NUR 322 Final Exam UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS
How and when do you utilizes an interpreter? What is the best practice? - CORRECT
ANSWER Provided language assistance resources: trained medical interpreter,
qualified translator, telecommunication devices (deaf patients)
Inform all individuals of the availability of language assistance services.
Ask for preferred language for verbal or written.
Ensure the competence of individuals providing language assistance.
What are the different styles of leadership? - CORRECT ANSWER Nursing care
delivery models: designed to help your patients achieve desirable outcomes.
Team nursing: care is provided by a group of people led by an RN.
- includes RNs, licensed practical nurses, and assistive personnel
- requires effective team leadership, collaboration, communication.
- Areas: med-surg and general care settings
Primary nursing: one RN assumes the responsibility for a caseload of patients from admission
to discharge.
-simple: same nurse, same patient throughout the entire hospitalization
- if a nurse is NOT scheduled to work on the unit, directions are left for other RNs to follow
- Areas: Oncology, Hospice, Palliative, Critical Care Units
Total Patient Care: one nurse assumes full responsibility for all aspects of a patient during a
specific shift
- one on one interaction
- Areas: Critical care unit, Post Anesthesia Care
,Patient and Family Care: promotes mutual partnerships among the patient, family, and health
care team to plan, implement, and evaluate nursing and health.
- Areas: Pediatrics, NICU, Maternity Care
Case Management: coordinates and links health care services across all levels of care for
patients and their families while streamlining costs and maintaining stability.
- GOAL: achieve patient outcomes within effective time frames and with available resources.
- works with patients and families to identify issues and overcome barriers to help patients
become healthier
Areas: rehabilitation, worker's compensation
What are the best practices we can use to assist a peer staff member or UAP who performs
interventions incorrectly? How do we approach this from an intervention and communication
standpoint? - CORRECT ANSWER - Specific feedback ( what can be changed?)
- Explain how to avoid the mistake or a better way of handle the situation
- Private, professional , and preserved manner
- Demonstrate the correct way to perform the task
How do we prioritize care of our patients when we have multiple patients with varying
illnesses and acuity? - CORRECT ANSWER Prioritization: decide which patient
needed problems that need attention first
- Is it life threatening? Is it essential to the patient or staff safety? Is it essential to the patient's
plan of care?
First level concerns (priority): ABCs and VL (vital signs and life-threatening lab values)
Secondary level concerns: change in mental status, untreated issues, abnormal labs, or acute
onset
Third level concerns: long-term issues in health management, rest, and family coping
,What is an appropriate delegation and how do we know when/how to do it? EX: Do we need
to consider scopes of practice? Compare and contrast the scopes of practice between an RN
and a UAP. - CORRECT ANSWER Scope of nursing practice: defines nursing and
reflects the values of the nursing practice.
Standard of nursing care: reflect the knowledge and skills possessed and used by nurses to
perform within the scope of practice
Delegation: The process of assigning part of your responsibility to another qualified person in
a specific situation.
Five Rights of Delegation - CORRECT ANSWER Right Task: task must be included in
the delegates job description
Right Circumstance: looking at the patient's status, the patient needs to be stable for you to
delegate
Right Person: delegate has the knowledge and skill required to perform task
Right Directions and communication: give clear, concise, description of a task
Right supervision and Evaluation: provide appropriate monitoring, evaluation, interventions,
and feedback.
Nursing Scope of Practice - CORRECT ANSWER - Asses patient condition
- Develop Plan of Care
- Administer medications
- Perform nursing interventions
- Educate patients and families
- Supervise UAP
, UAP Scope of Practice - CORRECT ANSWER - Bathing
- Feeding
- Mobility
- Vital signs
- Report observations
SBAR- What is it? Why is it important? Come up with examples. - CORRECT
ANSWER SBAR: communication framework that can help team share information
about the condition of the patient
Situation: a brief description of the patient's current condition and the reason fo the
communication
- "I am calling about..."
Background: relevant information about the patient's medical history, recent changes in their
condition, and other pertinent data
Assessment: provide a concise summary of the assessment of the patient's condition
- Vital signs, symptoms, physical exams, and tests
Recommendation: request actions or interventions that are believed to be necessary
Empathy vs. Sympathy - CORRECT ANSWER Empathy: the ability to understand and
accept another person's feelings.
- therapeutic communication techniques
- helps with emotional and facial communication
Sympathy: sorrow or pity felt for another person
- Not as therapeutic as empathy
- can prevent effective problem solving and good judgement
QUESTIONS AND CORRECT ANSWERS
How and when do you utilizes an interpreter? What is the best practice? - CORRECT
ANSWER Provided language assistance resources: trained medical interpreter,
qualified translator, telecommunication devices (deaf patients)
Inform all individuals of the availability of language assistance services.
Ask for preferred language for verbal or written.
Ensure the competence of individuals providing language assistance.
What are the different styles of leadership? - CORRECT ANSWER Nursing care
delivery models: designed to help your patients achieve desirable outcomes.
Team nursing: care is provided by a group of people led by an RN.
- includes RNs, licensed practical nurses, and assistive personnel
- requires effective team leadership, collaboration, communication.
- Areas: med-surg and general care settings
Primary nursing: one RN assumes the responsibility for a caseload of patients from admission
to discharge.
-simple: same nurse, same patient throughout the entire hospitalization
- if a nurse is NOT scheduled to work on the unit, directions are left for other RNs to follow
- Areas: Oncology, Hospice, Palliative, Critical Care Units
Total Patient Care: one nurse assumes full responsibility for all aspects of a patient during a
specific shift
- one on one interaction
- Areas: Critical care unit, Post Anesthesia Care
,Patient and Family Care: promotes mutual partnerships among the patient, family, and health
care team to plan, implement, and evaluate nursing and health.
- Areas: Pediatrics, NICU, Maternity Care
Case Management: coordinates and links health care services across all levels of care for
patients and their families while streamlining costs and maintaining stability.
- GOAL: achieve patient outcomes within effective time frames and with available resources.
- works with patients and families to identify issues and overcome barriers to help patients
become healthier
Areas: rehabilitation, worker's compensation
What are the best practices we can use to assist a peer staff member or UAP who performs
interventions incorrectly? How do we approach this from an intervention and communication
standpoint? - CORRECT ANSWER - Specific feedback ( what can be changed?)
- Explain how to avoid the mistake or a better way of handle the situation
- Private, professional , and preserved manner
- Demonstrate the correct way to perform the task
How do we prioritize care of our patients when we have multiple patients with varying
illnesses and acuity? - CORRECT ANSWER Prioritization: decide which patient
needed problems that need attention first
- Is it life threatening? Is it essential to the patient or staff safety? Is it essential to the patient's
plan of care?
First level concerns (priority): ABCs and VL (vital signs and life-threatening lab values)
Secondary level concerns: change in mental status, untreated issues, abnormal labs, or acute
onset
Third level concerns: long-term issues in health management, rest, and family coping
,What is an appropriate delegation and how do we know when/how to do it? EX: Do we need
to consider scopes of practice? Compare and contrast the scopes of practice between an RN
and a UAP. - CORRECT ANSWER Scope of nursing practice: defines nursing and
reflects the values of the nursing practice.
Standard of nursing care: reflect the knowledge and skills possessed and used by nurses to
perform within the scope of practice
Delegation: The process of assigning part of your responsibility to another qualified person in
a specific situation.
Five Rights of Delegation - CORRECT ANSWER Right Task: task must be included in
the delegates job description
Right Circumstance: looking at the patient's status, the patient needs to be stable for you to
delegate
Right Person: delegate has the knowledge and skill required to perform task
Right Directions and communication: give clear, concise, description of a task
Right supervision and Evaluation: provide appropriate monitoring, evaluation, interventions,
and feedback.
Nursing Scope of Practice - CORRECT ANSWER - Asses patient condition
- Develop Plan of Care
- Administer medications
- Perform nursing interventions
- Educate patients and families
- Supervise UAP
, UAP Scope of Practice - CORRECT ANSWER - Bathing
- Feeding
- Mobility
- Vital signs
- Report observations
SBAR- What is it? Why is it important? Come up with examples. - CORRECT
ANSWER SBAR: communication framework that can help team share information
about the condition of the patient
Situation: a brief description of the patient's current condition and the reason fo the
communication
- "I am calling about..."
Background: relevant information about the patient's medical history, recent changes in their
condition, and other pertinent data
Assessment: provide a concise summary of the assessment of the patient's condition
- Vital signs, symptoms, physical exams, and tests
Recommendation: request actions or interventions that are believed to be necessary
Empathy vs. Sympathy - CORRECT ANSWER Empathy: the ability to understand and
accept another person's feelings.
- therapeutic communication techniques
- helps with emotional and facial communication
Sympathy: sorrow or pity felt for another person
- Not as therapeutic as empathy
- can prevent effective problem solving and good judgement
