NURSING 201 FINAL EXAM
QUESTIONS AND CORRECT
ANSWERS
nurse40practice40acts40-40-each40state40has40its40own
-helps40protect40public
ANA40-40-nothing40can40super-cede40them40
-generic
uses40nursing40process40as40a40foundation
Standards40of40Professional40-401.Assessment
2.Diagnosis
3.Outcome40identification
4.40Planning
5.40Implementation
6.40Evaluation
Standards40of40Professional40Performance40-401.40Quality40of40care
2.40Performance40appraisal
3.40education
4.Collegiality
5.40ethics
6.40collaboration
7.40research
8.40resource40utlilization
Why40is40evidence40based40practice40used?40-40-
used40because40better40outcomes40and40higher40levels40of40satisfaction
What40are40the40three40parts40of40evidence40based40practice?40-
40best40available40evidence+40patient40preferences+40clinical40expertise
What40are40the40540steps40of40evidence40based40practice?40-401.40ask40the40burning40question
2.collect40evidence
3.40appraise40evidence40
4.integrate40evidence+40patient40preferences+40clinical40expertise
,5.evaluate
6.40share40outcomes
What40are40the40steps40of40the40IOWA40model?40-401.40identify40a40problem
2.40determine40if40its40a40priority
3.40form40a40team
4.40PICO40question
What40does40PICO40stand40for?40-40P40patient40population
I40intervention40or40issue
C40comparison40of40interest
O40desired40outcome
What40is40a40therapeutic40relationship?40-
40a40close40and40helping40relationship40based40on40trust
What40is40milieu?40-
40whole40environment40and40people40working40towards40the40good40of40the40patient
What40are40values?40-
40qualities,40principles,40attitudes,40or40beliefs40about40the40inherent40worth40of40an40object,40b
ehavior40or40
nursing-work40around40our40values40to40provide40the40best40care40for40our40patients
What40is40self40concept?40-40mental40picture40of40the40self
What40is40self40esteem?40-
40refers40to40how40individuals40feel40about40the40way40that40they40see40themselves
What40are40boundaries?40-
40guidelines,40rules40or40limits40that40a40person40creates40to40identify40what40are40reasonable,4
0safe40and40permissible40ways40for40other40people40to40behave40around40him40or40her
indicators40of40boundary40issues40-40-gift40giving
-spending40more40time40than40needed40with40the40patient
-defending40or40explaining40patient's40behaviors
-keeping40secrets
-
the40nurse40feeling40like40they40are40the40only40one40that40can40take40care40of40a40particular40p
atient
What40is40self40disclosure?40-40providing40personal40info40about40one40self40to40a40patient
-generally40discouraged
What40are40the40phases40of40the40therapeutic40relationship?40-401.40Preinteraction
2.40Orientation
,3.Working
4.Termination
Preinteraction40Phase40-40occurs40prior40to40meeting40the40patient
-review40available40data
-talk40to40other40care40givers40that40have40taken40care40of40this40patient
-anticipate40health40concerns40or40issues40that40arise
-plan40enough40time40for40initial40interaction
Orientation40phase40-40the40nurse40and40the40client40meet40and40get40to40know40each40other
-set40the40tone
observe40client40closely
-establish40trust
-assess40the40client
-let40the40patient40know40when40to40expect40termination
Working40phase40-
40the40nurse40and40the40client40work40together40to40solve40problems40and40accomplish40goals
-encourage40and40help40the40client40express40their40feelings
-help40the40client40set40goals
-take40action40to40meet40those40goals
Termination40phase40-40ending40of40the40relationship
-40remind40the40client40that40termination40is40near
-evaluate40achieved40goals
-achieve40a40smooth40transition40for40the40client40to40other40care40givers
techniques40that40promote40trust40-40-convey40respect
-show40warmth40and40caring
-use40active40listening
-maintain40confidentiality40
-eye40contact
-be40honest40and40open
-set40limits
Confidentiality40-
40ethical40obligation40to40only40share40medical40info40with40the40people40that40need40to40know
rapport40-40harmony
empathy40-40not40sympathy--I'm40sorry
understanding40another40person's40point40of40view
respect40-40taking40the40patient's40view40seriously
geuiness40-40authentic
, confrontation40-
40the40nurse40points40out40discrepancies40between40thoughts,40feelings,40and40actions40that40
inhibit40the40client's40self40understanding40or40exploration40of40certain40areas;40non40jugemen
tal
transferance40-
40feelings40and40thoughts40that40a40CLIENT40has40towards40a40NURSE40that40are40rooted40in40
the40client's40unconsciousness40and40feelings40towards40people40in40the40person's40past
counter40transference40-
40feelings40and40thoughts40that40a40NURSE40has40towards40a40CLIENT40that40are40rooted40in40
the40client's40unconsciousness40and40feelings40towards40people40in40the40person's40past
What40is40the40goal40of40the40orientation40phase?
a.40explore40self40perceptions
b.40promote40change
c.establish40trust
d.40evaluate40goal40attaintment40-40c.establish40trust
A40client40says40"I40want40to40learn40better40ways40to40handle40my40anger."40This40interaction40
is40most40likely40to40occur40during40which40phase40of40the40nurse/client40relationship?40
a.40pre-interaction
b.40orientation
c.working
d.40termination40-40b.40orientation
the40client's40goals40of40therapy40have40been40met40but40the40client40cries40and40states,40"I40ha
ve40to40keep40coming40back40to40therapy40to40handle40my40anger40better."40This40interaction40
occurs40in40which40phase40of40the40nurse40client40relationship?
a.40pre-interaction
b.40orientation
c.working
d.40termination40-40d.40termination
The40nurse40is40attempting40to40establish40a40therapeutic40relationship40with40an40angry,40de
pressed40client.40Which40is40the40most40appropriate40nursing40intervention?
a.40work40on40establishing40a40friendship40with40the40patient
b.40use40humor40to40defuse40emotionally40charged40topics40of40discussion
c.40show40respect40that40is40not40based40on40the40client's40behavior
d.40sympathize40with40the40client40when40the40client40shares40sad40feelings40-
40c.40show40respect40that40is40not40based40on40the40client's40behavior
A40nurse40has40a40special40feeling40toward40a40client40that40is40based40on40the40acceptance,40
warmth,40and40a40non-
QUESTIONS AND CORRECT
ANSWERS
nurse40practice40acts40-40-each40state40has40its40own
-helps40protect40public
ANA40-40-nothing40can40super-cede40them40
-generic
uses40nursing40process40as40a40foundation
Standards40of40Professional40-401.Assessment
2.Diagnosis
3.Outcome40identification
4.40Planning
5.40Implementation
6.40Evaluation
Standards40of40Professional40Performance40-401.40Quality40of40care
2.40Performance40appraisal
3.40education
4.Collegiality
5.40ethics
6.40collaboration
7.40research
8.40resource40utlilization
Why40is40evidence40based40practice40used?40-40-
used40because40better40outcomes40and40higher40levels40of40satisfaction
What40are40the40three40parts40of40evidence40based40practice?40-
40best40available40evidence+40patient40preferences+40clinical40expertise
What40are40the40540steps40of40evidence40based40practice?40-401.40ask40the40burning40question
2.collect40evidence
3.40appraise40evidence40
4.integrate40evidence+40patient40preferences+40clinical40expertise
,5.evaluate
6.40share40outcomes
What40are40the40steps40of40the40IOWA40model?40-401.40identify40a40problem
2.40determine40if40its40a40priority
3.40form40a40team
4.40PICO40question
What40does40PICO40stand40for?40-40P40patient40population
I40intervention40or40issue
C40comparison40of40interest
O40desired40outcome
What40is40a40therapeutic40relationship?40-
40a40close40and40helping40relationship40based40on40trust
What40is40milieu?40-
40whole40environment40and40people40working40towards40the40good40of40the40patient
What40are40values?40-
40qualities,40principles,40attitudes,40or40beliefs40about40the40inherent40worth40of40an40object,40b
ehavior40or40
nursing-work40around40our40values40to40provide40the40best40care40for40our40patients
What40is40self40concept?40-40mental40picture40of40the40self
What40is40self40esteem?40-
40refers40to40how40individuals40feel40about40the40way40that40they40see40themselves
What40are40boundaries?40-
40guidelines,40rules40or40limits40that40a40person40creates40to40identify40what40are40reasonable,4
0safe40and40permissible40ways40for40other40people40to40behave40around40him40or40her
indicators40of40boundary40issues40-40-gift40giving
-spending40more40time40than40needed40with40the40patient
-defending40or40explaining40patient's40behaviors
-keeping40secrets
-
the40nurse40feeling40like40they40are40the40only40one40that40can40take40care40of40a40particular40p
atient
What40is40self40disclosure?40-40providing40personal40info40about40one40self40to40a40patient
-generally40discouraged
What40are40the40phases40of40the40therapeutic40relationship?40-401.40Preinteraction
2.40Orientation
,3.Working
4.Termination
Preinteraction40Phase40-40occurs40prior40to40meeting40the40patient
-review40available40data
-talk40to40other40care40givers40that40have40taken40care40of40this40patient
-anticipate40health40concerns40or40issues40that40arise
-plan40enough40time40for40initial40interaction
Orientation40phase40-40the40nurse40and40the40client40meet40and40get40to40know40each40other
-set40the40tone
observe40client40closely
-establish40trust
-assess40the40client
-let40the40patient40know40when40to40expect40termination
Working40phase40-
40the40nurse40and40the40client40work40together40to40solve40problems40and40accomplish40goals
-encourage40and40help40the40client40express40their40feelings
-help40the40client40set40goals
-take40action40to40meet40those40goals
Termination40phase40-40ending40of40the40relationship
-40remind40the40client40that40termination40is40near
-evaluate40achieved40goals
-achieve40a40smooth40transition40for40the40client40to40other40care40givers
techniques40that40promote40trust40-40-convey40respect
-show40warmth40and40caring
-use40active40listening
-maintain40confidentiality40
-eye40contact
-be40honest40and40open
-set40limits
Confidentiality40-
40ethical40obligation40to40only40share40medical40info40with40the40people40that40need40to40know
rapport40-40harmony
empathy40-40not40sympathy--I'm40sorry
understanding40another40person's40point40of40view
respect40-40taking40the40patient's40view40seriously
geuiness40-40authentic
, confrontation40-
40the40nurse40points40out40discrepancies40between40thoughts,40feelings,40and40actions40that40
inhibit40the40client's40self40understanding40or40exploration40of40certain40areas;40non40jugemen
tal
transferance40-
40feelings40and40thoughts40that40a40CLIENT40has40towards40a40NURSE40that40are40rooted40in40
the40client's40unconsciousness40and40feelings40towards40people40in40the40person's40past
counter40transference40-
40feelings40and40thoughts40that40a40NURSE40has40towards40a40CLIENT40that40are40rooted40in40
the40client's40unconsciousness40and40feelings40towards40people40in40the40person's40past
What40is40the40goal40of40the40orientation40phase?
a.40explore40self40perceptions
b.40promote40change
c.establish40trust
d.40evaluate40goal40attaintment40-40c.establish40trust
A40client40says40"I40want40to40learn40better40ways40to40handle40my40anger."40This40interaction40
is40most40likely40to40occur40during40which40phase40of40the40nurse/client40relationship?40
a.40pre-interaction
b.40orientation
c.working
d.40termination40-40b.40orientation
the40client's40goals40of40therapy40have40been40met40but40the40client40cries40and40states,40"I40ha
ve40to40keep40coming40back40to40therapy40to40handle40my40anger40better."40This40interaction40
occurs40in40which40phase40of40the40nurse40client40relationship?
a.40pre-interaction
b.40orientation
c.working
d.40termination40-40d.40termination
The40nurse40is40attempting40to40establish40a40therapeutic40relationship40with40an40angry,40de
pressed40client.40Which40is40the40most40appropriate40nursing40intervention?
a.40work40on40establishing40a40friendship40with40the40patient
b.40use40humor40to40defuse40emotionally40charged40topics40of40discussion
c.40show40respect40that40is40not40based40on40the40client's40behavior
d.40sympathize40with40the40client40when40the40client40shares40sad40feelings40-
40c.40show40respect40that40is40not40based40on40the40client's40behavior
A40nurse40has40a40special40feeling40toward40a40client40that40is40based40on40the40acceptance,40
warmth,40and40a40non-
