UNIVERSITY TEST PAPER
QUESTIONS ANSWERS GRADED A+
◉ clinical judgement.
Answer: depends on knowing the patient, understanding his or her
concerns, preferences, the history, the illness as well as the best
scientific knowledge.
◉ SBAR.
Answer: consistent, clear, structured, and easy to use method of
communication between healthcare personnel; it organizes
communication by the categories of: Situation, Background,
Assessment, and Recommendations
◉ orientation phase.
Answer: a verbal agreement between patients and nurses to work
together to solve problems. The goal is to ground the relationship in
trust, follow through, enthusiastic care, and respect of confidentiality.
◉ working phase.
Answer: performs additional client assessment, analyzes the resulting
data, and modifies the plan of care as needed. Nursing interventions are
implemented and expected nursing outcomes are defined. Nurse presents
information and validates and clarifies the patient's understanding.
,◉ termination phase.
Answer: occurs near the end of the relationship. This phase varies
depending upon the length of the relationship, the meaning assigned to
the relationship, and the extent to which outcomes were achieved.
◉ interpersonal communication.
Answer: occurs between two or more people with a goal to exchange a
message.
◉ dysarthria.
Answer: speech disorders that result from a disturbance of motor
control, weakness, paralysis, or incoordination of the oral muscular.
Patients have normal comprehension and no problems with word
selection. There is difficulty in saying the word precisely, using
appropriate stress, loudness, pitch, and control.
◉ roy adaptation model.
Answer: concepts include the adaptive systems, four adaptive modes
with process for adaptation, and internal coping process.
◉ self concept mode.
Answer: needs → psychic and spiritual integrity. Composite of beliefs
and feelings that one holds about oneself at a given time formed from
internal perceptions and perceptions of others' reactions.
◉ physiological mode.
, Answer: needs include → oxygenation, nutrition, elimination, activity
and rest, and protection. The processes for these needs include →
senses, fluid and electrolytes, neurological function, and endocrine
function
◉ role function mode.
Answer: underlying need for social integrity, the need to know who one
is in relation to others so that one can act
◉ interdependence adaptative mode.
Answer: underlying need of relational integrity. This focuses on
interactions related to giving and receiving love, respect, and value.
Significant others and support system are important
◉ environment.
Answer: 3 stimuli → focal (what patient is feeling right now), contextual
(the meaning behind the feeling), and residual (unclear)
◉ health.
Answer: being and becoming whole and integrated requires coping with
changing environment. Assess integrated compensatory compromised
adaptation levels
◉ nursing.