NRS 434VN TOPIC 1 EXAM SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉ What role does self-reflection play in nursing practice? Answer:
Self-reflection is essential for growth in critical thinking and ensures
that patient care is evidence-based.
◉ What is the significance of clinical judgment in nursing? Answer:
Clinical judgment is crucial for evaluating and modifying care plans
based on clinical reasoning.
◉ What does the term 'noticing' refer to in Tanner's Clinical
Judgment Model? Answer: Noticing refers to the ability to recognize
significant changes in a patient's condition.
◉ What does 'interpreting' involve in clinical judgment? Answer:
Interpreting involves making sense of the data collected during the
assessment.
◉ What is the focus of the 'responding' phase in clinical judgment?
Answer: Responding focuses on taking appropriate actions based on
the interpretation of patient data.
,◉ What is the final phase of Tanner's Clinical Judgment Model?
Answer: Reflecting, which involves evaluating the outcomes of the
actions taken and learning from the experience.
◉ How does the nursing process help prioritize patient care?
Answer: The nursing process helps prioritize health problems based
on the situation and hierarchy of needs.
◉ What is the role of emotional support in Swanson's Process?
Answer: Emotional support is crucial for maintaining patient
comfort and well-being throughout the healthcare process.
◉ How does the DNT model assist in clinical judgment? Answer: It
provides structured prompts that guide student nurses in making
informed clinical decisions.
◉ What are the methods of data collection in physical assessment?
Answer: The methods include inspection (looking and evaluating),
palpation (physical touch), percussion (hitting objects to make
sound), and auscultation (listening to vital signs with a stethoscope).
◉ Define nursing diagnosis and how it differs from medical
diagnosis. Answer: A nursing diagnosis is a clinical judgment based
on the patient's physical condition, described by collected data,
while a medical diagnosis pertains to the actual trauma, disease, or
syndrome validated by medical studies.
, ◉ What are the three types of nursing diagnoses? Answer: 1.
Problem-focused: clinical judgment about an undesirable human
response to a health condition. 2. Risk: judgment concerning
vulnerability to developing an undesirable response. 3. Health
promotion: judgment about motivation to increase well-being.
◉ What criteria are used to prioritize patient health problems?
Answer: Criteria include assessing which problems need immediate
attention, determining responsibilities for addressing problems,
identifying problems that can use standard care plans, and
addressing issues not covered by protocols.
◉ What does the SMART approach stand for in writing an outcome
statement? Answer: SMART stands for Specific, Measurable,
Attainable, Realistic, and Time allocated.
◉ What are nurse-initiated interventions? Answer: Nurse-initiated
interventions are independent nursing actions based on the nurse's
assessment of the patient's needs, carried out without direct
supervision from other healthcare professionals.
◉ What are physician-initiated interventions? Answer: Physician-
initiated interventions are dependent nursing actions that involve
carrying out orders prescribed by a physician.
QUESTIONS WITH SOLUTIONS GRADED A+
◉ What role does self-reflection play in nursing practice? Answer:
Self-reflection is essential for growth in critical thinking and ensures
that patient care is evidence-based.
◉ What is the significance of clinical judgment in nursing? Answer:
Clinical judgment is crucial for evaluating and modifying care plans
based on clinical reasoning.
◉ What does the term 'noticing' refer to in Tanner's Clinical
Judgment Model? Answer: Noticing refers to the ability to recognize
significant changes in a patient's condition.
◉ What does 'interpreting' involve in clinical judgment? Answer:
Interpreting involves making sense of the data collected during the
assessment.
◉ What is the focus of the 'responding' phase in clinical judgment?
Answer: Responding focuses on taking appropriate actions based on
the interpretation of patient data.
,◉ What is the final phase of Tanner's Clinical Judgment Model?
Answer: Reflecting, which involves evaluating the outcomes of the
actions taken and learning from the experience.
◉ How does the nursing process help prioritize patient care?
Answer: The nursing process helps prioritize health problems based
on the situation and hierarchy of needs.
◉ What is the role of emotional support in Swanson's Process?
Answer: Emotional support is crucial for maintaining patient
comfort and well-being throughout the healthcare process.
◉ How does the DNT model assist in clinical judgment? Answer: It
provides structured prompts that guide student nurses in making
informed clinical decisions.
◉ What are the methods of data collection in physical assessment?
Answer: The methods include inspection (looking and evaluating),
palpation (physical touch), percussion (hitting objects to make
sound), and auscultation (listening to vital signs with a stethoscope).
◉ Define nursing diagnosis and how it differs from medical
diagnosis. Answer: A nursing diagnosis is a clinical judgment based
on the patient's physical condition, described by collected data,
while a medical diagnosis pertains to the actual trauma, disease, or
syndrome validated by medical studies.
, ◉ What are the three types of nursing diagnoses? Answer: 1.
Problem-focused: clinical judgment about an undesirable human
response to a health condition. 2. Risk: judgment concerning
vulnerability to developing an undesirable response. 3. Health
promotion: judgment about motivation to increase well-being.
◉ What criteria are used to prioritize patient health problems?
Answer: Criteria include assessing which problems need immediate
attention, determining responsibilities for addressing problems,
identifying problems that can use standard care plans, and
addressing issues not covered by protocols.
◉ What does the SMART approach stand for in writing an outcome
statement? Answer: SMART stands for Specific, Measurable,
Attainable, Realistic, and Time allocated.
◉ What are nurse-initiated interventions? Answer: Nurse-initiated
interventions are independent nursing actions based on the nurse's
assessment of the patient's needs, carried out without direct
supervision from other healthcare professionals.
◉ What are physician-initiated interventions? Answer: Physician-
initiated interventions are dependent nursing actions that involve
carrying out orders prescribed by a physician.
