NUR 3805 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTION.

Are you taking NUR 3805 (Professional Nursing) and preparing for Exam 1? This comprehensive study guide contains complete questions and answers with solutions covering every essential topic you'll encounter. From the Continuum of Professional Development Model, collective power, advance directives, and evidenced-based practice to therapeutic communication, patient confidentiality, medication calculations, infectious control methods, cultural diversity, transcultural nursing, healthcare systems (ACA, Medicare, Medicaid), nursing care delivery models (case method, functional nursing, team nursing), nursing research (PICO, quantitative vs qualitative), nursing theorists (Nightingale, Henderson, Peplau, Maslow), and the four essential concepts of nursing (person, environment, health, nursing) – this resource is your all-in-one exam preparation tool. What's Inside – Complete NUR 3805 Exam 1 Domain Coverage: Category Key Concepts & Questions Covered Professional Nursing & Power Continuum of Professional Development Model (flaw: no clear criteria for determining a profession); Collective power (organizing large group with similar beliefs/concerns); Political power and money in professions (law, medicine); Factors influencing evolution of nursing (societal beliefs, Christianity, military) Patient Education & Advance Directives Advance directives teaching (patient may change treatment decision WITHOUT durable power of attorney approval – patients are NOT required to appoint DPOA on admission); Chronic Fatigue Syndrome teaching (monitor for signs of irritable bowel syndrome) Developmental Assessment (3-Year-Old) Expected findings: speech clear enough for strangers to understand, can draw a circle, follows multi-step instructions, can walk up and down stairs; NOT expected: easily distinguishing real vs make-believe Mental Health & Safety Assessment Patient giving away possessions after spouse's death – most appropriate response: "Are you thinking about hurting yourself?" (suicide risk assessment) Patient Safety & Mobility Walker instructions: keep back straight while stepping into walker, push walker forward before taking step, don't lean over walker, when rising from chair lean forward and push off chair; NOT: hold lower handgrips (incorrect) Diagnostic Testing MRI of abdomen: take off all jewelry and metal objects (NOT: no eating for 12 hours, avoid urinating, pain medicine before test) Crohn's Disease Symptoms Appropriate symptoms: rectal cramping and bleeding, fever and vomiting, fatigue and headache; NOT: weight gain (weight loss typical) Evidenced-Based Practice (EBP) Primary use: make safe and effective decisions about patient care (NOT: help nursing gain professional status, decrease costs, make nurses competitive with physicians) Mosaic Code of Laws Elements Caring for widows and orphans, elements of Egyptian codes of sanitation, health practices of neighboring Mediterranean countries, rituals for food preparation; NOT: instructions for hospital construction, defined roles for nurses Pinning Ceremony Most important aspect: sign of legal authority as licensed professional (NOT: family member must pin, only high GPA, sign of caring) Patient Confidentiality Best response to spouse asking for lab results: "I'm prohibited from giving any information about any patient including your spouse" (HIPAA) Medication Calculation Tylenol 650mg every 6 hours, only 325mg pills available = 2 pills (650 ÷ 325 = 2) Congestive Heart Failure (CHF) Teaching Monitoring lower limbs for signs of edema; NOT: vigorous exercise, avoid fruits/vegetables, severely limit fluids Hypovolemia Symptoms Dark concentrated urine, increased pulse rate, dizzy when rising to standing position, decreased blood pressure; NOT: weight gain, increased urine output, moist mucous membranes Infectious Control – Mycoplasma Pneumonia Wear surgical mask when within three feet of patient (droplet precautions); NOT: gloves/gown for linens, no visitors, group activities Physical Abuse Assessment Most appropriate: ask spouse to go to cafeteria, then question patient about possibility of abuse (separate suspected abuser from patient) GERD Teaching Lose weight at slow consistent rate, don't wear tight clothes, remain upright after eating, stop smoking; NOT: low-protein high-carb diet, extra fluids with meals Communication Barriers (Encoding) Convoluted message, monotone voice, use of jargon, preoccupation; NOT: clear speech, understanding information Assertive Communication True: Anyone can learn to use assertive communication style and develop assertiveness Contract Negotiation Most important factor: discussion of important issues (NOT: posturing, resolution of conflicts, lack of willingness) Personal Space in Communication Factor that may interfere: patient may have personal space issues (sitting too close may cause discomfort) Silence in Therapeutic Communication Primary reason: silence periods allow patient to gather thoughts before speaking Unfair Labor Practice Being fired because physician does not like nurse's attitude (NOT: passed over with explanation, weekend assignments as needed, 2 weeks vacation) Failure to Bargain in Good Faith Sending individuals to negotiate who cannot make binding decisions Shared Governance Model Most important feature: power and authority transferred to nursing staff rather than located primarily in nursing administration Federal Mediation and Conciliation Service Primary role: bring both sides together to work out a settlement Cultural Expression Forms Development of language, belief in spiritual nature of humans, works of art, food preferences, response to bereavement; NOT: innate skills like cooking Culture False: Culture is NOT a monolithic concept (culture is complex and multifaceted) Population Demographics Primary reason working/young population increasing despite aging boomers: Baby boomers dying at higher rate than expected because of poor health habits Transcultural Nursing in Education Most nursing programs are lagging behind making transcultural an integral part of curriculum Cultural Awareness Begins when nurse understands her or his own cultural values and healthcare beliefs Nonverbal Communication – Behaviors to Avoid Facial expressions, eye contact, touching, violating personal space (may relay superiority, hostility, anger); NOT: speaking too loudly Elderly View of Health As long as they can continue to live independently, they consider themselves in good health (NOT: unhealthy with chronic diseases) Affordable Care Act (ACA) – Chronic Illness New management programs emphasizing prevention and wellness throughout healthcare system, particularly in community care Medicaid vs Medicare Medicaid is government sponsored program for the poor (not elderly); Medicare is federal program for elderly/disabled ACA – Old Insurance Policies Some people not allowed to keep old policies because ACA set standards that "junk policies" did not meet Longevity & Healthcare Expenditures False: Longevity DOES have effect on total governmental expenditures for health care Elder Care Providers Inaccurate: Medical schools are increasing enrollment to meet need of elder care (they have been slow to respond) Positive Continuous Reinforcement in Elderly Effective for changing current behavioral patterns Spirituality in Elderly Nursing has relatively short history of incorporating spirituality into health care (TRUE) Spiritual Physical Experiences in Elderly Walking on beach, eating good food, laughing, participating in sexual expression, reading entertaining literature; NOT: being blessed by priest Nursing Care Delivery Models Case method (total care – one-to-one, ICU, L&D); Functional nursing (task-oriented, compartmentalized); Team nursing (efficient arrangement) Therapeutic Communication Purposes Achieve client goals, establish therapeutic relationship, obtain healthcare information, express interest/concern/caring; NOT: assist nurse with personal issues, make client feel comfortable Communication Techniques Restating (summarize message in own words); Clarifying (express lack of understanding, request explanation); Validating (suggest interpretation, ask if correct); Summarizing (condensed version of all discussed) Reasoning Types Deductive reasoning (general premise → specific deduction); Inductive reasoning (specific observations → general generalization); Scientific method (systematic observable, verifiable data) Nursing Theory Concepts Conceptual framework (set of related concepts forming whole pattern); Conceptual model (expressed in language/words); Theory (helps find meaning in experiences, way of viewing reality, based on observations); Phenomena (observable aspects of reality); Assumptions (ideas taken for granted); Concept (mental image of phenomenon); Definition (statement of meaning of term) Nursing Research Accurate descriptions: systematic, involves analysis of phenomena, encompasses all clinical practice, provides evidence to base nursing care; Quantitative research (large numbers, generalize results, objective, control data collection); Qualitative research (lived experience, words/nonnumeric data, NOT for generalization) PICO Framework P (Patient/Problem), I (Intervention – deciding which nonpharmacological methods to research), C (Comparison intervention), O (Outcomes) Nursing Theorists Nightingale (clean environment + nutritious food for healing); Henderson (14 basic needs); Peplau (effective communication with psychiatric patients) Barriers to Nursing Research Negative attitudes, lack of knowledge, inadequate forums for disseminating research, lack of institutional support, findings not ready for clinical environment Maslow's Hierarchy of Needs Physiological, Safety/Security, Love/Belonging, Self-esteem, Self-actualization, Transcendence of self Four Essential Concepts of Nursing Person, Environment, Health, Nursing Research Process Phases Select/define problem, select research design, collect data, analyze data, use research findings Key Questions & Answers You'll Master: Question Correct Answer Why is the Continuum of Professional Development Model a poor approach for determining professional status? Model does not have any clear criteria for determining a profession Example of collective power? Organizing large group of individuals with similar beliefs and concerns Primary use of Evidenced Based Practice? Make safe and effective decisions about patient care How many Tylenol 325mg pills for 650mg dose? 2 pills Best response to spouse asking for patient's lab results? "I'm prohibited from giving any information about any patient including your spouse" Infectious control method for mycoplasma pneumonia? Wear surgical mask within three feet of patient Most appropriate action for suspected physical abuse? Ask spouse to leave, then question patient alone What interferes with encoding a message? Convoluted message, monotone voice, use of jargon, preoccupation Most important factor in contract negotiation? Discussion of important issues Unfair labor practice example? Fired because physician doesn't like nurse's attitude Where does cultural awareness begin? When nurse understands own cultural values and healthcare beliefs How do elderly view health? As long as they can live independently, they consider themselves healthy What does the ACA emphasize for chronic illness? Prevention and wellness throughout healthcare system What does "I" stand for in PICO? Intervention What are the four essential concepts of nursing? Person, environment, health, nursing Why This Guide Works: Complete solutions – Every question answered with detailed explanations Exam-style Q&A – Mirrors actual NUR 3805 Exam 1 format Professional nursing focus – Ethics, communication, leadership, healthcare delivery Cultural diversity & transcultural nursing – Key concepts for modern practice Nursing theory & research – Theorists, PICO, quantitative/qualitative methods Perfect for: NUR 3805 Professional Nursing students RN-to-BSN programs Nursing leadership and management courses NCLEX-RN preparation Anyone needing comprehensive review of professional nursing concepts