NU 136 Exam 3 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 3 NURSING PROCESS & COMMUNICATION (GALEN) QUESTIONS AND CORRECT ANSWERS WITH RATIONALES Prepare for the **NU 136 Exam 3 Nursing Process & Communication (Galen)** with a comprehensive study resource designed around fundamental nursing concepts, clinical judgment, nursing-process application, communication, documentation, patient education, safety, and patient-centered care. The guide emphasizes **exam-style questions with correct answers and detailed rationales**, helping students understand not only which response is appropriate but also the clinical reasoning behind each nursing decision. Galen's NU 136 Fundamentals of Nursing course emphasizes basic nursing care of adult patients, clinical judgment, communication, vital signs, body mechanics, aseptic technique, nutrition, patient safety, medication calculation and administration, psychomotor skills, and the nursing process. Preparation includes the five stages of the **nursing process—assessment, nursing diagnosis, planning, implementation, and evaluation**—with questions requiring students to identify the appropriate stage and apply the process to changing patient situations. The material reinforces **assessment and data collection**, including subjective and objective findings, primary and secondary sources, patient histories, physical observations, vital signs, laboratory information, and recognition of significant changes in patient status. Questions address **nursing diagnoses and clinical problem identification**, including differentiating nursing diagnoses from medical diagnoses and using assessment findings to identify appropriate patient-centered problems. The guide covers **care planning and expected outcomes**, including establishing measurable goals, involving patients in planning, selecting appropriate nursing interventions, prioritizing problems, and evaluating whether expected outcomes have been achieved. Preparation includes **implementation and evaluation**, with scenario-based questions involving appropriate interventions, reassessment, modification of ineffective plans, and recognition of whether additional nursing actions are required. The resource provides extensive preparation in **documentation and medical-record practices**, including source-oriented charting, problem-oriented medical records, PIE documentation, focused charting, charting by exception, electronic health records, and computerized provider order entry. Current study materials for this exam specifically identify these documentation concepts. Questions reinforce **accurate, timely, objective, complete, and legally appropriate documentation**, including documenting patient responses, avoiding unsupported conclusions, protecting confidentiality, and correcting documentation errors according to policy. The guide addresses **electronic documentation and information security**, including appropriate access to patient records, protection of login credentials, confidentiality, secure handling of patient information, and responsible use of electronic health records. Preparation includes **therapeutic nurse-patient communication**, covering active listening, empathy, clarification, reflection, restatement, focusing, silence, summarizing, and encouraging patients to express concerns. The material reinforces recognition of **nontherapeutic communication**, including false reassurance, unsolicited advice, changing the subject, judgmental responses, defensive statements, inappropriate probing, clichés, and inattentive listening. Questions address **communication with patients experiencing hearing, speech, language, or cognitive difficulties**, including appropriate positioning, allowing additional response time, using suitable communication aids, and adapting communication techniques to patient needs. The guide covers **interprofessional communication**, including communicating changes in patient condition, providing concise clinical information, clarifying unclear orders, reporting relevant findings, and using structured communication approaches such as ISBAR when appropriate. Preparation includes **patient education and health literacy**, including assessing readiness to learn, identifying learning barriers, using understandable language, providing appropriate teaching, verifying comprehension, and using teach-back to evaluate understanding. The material reinforces **cultural sensitivity and individualized communication**, including respecting cultural preferences, avoiding assumptions, recognizing differences in communication styles, and using qualified interpreters when language barriers affect safe care. Questions cover **confidentiality, privacy, and professional boundaries**, emphasizing appropriate access to patient information and the nurse's responsibility to safeguard protected health information. The resource also addresses **ethical and legal aspects of nursing communication**, including informed participation, patient autonomy, professional accountability, accurate documentation, confidentiality, and appropriate communication with patients and healthcare professionals. Preparation includes **patient safety and clinical prioritization**, requiring students to distinguish routine findings from situations requiring immediate nursing attention and to select interventions based on patient needs and safety risks. The guide reinforces **infection prevention and aseptic technique**, including hand hygiene, standard precautions, transmission-based precautions, sterile technique, contamination prevention, and appropriate use of personal protective equipment. Questions address **body mechanics, positioning, mobility, and safe patient transfers**, including assessment of patient ability, use of assistive devices, fall prevention, proper alignment, and protection of both patient and caregiver. The material includes **nutrition, hydration, elimination, and basic comfort measures**, with scenarios involving intake and output, feeding assistance, aspiration prevention, urinary and bowel elimination, hygiene, rest, and patient comfort. Preparation also includes **vital signs and basic patient assessment**, including accurate measurement techniques, factors affecting findings, recognition of abnormal results, reassessment, and appropriate documentation. The resource incorporates **clinical-judgment scenarios** involving conflicting information, changing patient conditions, communication barriers, documentation concerns, safety hazards, ineffective interventions, and decisions about when to reassess or notify the appropriate healthcare professional. Questions progressively move from foundational concepts toward **application and prioritization**, allowing students to practice translating nursing-process knowledge into safe, patient-centered decisions. This material is designed as a **study and practice resource rather than a reproduction of the actual Galen NU 136 Exam 3**. 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 syllabus, instructor-provided materials, assigned textbooks, and official course resources as the final authority for examination preparation.