NUR155 EXAM 4 STUDY GUIDE:
FOUNDATIONS OF NURSING |
QUESTIONS & VERIFIED ANSWERS
(2026/2027) – GALEN
4 Steps of Tanner's Clinical Judgement model - answers-Noticing, reflecting,
responding and interpreting
Critical thinking - answers-uses principles of nursing process and evidence based
practice
APIE - answers-assessment, planning, implementation, evaluation
Assessing systematically and comprehensively - answers-piece by piece, body
systems, head to toe and focused assesment
Objective - answers-signs (seen, heard, felt)
Evidence-based practice - answers-means that everything we do in nursing is trial and
error before we use in practice
Subjective - answers-symptoms (verbal statements)
Primary source - answers-Patient
Secondary source - answers-Sources other than the patient
NIRR - answers-Noticing, interpreting, responding and reflecting
Outlines of what we are allowed to do as nurses - answers-Scope of Practice, Nurse
Practice Act, Standard of Practice
"Think with a purpose" (4 words) - answers-Stop, think, ask and assess
Definition for Tanner's Model - answers-dynamic process that accounts for changes in
the situation as they occur
Putting a plan in place - answers-Interpreting
"Identifying assumptions" - answers-No supporting evidence, jumping to conclusions,
how do you know, what do you know and based on WHAT evidence
, "Increasing oxygen, going on a walk, taking patient to bathroom" - answers-Responding
"interventions"
Looking back on everything - answers-Reflecting
What can affect a nurses ability to provide care? - answers-Scope of practice,
knowledge and skill level
What do we collect data in the noticing step - answers-Primary, secondary, vitals,
patient, collaboration, medical records and assessments
Barriers to collecting data - answers-Communication, culture, skills, education *watch
for select all that apply*
When do we report things? - answers-ALWAYS! "Just Culture"
What do we always have to report? - answers-HIV, airborne and (women who get
abused, if they agree)
What do we do whenever we notice something is off during the noticing step? -
answers-GATHER MORE INFORMATION
What's the identifying assumption thinking skill? - answers-Arriving at a conclusion
without any or enough evidence
What's the protocol for restraints? - answers-Bruises, Pain, Circulation and
Documentation
What do we do if there is any change in the patient? - answers-Gather more information
to see why it's changed
Predict and Manage potential complications - answers-identifying risks that the patient
might encounter
Clinical Judgement - answers-gives safe complete patient-centered care
therapeutic responses - answers-ask open-ended questions, gather more information
Thinking skill from noticing - answers-identifying signs and symptoms
Difference between Tanner's and Nursing Process - answers-Planning to provide care
is nursing process, Tanner's is the THINKING behind it, "why we provide care."
Sources of data collection - answers-family member, previous care team, medical
records
FOUNDATIONS OF NURSING |
QUESTIONS & VERIFIED ANSWERS
(2026/2027) – GALEN
4 Steps of Tanner's Clinical Judgement model - answers-Noticing, reflecting,
responding and interpreting
Critical thinking - answers-uses principles of nursing process and evidence based
practice
APIE - answers-assessment, planning, implementation, evaluation
Assessing systematically and comprehensively - answers-piece by piece, body
systems, head to toe and focused assesment
Objective - answers-signs (seen, heard, felt)
Evidence-based practice - answers-means that everything we do in nursing is trial and
error before we use in practice
Subjective - answers-symptoms (verbal statements)
Primary source - answers-Patient
Secondary source - answers-Sources other than the patient
NIRR - answers-Noticing, interpreting, responding and reflecting
Outlines of what we are allowed to do as nurses - answers-Scope of Practice, Nurse
Practice Act, Standard of Practice
"Think with a purpose" (4 words) - answers-Stop, think, ask and assess
Definition for Tanner's Model - answers-dynamic process that accounts for changes in
the situation as they occur
Putting a plan in place - answers-Interpreting
"Identifying assumptions" - answers-No supporting evidence, jumping to conclusions,
how do you know, what do you know and based on WHAT evidence
, "Increasing oxygen, going on a walk, taking patient to bathroom" - answers-Responding
"interventions"
Looking back on everything - answers-Reflecting
What can affect a nurses ability to provide care? - answers-Scope of practice,
knowledge and skill level
What do we collect data in the noticing step - answers-Primary, secondary, vitals,
patient, collaboration, medical records and assessments
Barriers to collecting data - answers-Communication, culture, skills, education *watch
for select all that apply*
When do we report things? - answers-ALWAYS! "Just Culture"
What do we always have to report? - answers-HIV, airborne and (women who get
abused, if they agree)
What do we do whenever we notice something is off during the noticing step? -
answers-GATHER MORE INFORMATION
What's the identifying assumption thinking skill? - answers-Arriving at a conclusion
without any or enough evidence
What's the protocol for restraints? - answers-Bruises, Pain, Circulation and
Documentation
What do we do if there is any change in the patient? - answers-Gather more information
to see why it's changed
Predict and Manage potential complications - answers-identifying risks that the patient
might encounter
Clinical Judgement - answers-gives safe complete patient-centered care
therapeutic responses - answers-ask open-ended questions, gather more information
Thinking skill from noticing - answers-identifying signs and symptoms
Difference between Tanner's and Nursing Process - answers-Planning to provide care
is nursing process, Tanner's is the THINKING behind it, "why we provide care."
Sources of data collection - answers-family member, previous care team, medical
records
