Practice Nursing Exam Questions
Describe the communication process - Answer--Stimulus, source (seder/encoder),
message, channel, receiver (decoder), feedback/communication
Identify factors that influence communication - Answer--Developmental level, gender,
sociocultural differences, roles and responsibilities, space/territoriality,
physical/mental/emotional state, values, environment
Discuss types of communication used in healthcare and the role of the nurse in each
type. - Answer--Verbal, nonverbal, electronic
Define therapeutic communication and helping relationships. - Answer--the face-to-face
process of interacting that focuses on advancing the physical and emotional well-being
of a patient. Involves: listening, conversation skills, silence, touch, humor, interviewing
techniques
Discuss and utilize SBAR communication technique when communicating with
physicians and other nurses. - Answer--S (Situation), B (Background), A (Assessment),
R (Recommendation)
Discuss role of documentation in healthcare and demonstrate appropriate
documentation techniques. - Answer--"If you didn't chart it, it didn't happen". Source
oriented records (paper documentation in which each healthcare group/discipline keeps
data on its own form), problem oriented records, computerized documentations, PIE
,(problem, intervention, evaluation), Focus charting, charting by exception, case
management model
Discuss professional responsibilities when using electronic communication -
Answer--Date and time, timing, legibility, permanence, accepted terminology, correct
spelling, signature, accuracy
Discuss the role of computers in healthcare and the impact on the nursing profession. -
Answer--Pros: Facilitates focus on client outcome, fast, efficient use of time, legible, link
various sources, links to monitors, bedside terminals. Cons: Client privacy concerns,
breakdowns make information unavailable, systems expensive, extended training
periods
Ergonomics - Answer--Study and design of the work environment as it relates to
operator fatigue, discomfort and productivity
Discuss the personal attributes of the professional nurse. - Answer--Open-mindedness,
profound sense of value of the person, self-awareness, sense of personal responsibility,
motivation, leadership skills, bravery
Define and discuss leadership principles, commitment to profession, and work ethics -
Answer--Commitment to excellence, problem-solving, passion, integrity, respectfulness,
accessibility, empathy, responsibility c
Compare and contrast clinical reasoning, clinical judgement, and critical thinking -
Answer--Clinical reasoning (Specific- thinking about patient care issues such as
managing patient problems), clinical judgement (The result of critical thinking and
clinical reasoning) , critical thinking (the objective analysis and evaluation of an issue in
order to form a judgment. Five components: Knowledge base, experience, nursing
process competencies, attitudes, standards)
Define the nursing process and it's characteristics - Answer--A systematic
problem-solving process that guides all nursing actions. Systematic, dynamic,
interpersonal, outcome oriented, universally applicable
Discuss the 5 steps of the nursing process and the goals and activities of each step. -
Answer--Assessment (preparing for data collection, collecting data, identifying cues and
making inferences, validating data, clustering related data and identifying patterns,
reporting and recording data), diagnosis (the reasoning process used in interpreting
assessment data, analyze data, identify health problems, risks, and strengths,
, determine risk factors to be managed, formulate diagnostic statements) , planning
(establish priorities, identify expected patient outcomes, select evidence-based nursing
intervention, communicate the plan of care), implementing (do it!, continue data
collection, modify plan of care as needed, document), evaluating (measure how well the
patient has achieved the desired outcomes, identify factors contributing to the patients
success or failure, modify the plan of care if indicated)
Describe and demonstrate the steps in concept mapping care planning - Answer--
Altruism - Answer--The selfless giving of others
Autonomy - Answer--The patient has the right to determine their own course of
healthcare
Human Dignity - Answer--The person has dignity just because they are human
Integrity - Answer--Admit when you make a mistake. You wont try to cover it up or
blame someone else
Social justice - Answer--Protecting the rights of everyone
Reflective journaling - Answer--A tool used to clarify concepts through reflection by
thinking back or recalling situations
Concept mapping - Answer--A visual representation of patient problems and
interventions that illustrates an interrelationship
Cues - Answer--Information obtained through use of the senses
Inferences - Answer--Judgment or interpretation of cues
Subjective data - Answer--Must be provided by client. Subject to be different from each
patient
Objective data - Answer--Factual information that is provable for all patients
Medical diagnosis - Answer--Identification of a disease condition based on physical
signs, symptoms, PMH, and results of diagnostic (dx) tests and procedures.
Physicians, PAs, and NPs can write medical diagnoses, and treat diseases described
therein