NUR 201 (WCU): MEDICAL SURGICAL NURSING: FINAL EXAM
STUDY GUIDE QUESTIONS WITH COMPLETE SOLUTIONS
1) Two steps of nursing assessment -- Answer ✔✔ 1. Collection of info from
primary source (a patient) and secondary sources (family, friends)
2. The interpretation and validation of data to ensure a complete database
2) Types of assessments -- Answer ✔✔ -the patient-centered interview during a
nursing health history.
- A physical examination.
- The periodic assessments you make during rounding or administering care.
3) Process that addresses a patients ambivalence to medically indicated behavior
change and supports patients in making health care decisions in cases in which
there is more than one reasonable option -- Answer ✔✔ motivational
interviewing
4) Phases of interview -- Answer ✔✔ 1. Orientation and setting an agenda
2. Working phase
3. Terminating
,5) Includes active listening prompts such as "all right", "go on", or ""uh-huh". --
Answer ✔✔ back channeling
6) PQRST -- Answer ✔✔ Provokes
Quality
Radiates
Severity
Time
7) Identification of a disease condition based on specific evaluation of signs and
symptoms, a patient’s medical history, and the results of diagnostic tests and
procedures -- Answer ✔✔ medical diagnosis
8) A clinical judgement concerning a human response to health conditions/life
processes, or vulnerability for that response by an individual, family, or
community that a nurse is licensed and competent to treat -- Answer ✔✔
nursing diagnosis
9) 3 types of nursing diagnostic statements from NANDA -- Answer ✔✔ problem
focused risk diagnosis health promotion
10) Describes a clinical judgment concerning an undesirable human response to a
health condition/life process that exists in an individual, family, or community. --
Answer ✔✔ problem-focused nursing diagnosis
11) A clinical judgment concerning the vulnerability of an individual, family, group, or
community for developing an undesirable human response to health
conditions/life processes -- Answer ✔✔ risk nursing diagnosis
12) A clinical judgement of motivation, desire, and readiness to enhance well-being
and actualize human health potential -- Answer ✔✔ health promotion nursing
diagnosis
, 13) A set of cues, the signs or symptoms gathered during assessment -- Answer ✔✔
data cluster
14) PES
- Components of a nursing diagnostic statement -- Answer ✔✔ problem
etiology symptoms
15) Sources of errors -- Answer ✔✔ errors in data collection errors in
interpretation and analysis of data errors in data clustering errors in diagnostic
statement
16) How to classify patient priorities? -- Answer ✔✔ high, intermediate, low
17) Nursing priority with the priorities of safety, adequate oxygenation, adequate
circulation -- Answer ✔✔ high priority
18) Nursing priority that involves non-emergent, non-life threatening needs of
patients -- Answer ✔✔ intermediate priority
19) Nursing priority in which actual or potential problems may or may not be directly
related to patient's illness or disease
- Affect a patients future well-being -- Answer ✔✔ low priority
20) A broad statement that describes a desired change in a patient's condition,
perceptions, or behavior -- Answer ✔✔ goal
21) Reflects a patient's highest possible level of wellness and independence in function
-- Answer ✔✔ patient-centered goal
STUDY GUIDE QUESTIONS WITH COMPLETE SOLUTIONS
1) Two steps of nursing assessment -- Answer ✔✔ 1. Collection of info from
primary source (a patient) and secondary sources (family, friends)
2. The interpretation and validation of data to ensure a complete database
2) Types of assessments -- Answer ✔✔ -the patient-centered interview during a
nursing health history.
- A physical examination.
- The periodic assessments you make during rounding or administering care.
3) Process that addresses a patients ambivalence to medically indicated behavior
change and supports patients in making health care decisions in cases in which
there is more than one reasonable option -- Answer ✔✔ motivational
interviewing
4) Phases of interview -- Answer ✔✔ 1. Orientation and setting an agenda
2. Working phase
3. Terminating
,5) Includes active listening prompts such as "all right", "go on", or ""uh-huh". --
Answer ✔✔ back channeling
6) PQRST -- Answer ✔✔ Provokes
Quality
Radiates
Severity
Time
7) Identification of a disease condition based on specific evaluation of signs and
symptoms, a patient’s medical history, and the results of diagnostic tests and
procedures -- Answer ✔✔ medical diagnosis
8) A clinical judgement concerning a human response to health conditions/life
processes, or vulnerability for that response by an individual, family, or
community that a nurse is licensed and competent to treat -- Answer ✔✔
nursing diagnosis
9) 3 types of nursing diagnostic statements from NANDA -- Answer ✔✔ problem
focused risk diagnosis health promotion
10) Describes a clinical judgment concerning an undesirable human response to a
health condition/life process that exists in an individual, family, or community. --
Answer ✔✔ problem-focused nursing diagnosis
11) A clinical judgment concerning the vulnerability of an individual, family, group, or
community for developing an undesirable human response to health
conditions/life processes -- Answer ✔✔ risk nursing diagnosis
12) A clinical judgement of motivation, desire, and readiness to enhance well-being
and actualize human health potential -- Answer ✔✔ health promotion nursing
diagnosis
, 13) A set of cues, the signs or symptoms gathered during assessment -- Answer ✔✔
data cluster
14) PES
- Components of a nursing diagnostic statement -- Answer ✔✔ problem
etiology symptoms
15) Sources of errors -- Answer ✔✔ errors in data collection errors in
interpretation and analysis of data errors in data clustering errors in diagnostic
statement
16) How to classify patient priorities? -- Answer ✔✔ high, intermediate, low
17) Nursing priority with the priorities of safety, adequate oxygenation, adequate
circulation -- Answer ✔✔ high priority
18) Nursing priority that involves non-emergent, non-life threatening needs of
patients -- Answer ✔✔ intermediate priority
19) Nursing priority in which actual or potential problems may or may not be directly
related to patient's illness or disease
- Affect a patients future well-being -- Answer ✔✔ low priority
20) A broad statement that describes a desired change in a patient's condition,
perceptions, or behavior -- Answer ✔✔ goal
21) Reflects a patient's highest possible level of wellness and independence in function
-- Answer ✔✔ patient-centered goal
