NUR 155 Final Exam Study Guide Questions with
Correct Answers 100% Verified 2025
-extent to which an individual's behavior occurs at the same time with medical or
health advice (taking medications, following diets, making lifestyle changes) -
Correct Answer ✔Health care adherence
Personal state in which the person's physical, emotional, intellectual, social,
developmental, or spiritual functioning is thought to be diminished -Correct
Answer ✔Illness
(ABC) Airway, Breathing, Circulation--air, food, water, shelter, rest, sleep,
activity, and temperature maintenance are crucial for survival -Correct Answer
✔Physiologic: 1st Maslow level
safety both physical and physiological -Correct Answer ✔Safety and Security:
Maslow's 2nd level
giving and receiving affection, attaining a place in a group and maintaining the
feeling of belonging. -Correct Answer ✔Love and Belonging
both self-esteem and esteem from others (recognition, respect, and appreciation) -
Correct Answer ✔Self-esteem need: Maslow's 3rd level
reaching potential, independence, creativity, and self-expression -Correct Answer
✔Self-Actualization
the action taken to prevent the incident (seatbelts, safe sex, vaccinations) -Correct
Answer ✔Primary Prevention (before anything happens):
the action taken to identify signs of a problem (breast exam/testicular screening,
blood pressure screening, cholesterol testing) -Correct Answer ✔Secondary
Prevention (early detection of disease):
action taken after illness present to prevent complications or restore function
(medication, therapy) -Correct Answer ✔Tertiary Prevention (Begins after an
illness):
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educate parents, immunizations, breast feeding, sleep patterns, safety, playful
activity to stimulate development (education for parents and safety-main priority) -
Correct Answer ✔Infant health education
nutrition, rest/exercise, immunizations, safety/injury, dental check ups, role models
-Correct Answer ✔Children Health education
communicating with the teen, self-concept and body image, hormonal changes,
nutrition, exercise/rest, peer influence, sexuality, safety/accident (car accidents and
suicide) -Correct Answer ✔Adolescents health education
substance abuse -Correct Answer ✔Younger adult health education
heart disease, cancer, MVA -Correct Answer ✔Mid-adult health education
injury prevention/risk for hypothermia due to low metabolic rate, drug
management, sleep, exercise, foot health, immunizations, hearing screening,
mental health, physical fitness, weight control, smoking cessation, preventive
health services -Correct Answer ✔Older adult health education
-fever, chills/sweats, redness/soreness/swelling in any area, diarrhea, new onset
pain, vomiting -Correct Answer ✔S/S of infection
1: wash hands with warm water & soap
2: PPE-Gown, Gloves
3: use bleach to clean objects! -Correct Answer ✔C-diff precautions
GLOVES
-applies to blood, body fluids, secretions, excretions (not sweat)
-mucous membranes
-non-intact skin -Correct Answer ✔Standard Precaution (for ALL clients)
-skin lesions
-circulation
Checking pulses, cap refill, skin turgor
-respiratory
-musculoskeletal
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-gait -Correct Answer ✔Normal & Abnormal assessment findings
120/80 -Correct Answer ✔normal values BP:
60-100 -Correct Answer ✔normal values HR
12-20 -Correct Answer ✔normal values RR
95-100% -Correct Answer ✔normal values 02:
96.8-99.5 -Correct Answer ✔Normal value temp
-NEVER put the incident report into the patient's chart!!
-goes in risk management file -Correct Answer ✔Documentation of an incident
-using silence (accepting pauses or silences that allows the patient able to put
thoughts and feelings into words) "general leads
-be specific and tentative
-open ended questions (no asking why ex: tell me more)
-touch (putting arms on shoulder)
-restating or paraphrasing
-seeking clarification/validation -Correct Answer ✔Therapeutic communication
techniques
-Nurse will paraphrase what the patient says to make sure they understand what the
patient is saying/asking
-requires more than a YES or NO answer
-no asking WHY, instead encourage patient to tell more details -Correct Answer
✔Open ended communication
Situation: your name, health agency, client name, and brief information about the
problem Background: current situation, such as admitting diagnosis, date of
admission, and import clinical information that relates to the call Assessment:
current condition of the client, indicate the severity of the situation
Recommendations: what is the recommendation on solving the problem and what
you need from the provider -Correct Answer ✔SBAR
18.5-24.9 -Correct Answer ✔BMI (Body Mass Index) norms
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