NSG 3180 EXAM 1 OBJECTIVES | LATEST STUDY |
QUESTIONS WITH SOLUTIONS | 2026 UPDATES
Know the basic concepts and foundations of professional nursing practice. - ANSWER- -
Basic concepts (nursing meta-paradigm)= concept of person, environment, health, nursing.
-Theoretical nursing models provide a foundation for generating hypotheses in research.
-The development of nursing and health communication is a basic foundation.
-Patterns of knowing= personal (humanness), aesthetic (relating to their fear), empirical
(reasoning/ problem solving), ethical (think responsibility), emancipatory (advocate).
What is patient-centered care? - ANSWER- -Patient-centered care is empowering the
patient/family to be a full partner in providing compassionate and coordinated care.
-KSA= knowledge, skills, attitudes.
-Integrate multiple dimensions of care and communication to involve the patient/family.
-Elicit patient values/preferences during your initial interview and care plan development, and
communicate this to other members of the healthcare team.
-Value expressions of patient values and their expertise in their own health status.
-Integrate understanding of arts, sciences, communication, and applying nursing process.
Understand the definition of therapeutic communication. - ANSWER- -Therapeutic
communication is a dynamic interactive process by healthcare providers with their patients and
significant others for the purpose of achieving identified health related goals.
-Words, facial expressions, body language, email, writing, behaviors.
-Be a participation observer- peplau (monitor your own and others verbal and nonverbal
messages).
-It's a way of providing education and support to patients while maintaining objectivity and
professional distance.
Know what is SBAR and the purpose for using this tool and give example of communication with
the SBAR format. - ANSWER- -SBAR: Situation, Background, Assessment,
Recommendation.
, -It's a standardized communication tool with a structured to communicate with other
professionals.
-Conveys the most critical information by eliminating excessive language.
-S= Identify yourself, patient, and the problem. (Ex: Dr. Torres, this is Krissi Shaffer, evening nurse
at Galen college, calling about Mr. Doe who is having trouble breathing)
-B= State relevant context and brief history, review chart and patients background/ diagnosis.
(Ex: John Doe, a 53-year-old man with chronic lung disease with respiration of 40 breaths and
oxygenation down to 72%).
-A= State your conclusion and what you think is wrong. (Ex: I don't hear breath sounds, I think
he has pneumothorax).
-R= State your informed suggestion for the continued care of this patient. (Ex. I think you need
to see him and I think he needs a chest tube).
What are the steps for clinical decision making? - ANSWER- 1. Clarifying concepts: Identify
whether a problem actually exists.
2. Identify your own values: Prioritize values.
3. Integrate data and identify missing data: See what is needed, compare, look for gaps,
organize.
4. Obtain new data: Ask questions, search for evidence, and check references.
5. Identify the significant problem: Analyze info, make inferences, prioritize.
6. Examine skeptically: Weigh the positive and negative factors, and challenge your own
assumptions.
7. Apply criteria: Evaluate the situation and think about appropriate responses like protocols.
8. Generate options and look at alternatives: Involve others to help put the picture together.
9. Consider whether factors change if the context changes.
10. Evaluate and make the interventions: Make a decision, justify your conclusion, and evaluate
outcomes.
*PROCESS, ACT, REFLECT!!
*Assess patient, and process information.
*Apply clinical knowledge to identify problems.
QUESTIONS WITH SOLUTIONS | 2026 UPDATES
Know the basic concepts and foundations of professional nursing practice. - ANSWER- -
Basic concepts (nursing meta-paradigm)= concept of person, environment, health, nursing.
-Theoretical nursing models provide a foundation for generating hypotheses in research.
-The development of nursing and health communication is a basic foundation.
-Patterns of knowing= personal (humanness), aesthetic (relating to their fear), empirical
(reasoning/ problem solving), ethical (think responsibility), emancipatory (advocate).
What is patient-centered care? - ANSWER- -Patient-centered care is empowering the
patient/family to be a full partner in providing compassionate and coordinated care.
-KSA= knowledge, skills, attitudes.
-Integrate multiple dimensions of care and communication to involve the patient/family.
-Elicit patient values/preferences during your initial interview and care plan development, and
communicate this to other members of the healthcare team.
-Value expressions of patient values and their expertise in their own health status.
-Integrate understanding of arts, sciences, communication, and applying nursing process.
Understand the definition of therapeutic communication. - ANSWER- -Therapeutic
communication is a dynamic interactive process by healthcare providers with their patients and
significant others for the purpose of achieving identified health related goals.
-Words, facial expressions, body language, email, writing, behaviors.
-Be a participation observer- peplau (monitor your own and others verbal and nonverbal
messages).
-It's a way of providing education and support to patients while maintaining objectivity and
professional distance.
Know what is SBAR and the purpose for using this tool and give example of communication with
the SBAR format. - ANSWER- -SBAR: Situation, Background, Assessment,
Recommendation.
, -It's a standardized communication tool with a structured to communicate with other
professionals.
-Conveys the most critical information by eliminating excessive language.
-S= Identify yourself, patient, and the problem. (Ex: Dr. Torres, this is Krissi Shaffer, evening nurse
at Galen college, calling about Mr. Doe who is having trouble breathing)
-B= State relevant context and brief history, review chart and patients background/ diagnosis.
(Ex: John Doe, a 53-year-old man with chronic lung disease with respiration of 40 breaths and
oxygenation down to 72%).
-A= State your conclusion and what you think is wrong. (Ex: I don't hear breath sounds, I think
he has pneumothorax).
-R= State your informed suggestion for the continued care of this patient. (Ex. I think you need
to see him and I think he needs a chest tube).
What are the steps for clinical decision making? - ANSWER- 1. Clarifying concepts: Identify
whether a problem actually exists.
2. Identify your own values: Prioritize values.
3. Integrate data and identify missing data: See what is needed, compare, look for gaps,
organize.
4. Obtain new data: Ask questions, search for evidence, and check references.
5. Identify the significant problem: Analyze info, make inferences, prioritize.
6. Examine skeptically: Weigh the positive and negative factors, and challenge your own
assumptions.
7. Apply criteria: Evaluate the situation and think about appropriate responses like protocols.
8. Generate options and look at alternatives: Involve others to help put the picture together.
9. Consider whether factors change if the context changes.
10. Evaluate and make the interventions: Make a decision, justify your conclusion, and evaluate
outcomes.
*PROCESS, ACT, REFLECT!!
*Assess patient, and process information.
*Apply clinical knowledge to identify problems.
