Nursing 161 Final Exam Study Guide Questions
and Answers.
Discuss the benefits of evidence based practice. (Potter p. 50) - Evidence based practice
is a guide to help nurses make effective, timely, and appropriate clinical decisions in
response to the broad political, professional, and societal forces that nurses and other
health professionals are confronted with daily.
What is evidence based practice? (Potter p. 51) - A problem solving approach to clinical
practice that integrates the conscientious use of best evidence in combination with a
clinician's expertise and patient preferences and values in making decisions about patient
care.
Describe the 6 steps of evidence based practice. (Potter p. 51) - 1.) Ask a clinical question
2.) Collect the best evidence
3.) Critique the evidence
4.) Integrate the evidence
5.) Evaluate the practice decision or change
6.) Share the outomes of EBP changes with others
Describe the 5 levels of communication and their uses in nursing. (Potter p. 311) - 1.)
Intrapersonal- occurs within an individual (nurse role: develop self awareness and positive
self-concept)
2.)Interpersonal- one-to-one interaction between 2 people (nurse role: most frequent, at
the <3 of nursing practice. Assessment, one-to-one discussions)
3.) Transpersonal- interaction within a person's spiritual domain (nurse role: assess and
help meet spiritual needs)
4.) Small Group- interactions with a small number of people (nurse role: goal directed. Eg.
committees, patient care conferences, etc.)
5.) Public Communication- interaction with an audience (nurse role: teachers, scholarly
presentations)
Describe the basic elements of the communication process. (Potter p. 312) - 1.) Referent:
The cue that motivates one person to communicate with another
, 2.) Sender and Receiver: Sender encodes and delivers the message. Receiver receives
and decodes the message.
3.) Message: The content of the communication
4.) Channels: Means of conveying and receiving messages
5.) Feedback: The message the receiver returns
6.) Interpersonal Variables: Factors within individuals that influence communication
7.) Environment: The setting for sender-receiver interactions
Identify a nurse's communication approaches within the four phases of a nurse-patient
helping relationship. (Potter p. 315) - -Preinteraction Phase: Review available data, talk to
other caregivers who have info about pt., anticipate health concerns/issues, ID a
comfortable/private interaction location, plan enough time
-Orientation Phase: adopt a warm, empathetic, caring manner, closely observe pt. and
expect to be closely observed by the pt., begin making inferences about pt. messages and
behaviors, assess pt.'s health status, clarify roles, LET THE PT. KNOW WHEN TO
EXPECT THE RELATIONSHIP TO BE TERMINATED
-Working phase: encourage and help the pt. to set goals, take action to meet goals set w/
pt., use therapeutic communication
-Termination phase: Remind pt. that termination is near, evaluate, separate from pt.
achieve smooth transition for the pt. to other caregivers PRN
Identify the role of the nurse in patient education. (Potter p. 329-330) - Nurses have the
ethical responsibility to teach their patients so they can make informed decisions about
their care. It helps patients understand their rights, options and condition(s).
Identify the purposes of patient education (Potter p. 329) - Helps individuals gain new
knowledge, change attitudes, adopt new behaviors, or perform new skills. it prompts the
learner to engage in activities that lead to a desired change. It responds to the learner's
individual needs.
Relate the communication process with patient education (Potter p. 330) - The nurse uses
patient requests for info to perceive a need for information, then you identify specific
learning objectives to describe what the patient will be able to do after successful
instruction. The nurse is the sender of info and the patient is the receiver. Intrapersonal
variables influence your style and approach as well as the patient's motivation and ability to
learn. The outcomes and patient response is the feedback. Evaluation is where the nurse
has the patient demonstrate the newly learned skill.
and Answers.
Discuss the benefits of evidence based practice. (Potter p. 50) - Evidence based practice
is a guide to help nurses make effective, timely, and appropriate clinical decisions in
response to the broad political, professional, and societal forces that nurses and other
health professionals are confronted with daily.
What is evidence based practice? (Potter p. 51) - A problem solving approach to clinical
practice that integrates the conscientious use of best evidence in combination with a
clinician's expertise and patient preferences and values in making decisions about patient
care.
Describe the 6 steps of evidence based practice. (Potter p. 51) - 1.) Ask a clinical question
2.) Collect the best evidence
3.) Critique the evidence
4.) Integrate the evidence
5.) Evaluate the practice decision or change
6.) Share the outomes of EBP changes with others
Describe the 5 levels of communication and their uses in nursing. (Potter p. 311) - 1.)
Intrapersonal- occurs within an individual (nurse role: develop self awareness and positive
self-concept)
2.)Interpersonal- one-to-one interaction between 2 people (nurse role: most frequent, at
the <3 of nursing practice. Assessment, one-to-one discussions)
3.) Transpersonal- interaction within a person's spiritual domain (nurse role: assess and
help meet spiritual needs)
4.) Small Group- interactions with a small number of people (nurse role: goal directed. Eg.
committees, patient care conferences, etc.)
5.) Public Communication- interaction with an audience (nurse role: teachers, scholarly
presentations)
Describe the basic elements of the communication process. (Potter p. 312) - 1.) Referent:
The cue that motivates one person to communicate with another
, 2.) Sender and Receiver: Sender encodes and delivers the message. Receiver receives
and decodes the message.
3.) Message: The content of the communication
4.) Channels: Means of conveying and receiving messages
5.) Feedback: The message the receiver returns
6.) Interpersonal Variables: Factors within individuals that influence communication
7.) Environment: The setting for sender-receiver interactions
Identify a nurse's communication approaches within the four phases of a nurse-patient
helping relationship. (Potter p. 315) - -Preinteraction Phase: Review available data, talk to
other caregivers who have info about pt., anticipate health concerns/issues, ID a
comfortable/private interaction location, plan enough time
-Orientation Phase: adopt a warm, empathetic, caring manner, closely observe pt. and
expect to be closely observed by the pt., begin making inferences about pt. messages and
behaviors, assess pt.'s health status, clarify roles, LET THE PT. KNOW WHEN TO
EXPECT THE RELATIONSHIP TO BE TERMINATED
-Working phase: encourage and help the pt. to set goals, take action to meet goals set w/
pt., use therapeutic communication
-Termination phase: Remind pt. that termination is near, evaluate, separate from pt.
achieve smooth transition for the pt. to other caregivers PRN
Identify the role of the nurse in patient education. (Potter p. 329-330) - Nurses have the
ethical responsibility to teach their patients so they can make informed decisions about
their care. It helps patients understand their rights, options and condition(s).
Identify the purposes of patient education (Potter p. 329) - Helps individuals gain new
knowledge, change attitudes, adopt new behaviors, or perform new skills. it prompts the
learner to engage in activities that lead to a desired change. It responds to the learner's
individual needs.
Relate the communication process with patient education (Potter p. 330) - The nurse uses
patient requests for info to perceive a need for information, then you identify specific
learning objectives to describe what the patient will be able to do after successful
instruction. The nurse is the sender of info and the patient is the receiver. Intrapersonal
variables influence your style and approach as well as the patient's motivation and ability to
learn. The outcomes and patient response is the feedback. Evaluation is where the nurse
has the patient demonstrate the newly learned skill.
