practice material
Explain the purpose of therapeutic communication - correct answer ✔✔ Consists of an
exchange of information that facilitates the formation of a positive nurse-patient relationship
and actively involves the patient in all areas of care
How does a nurse collect data for the assessment phase of the nursing process? - correct
answer ✔✔ Health History, Biographic Data, Chief Complaint, Psychosocial Information,
Environmental Information, Physical Examination, History of present illness, labs/diagnostics
What makes a SMART outcome? - correct answer ✔✔ - Specific, Measurable, Attainable,
Realistic, Time Oriented.
- Patient as the subject of the statement, uses a measurable verb, is specific for the patient and
the patient problem, does not interfere with the medical plan of
care, is realistic, includes time frame
Orthodox Jews customs during Passover? - correct answer ✔✔ Cannot have bread or bread
products. All food must be prepared in cookware and utensils that haven't been in contact with
bread
What are the five vs six phases of the nursing process? - correct answer ✔✔ ADPIE: Assess,
Diagnose, Plan, Implement, Evaluate
Care of the Muslim woman - correct answer ✔✔ Allow patients to be seen by MD or nurse of
the same gender
Fundamental body mechanic positions and use of muscles with rationales - correct answer ✔✔
Maintain appropriate body alignment
, Maintain wide base of support
Bend knees and hips
Do not bend from waist
Protect large muscle groups from injury
Provide even distribution of workload
Carry objects close to the midline of body
Provides safety
Immobility in the older adult - correct answer ✔✔ Constipation, pneumonia, orthostatic
hypotension, pressure ulcers, pulmonary embolism, thrombophlebitis, DVT
Normal vital signs for the adult - correct answer ✔✔ BP: 120/80
HR: 60-100
O2: 95% +
Resp: 12-20
Temp: 98.7
Normal temp for a neonate - correct answer ✔✔ 97-98.6F
Factors that can affect pulse rate - correct answer ✔✔ Decreased blood pressure, Dysrhythmia,
medications, disease states, heat function, age of patient
Nursing interventions/pt education to ensure pt weight is accurate - correct answer ✔✔ Weigh
patient same time every morning after voiding bladder and bowel movement
subjective data - correct answer ✔✔ What the patient says it is