NU 136 Exam 1 Nursing Process & Communication (Galen) QUESTIONS AND CORRECT ANSWERS WITH RATIONALES.pdf

Tap on **AVAILABLE IN BUNDLE / PACKAGE DEAL** to unlock free bonus exams and everything you need. # NU 136 EXAM 1 NURSING PROCESS & COMMUNICATION (GALEN) QUESTIONS AND CORRECT ANSWERS WITH RATIONALES Prepare for the **NU 136 Exam 1 Nursing Process & Communication (Galen)** with a comprehensive study resource focused on foundational nursing concepts, therapeutic communication, the nursing process, clinical judgment, documentation, patient-centered care, safety, professional relationships, and the systematic approach nurses use to assess and respond to patient needs. The guide emphasizes **exam-style questions with correct answers and detailed rationales**, helping students understand the reasoning behind appropriate nursing actions rather than simply memorizing terminology or isolated facts. Galen's current NU 136 Fundamentals of Nursing course emphasizes **communication, clinical judgment, vital signs, body mechanics, aseptic technique, nutrition, patient safety, medication calculation and administration, and the systematic problem-solving process known as the nursing process**. Clinical experiences are designed to apply these concepts to safe, quality, patient-centered care. Preparation includes the **five steps of the nursing process—assessment, nursing diagnosis, planning, implementation, and evaluation**—with questions requiring students to distinguish among the steps and determine which action should occur first in common clinical situations. The material reinforces **assessment and data collection**, including subjective and objective information, health histories, observations, physical findings, patient statements, focused assessments, and recognizing relevant versus irrelevant information. Questions address **subjective versus objective data**, helping candidates identify whether information comes directly from the patient's report or can be observed, measured, or verified by the nurse. The guide covers **nursing diagnoses and clinical judgment**, including identifying patient responses to health conditions, distinguishing nursing diagnoses from medical diagnoses, recognizing supporting assessment findings, and selecting appropriate problem statements. Preparation includes **planning and expected outcomes**, including establishing priorities, setting measurable goals, identifying appropriate nursing interventions, involving patients in care planning, and determining how outcomes will be evaluated. The resource reinforces **implementation**, including carrying out appropriate nursing interventions, providing patient education, coordinating care, documenting interventions, and reassessing patients when their condition changes. Questions address **evaluation of patient outcomes**, including determining whether goals were achieved, partially achieved, or unmet and deciding when the nursing plan should be continued, modified, or discontinued. The material emphasizes **clinical prioritization**, including identifying urgent patient needs, recognizing changes in condition, applying basic safety principles, distinguishing immediate from less urgent interventions, and using sound clinical judgment. Preparation covers **therapeutic communication**, including active listening, appropriate questioning, clarification, reflection, restatement, silence, empathy, summarization, and encouraging patients to express concerns. The guide reinforces communication techniques that promote **trust and therapeutic relationships**, including maintaining appropriate boundaries, demonstrating respect, avoiding judgmental responses, protecting privacy, and recognizing the patient's individual values and preferences. Questions address **nontherapeutic communication**, including false reassurance, giving unsolicited advice, changing the subject, asking excessive “why” questions, minimizing concerns, offering personal opinions, and using judgmental or dismissive statements. The resource covers **verbal and nonverbal communication**, including tone, facial expression, posture, eye contact, personal space, gestures, listening behaviors, and recognizing inconsistencies between spoken and nonspoken messages. Preparation includes **communication barriers**, such as language differences, hearing impairment, anxiety, pain, cultural differences, cognitive limitations, environmental distractions, health literacy, and emotional distress. The material reinforces appropriate use of **interpreters and communication accommodations**, emphasizing accurate transmission of health information, patient understanding, privacy, and avoidance of relying on unqualified individuals when professional interpretation is required. Questions address **cultural and spiritual considerations**, including respecting patient beliefs, avoiding assumptions, asking culturally appropriate questions, recognizing individual preferences, and incorporating relevant values into patient-centered care. The guide covers **documentation principles**, including accuracy, completeness, objectivity, timeliness, confidentiality, appropriate terminology, and recording care in accordance with facility policy. Preparation includes distinguishing **facts from opinions in documentation**, recognizing appropriate charting language, avoiding judgmental descriptions, correcting documentation errors appropriately, and understanding why accurate records support continuity and safety of care. The resource reinforces **confidentiality and privacy**, including protecting patient information, discussing patient information only with appropriate members of the healthcare team, maintaining secure records, and avoiding inappropriate disclosures. Questions address **communication among healthcare professionals**, including reporting significant findings, providing concise patient information, clarifying unclear orders, communicating changes in condition, and using structured communication techniques when appropriate. The material covers **SBAR-style communication**, including situation, background, assessment, and recommendation, with scenarios requiring students to determine what information should be communicated to another healthcare professional. Preparation includes **patient education and health literacy**, including assessing readiness to learn, identifying learning needs, using understandable language, encouraging questions, verifying understanding, and adapting education to individual needs. The guide reinforces the **teach-back approach**, emphasizing confirmation that a patient can explain information in their own words rather than assuming that simply providing instructions demonstrates understanding. Questions address **professional boundaries and nurse-patient relationships**, including maintaining appropriate therapeutic relationships, avoiding inappropriate self-disclosure, protecting patient dignity, and recognizing behaviors that can interfere with professional care. The resource covers **ethical and legal foundations of nursing communication**, including patient autonomy, informed participation, confidentiality, advocacy, accountability, respect, and appropriate communication of patient concerns. Preparation includes **delegation and communication responsibilities**, including communicating clearly, identifying appropriate tasks, confirming understanding, and recognizing the nurse's continuing responsibility for appropriate supervision and follow-up. The material reinforces **patient safety**, including identifying hazards, reporting errors or near misses appropriately, verifying information, clarifying questionable orders, using established procedures, and communicating changes promptly. Scenario-based questions require students to apply the nursing process and communication principles to **patient interviews, changes in condition, difficult conversations, communication barriers, documentation problems, prioritization decisions, patient education, interdisciplinary communication, and therapeutic interactions**. The guide also incorporates the broader NU 136 emphasis on **safe, quality, patient-centered nursing care**, consistent with Galen's current course description. The preparation progresses from **basic nursing-process and communication concepts to more detailed clinical-judgment and application scenarios**, helping students practice identifying the correct nursing action, prioritizing information, selecting therapeutic responses, and evaluating patient outcomes. This material is designed as a **study and practice resource rather than a reproduction of the actual Galen NU 136 examination**. It does not claim to contain confidential, leaked, proprietary, copyrighted, or identical questions from a live examination, and it is not an official Galen College of Nursing answer key. Students should use their current Galen course syllabus, assigned textbooks, instructor materials, and official course resources as the final authority for examination preparation.