NURA 303 Exam 1 Questions With Complete Solutions
A 3-year-old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions correct answers d. The use of
the clarifying question or comment allows the nurse to gain an
understanding of a patient's comment. When used properly, this
technique can avert possible misconceptions that could lead to
an inappropriate nursing diagnosis. The reflective question
technique involves repeating what the person has said or
describing the person's feelings. Open-ended questions
encourage free verbalization and expression of what the parents
believe to be true. Assertive behavior is the ability to stand up
for yourself and others using open, honest, and direct
communication.
A caregiver asks a nurse to explain respite care. How would the
nurse respond?
A. "Respite care is a service that allows time away for
caregivers."
B. "Respite care is a special service for the terminally ill and
their family."
C. "Respite care is direct care provided to people in a long-term
care facility."
D. "Respite care provides living units for people without regular
shelter." correct answers a. Respite care is provided to enable a
,primary caregiver time away from the day-to-day
responsibilities of homebound patients.
A female patient who is receiving chemotherapy for breast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
address this patient problem. Which action is the first step the
nurse would take in this process?
A. The nurse judges whether the patient database is adequate to
address the problem.
B. The nurse considers whether or not to suggest a counseling
session for the patient.
C. The nurse reassesses the patient and decides how best to
intervene in her care.
D. The nurse identifies several options for intervening in the
patient's care and critiques the merit of each option. correct
answers c. The first step when thinking critically about a
situation is to identify the purpose or goal of your thinking.
Reassessing the patient helps to discipline thinking by directing
all thoughts toward the goal. Once the problem is addressed, it is
important for the nurse to judge the adequacy of the knowledge,
identify potential problems, use helpful resources, and critique
the decision.
A friend of a nurse calls and tells the nurse that his girlfriend's
father was just admitted to the hospital as a patient, and he wants
the nurse to provide information about the man's condition. The
friend states, "Sue seems unusually worried about her dad, but
she won't talk to me and I want to be able to help her." What is
the best initial response the nurse should make?
,A. "You shouldn't be asking me to do this. I could be fined or
even lose my job for disclosing this information."
B. "Sorry, but I'm not able to give information about patients to
the public—even when my best friend or a family member
asks."
C. "Because of HIPAA, you shouldn't be asking for this
information unless the patient has authorized you to receive it!
This could get you in trouble!"
D. "Why do you think Sue isn't talking about her worries?"
correct answers b. The nurse should immediately clarify what
he or she can and cannot do. Since the primary reason for
refusing to help is linked to the responsibility to protect patient
privacy and confidentiality, the nurse should not begin by
mentioning the real penalties linked to abuses of privacy.
Finally, it is appropriate to ask about Sue and her worries, but
this should be done after the nurse clarifies what he or she is
able to do.
A home health care nurse is using the steps of the SDLC, to
design a new system for home health care documentation. The
nurse analyzes the old system and develops plans for the new
system. What is the next step of the nurse in this process?
A. Test
B. Design
C. Implement
D. Evaluate correct answers b. The SDLC requires focus in the
areas of Analyze and Plan, Design and Build, Test, Train,
Implement, Maintain, and Evaluate. After analyzing and
planning the new system, the nurse would move on to the design
step in which the basic design of the new system is developed.
, The nurse would then test the system, train employees, and
implement, maintain, and evaluate the new system in that order.
A new nurse who is being oriented to the subacute care unit is
expected to follow existing standards when providing patient
care. Which nursing actions are examples of these standards?
Select all that apply.
A. Monitoring patient status every hour
B. Using intuition to troubleshoot patient problems
C. Turning a patient on bed rest every 2 hours
D. Becoming a nurse mentor to a student nurse
E. Administering pain medication ordered by the physician
F. Becoming involved in community nursing events correct
answers a, c, e. Standards are the levels of performance
accepted and expected by the nursing staff or other health care
team members. They are established by authority, custom, or
consent. Standards would include monitoring patient status
every hour, turning a patient on bed rest every 2 hours, and
administering pain medication ordered by the physician. Using
intuition to troubleshoot patient problems, becoming a nurse
mentor to a student nurse, and becoming involved in community
nursing events are not patient care standards.
A new RN is being oriented to a nursing unit that is currently
understaffed and is told that the UAPs have been trained to
obtain the initial nursing assessment. What is the best response
of the new RN?
A. Allow the UAPs to do the admission assessment and report
the findings to the RN.
A 3-year-old child is being admitted to a medical division for
vomiting, diarrhea, and dehydration. During the admission
interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions correct answers d. The use of
the clarifying question or comment allows the nurse to gain an
understanding of a patient's comment. When used properly, this
technique can avert possible misconceptions that could lead to
an inappropriate nursing diagnosis. The reflective question
technique involves repeating what the person has said or
describing the person's feelings. Open-ended questions
encourage free verbalization and expression of what the parents
believe to be true. Assertive behavior is the ability to stand up
for yourself and others using open, honest, and direct
communication.
A caregiver asks a nurse to explain respite care. How would the
nurse respond?
A. "Respite care is a service that allows time away for
caregivers."
B. "Respite care is a special service for the terminally ill and
their family."
C. "Respite care is direct care provided to people in a long-term
care facility."
D. "Respite care provides living units for people without regular
shelter." correct answers a. Respite care is provided to enable a
,primary caregiver time away from the day-to-day
responsibilities of homebound patients.
A female patient who is receiving chemotherapy for breast
cancer tells the nurse, "The treatment for this cancer is worse
than the disease itself. I'm not going to come for my therapy
anymore." The nurse responds by using critical thinking skills to
address this patient problem. Which action is the first step the
nurse would take in this process?
A. The nurse judges whether the patient database is adequate to
address the problem.
B. The nurse considers whether or not to suggest a counseling
session for the patient.
C. The nurse reassesses the patient and decides how best to
intervene in her care.
D. The nurse identifies several options for intervening in the
patient's care and critiques the merit of each option. correct
answers c. The first step when thinking critically about a
situation is to identify the purpose or goal of your thinking.
Reassessing the patient helps to discipline thinking by directing
all thoughts toward the goal. Once the problem is addressed, it is
important for the nurse to judge the adequacy of the knowledge,
identify potential problems, use helpful resources, and critique
the decision.
A friend of a nurse calls and tells the nurse that his girlfriend's
father was just admitted to the hospital as a patient, and he wants
the nurse to provide information about the man's condition. The
friend states, "Sue seems unusually worried about her dad, but
she won't talk to me and I want to be able to help her." What is
the best initial response the nurse should make?
,A. "You shouldn't be asking me to do this. I could be fined or
even lose my job for disclosing this information."
B. "Sorry, but I'm not able to give information about patients to
the public—even when my best friend or a family member
asks."
C. "Because of HIPAA, you shouldn't be asking for this
information unless the patient has authorized you to receive it!
This could get you in trouble!"
D. "Why do you think Sue isn't talking about her worries?"
correct answers b. The nurse should immediately clarify what
he or she can and cannot do. Since the primary reason for
refusing to help is linked to the responsibility to protect patient
privacy and confidentiality, the nurse should not begin by
mentioning the real penalties linked to abuses of privacy.
Finally, it is appropriate to ask about Sue and her worries, but
this should be done after the nurse clarifies what he or she is
able to do.
A home health care nurse is using the steps of the SDLC, to
design a new system for home health care documentation. The
nurse analyzes the old system and develops plans for the new
system. What is the next step of the nurse in this process?
A. Test
B. Design
C. Implement
D. Evaluate correct answers b. The SDLC requires focus in the
areas of Analyze and Plan, Design and Build, Test, Train,
Implement, Maintain, and Evaluate. After analyzing and
planning the new system, the nurse would move on to the design
step in which the basic design of the new system is developed.
, The nurse would then test the system, train employees, and
implement, maintain, and evaluate the new system in that order.
A new nurse who is being oriented to the subacute care unit is
expected to follow existing standards when providing patient
care. Which nursing actions are examples of these standards?
Select all that apply.
A. Monitoring patient status every hour
B. Using intuition to troubleshoot patient problems
C. Turning a patient on bed rest every 2 hours
D. Becoming a nurse mentor to a student nurse
E. Administering pain medication ordered by the physician
F. Becoming involved in community nursing events correct
answers a, c, e. Standards are the levels of performance
accepted and expected by the nursing staff or other health care
team members. They are established by authority, custom, or
consent. Standards would include monitoring patient status
every hour, turning a patient on bed rest every 2 hours, and
administering pain medication ordered by the physician. Using
intuition to troubleshoot patient problems, becoming a nurse
mentor to a student nurse, and becoming involved in community
nursing events are not patient care standards.
A new RN is being oriented to a nursing unit that is currently
understaffed and is told that the UAPs have been trained to
obtain the initial nursing assessment. What is the best response
of the new RN?
A. Allow the UAPs to do the admission assessment and report
the findings to the RN.
