NSG 310 Final Exam from Grand Canyon University (GCU)
NSG 310 FINAL EXAM FROM GRAND CANYON UNIVERSITY (GCU)
INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
ADVANCED NURSING CONCEPTS SUCH AS PATHOPHYSIOLOGY,
HEALTH ASSESSMENT, PHARMACOLOGICAL PRINCIPLES, AND
CLINICAL REASONING
An 84 year old Spanish speaking male patient is hospitalized due to a broken hip. When
administering a new medication for the patient, to whom in the room should the nurse focus
their education about the medication? - ANSWER-the patient himself
A patient being told that their diagnosis is terminal insists on being transferred to a new facility
at another hospital. The patient is demanding a second opinion stating, "No, not me they must
have made a mistake." The nurse recognizes that the patient is in what stage of Kubler-Ross five
stages of grief? - ANSWER-denial
What describes a person's awareness of a shared cultural heritage, with others, based on
common racial, geographic ancestral, religious or historical bonds? - ANSWER-ethnicity
Rationale:
this is the definition of ethinicity.
cultural competence is a set of cultural behaviors and attitudes integrated into practice methods
of a system agency or its professionals which enables them to work effectively in cross cultural
situations.
ethnocentrism is the belief that one's own culture is superior to all others
cultural diversity is defined as variations among cultural groups
Which behavioral teaching method is the reinforcement of successive steps toward the target
behavior? - ANSWER-shaping
1|Page
, NSG 310 Final Exam from Grand Canyon University (GCU)
rationale:
t's when a long term goal is broken down in steps, and each time a client takes a step closer to
the desired behavior you want to definitely reinforce them so that they want to keep on going.
modeling is learning a behavior by observing others while they're performing it, so our patients
are going to model what we do, whether it's right or wrong.
coaching is tailored support for people learning an unfamiliar task or procedure, it builds on the
client strengths, rather than attempting to fix a weakness and it's in order to develop and
improve self management skill in health
Learning contracts is a contract between the patient it's kind of a formal commitment to a
behavioral learning process that use this a lot in mental health.
According to Melnyk and Overholdt, what is the next step after critically appraising the evidence
in the seven steps of evidence based practice (EBP)? - ANSWER-integrate the evidence with
clinical expertise and patient preferences and values.
Rationale:
1. Cultivate a spirit of inquiry
2. Ask a clinical question in PICOT format
3. Search for the best evidence
4. Critically appraising the evidence
5. Integrate the evidence with clinical expertise and patient preferences and values
Nursing is known as both an art and a science. Which of the following is an example of the
science of nursing. - ANSWER-The nurse uses electronic databases, to find academic article with
the most up to date, procedures and caring for the patient
2|Page
, NSG 310 Final Exam from Grand Canyon University (GCU)
Rationale
that's EBP that's the science of nursing!
When the nurse is communicating with an elderly client, the nurse is aware of all of the
following except: - ANSWER-the client can easily handle new situations due to their experiences
Rationale:
they can't handle news situations due to their experiences, they get heightened anxiety when
something is new. They're used to "this is how it's been, this is where i've lived all my life"
Which of the following nursing leader is known for their theory related to transcultural nursing?
- ANSWER-Madeline Leininger
Rationale:
Jean Watson = caring
Florence Nightingale = sanitation
True or False
In 1999, the Joint Commission released a mission statement that referenced patient safety as a
key initiative. They found that the most common cause of harmful medical errors is based on
equipment failure. - ANSWER-false
Rationale
based on communication, during handoff
3|Page
, NSG 310 Final Exam from Grand Canyon University (GCU)
Both verbal and written communication is imperative in reducing errors and improving patient
safety. Which of the following is NOT an important aspect of this communication? - ANSWER-
vague charting of patient interactions
The American Nurses Association (ANA) has several documents that describe the nurse's scope
of practice. What document communicates that the nurse is a professional and provides
information about the role of the nurses practice? - ANSWER-The ANA Scope and Standards of
Practice and Professional Performance
Rationale:
ANA don't set regulations as to what nurses can and cannot do, state board of nursing sets
those regulations, only the state can take your license away from you.
Which statement by the nursing student indicates a need for further education of Jean Watson's
philosophy and science of caring. - ANSWER-"Caring is a task-oriented behavior."
Rationale:
Caring is not a task oriented behavior, that is more like the steps of inserting a foley catheter.
What active listening response would the nurse be using when stating, "you stated earlier that
you were concerned about taking your blood pressure medication. Tell me more about what
concerns you." - ANSWER-clarification
concept that each culture is unique and should be judged only on the basis of its own values
and standards - ANSWER-cultural relativism
What does SBAR stand for? - ANSWER-Situation
Background
Assessment
4|Page
NSG 310 FINAL EXAM FROM GRAND CANYON UNIVERSITY (GCU)
INCLUDES ACCURATE AND VERIFIED QUESTIONS COVERING
ADVANCED NURSING CONCEPTS SUCH AS PATHOPHYSIOLOGY,
HEALTH ASSESSMENT, PHARMACOLOGICAL PRINCIPLES, AND
CLINICAL REASONING
An 84 year old Spanish speaking male patient is hospitalized due to a broken hip. When
administering a new medication for the patient, to whom in the room should the nurse focus
their education about the medication? - ANSWER-the patient himself
A patient being told that their diagnosis is terminal insists on being transferred to a new facility
at another hospital. The patient is demanding a second opinion stating, "No, not me they must
have made a mistake." The nurse recognizes that the patient is in what stage of Kubler-Ross five
stages of grief? - ANSWER-denial
What describes a person's awareness of a shared cultural heritage, with others, based on
common racial, geographic ancestral, religious or historical bonds? - ANSWER-ethnicity
Rationale:
this is the definition of ethinicity.
cultural competence is a set of cultural behaviors and attitudes integrated into practice methods
of a system agency or its professionals which enables them to work effectively in cross cultural
situations.
ethnocentrism is the belief that one's own culture is superior to all others
cultural diversity is defined as variations among cultural groups
Which behavioral teaching method is the reinforcement of successive steps toward the target
behavior? - ANSWER-shaping
1|Page
, NSG 310 Final Exam from Grand Canyon University (GCU)
rationale:
t's when a long term goal is broken down in steps, and each time a client takes a step closer to
the desired behavior you want to definitely reinforce them so that they want to keep on going.
modeling is learning a behavior by observing others while they're performing it, so our patients
are going to model what we do, whether it's right or wrong.
coaching is tailored support for people learning an unfamiliar task or procedure, it builds on the
client strengths, rather than attempting to fix a weakness and it's in order to develop and
improve self management skill in health
Learning contracts is a contract between the patient it's kind of a formal commitment to a
behavioral learning process that use this a lot in mental health.
According to Melnyk and Overholdt, what is the next step after critically appraising the evidence
in the seven steps of evidence based practice (EBP)? - ANSWER-integrate the evidence with
clinical expertise and patient preferences and values.
Rationale:
1. Cultivate a spirit of inquiry
2. Ask a clinical question in PICOT format
3. Search for the best evidence
4. Critically appraising the evidence
5. Integrate the evidence with clinical expertise and patient preferences and values
Nursing is known as both an art and a science. Which of the following is an example of the
science of nursing. - ANSWER-The nurse uses electronic databases, to find academic article with
the most up to date, procedures and caring for the patient
2|Page
, NSG 310 Final Exam from Grand Canyon University (GCU)
Rationale
that's EBP that's the science of nursing!
When the nurse is communicating with an elderly client, the nurse is aware of all of the
following except: - ANSWER-the client can easily handle new situations due to their experiences
Rationale:
they can't handle news situations due to their experiences, they get heightened anxiety when
something is new. They're used to "this is how it's been, this is where i've lived all my life"
Which of the following nursing leader is known for their theory related to transcultural nursing?
- ANSWER-Madeline Leininger
Rationale:
Jean Watson = caring
Florence Nightingale = sanitation
True or False
In 1999, the Joint Commission released a mission statement that referenced patient safety as a
key initiative. They found that the most common cause of harmful medical errors is based on
equipment failure. - ANSWER-false
Rationale
based on communication, during handoff
3|Page
, NSG 310 Final Exam from Grand Canyon University (GCU)
Both verbal and written communication is imperative in reducing errors and improving patient
safety. Which of the following is NOT an important aspect of this communication? - ANSWER-
vague charting of patient interactions
The American Nurses Association (ANA) has several documents that describe the nurse's scope
of practice. What document communicates that the nurse is a professional and provides
information about the role of the nurses practice? - ANSWER-The ANA Scope and Standards of
Practice and Professional Performance
Rationale:
ANA don't set regulations as to what nurses can and cannot do, state board of nursing sets
those regulations, only the state can take your license away from you.
Which statement by the nursing student indicates a need for further education of Jean Watson's
philosophy and science of caring. - ANSWER-"Caring is a task-oriented behavior."
Rationale:
Caring is not a task oriented behavior, that is more like the steps of inserting a foley catheter.
What active listening response would the nurse be using when stating, "you stated earlier that
you were concerned about taking your blood pressure medication. Tell me more about what
concerns you." - ANSWER-clarification
concept that each culture is unique and should be judged only on the basis of its own values
and standards - ANSWER-cultural relativism
What does SBAR stand for? - ANSWER-Situation
Background
Assessment
4|Page
