NYU ADULT AND ELDER 1 COMPREHENSIVE EXAM
UPDATED QUESTIONS AND SOLUTIONS RATED A+
✔✔A nurse is working with a nursing assistive personnel (NAP) on a busy oncology
unit. The nurse has instructed the NAP on the tasks that need to be performed,
including getting patient A out of bed, collecting a urine specimen from patient B, and
checking vital signs on patient C, who is scheduled to go home. Which of the following
represent(s) successful delegation? (Select all that apply.)
A. A nurse explains to the NAP the approach to use in getting the patient up and why
the patient has activity limitations.
B. A nurse is asked by a patient to help her to the bathroom; the nurse leaves the room
and directs the NAP to assist the patient instead.
C. The nurse sees the NAP preparing to help a patient out of bed, goes to assist, and
thanks the NAP for her efforts to get the patient up early.
D. The nurse is in patient B's room to check an intravenous (IV) line and collects the
urine specimen while in the room.
E. The - ✔✔A
Successful delegation is represented by good communication, showing respect, and
showing initiative. The example in answer 2 shows a lack of initiative on the part of the
nurse
✔✔Which of the following is unique to the commitment level of critical thinking?
A. Weighs benefits and risks when making a decision.
B. Analyzes and examine choices more independently.
C. Concrete thinking.
D. Anticipates when to make choices without others' assistance. - ✔✔D
Anticipating when to make choices during decision making is unique to the commitment
level of critical thinking. Thinking concretely is basic critical thinking. Analyzing and
examining choices and weighing benefits and risks are characteristic of complex critical
thinking.
✔✔In which of the following examples is the nurse not applying critical thinking skills in
practice?
A. The nurse considers personnel experience in performing intravenous (IV) line
insertion and ways to improve performance.
B. The nurse uses a fall risk inventory scale to determine a patient's fall risk.
C. The nurse observes a change in a patient's behavior and considers which problem is
likely developing.
D. The nurse explains the procedure for giving a tube feeding to a second nurse who
has floated to the unit to assist with care. - ✔✔D
, The nurse is explaining how to provide care on the basis of knowledge. Considering
personal experience is self-regulation through reflection. Determining a patient's fall risk
is evaluation, using a criteria-based screening scale. Observing a change in the
patient's behavior and considering likely developments is inference, in which the nurse
looks for a relationship in findings.
✔✔The nurse asks a patient, "Describe for me your typical diet over a 24-hour day.
What foods do you prefer? Have you noticed a change in your weight recently?" This
series of questions would likely occur during which phase of a patient-centered
interview?
A. Setting the stage
B. Gathering information about the patient's chief concerns
C. Collecting the assessment
D. Termination - ✔✔C
The nurse is focusing on the patient's nutritional status and asking specific questions to
assess his diet history.
✔✔What type of interview techniques does the nurse use when asking these questions,
"Do you have pain or cramping?" "Does the pain get worse when you walk?" (Select all
that apply.)
A. Active listening
B. Open-ended questioning
C. Closed-ended questioning
D. Problem-oriented questioning - ✔✔C,D
The nurse's technique is to ask a closed-ended question using a problem oriented
approach. The patient gives a specific answer to broaden the nurse's knowledge about
the character of his pain
✔✔What technique(s) best encourage(s) a patient to tell his or her full story? (Select all
that apply.)
A. Active listening
B. Back channeling
C. Validating
D. Use of open-ended questions
E. Use of closed-ended questions - ✔✔A, D
Active listening allows the patient to speak and shows the nurse's respect for what he or
she has to say. Back channeling reinforces interest in what the patient has to say and
shows the nurse's desire to hear the full story. Using open-ended questions encourages
the patient to tell his or her story and actively describe his or her health status.
UPDATED QUESTIONS AND SOLUTIONS RATED A+
✔✔A nurse is working with a nursing assistive personnel (NAP) on a busy oncology
unit. The nurse has instructed the NAP on the tasks that need to be performed,
including getting patient A out of bed, collecting a urine specimen from patient B, and
checking vital signs on patient C, who is scheduled to go home. Which of the following
represent(s) successful delegation? (Select all that apply.)
A. A nurse explains to the NAP the approach to use in getting the patient up and why
the patient has activity limitations.
B. A nurse is asked by a patient to help her to the bathroom; the nurse leaves the room
and directs the NAP to assist the patient instead.
C. The nurse sees the NAP preparing to help a patient out of bed, goes to assist, and
thanks the NAP for her efforts to get the patient up early.
D. The nurse is in patient B's room to check an intravenous (IV) line and collects the
urine specimen while in the room.
E. The - ✔✔A
Successful delegation is represented by good communication, showing respect, and
showing initiative. The example in answer 2 shows a lack of initiative on the part of the
nurse
✔✔Which of the following is unique to the commitment level of critical thinking?
A. Weighs benefits and risks when making a decision.
B. Analyzes and examine choices more independently.
C. Concrete thinking.
D. Anticipates when to make choices without others' assistance. - ✔✔D
Anticipating when to make choices during decision making is unique to the commitment
level of critical thinking. Thinking concretely is basic critical thinking. Analyzing and
examining choices and weighing benefits and risks are characteristic of complex critical
thinking.
✔✔In which of the following examples is the nurse not applying critical thinking skills in
practice?
A. The nurse considers personnel experience in performing intravenous (IV) line
insertion and ways to improve performance.
B. The nurse uses a fall risk inventory scale to determine a patient's fall risk.
C. The nurse observes a change in a patient's behavior and considers which problem is
likely developing.
D. The nurse explains the procedure for giving a tube feeding to a second nurse who
has floated to the unit to assist with care. - ✔✔D
, The nurse is explaining how to provide care on the basis of knowledge. Considering
personal experience is self-regulation through reflection. Determining a patient's fall risk
is evaluation, using a criteria-based screening scale. Observing a change in the
patient's behavior and considering likely developments is inference, in which the nurse
looks for a relationship in findings.
✔✔The nurse asks a patient, "Describe for me your typical diet over a 24-hour day.
What foods do you prefer? Have you noticed a change in your weight recently?" This
series of questions would likely occur during which phase of a patient-centered
interview?
A. Setting the stage
B. Gathering information about the patient's chief concerns
C. Collecting the assessment
D. Termination - ✔✔C
The nurse is focusing on the patient's nutritional status and asking specific questions to
assess his diet history.
✔✔What type of interview techniques does the nurse use when asking these questions,
"Do you have pain or cramping?" "Does the pain get worse when you walk?" (Select all
that apply.)
A. Active listening
B. Open-ended questioning
C. Closed-ended questioning
D. Problem-oriented questioning - ✔✔C,D
The nurse's technique is to ask a closed-ended question using a problem oriented
approach. The patient gives a specific answer to broaden the nurse's knowledge about
the character of his pain
✔✔What technique(s) best encourage(s) a patient to tell his or her full story? (Select all
that apply.)
A. Active listening
B. Back channeling
C. Validating
D. Use of open-ended questions
E. Use of closed-ended questions - ✔✔A, D
Active listening allows the patient to speak and shows the nurse's respect for what he or
she has to say. Back channeling reinforces interest in what the patient has to say and
shows the nurse's desire to hear the full story. Using open-ended questions encourages
the patient to tell his or her story and actively describe his or her health status.
