✔✔Judgment or interpretation of cues
✔✔Subjective data - ✔✔Must be provided by client. Subject to be different from each
patient
✔✔Objective data - ✔✔Factual information that is provable for all patients
✔✔Medical diagnosis - ✔✔Identification of a disease condition based on physical signs,
symptoms, PMH, and results of diagnostic (dx) tests and procedures.
Physicians, PAs, and NPs can write medical diagnoses, and treat diseases described
therein
✔✔Nursing Diagnosis - ✔✔the domain of nursing.
Clinical judgment about patient's responses to actual and potential health problems, that
the nurse is licensed and competent to treat.
**Different from medical dx by individualizing dx to each patient and involving the patient
in the process as much as possible.**
✔✔Collaborative Problem - ✔✔Actual or potential physiological complication that
nurse's monitor to detect the onset of changes. Requires working with other disciplines
,✔✔NANDA - ✔✔North American Nursing Diagnosis Association
✔✔NANDA-I - ✔✔North American Nursing Diagnosis Association International
✔✔Components of a Nursing diagnosis - ✔✔Nursing diagnosis label (problem), related
factors (etiology), Defining characterisitics (symptoms)
✔✔How to write out a nursing diagnosis - ✔✔Problem (nursing diagnosis lavel), etiology
(related to ...), symptoms (as evidenced by ...)
*Nursing diagnosis label* *related to ....* *as evidenced by...*
✔✔Maslow's hierarchy of care - ✔✔
✔✔How to be SMART when writing patient outcomes - ✔✔Specific, Measurable,
Attainable, Realistic, Time bound
✔✔Nursing interventions two categories - ✔✔Indirect care intervention, direct care
intervention
✔✔Indirect care intervention - ✔✔Treatments performed away from the patient but on
the behalf of the patient
✔✔Direct care intervention - ✔✔Treatments performed through interactions with
patients
✔✔Independent nursing interventions - ✔✔Nurse-initiated, does not require an order
✔✔Dependent nursing interventions - ✔✔Physician-initiated, does require an order
✔✔Collaborative nursing interventions - ✔✔Require combined skill of multiple
healthcare providers, can be combination of both independent and dependent
interventions
✔✔What do you use to write nursing interventions? - ✔✔Action word such as: teach,
evaluate, identify assist, obtain, administer, apply, assess
✔✔Psychomotor skills - ✔✔Integration of cognitive and motor skills
✔✔Cognitive skills - ✔✔Apply critical thinking in the nursing process
✔✔Interpersonal skills - ✔✔Develop a trusting relationship
, ✔✔Goals - ✔✔Indicates resolution of ND, broad, summarizes what iwll be
accomplished when patient has met all expected outcomes
✔✔Expected outcomes - ✔✔End result that is: measurable, desirable, observable and
translates into observable patient behaviors
✔✔Discuss the National Patient Safety Goals as out lined by Joint Commission. -
✔✔Improve accuracy of patient identification, improve communication, medication
safety, clinical alarm safety, reduce healthcare associated infections, reduce falls,
prevent healthcare associated pressure ulcers, risk assessment
✔✔Discuss the safety implications of "Hand-off communication" - ✔✔a successful hand-
off is defined as a transfer and acceptance of responsibility for patient care that is
achieved through effective communication. It is a real-time process of passing patient-
specific information from one caregiver to another or from one team of caregivers to
another to ensure the continuity and safety of that patient's care.
✔✔Define HIPPA and it's impact on professional nursing practice. - ✔✔Health
Insurance Portability and Accountability Act passed in 1996, finished in 2002, two
objectives: ensure individuals could maintain health insurance between jobs, ensure
security/confidentiality of patient health information
✔✔Discuss the nursing process for maintaining safety including necessary assessment
data and nursing interventions to maintain safety while caring for clients across the
lifespan. - ✔✔Assess/Identify safety risks in the home, demonstrate safety measures,
education. Falls (from young children or older adults), injuries from toys/sharp objects
(more common in young children), infection (young children and older adults), Ingestion
(young children and toddlers), MVAs (young children and adolescence), Child/Elder
abuse (includes money abuse), Drug/alcohol abuse (more common in adolescent and
young adults)
✔✔Discuss safe and appropriate use of restraints and the nursing implications when
using restraints. - ✔✔Nurse must chart a restraint assessment for behavioral restraints
every 15 minutes and PRN while the restraints are on. New order must be provided
every 4 hours.
For non-behavioral restraints the nurse must chart a restraint assessment every 2 hours
and PRN while the restraints are on, a new order must be obtained every 24 hours.
If any restraint is discontinued for any length of time a new order must be obtained
✔✔Describe and demonstrate appropriate isolation precautions and their indications. -
✔✔Standard precautions (used to care for all hospitalized patients regardless of their
diagnosis. Includes gloves and possibly gown and mask and PPE and N95 respiratory
or clean air respirator), transmission based precautions including: airborne (diseases
which are transmitted by smaller air particles, has a negative isolation room, PPE,
Mask, gloves), droplet (diseases which are transmitted by smaller air particles, use
ANSWERS RATED A+
✔✔Describe and demonstrate the steps in concept mapping care planning - ✔✔
✔✔Altruism - ✔✔The selfless giving of others
✔✔Autonomy - ✔✔The patient has the right to determine their own course of healthcare
✔✔Human Dignity - ✔✔The person has dignity just because they are human
✔✔Integrity - ✔✔Admit when you make a mistake. You wont try to cover it up or blame
someone else
✔✔Social justice - ✔✔Protecting the rights of everyone
✔✔Reflective journaling - ✔✔A tool used to clarify concepts through reflection by
thinking back or recalling situations
✔✔Concept mapping - ✔✔A visual representation of patient problems and interventions
that illustrates an interrelationship
✔✔Cues - ✔✔Information obtained through use of the senses
✔✔Inferences - ✔✔Judgment or interpretation of cues
✔✔Subjective data - ✔✔Must be provided by client. Subject to be different from each
patient
✔✔Objective data - ✔✔Factual information that is provable for all patients
✔✔Medical diagnosis - ✔✔Identification of a disease condition based on physical signs,
symptoms, PMH, and results of diagnostic (dx) tests and procedures.
Physicians, PAs, and NPs can write medical diagnoses, and treat diseases described
therein
✔✔Nursing Diagnosis - ✔✔the domain of nursing.
Clinical judgment about patient's responses to actual and potential health problems, that
the nurse is licensed and competent to treat.
**Different from medical dx by individualizing dx to each patient and involving the patient
in the process as much as possible.**
✔✔Collaborative Problem - ✔✔Actual or potential physiological complication that
nurse's monitor to detect the onset of changes. Requires working with other disciplines
,✔✔NANDA - ✔✔North American Nursing Diagnosis Association
✔✔NANDA-I - ✔✔North American Nursing Diagnosis Association International
✔✔Components of a Nursing diagnosis - ✔✔Nursing diagnosis label (problem), related
factors (etiology), Defining characterisitics (symptoms)
✔✔How to write out a nursing diagnosis - ✔✔Problem (nursing diagnosis lavel), etiology
(related to ...), symptoms (as evidenced by ...)
*Nursing diagnosis label* *related to ....* *as evidenced by...*
✔✔Maslow's hierarchy of care - ✔✔
✔✔How to be SMART when writing patient outcomes - ✔✔Specific, Measurable,
Attainable, Realistic, Time bound
✔✔Nursing interventions two categories - ✔✔Indirect care intervention, direct care
intervention
✔✔Indirect care intervention - ✔✔Treatments performed away from the patient but on
the behalf of the patient
✔✔Direct care intervention - ✔✔Treatments performed through interactions with
patients
✔✔Independent nursing interventions - ✔✔Nurse-initiated, does not require an order
✔✔Dependent nursing interventions - ✔✔Physician-initiated, does require an order
✔✔Collaborative nursing interventions - ✔✔Require combined skill of multiple
healthcare providers, can be combination of both independent and dependent
interventions
✔✔What do you use to write nursing interventions? - ✔✔Action word such as: teach,
evaluate, identify assist, obtain, administer, apply, assess
✔✔Psychomotor skills - ✔✔Integration of cognitive and motor skills
✔✔Cognitive skills - ✔✔Apply critical thinking in the nursing process
✔✔Interpersonal skills - ✔✔Develop a trusting relationship
, ✔✔Goals - ✔✔Indicates resolution of ND, broad, summarizes what iwll be
accomplished when patient has met all expected outcomes
✔✔Expected outcomes - ✔✔End result that is: measurable, desirable, observable and
translates into observable patient behaviors
✔✔Discuss the National Patient Safety Goals as out lined by Joint Commission. -
✔✔Improve accuracy of patient identification, improve communication, medication
safety, clinical alarm safety, reduce healthcare associated infections, reduce falls,
prevent healthcare associated pressure ulcers, risk assessment
✔✔Discuss the safety implications of "Hand-off communication" - ✔✔a successful hand-
off is defined as a transfer and acceptance of responsibility for patient care that is
achieved through effective communication. It is a real-time process of passing patient-
specific information from one caregiver to another or from one team of caregivers to
another to ensure the continuity and safety of that patient's care.
✔✔Define HIPPA and it's impact on professional nursing practice. - ✔✔Health
Insurance Portability and Accountability Act passed in 1996, finished in 2002, two
objectives: ensure individuals could maintain health insurance between jobs, ensure
security/confidentiality of patient health information
✔✔Discuss the nursing process for maintaining safety including necessary assessment
data and nursing interventions to maintain safety while caring for clients across the
lifespan. - ✔✔Assess/Identify safety risks in the home, demonstrate safety measures,
education. Falls (from young children or older adults), injuries from toys/sharp objects
(more common in young children), infection (young children and older adults), Ingestion
(young children and toddlers), MVAs (young children and adolescence), Child/Elder
abuse (includes money abuse), Drug/alcohol abuse (more common in adolescent and
young adults)
✔✔Discuss safe and appropriate use of restraints and the nursing implications when
using restraints. - ✔✔Nurse must chart a restraint assessment for behavioral restraints
every 15 minutes and PRN while the restraints are on. New order must be provided
every 4 hours.
For non-behavioral restraints the nurse must chart a restraint assessment every 2 hours
and PRN while the restraints are on, a new order must be obtained every 24 hours.
If any restraint is discontinued for any length of time a new order must be obtained
✔✔Describe and demonstrate appropriate isolation precautions and their indications. -
✔✔Standard precautions (used to care for all hospitalized patients regardless of their
diagnosis. Includes gloves and possibly gown and mask and PPE and N95 respiratory
or clean air respirator), transmission based precautions including: airborne (diseases
which are transmitted by smaller air particles, has a negative isolation room, PPE,
Mask, gloves), droplet (diseases which are transmitted by smaller air particles, use
