NUR 2349 Exam 1 Review
1. What is therapeutic communication?
a. Therapeutic communication – Patient-centered communication in which the goal is to
promote a greater understanding of a patient’s needs, concerns, and feelings. (Burton,
10/2014)
b. Therapeutic communication and active listening (listening with concentration and focused
energy) are incorporated into your care. You give objective and thorough end-of-shift reports
and document objectively about the care given and the status of patients. (deWit, 022016,
p. 2)
2. What is active listening?
a. Active listening – Techniques that use all the senses to interpret verbal and nonverbal
messages. In this type of listening, attention is paid both to what the speaker is saying and
also to what the speaker is not saying. The mind of the listener focuses on the interaction
and detects feelings as well as the spoken words. (Burton, 10/2014)
3. What role does body language play in the communication process?
a. Nonverbal communication is conveyed by body language—facial expressions, posture, body
position, behavior, gestures, touch, and general appearance. Nonverbal communication is
less conscious and more indirect than verbal communication; consequently, it often conveys
more of what a person feels, thinks, and means than what is stated in words. It requires
observation and forming a valid, or a true or in- tended, interpretation of the language.
(Burton, 10/2014)
4. What are some things that might facilitate or impair our communication with a client?
a. Impair – language barriers/religious differences/mistrust/patient is scared
b. Facilitate – common language/trust/open body language
5. What would the nurse assess to determine that a client is ready to learn? What strategies might
you use for a visually or hearing-impaired client? What types of websites would you recommend
to a client who has questions about a health topic?
a. Body language
b. Visually impaired – brail
c. Hearing impaired – images print outs
d. Government/medical/trusted sites. CDC.
6. What are the steps of the nursing process, what occurs during each step, and how do you apply
them in your daily client care?
a. ADPIE
i. Assessment is the gathering of information through signs and symptoms, patient
history, and objective findings. Just as a physician gathers information by performing
a physical examination and a patient history, the nurse gathers information about the
patient through asking questions (interviewing), performing a head-to-toe
assessment, and reviewing laboratory and diagnostic tests.
ii. Diagnosis is the formulation of nursing diagnoses through analysis of the
, assessment information that you have gathered. The nursing diagnoses are related to
the needs or problems the patient is experiencing. These are completely different
than medical diagnoses and are selected based on definitions and defining
characteristics.
iii. Planning is the process of determining priorities and what nursing actions should be
performed to help resolve or manage each patient problem. In addition, the nurse
determines expected outcomes for the patient to meet for
iv. the nursing diagnosis to be resolved, as well as a realistic time frame for that to
occur. The nurse then decides on appropriate interventions to resolve each patient
problem or nursing diagnosis.
v. Implementation is the process of taking actions to resolve the patient’s problems,
the nursing diagnoses. These actions are also called interventions. When the nurse
performs these interventions, it is called implementation. The nurse implements the
plan to help resolve the patient’s problems.
vi. Evaluation is performed when the nurse reflects on the interventions he or she has
performed and decides if they have brought the patient closer to achieving the goals
and outcomes set in the planning step. If not, the nurse then re- vises and changes
the interventions and perhaps the goals to better fit the needs of the patient.
(Burton, 10/2014)
7. What type of information might you find on the CDC website?
a. Outbreaks, news, updates, information, reports, PDFs to share
8. Know the difference between Health Promotion and Wellness Strategies
a.
9. What is critical thinking? – Review page 15 in your textbook.
a. Critical thinking is a method for solving problems. It is directed, purposeful mental activity
by which you evaluate ideas, construct plans, and determine desired outcomes. Reasoning is
a synonym used for critical thinking. In nursing practice, critical thinking incorporates the
scientific method and uses clinical reasoning to make reliable observations and to draw
sound conclusions from obtained data. Developing critical thinking skills is a lifelong process
and improves over time with experience. (deWit, 022016, p. 15)
10. Even though a person may be of high intelligence, they may not be health literate.
11. What are the Nurse Practice Acts?
a. In every state, a Nurse Practice Act, or the law governing nurses’ actions, exists. This law
is written to specifically address each level of nursing. In every state, LPNs/LVNs are required
by law to practice under the super- vision of an RN or physician, and RNs are required to
practice under the supervision of a physician. The Nurse Practice Act in each state
establishes the scope of practice for each level of nurse, based on educational preparation.
The Board of Nursing in each state determines and enforces the contents of the Nurse
Practice Act. Other specific allowances or limitations vary from state to state. For example, in
some states, LPNs/LVNs are prohibited by the Nurse Practice Act from initiating intravenous
(IV) therapy. In other states, LPNs/LVNs are allowed under the law to perform this skill.
Safety: It is your responsibility to know the content of the Nurse Practice Act in your state
1. What is therapeutic communication?
a. Therapeutic communication – Patient-centered communication in which the goal is to
promote a greater understanding of a patient’s needs, concerns, and feelings. (Burton,
10/2014)
b. Therapeutic communication and active listening (listening with concentration and focused
energy) are incorporated into your care. You give objective and thorough end-of-shift reports
and document objectively about the care given and the status of patients. (deWit, 022016,
p. 2)
2. What is active listening?
a. Active listening – Techniques that use all the senses to interpret verbal and nonverbal
messages. In this type of listening, attention is paid both to what the speaker is saying and
also to what the speaker is not saying. The mind of the listener focuses on the interaction
and detects feelings as well as the spoken words. (Burton, 10/2014)
3. What role does body language play in the communication process?
a. Nonverbal communication is conveyed by body language—facial expressions, posture, body
position, behavior, gestures, touch, and general appearance. Nonverbal communication is
less conscious and more indirect than verbal communication; consequently, it often conveys
more of what a person feels, thinks, and means than what is stated in words. It requires
observation and forming a valid, or a true or in- tended, interpretation of the language.
(Burton, 10/2014)
4. What are some things that might facilitate or impair our communication with a client?
a. Impair – language barriers/religious differences/mistrust/patient is scared
b. Facilitate – common language/trust/open body language
5. What would the nurse assess to determine that a client is ready to learn? What strategies might
you use for a visually or hearing-impaired client? What types of websites would you recommend
to a client who has questions about a health topic?
a. Body language
b. Visually impaired – brail
c. Hearing impaired – images print outs
d. Government/medical/trusted sites. CDC.
6. What are the steps of the nursing process, what occurs during each step, and how do you apply
them in your daily client care?
a. ADPIE
i. Assessment is the gathering of information through signs and symptoms, patient
history, and objective findings. Just as a physician gathers information by performing
a physical examination and a patient history, the nurse gathers information about the
patient through asking questions (interviewing), performing a head-to-toe
assessment, and reviewing laboratory and diagnostic tests.
ii. Diagnosis is the formulation of nursing diagnoses through analysis of the
, assessment information that you have gathered. The nursing diagnoses are related to
the needs or problems the patient is experiencing. These are completely different
than medical diagnoses and are selected based on definitions and defining
characteristics.
iii. Planning is the process of determining priorities and what nursing actions should be
performed to help resolve or manage each patient problem. In addition, the nurse
determines expected outcomes for the patient to meet for
iv. the nursing diagnosis to be resolved, as well as a realistic time frame for that to
occur. The nurse then decides on appropriate interventions to resolve each patient
problem or nursing diagnosis.
v. Implementation is the process of taking actions to resolve the patient’s problems,
the nursing diagnoses. These actions are also called interventions. When the nurse
performs these interventions, it is called implementation. The nurse implements the
plan to help resolve the patient’s problems.
vi. Evaluation is performed when the nurse reflects on the interventions he or she has
performed and decides if they have brought the patient closer to achieving the goals
and outcomes set in the planning step. If not, the nurse then re- vises and changes
the interventions and perhaps the goals to better fit the needs of the patient.
(Burton, 10/2014)
7. What type of information might you find on the CDC website?
a. Outbreaks, news, updates, information, reports, PDFs to share
8. Know the difference between Health Promotion and Wellness Strategies
a.
9. What is critical thinking? – Review page 15 in your textbook.
a. Critical thinking is a method for solving problems. It is directed, purposeful mental activity
by which you evaluate ideas, construct plans, and determine desired outcomes. Reasoning is
a synonym used for critical thinking. In nursing practice, critical thinking incorporates the
scientific method and uses clinical reasoning to make reliable observations and to draw
sound conclusions from obtained data. Developing critical thinking skills is a lifelong process
and improves over time with experience. (deWit, 022016, p. 15)
10. Even though a person may be of high intelligence, they may not be health literate.
11. What are the Nurse Practice Acts?
a. In every state, a Nurse Practice Act, or the law governing nurses’ actions, exists. This law
is written to specifically address each level of nursing. In every state, LPNs/LVNs are required
by law to practice under the super- vision of an RN or physician, and RNs are required to
practice under the supervision of a physician. The Nurse Practice Act in each state
establishes the scope of practice for each level of nurse, based on educational preparation.
The Board of Nursing in each state determines and enforces the contents of the Nurse
Practice Act. Other specific allowances or limitations vary from state to state. For example, in
some states, LPNs/LVNs are prohibited by the Nurse Practice Act from initiating intravenous
(IV) therapy. In other states, LPNs/LVNs are allowed under the law to perform this skill.
Safety: It is your responsibility to know the content of the Nurse Practice Act in your state
