NUR3069 Bumbach Exam 1 Study
Guide Questions with Actual Answers
2025-2026 Reviewed.
Define focused database? - Answer this is used for a limited or short-term problem, concerns
one problem or body system
Define holistic health? - Answer the view that the mind, body, and spirit are interdependent
and function as a whole within the environment.
What's the difference between a medical diagnosis and a nursing diagnosis? - Answer a
medical diagnosis is focused on the malfunctioning of a organ caused by disease while a nursing
diagnosis is the evaluation of the whole person to actual problems. Nursing diagnosis are
clinical judgements about person's response to actual/potential state.
Define objective data? - Answer this is what the health professional observes by inspecting,
palpating, percussing and auscultating
Define subjective data? - Answer what the person says about themself/health status
What is the narrow definition of holistic health? - Answer absence of disease
When is an episodic database collected? - Answer limited, short-term problems, focuses on
one problem or body system
When is a follow-up database collected? - Answer follows up short-term or chronic health
problems and the statuses of problems are evaluated at regular intervals
What are not examples of subjective data? - Answer results about the patient's problems,
like a diagnosis of arthritis or pneumonia, that's a medical diagnosis
Differentiate between subjective and objective data? - Answer Objective data is what the
nurse observes including level of consciousness and orientation, subjective is anything the
patient says about themselves including if they say something like a "sore throat" which verges
on a medical diagnosis and is not objective data, objective data would be pustules on the
posterior throat
Differentiate between first, second, and third level priorities? - Answer 1st- life threatening
,2nd- problems requiring prompt intervention to prevent futher deterioration, like risk of
infection
3rd- can be addresses after important stuff, like wellness
The concept of health and healing has evolved in recent years. Which is the best description of
health? - Answer health depends on the interaction of mind, body, and spirit within the
environment
A patient is in the emergency department with nausea and vomiting. Which would you include
in the database? - Answer a diet and GI history
The expert nurse differs from the novice nurse by acting without consciously thinking about the
actions, what is this? - Answer intuition
What would be included in a holistic model of assessment? - Answer a patient's perception
of his/her health status
What are the steps of the nursing process? - Answer 1. assessment 2. diagnosis. 3. outcome
identification. 4. planning. 5. implementation. 6. evaluation ADOIPIE
Define acculturation - Answer the process of social and psychological exchanges with
encounters between people of different cultures, resulting in changes in either group
Define cultural and linguistic competence - Answer a set of congruent behaviors, attitudes,
and policies that come together in a system of professionals that enable them to work in cross-
culture situations
What are the characteristics of culture? - Answer learned, shaped, adapted, dynamic
What is a national standard? - Answer Health care organizations should ensure patients are
effective, understandable, and get respectful care from staff in a manner compatible with
cultural health beliefs, practices, and language
Define ethnicity - Answer a social group within the social system that clains to pssess
variable traits such as a common geographic origin, migratory status, and religion.
Define health/illness - Answer the balance or imbalance of a person, both within one's being
(physical, mental, spiritual) and the outside world (natural, communal, metaphysical).
,Define ad hoc interpreter? - Answer using a patient's family member, friend, or child as
interpreter for a patient with limited english proficiency, LEP
Define animism? - Answer imagining that inantimate objets come alive and have human
characteristics
What is the hold/cold theory? - Answer hispanic thing that is based on humoral theory.
Objects are classified not by hot/cold physicality but by their hot/cold effect on body. Four
humors of body, bile, phlegm, blood and must be kept moist, dry, whatever
What are the median ages of people groups? - Answer asian 36 years, non-hispanic white is
40 years, hispanic is 27 years
What is the heritage consistency theory? - Answer studies how a person's lifestyle matches
their heritage
Define elderspeak? - Answer infantilizing and demeaning language used by a health
professional when speaking to an older adult
Define leading question? - Answer question that implies one answer is better than another
Define open-ended question? - Answer asks for longer narrative info, unbiased, leaves the
person free to answer in any way
What are internal and external factors that facilitate communication? - Answer internal-
liking, empathy, listening
external- privacy, no interruptions, environment, dress, maybe tape/video
What are ten traps of interviewing? - Answer providing false assurance, giving unwanted
advice, using authority, using avoidance language (passes away), using professional jargon,
using leading/biased question, talking too much, using "why" quesitons
In the wellness assessment, what do areas cover and what falls under what they cover? -
Answer functional assessment- self care ability, self-esteem, self-concept, education,
financial statues, beliefs, ADLs
exercise- exercise, leisure, level of independence
interpersonal- family role, relationships, support, time alone
coping/stress management- coping mechanisms, stressors, change in past year
, How should you interview a youth? - Answer parent in waiting room, use HEEADSSS method.
Don't ask about condom use if not sexually active or indicative of sex.
What does PQRSTU refer to? - Answer the characteristics of pain
location, character/quality, quantity/severity, timing, setting, aggravating/relieving
factors/associated factors/patient's perception
What must the source of history be when doing an interview? - Answer from a reliable
source
What is the CAGE test used for in interviewing? - Answer identify excessive or uncontrolled
drinking
With older adults, how should the examiner proceed with the interview? - Answer ask a
family member to complete some of the records while moving ahead with the interview.
How to adapt an interview? - Answer nontalkative- figure out why, maybe uncomfortable
confused-don't spend a long time trying to figure out why they're confused, refer them to
mental health people
altered capacity- may a family member can help interview
talkative- give them free range for like 5 minutes, pay attention to thought process, but then tell
them it's done
Crying-crying is therapeautic, sit down with them make contact
Angry- avoid going into their hostility, i understand how the situation wasn't what you wanted,
don't bash hospital staff with them, deep-breathing is helpful
Non-english speaking- get an interpreter, make sure you get what the patient wants to say not
what their interpreter wants to say
Hearing-impaired- get them to write communication, takes a long time though
Vision-impaired- they response by touch, tell them verbally what you're doing exactly
Cognitively-impaired- figure out how much schooling/living independently
Low literacy- find app/ways to communicate
How far is personal distance considered to be? - Answer 1.5 feet to 4 feet
At what age can the interviewer begin to question the child directly? - Answer 7 years
Guide Questions with Actual Answers
2025-2026 Reviewed.
Define focused database? - Answer this is used for a limited or short-term problem, concerns
one problem or body system
Define holistic health? - Answer the view that the mind, body, and spirit are interdependent
and function as a whole within the environment.
What's the difference between a medical diagnosis and a nursing diagnosis? - Answer a
medical diagnosis is focused on the malfunctioning of a organ caused by disease while a nursing
diagnosis is the evaluation of the whole person to actual problems. Nursing diagnosis are
clinical judgements about person's response to actual/potential state.
Define objective data? - Answer this is what the health professional observes by inspecting,
palpating, percussing and auscultating
Define subjective data? - Answer what the person says about themself/health status
What is the narrow definition of holistic health? - Answer absence of disease
When is an episodic database collected? - Answer limited, short-term problems, focuses on
one problem or body system
When is a follow-up database collected? - Answer follows up short-term or chronic health
problems and the statuses of problems are evaluated at regular intervals
What are not examples of subjective data? - Answer results about the patient's problems,
like a diagnosis of arthritis or pneumonia, that's a medical diagnosis
Differentiate between subjective and objective data? - Answer Objective data is what the
nurse observes including level of consciousness and orientation, subjective is anything the
patient says about themselves including if they say something like a "sore throat" which verges
on a medical diagnosis and is not objective data, objective data would be pustules on the
posterior throat
Differentiate between first, second, and third level priorities? - Answer 1st- life threatening
,2nd- problems requiring prompt intervention to prevent futher deterioration, like risk of
infection
3rd- can be addresses after important stuff, like wellness
The concept of health and healing has evolved in recent years. Which is the best description of
health? - Answer health depends on the interaction of mind, body, and spirit within the
environment
A patient is in the emergency department with nausea and vomiting. Which would you include
in the database? - Answer a diet and GI history
The expert nurse differs from the novice nurse by acting without consciously thinking about the
actions, what is this? - Answer intuition
What would be included in a holistic model of assessment? - Answer a patient's perception
of his/her health status
What are the steps of the nursing process? - Answer 1. assessment 2. diagnosis. 3. outcome
identification. 4. planning. 5. implementation. 6. evaluation ADOIPIE
Define acculturation - Answer the process of social and psychological exchanges with
encounters between people of different cultures, resulting in changes in either group
Define cultural and linguistic competence - Answer a set of congruent behaviors, attitudes,
and policies that come together in a system of professionals that enable them to work in cross-
culture situations
What are the characteristics of culture? - Answer learned, shaped, adapted, dynamic
What is a national standard? - Answer Health care organizations should ensure patients are
effective, understandable, and get respectful care from staff in a manner compatible with
cultural health beliefs, practices, and language
Define ethnicity - Answer a social group within the social system that clains to pssess
variable traits such as a common geographic origin, migratory status, and religion.
Define health/illness - Answer the balance or imbalance of a person, both within one's being
(physical, mental, spiritual) and the outside world (natural, communal, metaphysical).
,Define ad hoc interpreter? - Answer using a patient's family member, friend, or child as
interpreter for a patient with limited english proficiency, LEP
Define animism? - Answer imagining that inantimate objets come alive and have human
characteristics
What is the hold/cold theory? - Answer hispanic thing that is based on humoral theory.
Objects are classified not by hot/cold physicality but by their hot/cold effect on body. Four
humors of body, bile, phlegm, blood and must be kept moist, dry, whatever
What are the median ages of people groups? - Answer asian 36 years, non-hispanic white is
40 years, hispanic is 27 years
What is the heritage consistency theory? - Answer studies how a person's lifestyle matches
their heritage
Define elderspeak? - Answer infantilizing and demeaning language used by a health
professional when speaking to an older adult
Define leading question? - Answer question that implies one answer is better than another
Define open-ended question? - Answer asks for longer narrative info, unbiased, leaves the
person free to answer in any way
What are internal and external factors that facilitate communication? - Answer internal-
liking, empathy, listening
external- privacy, no interruptions, environment, dress, maybe tape/video
What are ten traps of interviewing? - Answer providing false assurance, giving unwanted
advice, using authority, using avoidance language (passes away), using professional jargon,
using leading/biased question, talking too much, using "why" quesitons
In the wellness assessment, what do areas cover and what falls under what they cover? -
Answer functional assessment- self care ability, self-esteem, self-concept, education,
financial statues, beliefs, ADLs
exercise- exercise, leisure, level of independence
interpersonal- family role, relationships, support, time alone
coping/stress management- coping mechanisms, stressors, change in past year
, How should you interview a youth? - Answer parent in waiting room, use HEEADSSS method.
Don't ask about condom use if not sexually active or indicative of sex.
What does PQRSTU refer to? - Answer the characteristics of pain
location, character/quality, quantity/severity, timing, setting, aggravating/relieving
factors/associated factors/patient's perception
What must the source of history be when doing an interview? - Answer from a reliable
source
What is the CAGE test used for in interviewing? - Answer identify excessive or uncontrolled
drinking
With older adults, how should the examiner proceed with the interview? - Answer ask a
family member to complete some of the records while moving ahead with the interview.
How to adapt an interview? - Answer nontalkative- figure out why, maybe uncomfortable
confused-don't spend a long time trying to figure out why they're confused, refer them to
mental health people
altered capacity- may a family member can help interview
talkative- give them free range for like 5 minutes, pay attention to thought process, but then tell
them it's done
Crying-crying is therapeautic, sit down with them make contact
Angry- avoid going into their hostility, i understand how the situation wasn't what you wanted,
don't bash hospital staff with them, deep-breathing is helpful
Non-english speaking- get an interpreter, make sure you get what the patient wants to say not
what their interpreter wants to say
Hearing-impaired- get them to write communication, takes a long time though
Vision-impaired- they response by touch, tell them verbally what you're doing exactly
Cognitively-impaired- figure out how much schooling/living independently
Low literacy- find app/ways to communicate
How far is personal distance considered to be? - Answer 1.5 feet to 4 feet
At what age can the interviewer begin to question the child directly? - Answer 7 years
