NURSING 201 FINAL EXAM
nurse practice acts - Answer--each state has its own
-helps protect public
ANA - Answer--nothing can super-cede them
-generic
uses nursing process as a foundation
Standards of Professional - Answer-1.Assessment
2.Diagnosis
3.Outcome identification
4. Planning
5. Implementation
6. Evaluation
Standards of Professional Performance - Answer-1. Quality of care
2. Performance appraisal
3. education
4.Collegiality
5. ethics
6. collaboration
7. research
8. resource utlilization
Why is evidence based practice used? - Answer--used because better outcomes and
higher levels of satisfaction
What are the three parts of evidence based practice? - Answer-best available
evidence+ patient preferences+ clinical expertise
What are the 5 steps of evidence based practice? - Answer-1. ask the burning
question
2.collect evidence
3. appraise evidence
4.integrate evidence+ patient preferences+ clinical expertise
5.evaluate
6. share outcomes
What are the steps of the IOWA model? - Answer-1. identify a problem
2. determine if its a priority
3. form a team
4. PICO question
What does PICO stand for? - Answer-P patient population
I intervention or issue
C comparison of interest
O desired outcome
,What is a therapeutic relationship? - Answer-a close and helping relationship based
on trust
What is milieu? - Answer-whole environment and people working towards the good
of the patient
What are values? - Answer-qualities, principles, attitudes, or beliefs about the
inherent worth of an object, behavior or
nursing-work around our values to provide the best care for our patients
What is self concept? - Answer-mental picture of the self
What is self esteem? - Answer-refers to how individuals feel about the way that they
see themselves
What are boundaries? - Answer-guidelines, rules or limits that a person creates to
identify what are reasonable, safe and permissible ways for other people to behave
around him or her
indicators of boundary issues - Answer--gift giving
-spending more time than needed with the patient
-defending or explaining patient's behaviors
-keeping secrets
-the nurse feeling like they are the only one that can take care of a particular patient
What is self disclosure? - Answer-providing personal info about one self to a patient
-generally discouraged
What are the phases of the therapeutic relationship? - Answer-1. Preinteraction
2. Orientation
3.Working
4.Termination
Preinteraction Phase - Answer-occurs prior to meeting the patient
-review available data
-talk to other care givers that have taken care of this patient
-anticipate health concerns or issues that arise
-plan enough time for initial interaction
Orientation phase - Answer-the nurse and the client meet and get to know each
other
-set the tone
observe client closely
-establish trust
-assess the client
-let the patient know when to expect termination
Working phase - Answer-the nurse and the client work together to solve problems
and accomplish goals
,-encourage and help the client express their feelings
-help the client set goals
-take action to meet those goals
Termination phase - Answer-ending of the relationship
- remind the client that termination is near
-evaluate achieved goals
-achieve a smooth transition for the client to other care givers
techniques that promote trust - Answer--convey respect
-show warmth and caring
-use active listening
-maintain confidentiality
-eye contact
-be honest and open
-set limits
Confidentiality - Answer-ethical obligation to only share medical info with the people
that need to know
rapport - Answer-harmony
empathy - Answer-not sympathy--I'm sorry
understanding another person's point of view
respect - Answer-taking the patient's view seriously
geuiness - Answer-authentic
confrontation - Answer-the nurse points out discrepancies between thoughts,
feelings, and actions that inhibit the client's self understanding or exploration of
certain areas; non jugemental
transferance - Answer-feelings and thoughts that a CLIENT has towards a NURSE
that are rooted in the client's unconsciousness and feelings towards people in the
person's past
counter transference - Answer-feelings and thoughts that a NURSE has towards a
CLIENT that are rooted in the client's unconsciousness and feelings towards people
in the person's past
What is the goal of the orientation phase?
a. explore self perceptions
b. promote change
c.establish trust
d. evaluate goal attaintment - Answer-c.establish trust
A client says "I want to learn better ways to handle my anger." This interaction is
most likely to occur during which phase of the nurse/client relationship?
a. pre-interaction
, b. orientation
c.working
d. termination - Answer-b. orientation
the client's goals of therapy have been met but the client cries and states, "I have to
keep coming back to therapy to handle my anger better." This interaction occurs in
which phase of the nurse client relationship?
a. pre-interaction
b. orientation
c.working
d. termination - Answer-d. termination
The nurse is attempting to establish a therapeutic relationship with an angry,
depressed client. Which is the most appropriate nursing intervention?
a. work on establishing a friendship with the patient
b. use humor to defuse emotionally charged topics of discussion
c. show respect that is not based on the client's behavior
d. sympathize with the client when the client shares sad feelings - Answer-c. show
respect that is not based on the client's behavior
A nurse has a special feeling toward a client that is based on the acceptance,
warmth, and a non-judgmental attitude. The student is experiencing which
characteristic that enhances the achievement of the nurse client relationship?
a. rapport
b. trust
c. respect
d. professionalism - Answer-a. rapport
The nurse observes an adolescent client's peers calling the client names. Which
statement by the nurse exemplifies the concept of empathy?
a. "I can see that you are upset. Tell me how you feel."
b. "Your peers are being insensitive. I would be upset too."
c."I used to be called name as a child. I know it can hurt feelings."
d. "I get angry when people are treated cruelly." - Answer-a. "I can see that you are
upset. Tell me how you feel."
The nurses ability to be open, honest, and real in interactions with clients is
described as which characteristic that enhances the achievement of the nurse client
interaction:
1. genuineness
2. empathy
3. objectivity
4. harmony - Answer-1. genuineness
**therapeutic communication technique**
the nurse allows the verbal conversation to stop to provide a time for reflection of
what has been discussed - Answer-using silence
**therapeutic communication technique**
"Is there something you would like to talk about today?"
nurse practice acts - Answer--each state has its own
-helps protect public
ANA - Answer--nothing can super-cede them
-generic
uses nursing process as a foundation
Standards of Professional - Answer-1.Assessment
2.Diagnosis
3.Outcome identification
4. Planning
5. Implementation
6. Evaluation
Standards of Professional Performance - Answer-1. Quality of care
2. Performance appraisal
3. education
4.Collegiality
5. ethics
6. collaboration
7. research
8. resource utlilization
Why is evidence based practice used? - Answer--used because better outcomes and
higher levels of satisfaction
What are the three parts of evidence based practice? - Answer-best available
evidence+ patient preferences+ clinical expertise
What are the 5 steps of evidence based practice? - Answer-1. ask the burning
question
2.collect evidence
3. appraise evidence
4.integrate evidence+ patient preferences+ clinical expertise
5.evaluate
6. share outcomes
What are the steps of the IOWA model? - Answer-1. identify a problem
2. determine if its a priority
3. form a team
4. PICO question
What does PICO stand for? - Answer-P patient population
I intervention or issue
C comparison of interest
O desired outcome
,What is a therapeutic relationship? - Answer-a close and helping relationship based
on trust
What is milieu? - Answer-whole environment and people working towards the good
of the patient
What are values? - Answer-qualities, principles, attitudes, or beliefs about the
inherent worth of an object, behavior or
nursing-work around our values to provide the best care for our patients
What is self concept? - Answer-mental picture of the self
What is self esteem? - Answer-refers to how individuals feel about the way that they
see themselves
What are boundaries? - Answer-guidelines, rules or limits that a person creates to
identify what are reasonable, safe and permissible ways for other people to behave
around him or her
indicators of boundary issues - Answer--gift giving
-spending more time than needed with the patient
-defending or explaining patient's behaviors
-keeping secrets
-the nurse feeling like they are the only one that can take care of a particular patient
What is self disclosure? - Answer-providing personal info about one self to a patient
-generally discouraged
What are the phases of the therapeutic relationship? - Answer-1. Preinteraction
2. Orientation
3.Working
4.Termination
Preinteraction Phase - Answer-occurs prior to meeting the patient
-review available data
-talk to other care givers that have taken care of this patient
-anticipate health concerns or issues that arise
-plan enough time for initial interaction
Orientation phase - Answer-the nurse and the client meet and get to know each
other
-set the tone
observe client closely
-establish trust
-assess the client
-let the patient know when to expect termination
Working phase - Answer-the nurse and the client work together to solve problems
and accomplish goals
,-encourage and help the client express their feelings
-help the client set goals
-take action to meet those goals
Termination phase - Answer-ending of the relationship
- remind the client that termination is near
-evaluate achieved goals
-achieve a smooth transition for the client to other care givers
techniques that promote trust - Answer--convey respect
-show warmth and caring
-use active listening
-maintain confidentiality
-eye contact
-be honest and open
-set limits
Confidentiality - Answer-ethical obligation to only share medical info with the people
that need to know
rapport - Answer-harmony
empathy - Answer-not sympathy--I'm sorry
understanding another person's point of view
respect - Answer-taking the patient's view seriously
geuiness - Answer-authentic
confrontation - Answer-the nurse points out discrepancies between thoughts,
feelings, and actions that inhibit the client's self understanding or exploration of
certain areas; non jugemental
transferance - Answer-feelings and thoughts that a CLIENT has towards a NURSE
that are rooted in the client's unconsciousness and feelings towards people in the
person's past
counter transference - Answer-feelings and thoughts that a NURSE has towards a
CLIENT that are rooted in the client's unconsciousness and feelings towards people
in the person's past
What is the goal of the orientation phase?
a. explore self perceptions
b. promote change
c.establish trust
d. evaluate goal attaintment - Answer-c.establish trust
A client says "I want to learn better ways to handle my anger." This interaction is
most likely to occur during which phase of the nurse/client relationship?
a. pre-interaction
, b. orientation
c.working
d. termination - Answer-b. orientation
the client's goals of therapy have been met but the client cries and states, "I have to
keep coming back to therapy to handle my anger better." This interaction occurs in
which phase of the nurse client relationship?
a. pre-interaction
b. orientation
c.working
d. termination - Answer-d. termination
The nurse is attempting to establish a therapeutic relationship with an angry,
depressed client. Which is the most appropriate nursing intervention?
a. work on establishing a friendship with the patient
b. use humor to defuse emotionally charged topics of discussion
c. show respect that is not based on the client's behavior
d. sympathize with the client when the client shares sad feelings - Answer-c. show
respect that is not based on the client's behavior
A nurse has a special feeling toward a client that is based on the acceptance,
warmth, and a non-judgmental attitude. The student is experiencing which
characteristic that enhances the achievement of the nurse client relationship?
a. rapport
b. trust
c. respect
d. professionalism - Answer-a. rapport
The nurse observes an adolescent client's peers calling the client names. Which
statement by the nurse exemplifies the concept of empathy?
a. "I can see that you are upset. Tell me how you feel."
b. "Your peers are being insensitive. I would be upset too."
c."I used to be called name as a child. I know it can hurt feelings."
d. "I get angry when people are treated cruelly." - Answer-a. "I can see that you are
upset. Tell me how you feel."
The nurses ability to be open, honest, and real in interactions with clients is
described as which characteristic that enhances the achievement of the nurse client
interaction:
1. genuineness
2. empathy
3. objectivity
4. harmony - Answer-1. genuineness
**therapeutic communication technique**
the nurse allows the verbal conversation to stop to provide a time for reflection of
what has been discussed - Answer-using silence
**therapeutic communication technique**
"Is there something you would like to talk about today?"
