Nurs 250 Final Exam – Questions With
Comprehensive Solutions
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Terms in this set (164)
Health perception-health Client perceived health and well-being; How health
management pattern is managed (Examples: Medication regimen, regular
exercise, annual check up)
Nutritional-metabolic pattern Food and fluid intake relative to metabolic need;
Nurses observation is important: intake & output
record; Education on diet, calories, energy,
expenditure; Pattern varies across lifespan
(Examples: Condition of skin, teeth, hair, nails mucous
membranes, height, and weight)
Elimination pattern Excretory function of bowel, bladder, skin; Nurses
observation: feces, urine, sweat; Key to body
physiologic functions (Ex: Frequency of bowel
movements, voiding pattern, pain with urination,
appearance of urine and stool)
Activity and exercise pattern physical activity and exercise, leisure, recreation;
Nurses help with ADL (Ex: exercise, hobbies,
cardiovascular and respiratory status, mobility, ADL's)
Sleep and rest pattern Sleep, rest, and relaxation; Nurses observation:
problems in this area spill into other areas (Examples:
Quality and quantity of sleep and energy, sleep aids,
routines)
,Cognitive and perceptual pattern Cognitive, sensory-perceptual, memory; Most
affected by sleep deficits; Nurse can help with
assistive devices as memory aids (Examples: Vision,
hearing, taste, touch, smell, pain perception and
management, language, memory, decision making)
Self-perception and self-concept Perceptions of self and self-concept; Nurse helps
pattern with body comfort, body image, feelings and
emotional state (Examples: Listed above + perception
of abilities, body posture, eye contact, voice tone)
Role and relationship pattern Role engagements and relationships with others;
Nurses assist clients functioning in different roles of
life, as mother, father, etc., help with relationship
problems (Examples: Satisfaction with family, work,
social relationships)
Sexuality and reproductive pattern Sexuality and gender identity; Sexual needs and
performance; Nurses assist clients with satisfaction
and dissatisfaction with gender issues, sexuality, and
reproduction (Examples: Number history of
pregnancies and childbirth, problems with sexual
functioning, sexual satisfaction)
Coping and stress tolerance pattern Management of stresses of daily life as well as
extraordinary stresses that come with illness and
disability; Nurses assess clients general coping
pattern and effectiveness in stress tolerance
(Examples: Handling stress, support systems, ability
to control or manage situations)
Value and belief pattern Clients sense of values, what he/she believes in,
religion; Nurse assesses values, beliefs (including
spiritual) or goals that guide choices or decisions
(Examples: Religious affiliation, important things in
life, value-belief conflicts related to health)
, Roles of a Nurse Manager Plan - identify and develop
Organize - use resources to meet objectives
Direct - lead others toward goals; finances
Control - continuous evaluation
5 rights of delegation 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
(Should NEVER delegate roles such as nursing
assessment, plan progress, diagnosis, patient
teaching, etc)
Reflecting repeating what patient said, to ensure active listening
silence slows down, helps to watch, collects thoughts
Clarifying asking to explain again - not sure of meaning
Therapeutic Communication Reflecting, silence, broad openings, focusing, shared
Techniques perceptions, general leads,
acknowledgment/validation, clarifying, active
listening, touch, humor, empathy, warm, develop
relationship, show confidence, summarizing,
identifying problem and discussing feelings drive and
motivation.
Blocks/barriers to communication Clichés, why questions intimidate, judgement,
opinions, change subject, false reassurance,
aggressiveness, stereotyping, testing, rejecting,
giving unwanted advice (agreeing and disagreeing
both can shut your patient down, you want them to
elaborate)
open-ended questions allows patients to express themselves and use their
own words to describe what is going on
Comprehensive Solutions
Save
Terms in this set (164)
Health perception-health Client perceived health and well-being; How health
management pattern is managed (Examples: Medication regimen, regular
exercise, annual check up)
Nutritional-metabolic pattern Food and fluid intake relative to metabolic need;
Nurses observation is important: intake & output
record; Education on diet, calories, energy,
expenditure; Pattern varies across lifespan
(Examples: Condition of skin, teeth, hair, nails mucous
membranes, height, and weight)
Elimination pattern Excretory function of bowel, bladder, skin; Nurses
observation: feces, urine, sweat; Key to body
physiologic functions (Ex: Frequency of bowel
movements, voiding pattern, pain with urination,
appearance of urine and stool)
Activity and exercise pattern physical activity and exercise, leisure, recreation;
Nurses help with ADL (Ex: exercise, hobbies,
cardiovascular and respiratory status, mobility, ADL's)
Sleep and rest pattern Sleep, rest, and relaxation; Nurses observation:
problems in this area spill into other areas (Examples:
Quality and quantity of sleep and energy, sleep aids,
routines)
,Cognitive and perceptual pattern Cognitive, sensory-perceptual, memory; Most
affected by sleep deficits; Nurse can help with
assistive devices as memory aids (Examples: Vision,
hearing, taste, touch, smell, pain perception and
management, language, memory, decision making)
Self-perception and self-concept Perceptions of self and self-concept; Nurse helps
pattern with body comfort, body image, feelings and
emotional state (Examples: Listed above + perception
of abilities, body posture, eye contact, voice tone)
Role and relationship pattern Role engagements and relationships with others;
Nurses assist clients functioning in different roles of
life, as mother, father, etc., help with relationship
problems (Examples: Satisfaction with family, work,
social relationships)
Sexuality and reproductive pattern Sexuality and gender identity; Sexual needs and
performance; Nurses assist clients with satisfaction
and dissatisfaction with gender issues, sexuality, and
reproduction (Examples: Number history of
pregnancies and childbirth, problems with sexual
functioning, sexual satisfaction)
Coping and stress tolerance pattern Management of stresses of daily life as well as
extraordinary stresses that come with illness and
disability; Nurses assess clients general coping
pattern and effectiveness in stress tolerance
(Examples: Handling stress, support systems, ability
to control or manage situations)
Value and belief pattern Clients sense of values, what he/she believes in,
religion; Nurse assesses values, beliefs (including
spiritual) or goals that guide choices or decisions
(Examples: Religious affiliation, important things in
life, value-belief conflicts related to health)
, Roles of a Nurse Manager Plan - identify and develop
Organize - use resources to meet objectives
Direct - lead others toward goals; finances
Control - continuous evaluation
5 rights of delegation 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
(Should NEVER delegate roles such as nursing
assessment, plan progress, diagnosis, patient
teaching, etc)
Reflecting repeating what patient said, to ensure active listening
silence slows down, helps to watch, collects thoughts
Clarifying asking to explain again - not sure of meaning
Therapeutic Communication Reflecting, silence, broad openings, focusing, shared
Techniques perceptions, general leads,
acknowledgment/validation, clarifying, active
listening, touch, humor, empathy, warm, develop
relationship, show confidence, summarizing,
identifying problem and discussing feelings drive and
motivation.
Blocks/barriers to communication Clichés, why questions intimidate, judgement,
opinions, change subject, false reassurance,
aggressiveness, stereotyping, testing, rejecting,
giving unwanted advice (agreeing and disagreeing
both can shut your patient down, you want them to
elaborate)
open-ended questions allows patients to express themselves and use their
own words to describe what is going on
