NUR 200 Midterm UPDATED ACTUAL Questions
and CORRECT Answers
What is the difference between vocation and profession? - CORRECT ANSWER -Vocational: LPN, PCNA, CT,
associate degree. Trained from vocational perspective; robotic/rote performance of tasks; drilled/skills or task-oriented;
some education; limited scope of practice. Profession: RN. Rich curriculum in research, practice and theory leads to
evidence based practice. Engages in critical thinking, looking below the surface; level of knowledge. Able to take data
and make nursing diagnosis. Unique body of knowledge w/group of persons.
What is the difference between paternalism and professionalism? - CORRECT ANSWER -Doctors cure, nurses
care. Nursing is subservient role to patriarchal/medical establishment. Nurses are viewed as trained assistants to highly
skilled professionals. Doctors are viewed as paternalistic: authoritative, pat nurse on head, rude.
What is evidence-based practice? How do professional nurses use it? - CORRECT ANSWER -Evidence based
practice is based on research, theory, and practice; theory and evidence behind what we're doing not just skills. Impact on
patient: critical thinking in nursing diagnosis/care plan.
What is the CSU philosophy of nursing based on? - CORRECT ANSWER -Antonovsky stated that health can
never be achieved; always on a continuum to health; never a fixed point. It is the nurses job to help patients access GRRs
and to move patient along continuum; patient advocate; help patients recognize/use GRRs. Dual concept: disease
prevention and health promotion. Psychosocial assessment: look at pt's history, stressors (physical and biochemical, lack
of resources) look at patients at where they're at in accessing GRRs. State of ease vs. disease because eustress (ease) can
quickly become distress (disease). Therapeutic use of self: iinterdisciplinary team. Selye stated that alarm resistance
phases successful resolution or exhaustion. 1. Alarm: anxiety Concern. 2. Resist: w/aid of nurse: meet, fight off. 3.
Exhaustion: death (facilitate bedside so patient has no regret).
What is the trifecta of nursing? - CORRECT ANSWER -Research, Practice, and Theory
Nursing theorist: Florence Nightingale - CORRECT ANSWER -Founder of Western Nursing during the Crimean
War. Also came up with and studied epidemiology which is the study of influence/prevalence of disease and the
environment. Her environmental theory examined the relationship and positive correlation of no light, fresh air, access to
fresh water, lying in bed in dark, dank conditions. Her theory manipulated the environment to affect patient outcome
which included opening windows, mobilizing patients etc.
It was revolutionary to take nurses to war during that time period. 13 cannons: ventilation/warmth; bed/bedding; health of
houses; light; petty management; personal cleanliness; noise; variety; chattering hopes and advises; food; food intake;
observation of the sick. Role of nurses: alter or manage environment (internal or external) to aid health (well-being and
well use of power).
Nursing theorist: Hildegard Peplau - CORRECT ANSWER -Theory consisted of nurse-client interactions/the
stages of the nurse-client relationship. Introductory phase- establish rapport/trust with patients-talk and listen. Working
phase- ADPIE, nursing jobs: pass meds, interventions, charting, pt education, communication, etc. Termination phase-
therapeutic closure- change of shift, remind of GRR, reminder of education, can even be death.
The roles of nursing: practitioner, advocate, educator (nursing or professor), change agent, researcher, etc. - CORRECT
ANSWER -Nurses work together to change at social level; political lobbying; can be very effective. Research:
qualitative or quantitative, inferential statistics (make assumption about population)
Early history of nursing - CORRECT ANSWER -Men played much stronger role in nursing. In the 1700/1800's:
nursing became female role and were considered dishonest/prostitute/shady figures. Florence Nightingale changed that
stigma and made nursing professional; declared delicate, feminine profession unsuitable for men. Nursing became a
metaphor of white uniform and nurses were single women who had a divine calling on life to serve. In the 1950's nursing
theories explode -take nursing more seriously, evidence-based practice. In the 1980's HMO health maintenance
organization transformed nursing into prospective payment system vs. previous retrospective service -managed care.
The state of nursing today: nursing shortage - CORRECT ANSWER -Previously nursing was 1 of 3 standard
options for women (teacher or secretary, office work). Nursing shortage due to cost containment, expansion of field,
broader spectrum/new technology.
, The state of nursing today: The Affordable Care Act - CORRECT ANSWER -AKA "Obama Care". The Affordable
Care Act mandated people to purchase healthcare and contributed to nursing shortage.
The state of nursing today: Search for standardized curriculum - CORRECT ANSWER -NCLEX
The state of nursing today: Technology: more complex ethical issues - CORRECT ANSWER -EMR's, HIPPA. In
the past patients in med-surg would be in ICU; ICU patients would be dead -technological advancements have changed
this. Rapid advancements of technology create ethical issues. For example when ventilators came out people questioned if
we have the right to keep people alive who would've been dead? Another example is stem cell research.
The state of nursing today: Burnout/stress - CORRECT ANSWER -Burnout and stress is due to nursing shortage.
Also due to bullying phrased "nurses eat their young". The silver tsunami are the baby boomers; geriatric specialty.
The stages of the nursing process: ADPIE - CORRECT ANSWER -Assess: gathering data
Diagnose: developing nursing diagnosis
Plan: short/long term goals, planning out interventions
Implement: implement goals, see how pt does
Evaluate: evaluate and may need to revise care plan
Goals: SMART
Specific
Measurable
Attainable
Realistic with a
Timeframe
How is nursing education structured? - CORRECT ANSWER -Classroom (didactic), Skills Lab, and Clinical Field
Experience (classroom + skills from lab = ability in clinical experience)
What is the difference between the ATI and the NCLEX examinations? - CORRECT ANSWER -ATI stands for
Assessment Technologies Institute. It uses formative strategies used for NCLEX. A mini NCLEX for assessment. It
shows the probability of passing state board exams with a higher ranking more likely to pass. NCLEX is after graduation;
National Licensure Examination; how you achieve licensure.
What are examples of student nurse professional organizations and professional nursing organization? - CORRECT
ANSWER -For students the Student Nurses Association, and Multicultural Nurses Associate. Post-graduation the
American Nurses Association (largest and most organized), Ohio NA, Cleveland NA, and associations for specialties.
Types of search engines used by nurses - CORRECT ANSWER -Most popular search engine: CINAHL which
stands for cumulative index to nursing and allied health literature.
What are the differences between credible and non-credible sources? - CORRECT ANSWER -Credible sources are
peer-reviewed by a panel of peer experts. They are evidence based and worthy of publication. Credible websites online
include .org, .edu, .gov.
What is the difference between wellness and disease? How are these two concepts defined? - CORRECT
ANSWER -They are two sides of same coin: Promote wellness, prevent disease.
Is the absence of disease indicative of health? - CORRECT ANSWER -The absence of disease may or may not
mean healthy. People need to seek regular check ups at doctors. For example, pre-diabetes.
What are the 3 levels of care provided to a client? - CORRECT ANSWER -Primary level is preventing a disease -
general practitioner at office; before disease manifests. Secondary level is done at acute care -hospital setting. Tertiary
level is rehab, additional follow-up to return to baseline level of functioning.
APA format - CORRECT ANSWER -Elements of title page: running head in upper right hand corner with author's
name and institutional affiliation. What not to put on the title page: professor's name (neutral) -no credentials. Times New
Roman, #12 font, double spaced,
abstract on the second page w/key words no more than 300 words. Running head in upper right hand corner in caps.
References: hanging-indent format at the end of the paper, alphabetically. Use of in-text citations.
and CORRECT Answers
What is the difference between vocation and profession? - CORRECT ANSWER -Vocational: LPN, PCNA, CT,
associate degree. Trained from vocational perspective; robotic/rote performance of tasks; drilled/skills or task-oriented;
some education; limited scope of practice. Profession: RN. Rich curriculum in research, practice and theory leads to
evidence based practice. Engages in critical thinking, looking below the surface; level of knowledge. Able to take data
and make nursing diagnosis. Unique body of knowledge w/group of persons.
What is the difference between paternalism and professionalism? - CORRECT ANSWER -Doctors cure, nurses
care. Nursing is subservient role to patriarchal/medical establishment. Nurses are viewed as trained assistants to highly
skilled professionals. Doctors are viewed as paternalistic: authoritative, pat nurse on head, rude.
What is evidence-based practice? How do professional nurses use it? - CORRECT ANSWER -Evidence based
practice is based on research, theory, and practice; theory and evidence behind what we're doing not just skills. Impact on
patient: critical thinking in nursing diagnosis/care plan.
What is the CSU philosophy of nursing based on? - CORRECT ANSWER -Antonovsky stated that health can
never be achieved; always on a continuum to health; never a fixed point. It is the nurses job to help patients access GRRs
and to move patient along continuum; patient advocate; help patients recognize/use GRRs. Dual concept: disease
prevention and health promotion. Psychosocial assessment: look at pt's history, stressors (physical and biochemical, lack
of resources) look at patients at where they're at in accessing GRRs. State of ease vs. disease because eustress (ease) can
quickly become distress (disease). Therapeutic use of self: iinterdisciplinary team. Selye stated that alarm resistance
phases successful resolution or exhaustion. 1. Alarm: anxiety Concern. 2. Resist: w/aid of nurse: meet, fight off. 3.
Exhaustion: death (facilitate bedside so patient has no regret).
What is the trifecta of nursing? - CORRECT ANSWER -Research, Practice, and Theory
Nursing theorist: Florence Nightingale - CORRECT ANSWER -Founder of Western Nursing during the Crimean
War. Also came up with and studied epidemiology which is the study of influence/prevalence of disease and the
environment. Her environmental theory examined the relationship and positive correlation of no light, fresh air, access to
fresh water, lying in bed in dark, dank conditions. Her theory manipulated the environment to affect patient outcome
which included opening windows, mobilizing patients etc.
It was revolutionary to take nurses to war during that time period. 13 cannons: ventilation/warmth; bed/bedding; health of
houses; light; petty management; personal cleanliness; noise; variety; chattering hopes and advises; food; food intake;
observation of the sick. Role of nurses: alter or manage environment (internal or external) to aid health (well-being and
well use of power).
Nursing theorist: Hildegard Peplau - CORRECT ANSWER -Theory consisted of nurse-client interactions/the
stages of the nurse-client relationship. Introductory phase- establish rapport/trust with patients-talk and listen. Working
phase- ADPIE, nursing jobs: pass meds, interventions, charting, pt education, communication, etc. Termination phase-
therapeutic closure- change of shift, remind of GRR, reminder of education, can even be death.
The roles of nursing: practitioner, advocate, educator (nursing or professor), change agent, researcher, etc. - CORRECT
ANSWER -Nurses work together to change at social level; political lobbying; can be very effective. Research:
qualitative or quantitative, inferential statistics (make assumption about population)
Early history of nursing - CORRECT ANSWER -Men played much stronger role in nursing. In the 1700/1800's:
nursing became female role and were considered dishonest/prostitute/shady figures. Florence Nightingale changed that
stigma and made nursing professional; declared delicate, feminine profession unsuitable for men. Nursing became a
metaphor of white uniform and nurses were single women who had a divine calling on life to serve. In the 1950's nursing
theories explode -take nursing more seriously, evidence-based practice. In the 1980's HMO health maintenance
organization transformed nursing into prospective payment system vs. previous retrospective service -managed care.
The state of nursing today: nursing shortage - CORRECT ANSWER -Previously nursing was 1 of 3 standard
options for women (teacher or secretary, office work). Nursing shortage due to cost containment, expansion of field,
broader spectrum/new technology.
, The state of nursing today: The Affordable Care Act - CORRECT ANSWER -AKA "Obama Care". The Affordable
Care Act mandated people to purchase healthcare and contributed to nursing shortage.
The state of nursing today: Search for standardized curriculum - CORRECT ANSWER -NCLEX
The state of nursing today: Technology: more complex ethical issues - CORRECT ANSWER -EMR's, HIPPA. In
the past patients in med-surg would be in ICU; ICU patients would be dead -technological advancements have changed
this. Rapid advancements of technology create ethical issues. For example when ventilators came out people questioned if
we have the right to keep people alive who would've been dead? Another example is stem cell research.
The state of nursing today: Burnout/stress - CORRECT ANSWER -Burnout and stress is due to nursing shortage.
Also due to bullying phrased "nurses eat their young". The silver tsunami are the baby boomers; geriatric specialty.
The stages of the nursing process: ADPIE - CORRECT ANSWER -Assess: gathering data
Diagnose: developing nursing diagnosis
Plan: short/long term goals, planning out interventions
Implement: implement goals, see how pt does
Evaluate: evaluate and may need to revise care plan
Goals: SMART
Specific
Measurable
Attainable
Realistic with a
Timeframe
How is nursing education structured? - CORRECT ANSWER -Classroom (didactic), Skills Lab, and Clinical Field
Experience (classroom + skills from lab = ability in clinical experience)
What is the difference between the ATI and the NCLEX examinations? - CORRECT ANSWER -ATI stands for
Assessment Technologies Institute. It uses formative strategies used for NCLEX. A mini NCLEX for assessment. It
shows the probability of passing state board exams with a higher ranking more likely to pass. NCLEX is after graduation;
National Licensure Examination; how you achieve licensure.
What are examples of student nurse professional organizations and professional nursing organization? - CORRECT
ANSWER -For students the Student Nurses Association, and Multicultural Nurses Associate. Post-graduation the
American Nurses Association (largest and most organized), Ohio NA, Cleveland NA, and associations for specialties.
Types of search engines used by nurses - CORRECT ANSWER -Most popular search engine: CINAHL which
stands for cumulative index to nursing and allied health literature.
What are the differences between credible and non-credible sources? - CORRECT ANSWER -Credible sources are
peer-reviewed by a panel of peer experts. They are evidence based and worthy of publication. Credible websites online
include .org, .edu, .gov.
What is the difference between wellness and disease? How are these two concepts defined? - CORRECT
ANSWER -They are two sides of same coin: Promote wellness, prevent disease.
Is the absence of disease indicative of health? - CORRECT ANSWER -The absence of disease may or may not
mean healthy. People need to seek regular check ups at doctors. For example, pre-diabetes.
What are the 3 levels of care provided to a client? - CORRECT ANSWER -Primary level is preventing a disease -
general practitioner at office; before disease manifests. Secondary level is done at acute care -hospital setting. Tertiary
level is rehab, additional follow-up to return to baseline level of functioning.
APA format - CORRECT ANSWER -Elements of title page: running head in upper right hand corner with author's
name and institutional affiliation. What not to put on the title page: professor's name (neutral) -no credentials. Times New
Roman, #12 font, double spaced,
abstract on the second page w/key words no more than 300 words. Running head in upper right hand corner in caps.
References: hanging-indent format at the end of the paper, alphabetically. Use of in-text citations.
