Concepts & Skills for Nursing Practice
II EXAM STUDY GUIDE 2026/2027
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Galen College of Nursing
1. Health - ANSWER ✔ State of complete physical, mental, and social well-
being, not merely the absence of disease (WHO).
2. Wellness - ANSWER ✔ Process of self-care achieved by making choices
that lead to a healthy life.
3. Basic Human Needs Model - ANSWER ✔ Maslow's hierarchy used to
prioritize care; physiological needs must be met before higher-level needs.
4. Self-Actualization - ANSWER ✔ The motivation to reach one's full
potential after lower-level needs are satisfied.
5. Health Belief Model (HBM) - ANSWER ✔ Explains why people take
preventive actions based on perceived susceptibility, severity, benefits,
barriers, cues to action, and self-efficacy.
6. Delegation - ANSWER ✔ Transfer of responsibility to a competent
individual for a specific task while the RN retains accountability.
,7. RN Responsibility - ANSWER ✔ RN must assess, plan, evaluate, and
follow up on delegated tasks.
8. 1st Principle of Delegation - ANSWER ✔ Know state nurse practice act,
policies, and scope of practice.
9. 2nd Principle of Delegation - ANSWER ✔ RN cannot delegate assessment,
planning, evaluation, or accountability.
10.3rd Principle of Delegation - ANSWER ✔ Delegate cannot re-delegate the
task to another person.
11.5 Rights of Delegation - ANSWER ✔ Task, Circumstance, Person,
Direction/Communication, Supervision/Evaluation.
12.UAP Tasks - ANSWER ✔ Vitals, I&O, bathing, feeding, ambulation,
postmortem care, safety setup, simple dressings, weights, CPR.
13.LPN Tasks - ANSWER ✔ Administer meds (not IV unless certified),
wound care, NG/foley insertion, reinforce teaching, enteral feedings.
14.RN Tasks - ANSWER ✔ Assessment, teaching, evaluation, discharge
planning, blood transfusions, complex care.
15.Unsafe Delegation Example - ANSWER ✔ UAP redelegates vital signs to
student nurse — NOT permitted.
16.Health Care Documentation - ANSWER ✔ Written/electronic record
describing patient, health status, care provided, and dates.
17.Documentation Standards - ANSWER ✔ Set by facility policy, The Joint
Commission (TJC), and CMS.
18.Immunity - ANSWER ✔ Natural, Acquired, Passive, Herd, Active
19.Factors Influencing the spread of disease - ANSWER ✔ Resistance
Natural Immunity
,Acquired Immunity
Active Immunization
Passive Immunity
Herd Immunity
Infectiousness
20.Resistance - ANSWER ✔ Hosts ability to withstand infection
21.Natural Immunity - ANSWER ✔ species-determined innate resistance to
an infectious agent.
22.acquired immunity - ANSWER ✔ resistance acquired by a host as a result
of previous natural exposure to an infectious agent
23.Active immunization - ANSWER ✔ immunization of an individual by
administration of an antigen
24.WHO health definition - ANSWER ✔ Conplete mental, social, and
physical well being (and psychological)
Not just the absence of illness
25.Individual health definition - ANSWER ✔ Defined by values, experiences,
and ways of living
26.Maslow's Hierarchy of Needs - ANSWER ✔ (level 1) Physiological Needs,
(level 2) Safety and Security,
(level 3) Relationships, Love and Affection,
(level 4) Self Esteem,
(level 5) Self Actualization
27.Healthy people 2030 framework - ANSWER ✔ Principles
Overarching goals
Plan of action
History of context
28.Levels of illness prevention - ANSWER ✔ primary
secondary
tertiary
, 29.Primary prevention - ANSWER ✔ Preventing it before it happens
Instituted before disease becomes established by removing the causes or
increasing resistance
Immunization
30.Secondary prevention - ANSWER ✔ Efforts to limit the effects that you
cannot completely prevent
Undertaken in cases of latent (hidden disease
Screenings
31.Tertiary prevention - ANSWER ✔ Treatment of irreversible illness
Implemented when a condition or illness is permanent and irreversible
Rehab
32.Suchman's illness stage I - ANSWER ✔ Symptom experience
You acknowledge something's wrong and seeks help
33.Suchman's illness stage II - ANSWER ✔ Assumption of the sick role
You decide the illness is genuine and that care is necessary
34.Suchman's illness stage III - ANSWER ✔ Medical care contact
Seeking medical advice
35.Suchman's illness stage IV - ANSWER ✔ Dependent patient role
Starts treatment as a patient
36.Suchman's illness stage V - ANSWER ✔ Perceived recovery