Nursing 150: Final Exam Review UPDATED ACTUAL Questions And Correct
Answers
In-Service Education: Is provided by your health care facility-it educates you on new policies or
equipment.
Continuing Education: Is something all nurses have to do every 2 years. You have to renew your license
and get 30 hours of credits.
Certificate Education: Is something you can get after becoming a nurse. This certification allows you to
become certified in a specific specialty.
Advanced Education: Is considered "advancing your degree" and knowledge/base skills.
Autonomy: Nurses working independently Actions/decisions nurses can make on their own
(w/o needing permission). Examples: administering medications, assisting clients,
eté.
Responsibility: Being accountable for your actions, being reliable, and respecting obligations.
Examples: Being on time, following up/checking in on clients when you tell them
you will.
Advocacy: Supporting and fighting for the client's health, rights, and safety. Example: Calling
the physician if you believe the client needs more medication or a change of
medication (even if you know the physician will be angry and yell at you).
Accountability: Is owning up to your mistakes and wrong doings. Example: Owning up to an
incorrect medication dosage.
Nursing Shortage: affects all aspects of nursing including client care, administration, and nursing
education. Because of this it is important to use patient contact time efficiently.
Health Care Reform: affects how health care is paid for, and how it is delivered. This leads to
community care and shorter in-hospital stays. Using resources efficiently and
avoiding unnecessary health care costs for the client.
Medically Underserved Population: consists of unemployed, homeless, and mentally ill members of society that have
little to no access to health care services or health insurance.
Channel: used to send and receive messages through visual, auditory, and tactile sounds.
Facial expressions, touch, spoken words.
Receiver: the person who receives and decodes the message.
Message: the context of communication.
Sender: the person who encodes and delivers the message.
, Referent: is the motivator/motivates the person to communicate. Examples: hunger, pain,
and needing to use the restroom.
Feedback: a message the sender receives from the receiver that indicates whether the
receiver understood the message.
Describe each component of SBAR utilized for delivering S- Situation
client report to the healthcare provider. The client is rating his pain as an 8/10. He had been administered mediation 30
minutes ago.
A nurse is caring for a client on an ortho unit who had B- Background
knee surgery. He / She administered one tablet of oxy. Client had knee surgery. Returned 6 hours ago. Has had first pain meds.
HCL 5mg/ibuprofen 400 mg PO (by mouth) to a cdlient A-Assessment
30 min. ago for the pain. The nurse returns to evaluate the His current medications are not managing his pain. He will not sit up or move due
patient and he rates his pain as an 8/10. to the pain.
R- Recommendation
A change of medications/dosage.
Intonation: The tone of voice. Tone of voice can affect the meaning of a message, so it is
important to be cautious of your tone.
Gestures: Emphasize, punctuate, and clarify spoken words. Only use appropriate gestures.
Timing: Is critical to effective communication Example: If the client is throwing up it is not
a good time to share information. That would result in poor communication.
Vocabulary: It is important to use terms that the client can easily understand. Example: If a
client had a myocardial infarction, we would call it a heart attack.
Describe the nurse's role in maintaining professionalism A nurse's application of knowledge, understanding of human behavior,
with client interactions. communication, and commitment to ethical behavior create professional
interactions with clients.
Explain therapeutic communication techniques the nurse Therapeutic communication techniques consist of active listening, sharing
will utilize with clients from a culture differing from the observations, sharing empathy, sharing hope, sharing feelings, providing
nurse's culture. information, clarifying. focusing, paraphrasing, validation, asking relevant
questions, summarizing, and self disclosure. Eye contact and touch vary
depending on culture and personal preference. Do not stereotype but be aware.
Describe the nurse's role with initiating active listening Active listening means being attentive to patients verbal and nonverbal
with a client. communication.
S- Sit and face the client.
U- Uncross arms and legs.
R- Relax E- Eye contact.
T- Touch.
Y- Your Intuition.
Zones of Personal Space Intimate: (0-18 in.) Holding an infant, bathing, feeding. dressing a client.
Personal: (18-40 in.) Taking history, teaching, and sitting beside the patient.
Social: (4-12 ft.) Giving directions, verbal report. Public: (12 + ft.) Speaking at a
conference, lecturing students.
Answers
In-Service Education: Is provided by your health care facility-it educates you on new policies or
equipment.
Continuing Education: Is something all nurses have to do every 2 years. You have to renew your license
and get 30 hours of credits.
Certificate Education: Is something you can get after becoming a nurse. This certification allows you to
become certified in a specific specialty.
Advanced Education: Is considered "advancing your degree" and knowledge/base skills.
Autonomy: Nurses working independently Actions/decisions nurses can make on their own
(w/o needing permission). Examples: administering medications, assisting clients,
eté.
Responsibility: Being accountable for your actions, being reliable, and respecting obligations.
Examples: Being on time, following up/checking in on clients when you tell them
you will.
Advocacy: Supporting and fighting for the client's health, rights, and safety. Example: Calling
the physician if you believe the client needs more medication or a change of
medication (even if you know the physician will be angry and yell at you).
Accountability: Is owning up to your mistakes and wrong doings. Example: Owning up to an
incorrect medication dosage.
Nursing Shortage: affects all aspects of nursing including client care, administration, and nursing
education. Because of this it is important to use patient contact time efficiently.
Health Care Reform: affects how health care is paid for, and how it is delivered. This leads to
community care and shorter in-hospital stays. Using resources efficiently and
avoiding unnecessary health care costs for the client.
Medically Underserved Population: consists of unemployed, homeless, and mentally ill members of society that have
little to no access to health care services or health insurance.
Channel: used to send and receive messages through visual, auditory, and tactile sounds.
Facial expressions, touch, spoken words.
Receiver: the person who receives and decodes the message.
Message: the context of communication.
Sender: the person who encodes and delivers the message.
, Referent: is the motivator/motivates the person to communicate. Examples: hunger, pain,
and needing to use the restroom.
Feedback: a message the sender receives from the receiver that indicates whether the
receiver understood the message.
Describe each component of SBAR utilized for delivering S- Situation
client report to the healthcare provider. The client is rating his pain as an 8/10. He had been administered mediation 30
minutes ago.
A nurse is caring for a client on an ortho unit who had B- Background
knee surgery. He / She administered one tablet of oxy. Client had knee surgery. Returned 6 hours ago. Has had first pain meds.
HCL 5mg/ibuprofen 400 mg PO (by mouth) to a cdlient A-Assessment
30 min. ago for the pain. The nurse returns to evaluate the His current medications are not managing his pain. He will not sit up or move due
patient and he rates his pain as an 8/10. to the pain.
R- Recommendation
A change of medications/dosage.
Intonation: The tone of voice. Tone of voice can affect the meaning of a message, so it is
important to be cautious of your tone.
Gestures: Emphasize, punctuate, and clarify spoken words. Only use appropriate gestures.
Timing: Is critical to effective communication Example: If the client is throwing up it is not
a good time to share information. That would result in poor communication.
Vocabulary: It is important to use terms that the client can easily understand. Example: If a
client had a myocardial infarction, we would call it a heart attack.
Describe the nurse's role in maintaining professionalism A nurse's application of knowledge, understanding of human behavior,
with client interactions. communication, and commitment to ethical behavior create professional
interactions with clients.
Explain therapeutic communication techniques the nurse Therapeutic communication techniques consist of active listening, sharing
will utilize with clients from a culture differing from the observations, sharing empathy, sharing hope, sharing feelings, providing
nurse's culture. information, clarifying. focusing, paraphrasing, validation, asking relevant
questions, summarizing, and self disclosure. Eye contact and touch vary
depending on culture and personal preference. Do not stereotype but be aware.
Describe the nurse's role with initiating active listening Active listening means being attentive to patients verbal and nonverbal
with a client. communication.
S- Sit and face the client.
U- Uncross arms and legs.
R- Relax E- Eye contact.
T- Touch.
Y- Your Intuition.
Zones of Personal Space Intimate: (0-18 in.) Holding an infant, bathing, feeding. dressing a client.
Personal: (18-40 in.) Taking history, teaching, and sitting beside the patient.
Social: (4-12 ft.) Giving directions, verbal report. Public: (12 + ft.) Speaking at a
conference, lecturing students.
