WTCC SP19 NUR 111 Theory Exam 1
Define nursing as an art. - Answer - Individualized, creative ways in caring for the client.
Define nursing as a science. - Answer - Based on policies and procedures. Lifelong
learning: current knowledge and practice that follows the nursing process; current
knowledge with evidence-based care.
Florence Nightingale - Answer - Putting the patient the best possible condition for nature
to act. Meet the client where they are. Focused on health mutinous and restoration.
NC Practice Act - Answer - The practice of nursing as an art dedicated to caring and to
assisting clients by providing sustained, vigilant and continuous care to those acutely or
chronically ill. Nurses assist clients to attain or maintain optimal health. Implementing a
strategy of care to accomplish defined goals within the context of a client centered care
plan
American Nurses Association (ANA) - Answer - Established a Code of Ethics as well as
a Scopes and Standards of Nursing Practice; Largest and most powerful nursing
association today. With membership to only RNs & represents the interests of all 3.4
million RNs
Wake Tech Dept of Nursing Ed. - Answer - Nursing is an art and science, which
integrates and assimilate knowledge and skills derived from biological, physical social
and behavioral sciences.
Identify 3 professional organizations in nursing. - Answer - American Association of
Nursing
NC Nursing Association
National League for Nursing
NC Nurses Association (NCNA) - Answer - Equips nurses at all stages to thrive in an
ever-changing healthcare environment. NCNA helps keep NC nurses on the cutting
edge of nursing practice, policy, education and more.
National League for Nursing (NLN) - Answer - Promotes excellence in nursing
education to build a strong and diverse nursing workforce to advance the health of our
nation and the global community. They support nursing research grants and other
education programs.
Basic Nursing Education - Answer - Hospital Based Diploma Programs, ADN, BSN
,Advanced Nursing Education - Answer - Masters, DNP
Describe the components of the philosophy and the conceptual module of the Wake
Tech Nursing Program (located in your Student Policy Handbook) - Answer - The
Martha Mann Smith School of Nursing faculty supports the College's core values of
Respect, Responsibility, Critical Thinking, Communication, Collaboration and
Accountability as well as the seven core values of the National League for Nursing
(NLN) Education Competencies Model. The NLN values include: Caring, Diversity,
Ethics, Excellence, Holism, Integrity and Client-Centeredness.
Describe the nursing process as a foundation to determine patient needs and deliver
nursing care. - Answer - The nursing process is a dynamic continuous client-centered,
problem solving and decision-making framework that is foundational to nursing practice.
It is a critical thinking process that consists of five steps to follow in a purposeful, goal
directed, systematic way to achieve optimal client outcomes. The five sequential but
overlapping steps are called: ADPIE: Assessment, Diagnosis, Planning, Implementation
and Evaluation. The nursing process is a variation of scientific reasoning that helps
nurses organize nursing care and apply the optimal available evidence to deliver care.
The nursing process provides a framework through which nurses can apply knowledge,
experience, judgment and skills as well as established standards of nursing practice to
the formulation of a plan of nursing care. It promotes the professionalism of nursing
while differentiating the practice of nursing.
Patricia Benner there are 5 levels of proficiency for nurses. - Answer - Novice,
Advanced Beginner, Competent, Proficient, Expert
Benner's Novice - Answer - No experience and relies on policies, procedures and
guidelines and theory
Benner's Advanced Beginner - Answer - Begins to gain experience. Focus is on tasks
and guidelines. Does not have experience to consider complexity.
Benner's Competent - Answer - Has been on the job for 2 -3 years with the same or
similar situations. Begins to master some tasks, does not yet possess the speed and
flexibility of a proficient nurse.
Benner's Proficient - Answer - Perceives the situation as wholes rather than in terms of
chopped up parts or aspects.
Benner's Expert - Answer - Possess and intuitive understanding of most situations and
is able to quickly determine a course of action without much problem solving. Has high
a analytical skills ability that is needed for most all situations.
, Identify the nurse-client relationship as a basis for communication. - Answer - Establish
trusting relationship with patient/family. EFFECTIVE communication is key. Verbal and
nonverbal 10/90 split, needs to have congruity.
Intent of comm. Is to elicit a response
Better Communication = Stronger relationships = More Trust= Better Care
Identify communication skills needed in developing therapeutic relationships. - Answer -
Active Listener, assist patient to identify feelings, follow through w/ promises and don't
make unrealistic promises, be truthful, focus on patients well-being. Developed by
Hildegard Peplau
Define the four phases of a nurse-client relationship. - Answer - Pre-interaction,
Introductory, Working, Termination Phases.
Pre-interaction Phase - Answer - Similar to planning stage before an interview. The
nurse has information about the patient before face-to-face meeting (name, address,
age, health problem). The nurse will get anxious before the visit. This phrase process
may cause feelings of anxiety within the nurse; these can be reduced by identifying
specific topics to discuss before meeting the client.
Introductory Phase - Answer - Also called the orientation or pre-therapeutic phase, the
introductory phase sets the tone for the therapeutic relationship. During this phase, the
nurse and client closely examine each other to form an opinion of judgement about
each other's behavior. The goal of the introductory phase is to develop trust and
security within the relationship.
Working Phase - Answer - This phase has two stages; exploring and understanding and
facilitating and taking action. The purpose of the working phase is to help client meet
identified goals. During this phase, the client may express or demonstrate feelings such
as anger, shame, or self- consciousness. Nurses help clients work through these
feelings by helping the client make decisions; providing support and offering options and
information.
Termination Phase - Answer - The termination phase can be difficult and filled with
ambivalence however, if the relationship has evolved through the other phases, the
client will have an improved outlook and be prepared to handle challenges related to his
or her health alteration. There will be a sense of loss when the relationship terminates,
and the nurse and client both have to use an approach that is comfortable when saying
good-bye. The nurse can offer follow-up phone calls, e-mails or other communication
approaches to help ease this transition.
Define the communication skills a nurse needs during the working phase of the nurse-
client relationship - Answer - Nurses must possess the following skills
-Empathetic listening and responding
-Respect
-Genuineness
Define nursing as an art. - Answer - Individualized, creative ways in caring for the client.
Define nursing as a science. - Answer - Based on policies and procedures. Lifelong
learning: current knowledge and practice that follows the nursing process; current
knowledge with evidence-based care.
Florence Nightingale - Answer - Putting the patient the best possible condition for nature
to act. Meet the client where they are. Focused on health mutinous and restoration.
NC Practice Act - Answer - The practice of nursing as an art dedicated to caring and to
assisting clients by providing sustained, vigilant and continuous care to those acutely or
chronically ill. Nurses assist clients to attain or maintain optimal health. Implementing a
strategy of care to accomplish defined goals within the context of a client centered care
plan
American Nurses Association (ANA) - Answer - Established a Code of Ethics as well as
a Scopes and Standards of Nursing Practice; Largest and most powerful nursing
association today. With membership to only RNs & represents the interests of all 3.4
million RNs
Wake Tech Dept of Nursing Ed. - Answer - Nursing is an art and science, which
integrates and assimilate knowledge and skills derived from biological, physical social
and behavioral sciences.
Identify 3 professional organizations in nursing. - Answer - American Association of
Nursing
NC Nursing Association
National League for Nursing
NC Nurses Association (NCNA) - Answer - Equips nurses at all stages to thrive in an
ever-changing healthcare environment. NCNA helps keep NC nurses on the cutting
edge of nursing practice, policy, education and more.
National League for Nursing (NLN) - Answer - Promotes excellence in nursing
education to build a strong and diverse nursing workforce to advance the health of our
nation and the global community. They support nursing research grants and other
education programs.
Basic Nursing Education - Answer - Hospital Based Diploma Programs, ADN, BSN
,Advanced Nursing Education - Answer - Masters, DNP
Describe the components of the philosophy and the conceptual module of the Wake
Tech Nursing Program (located in your Student Policy Handbook) - Answer - The
Martha Mann Smith School of Nursing faculty supports the College's core values of
Respect, Responsibility, Critical Thinking, Communication, Collaboration and
Accountability as well as the seven core values of the National League for Nursing
(NLN) Education Competencies Model. The NLN values include: Caring, Diversity,
Ethics, Excellence, Holism, Integrity and Client-Centeredness.
Describe the nursing process as a foundation to determine patient needs and deliver
nursing care. - Answer - The nursing process is a dynamic continuous client-centered,
problem solving and decision-making framework that is foundational to nursing practice.
It is a critical thinking process that consists of five steps to follow in a purposeful, goal
directed, systematic way to achieve optimal client outcomes. The five sequential but
overlapping steps are called: ADPIE: Assessment, Diagnosis, Planning, Implementation
and Evaluation. The nursing process is a variation of scientific reasoning that helps
nurses organize nursing care and apply the optimal available evidence to deliver care.
The nursing process provides a framework through which nurses can apply knowledge,
experience, judgment and skills as well as established standards of nursing practice to
the formulation of a plan of nursing care. It promotes the professionalism of nursing
while differentiating the practice of nursing.
Patricia Benner there are 5 levels of proficiency for nurses. - Answer - Novice,
Advanced Beginner, Competent, Proficient, Expert
Benner's Novice - Answer - No experience and relies on policies, procedures and
guidelines and theory
Benner's Advanced Beginner - Answer - Begins to gain experience. Focus is on tasks
and guidelines. Does not have experience to consider complexity.
Benner's Competent - Answer - Has been on the job for 2 -3 years with the same or
similar situations. Begins to master some tasks, does not yet possess the speed and
flexibility of a proficient nurse.
Benner's Proficient - Answer - Perceives the situation as wholes rather than in terms of
chopped up parts or aspects.
Benner's Expert - Answer - Possess and intuitive understanding of most situations and
is able to quickly determine a course of action without much problem solving. Has high
a analytical skills ability that is needed for most all situations.
, Identify the nurse-client relationship as a basis for communication. - Answer - Establish
trusting relationship with patient/family. EFFECTIVE communication is key. Verbal and
nonverbal 10/90 split, needs to have congruity.
Intent of comm. Is to elicit a response
Better Communication = Stronger relationships = More Trust= Better Care
Identify communication skills needed in developing therapeutic relationships. - Answer -
Active Listener, assist patient to identify feelings, follow through w/ promises and don't
make unrealistic promises, be truthful, focus on patients well-being. Developed by
Hildegard Peplau
Define the four phases of a nurse-client relationship. - Answer - Pre-interaction,
Introductory, Working, Termination Phases.
Pre-interaction Phase - Answer - Similar to planning stage before an interview. The
nurse has information about the patient before face-to-face meeting (name, address,
age, health problem). The nurse will get anxious before the visit. This phrase process
may cause feelings of anxiety within the nurse; these can be reduced by identifying
specific topics to discuss before meeting the client.
Introductory Phase - Answer - Also called the orientation or pre-therapeutic phase, the
introductory phase sets the tone for the therapeutic relationship. During this phase, the
nurse and client closely examine each other to form an opinion of judgement about
each other's behavior. The goal of the introductory phase is to develop trust and
security within the relationship.
Working Phase - Answer - This phase has two stages; exploring and understanding and
facilitating and taking action. The purpose of the working phase is to help client meet
identified goals. During this phase, the client may express or demonstrate feelings such
as anger, shame, or self- consciousness. Nurses help clients work through these
feelings by helping the client make decisions; providing support and offering options and
information.
Termination Phase - Answer - The termination phase can be difficult and filled with
ambivalence however, if the relationship has evolved through the other phases, the
client will have an improved outlook and be prepared to handle challenges related to his
or her health alteration. There will be a sense of loss when the relationship terminates,
and the nurse and client both have to use an approach that is comfortable when saying
good-bye. The nurse can offer follow-up phone calls, e-mails or other communication
approaches to help ease this transition.
Define the communication skills a nurse needs during the working phase of the nurse-
client relationship - Answer - Nurses must possess the following skills
-Empathetic listening and responding
-Respect
-Genuineness
