NURSING 111 EXAMINATION 1 (NUR 111) EXAM
QUESTIONS AND ANSWERS
Describe the communication process - ANSWER>>Stimulus, source
(seder/encoder), message, channel, receiver (decoder), feedback/communication
Identify factors that influence communication - ANSWER>>Developmental level,
gender, sociocultural differences, roles and responsibilities, space/territoriality,
physical/mental/emotional state, values, environment
Discuss types of communication used in healthcare and the role of the nurse in
each type. - ANSWER>>Verbal, nonverbal, electronic
Define therapeutic communication and helping relationships. - ANSWER>>the
face-to-face process of interacting that focuses on advancing the physical and
emotional well-being of a patient. Involves: listening, conversation skills, silence,
touch, humor, interviewing techniques
Discuss and utilize SBAR communication technique when communicating with
physicians and other nurses. - ANSWER>>S (Situation), B (Background), A
(Assessment), R (Recommendation)
Discuss role of documentation in healthcare and demonstrate appropriate
documentation techniques. - ANSWER>>"If you didn't chart it, it didn't happen".
Source oriented records (paper documentation in which each healthcare
group/discipline keeps data on its own form), problem oriented records,
computerized documentations, PIE (problem, intervention, evaluation), Focus
charting, charting by exception, case management model
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Discuss professional responsibilities when using electronic communication -
ANSWER>>Date and time, timing, legibility, permanence, accepted terminology,
correct spelling, signature, accuracy
Discuss the role of computers in healthcare and the impact on the nursing
profession. - ANSWER>>Pros: Facilitates focus on client outcome, fast, efficient
use of time, legible, link various sources, links to monitors, bedside terminals.
Cons: Client privacy concerns, breakdowns make information unavailable,
systems expensive, extended training periods
Ergonomics - ANSWER>>Study and design of the work environment as it relates to
operator fatigue, discomfort and productivity
Discuss the personal attributes of the professional nurse. - ANSWER>>Open-
mindedness, profound sense of value of the person, self-awareness, sense of
personal responsibility, motivation, leadership skills, bravery
Define and discuss leadership principles, commitment to profession, and work
ethics - ANSWER>>Commitment to excellence, problem-solving, passion,
integrity, respectfulness, accessibility, empathy, responsibility c
Compare and contrast clinical reasoning, clinical judgement, and critical thinking -
ANSWER>>Clinical reasoning (Specific- thinking about patient care issues such as
managing patient problems), clinical judgement (The result of critical thinking and
clinical reasoning) , critical thinking (the objective analysis and evaluation of an
issue in order to form a judgment. Five components: Knowledge base, experience,
nursing process competencies, attitudes, standards)
Define the nursing process and it's characteristics - ANSWER>>A systematic
problem-solving process that guides all nursing actions. Systematic, dynamic,
interpersonal, outcome oriented, universally applicable
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Discuss the 5 steps of the nursing process and the goals and activities of each
step. - ANSWER>>Assessment (preparing for data collection, collecting data,
identifying cues and making inferences, validating data, clustering related data
and identifying patterns, reporting and recording data), diagnosis (the reasoning
process used in interpreting assessment data, analyze data, identify health
problems, risks, and strengths, determine risk factors to be managed, formulate
diagnostic statements) , planning (establish priorities, identify expected patient
outcomes, select evidence-based nursing intervention, communicate the plan of
care), implementing (do it!, continue data collection, modify plan of care as
needed, document), evaluating (measure how well the patient has achieved the
desired outcomes, identify factors contributing to the patients success or failure,
modify the plan of care if indicated)
Describe and demonstrate the steps in concept mapping care planning -
ANSWER>>
Altruism - ANSWER>>The selfless giving of others
Autonomy - ANSWER>>The patient has the right to determine their own course of
healthcare
Human Dignity - ANSWER>>The person has dignity just because they are human
Integrity - ANSWER>>Admit when you make a mistake. You wont try to cover it up
or blame someone else
Social justice - ANSWER>>Protecting the rights of everyone
Reflective journaling - ANSWER>>A tool used to clarify concepts through
reflection by thinking back or recalling situations
Concept mapping - ANSWER>>A visual representation of patient problems and
interventions that illustrates an interrelationship