NUR 111 EXAM 1 QUESTIONS
AND CORRECT SOLUTIONS
100% PASS
Discuss safe and appropriate use of restraints and the nursing implications when using restraints.
Nurse must chart a restraint assessment for behavioral restraints every 15 minutes and PRN
while the restraints are on. New order must be provided every 4 hours.
For non-behavioral restraints the nurse must chart a restraint assessment every 2 hours and PRN
while the restraints are on, a new order must be obtained every 24 hours.
If any restraint is discontinued for any length of time a new order must be obtained
Describe and demonstrate appropriate isolation precautions and their indications.
Standard precautions (used to care for all hospitalized patients regardless of their diagnosis.
Includes gloves and possibly gown and mask and PPE and N95 respiratory or clean air
respirator), transmission based precautions including: airborne (diseases which are transmitted
by smaller air particles, has a negative isolation room, PPE, Mask, gloves), droplet (diseases
which are transmitted by smaller air particles, use mask), contact (gown and gloves, direct and
indirect patient contact could transmit disease)
Discuss the principles of sterility
1. A sterile object remains sterile only when touched by another sterile object, 2. only sterile
objects may be placed on a sterile field, 3. A sterile object or field out of range of vision or an
object held below a persons waist is contaminated, 4. A sterile object or field becomes contained
by prolonged exposure to air, 5. When a sterile surface comes into contact with a wet,
contaminated surface, the sterile object or field becomes contaminated, 6. The edges of a sterile
field or container are considered to be contaminated, 7. As much as possible do not lean over or
reach across your sterile field
,Describe the communication process
Stimulus, source (seder/encoder), message, channel, receiver (decoder),
feedback/communication
Identify factors that influence communication
Developmental level, gender, sociocultural differences, roles and responsibilities,
space/territoriality, physical/mental/emotional state, values, environment
Discuss types of communication used in healthcare and the role of the nurse in each type.
Verbal, nonverbal, electronic
Define therapeutic communication and helping relationships.
the face-to-face process of interacting that focuses on advancing the physical and emotional
well-being of a patient. Involves: listening, conversation skills, silence, touch, humor,
interviewing techniques
Discuss and utilize SBAR communication technique when communicating with physicians and
other nurses.
S (Situation), B (Background), A (Assessment), R (Recommendation)
Discuss role of documentation in healthcare and demonstrate appropriate documentation
techniques.
"If you didn't chart it, it didn't happen". Source oriented records (paper documentation in which
each healthcare group/discipline keeps data on its own form), problem oriented records,
, computerized documentations, PIE (problem, intervention, evaluation), Focus charting, charting
by exception, case management model
Discuss professional responsibilities when using electronic communication
Date and time, timing, legibility, permanence, accepted terminology, correct spelling, signature,
accuracy
Discuss the role of computers in healthcare and the impact on the nursing profession.
Pros: Facilitates focus on client outcome, fast, efficient use of time, legible, link various sources,
links to monitors, bedside terminals. Cons: Client privacy concerns, breakdowns make
information unavailable, systems expensive, extended training periods
Ergonomics
Study and design of the work environment as it relates to operator fatigue, discomfort and
productivity
Discuss the personal attributes of the professional nurse.
Open-mindedness, profound sense of value of the person, self-awareness, sense of personal
responsibility, motivation, leadership skills, bravery
Define and discuss leadership principles, commitment to profession, and work ethics
Commitment to excellence, problem-solving, passion, integrity, respectfulness, accessibility,
empathy, responsibility c
Compare and contrast clinical reasoning, clinical judgement, and critical thinking
AND CORRECT SOLUTIONS
100% PASS
Discuss safe and appropriate use of restraints and the nursing implications when using restraints.
Nurse must chart a restraint assessment for behavioral restraints every 15 minutes and PRN
while the restraints are on. New order must be provided every 4 hours.
For non-behavioral restraints the nurse must chart a restraint assessment every 2 hours and PRN
while the restraints are on, a new order must be obtained every 24 hours.
If any restraint is discontinued for any length of time a new order must be obtained
Describe and demonstrate appropriate isolation precautions and their indications.
Standard precautions (used to care for all hospitalized patients regardless of their diagnosis.
Includes gloves and possibly gown and mask and PPE and N95 respiratory or clean air
respirator), transmission based precautions including: airborne (diseases which are transmitted
by smaller air particles, has a negative isolation room, PPE, Mask, gloves), droplet (diseases
which are transmitted by smaller air particles, use mask), contact (gown and gloves, direct and
indirect patient contact could transmit disease)
Discuss the principles of sterility
1. A sterile object remains sterile only when touched by another sterile object, 2. only sterile
objects may be placed on a sterile field, 3. A sterile object or field out of range of vision or an
object held below a persons waist is contaminated, 4. A sterile object or field becomes contained
by prolonged exposure to air, 5. When a sterile surface comes into contact with a wet,
contaminated surface, the sterile object or field becomes contaminated, 6. The edges of a sterile
field or container are considered to be contaminated, 7. As much as possible do not lean over or
reach across your sterile field
,Describe the communication process
Stimulus, source (seder/encoder), message, channel, receiver (decoder),
feedback/communication
Identify factors that influence communication
Developmental level, gender, sociocultural differences, roles and responsibilities,
space/territoriality, physical/mental/emotional state, values, environment
Discuss types of communication used in healthcare and the role of the nurse in each type.
Verbal, nonverbal, electronic
Define therapeutic communication and helping relationships.
the face-to-face process of interacting that focuses on advancing the physical and emotional
well-being of a patient. Involves: listening, conversation skills, silence, touch, humor,
interviewing techniques
Discuss and utilize SBAR communication technique when communicating with physicians and
other nurses.
S (Situation), B (Background), A (Assessment), R (Recommendation)
Discuss role of documentation in healthcare and demonstrate appropriate documentation
techniques.
"If you didn't chart it, it didn't happen". Source oriented records (paper documentation in which
each healthcare group/discipline keeps data on its own form), problem oriented records,
, computerized documentations, PIE (problem, intervention, evaluation), Focus charting, charting
by exception, case management model
Discuss professional responsibilities when using electronic communication
Date and time, timing, legibility, permanence, accepted terminology, correct spelling, signature,
accuracy
Discuss the role of computers in healthcare and the impact on the nursing profession.
Pros: Facilitates focus on client outcome, fast, efficient use of time, legible, link various sources,
links to monitors, bedside terminals. Cons: Client privacy concerns, breakdowns make
information unavailable, systems expensive, extended training periods
Ergonomics
Study and design of the work environment as it relates to operator fatigue, discomfort and
productivity
Discuss the personal attributes of the professional nurse.
Open-mindedness, profound sense of value of the person, self-awareness, sense of personal
responsibility, motivation, leadership skills, bravery
Define and discuss leadership principles, commitment to profession, and work ethics
Commitment to excellence, problem-solving, passion, integrity, respectfulness, accessibility,
empathy, responsibility c
Compare and contrast clinical reasoning, clinical judgement, and critical thinking
