as
7 =
TABLE OF CONTENTS|
NSG 121 Exam 1 Study Guide .................5: 02
NSG 121 Exam 2 Study Guide ................05 19
NSG 121 Exam 3 Study Guide ............c00005 35
NSG 121 Exam 4 Study Guide ..................: 60
1/8
,1. What are the assessment frameworks
Answer> functional assessment, head-to-toe assessment, and body systems
assessment.
2. functional assessment (specific region):
Answer? focuses on the functional patterns that all humans share: health
perception and health management, activity and exercise, nutrition and
metabolism, elimination, sleep and rest, cognition and per- ception, self-perception
and self-concept, roles, and relationships, coping and stress tolerance, sexuality
and reproduction, and values and beliefs.
3. head-to-toe assessment (Over all body):
Answer> is the most organized system for gathering comprehensive physical
data. Because data in one functional area are collected from different parts of the
body, it is very inefficient to collect physical data by functional status. For example,
peripheral circulation is assessed in both the arms and the legs.
4. body systems assessment approach:
Answer? is a logical tool for organizing data when documenting and
communicating findings. This method promotes critical thinking and allows you to
,6. Electronic Communication:
Answer>The Internet and a variety of social websites pro- vide new and
challenging opportunities for nurses to communicate and collaborate with other
health care providers. The challenges of using social media include pro- tecting
patient privacy and confidentiality and preventing unintended consequences for the
employer or the nurse. Example: DAR
7. Verbal communication:
Answer>is an exchange of information using words. Example: spoken and written
word.
8. Nonverbal Communication:
Answer>The transmission of information without the use of words is termed
nonverbal communication, also Known as body language. It often helps nurses to
understand subtle and hidden meanings in what the patient is saying verbally. For
example, a nurse asks the patient, "How do you feel today?" The patient responds,
"| feel all right."
9. The nurse's role in health assessment to perform
Answer>: nursing process.
10. What type of patient would you do a focus assessment on
Answer> Patient that has a specific problem.
11. Primary prevention: 3/8
Answer? involves strategies aimed at preventing problems Examples:
Immunizations, health teaching, safety precautions, and nutrition counseling.
, 13. Tertiary prevention:
Answer? focuses on preventing complications of an existing disease and
promoting health to the highest level. Examples: Diet teaching and exercise
programs.
14. Components of Communication:
Sender, Receiver, Understanding, Percep-
tion, & Culture
If you are the nurse giving presentation on the communication process, what
should you include
Answer> Sender and the Receiver
15. Sender:
Answer>Person of group who initiates or begins the communication
16. Receiver:
Answer>A. Must translate and interpret the message sent
17. Understanding:
Was the message understood
18. What is therapeutic communication
Answer> Caring and Empathy
4/8
19. Your client has a high blood glucose, headache, and pain in arm. What type
of assessment would it be
,Answer> Nurse patient relationship
21. You encounter a client who tells you they've had bad experiences in
hospitalization what form of communication is that
Answer> Perception
22. How do you respond to a client who tells you to they don't believe in doc-
tors’ diagnoses
Answer> Perception) Sounds like you are not understanding or believing what the
doctor told you.
23. When you ask a client to tell you more what type of verbal communication
skills is it
Answer> Elaboration
24. Elaboration (facilitation):
Answersis a technique that assists patients to more complete- ly describe
difficulties.
You use responses that encourage patients to say more and continue
the conversation. This shows patients that you are interested.
You may nod your
head, or say, "Um-hum," "Yes," or "Go on" to cue patients to keep talking.
25. What are examples of non-therapeutic response
Answer> False Reassurance
5/8
* Sympathy
¢ Unwanted Advice
,26. False assurance:
Answer>you unconsciously indicate to patients that their concerns are not worth
discussing. This situation enhances anxiety, which can increase a patient's needs in
other areas, such as pain medication, and diminish trust. Examples of false
reassurance are, "It won't hurt," or "Don't worry—it will be all right." It would be better
instead to say, for example, "It will hurt a bit when | take off the bandage.
6/8
,27. Sympathy:
Answersis feeling what a patient feels. When you are being sympathetic, you
are not being therapeutic because you are interpreting the situation as you perceive
it. In contrast, empathy is feeling what a patient feels from the patient's perspective.
You keep the focus on the patient and listen: this allows the patient to express himself
or herself completely.
28. Unwanted Advice:
Answer=nontherapeutic in professional relationships because the advice is
usually from your perspective, not the patient's. Because the advice is based on
your experiences and opinions, it will not help the patient.
29. Biased Questions:
Answer>carry judgment and lead patients to respond in a way that they think will
be acceptable to you. Biased questions may also cause patients to feel guilty or
inferior about unhealthy behaviors. An example of a biased question is "You don't
use drugs, do you?" To obtain a more honest response, ask objective questions
such as "It is important that we Know what drugs you are taking so that we avoid
interactions with the medications that you are taking.
30. Changes of Subject:
Answer>You may be tempted to change the subject when a situation is
uncomfortable for you because of your personal experiences or coping
mechanisms. For example, if you recently experienced the death of a parent, it may
be challenging at this time for you to talk with a family about a patient who has
terminal cancer. Avoiding the subject is not therapeutic for the patient; you need to
recognize that you are using coping mechanisms to protect yourself from emotional
distress. One strategy is to seek support from others. An alternate approach is to be
honest with the patient about your situation. If emotional control is too difficult, you
may refer the patient to another nurse.
31. Distractions:
,silence the alarm, and resolve the problem before conversation. An equipment
alarm indicates an immediate problem that usually takes priority over therapeutic
communication.
32. Technical or Overwhelming Language:
Answer>Using too many technical terms or providing too much information is
another nontherapeutic response. As you develop medical vocabulary and
knowledge, you must practice translating from medical terminology to lay
language. For example, you document "dysphagia" but ask the patient about
"trouble swallowing."
33. Interrupting:
Answer>Talking too much and interrupting are also examples of nonthera- peutic
communication. To exhibit caring behavior, you need to choose words more
carefully than in social situations. In your professional role as a nurse, you need to
8/8
, listen more than you talk. You can communicate nonverbally through presence, facial
expression, or touch. In health care settings, it is better to listen than to talk and to
ask good questions rather than have all of the right answers.
34. What happens in Pre-interaction phase
Answer> Charting
35. What happens in the beginning phase of the interview
Answer> Explaining
36. What happens in the working phase
Answer> By collecting data with closed-ended and open-ended
37. What happens in closing phase
Answer> Document findings and summarizing findings
38. What phase would you ask client why they are seeking care
Answer> Working phase
39. Phases of the interview
Answer> Pre-interaction Phase,Beginning Phase,Working Phase,Closing
Phase
40. You the nurse notice a client has bruising during the interview process.
When should you ask the client about the bruises
Answer?
At the end of the interview
7 =
TABLE OF CONTENTS|
NSG 121 Exam 1 Study Guide .................5: 02
NSG 121 Exam 2 Study Guide ................05 19
NSG 121 Exam 3 Study Guide ............c00005 35
NSG 121 Exam 4 Study Guide ..................: 60
1/8
,1. What are the assessment frameworks
Answer> functional assessment, head-to-toe assessment, and body systems
assessment.
2. functional assessment (specific region):
Answer? focuses on the functional patterns that all humans share: health
perception and health management, activity and exercise, nutrition and
metabolism, elimination, sleep and rest, cognition and per- ception, self-perception
and self-concept, roles, and relationships, coping and stress tolerance, sexuality
and reproduction, and values and beliefs.
3. head-to-toe assessment (Over all body):
Answer> is the most organized system for gathering comprehensive physical
data. Because data in one functional area are collected from different parts of the
body, it is very inefficient to collect physical data by functional status. For example,
peripheral circulation is assessed in both the arms and the legs.
4. body systems assessment approach:
Answer? is a logical tool for organizing data when documenting and
communicating findings. This method promotes critical thinking and allows you to
,6. Electronic Communication:
Answer>The Internet and a variety of social websites pro- vide new and
challenging opportunities for nurses to communicate and collaborate with other
health care providers. The challenges of using social media include pro- tecting
patient privacy and confidentiality and preventing unintended consequences for the
employer or the nurse. Example: DAR
7. Verbal communication:
Answer>is an exchange of information using words. Example: spoken and written
word.
8. Nonverbal Communication:
Answer>The transmission of information without the use of words is termed
nonverbal communication, also Known as body language. It often helps nurses to
understand subtle and hidden meanings in what the patient is saying verbally. For
example, a nurse asks the patient, "How do you feel today?" The patient responds,
"| feel all right."
9. The nurse's role in health assessment to perform
Answer>: nursing process.
10. What type of patient would you do a focus assessment on
Answer> Patient that has a specific problem.
11. Primary prevention: 3/8
Answer? involves strategies aimed at preventing problems Examples:
Immunizations, health teaching, safety precautions, and nutrition counseling.
, 13. Tertiary prevention:
Answer? focuses on preventing complications of an existing disease and
promoting health to the highest level. Examples: Diet teaching and exercise
programs.
14. Components of Communication:
Sender, Receiver, Understanding, Percep-
tion, & Culture
If you are the nurse giving presentation on the communication process, what
should you include
Answer> Sender and the Receiver
15. Sender:
Answer>Person of group who initiates or begins the communication
16. Receiver:
Answer>A. Must translate and interpret the message sent
17. Understanding:
Was the message understood
18. What is therapeutic communication
Answer> Caring and Empathy
4/8
19. Your client has a high blood glucose, headache, and pain in arm. What type
of assessment would it be
,Answer> Nurse patient relationship
21. You encounter a client who tells you they've had bad experiences in
hospitalization what form of communication is that
Answer> Perception
22. How do you respond to a client who tells you to they don't believe in doc-
tors’ diagnoses
Answer> Perception) Sounds like you are not understanding or believing what the
doctor told you.
23. When you ask a client to tell you more what type of verbal communication
skills is it
Answer> Elaboration
24. Elaboration (facilitation):
Answersis a technique that assists patients to more complete- ly describe
difficulties.
You use responses that encourage patients to say more and continue
the conversation. This shows patients that you are interested.
You may nod your
head, or say, "Um-hum," "Yes," or "Go on" to cue patients to keep talking.
25. What are examples of non-therapeutic response
Answer> False Reassurance
5/8
* Sympathy
¢ Unwanted Advice
,26. False assurance:
Answer>you unconsciously indicate to patients that their concerns are not worth
discussing. This situation enhances anxiety, which can increase a patient's needs in
other areas, such as pain medication, and diminish trust. Examples of false
reassurance are, "It won't hurt," or "Don't worry—it will be all right." It would be better
instead to say, for example, "It will hurt a bit when | take off the bandage.
6/8
,27. Sympathy:
Answersis feeling what a patient feels. When you are being sympathetic, you
are not being therapeutic because you are interpreting the situation as you perceive
it. In contrast, empathy is feeling what a patient feels from the patient's perspective.
You keep the focus on the patient and listen: this allows the patient to express himself
or herself completely.
28. Unwanted Advice:
Answer=nontherapeutic in professional relationships because the advice is
usually from your perspective, not the patient's. Because the advice is based on
your experiences and opinions, it will not help the patient.
29. Biased Questions:
Answer>carry judgment and lead patients to respond in a way that they think will
be acceptable to you. Biased questions may also cause patients to feel guilty or
inferior about unhealthy behaviors. An example of a biased question is "You don't
use drugs, do you?" To obtain a more honest response, ask objective questions
such as "It is important that we Know what drugs you are taking so that we avoid
interactions with the medications that you are taking.
30. Changes of Subject:
Answer>You may be tempted to change the subject when a situation is
uncomfortable for you because of your personal experiences or coping
mechanisms. For example, if you recently experienced the death of a parent, it may
be challenging at this time for you to talk with a family about a patient who has
terminal cancer. Avoiding the subject is not therapeutic for the patient; you need to
recognize that you are using coping mechanisms to protect yourself from emotional
distress. One strategy is to seek support from others. An alternate approach is to be
honest with the patient about your situation. If emotional control is too difficult, you
may refer the patient to another nurse.
31. Distractions:
,silence the alarm, and resolve the problem before conversation. An equipment
alarm indicates an immediate problem that usually takes priority over therapeutic
communication.
32. Technical or Overwhelming Language:
Answer>Using too many technical terms or providing too much information is
another nontherapeutic response. As you develop medical vocabulary and
knowledge, you must practice translating from medical terminology to lay
language. For example, you document "dysphagia" but ask the patient about
"trouble swallowing."
33. Interrupting:
Answer>Talking too much and interrupting are also examples of nonthera- peutic
communication. To exhibit caring behavior, you need to choose words more
carefully than in social situations. In your professional role as a nurse, you need to
8/8
, listen more than you talk. You can communicate nonverbally through presence, facial
expression, or touch. In health care settings, it is better to listen than to talk and to
ask good questions rather than have all of the right answers.
34. What happens in Pre-interaction phase
Answer> Charting
35. What happens in the beginning phase of the interview
Answer> Explaining
36. What happens in the working phase
Answer> By collecting data with closed-ended and open-ended
37. What happens in closing phase
Answer> Document findings and summarizing findings
38. What phase would you ask client why they are seeking care
Answer> Working phase
39. Phases of the interview
Answer> Pre-interaction Phase,Beginning Phase,Working Phase,Closing
Phase
40. You the nurse notice a client has bruising during the interview process.
When should you ask the client about the bruises
Answer?
At the end of the interview
