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NUR 354 Exam Questions with Complete Answers
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NUR 354 Exam Questions with Complete Answers
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NUR 354 Exam Questions with CompleteAnswers
Professional Nursing... - Answer-Nurses are the frontline form of health professionals
and the most trusted
Provides evidence-based, competent care
Guided by ethical principles
oIntegrates knowledge from the arts and sciences
Professional Nursing VU Definition - Answer-"Professional nursing is the process
whereby nurses, prepared at the baccalaureate level, and persons interact in the
dynamic context of the environment to achieve health."
Professional Nursing Role components - Answer-Provider of care, teacher, manager
(population, patient and family), research consumer/ researcher
Professional Nurse Processes - Answer-Critical thinking, communication, change,
lifelong learning
Influences on Nursing Practice - Answer-o Expanding Knowledge and Technology
o Changing Populations
o National Patient Safety Goals- regulations from the Dept of Human services that
oversees everything with healthcare
o Health Care Reform
Critical Thinking - Answer-This process incorporates the following competencies:
1.Interpretation is the ability to understand and identify problems.
2.Analysis is the ability to examine, organize, classify, categorize, differentiate and
prioritize variables.
3.Evaluation is the ability to assess the credibility, significance, and applicability of
sources of information necessary to support conclusions.
4.Explanation refers to the ability to explain the assumptions that lead to conclusions
reached.
5.Self-regulation indicates the ability for self-examination and self-correction.
Communication - Answer-o Ongoing, interactive process
o Transmitting perceptions,
thoughts, and ideas
o Verbal and non-verbal skills
o Listening
o Writing
Change - Answer-o Deviating from an established pattern
o Change agent- Improve care by identifying, motivating, and implementing change
,Lifelong Learning - Answer-o An attitude
o Self-direction and motivation
o Learning as a mechanism for improvement
Professional Nursing Roles - Answer-oProvider of Care
oTeacher
oManager
oResearch Consumer
Provider of Care - Answer-Nursing Process (ADPIE)
Assessment
Nursing Diagnosis
Plan of Care
Implementation
Evaluation
Teacher - Answer-Promotes learning
Motivates/ encouragement
Educates- Patients, Families, Colleagues
Manager - Answer-Directs team of patients
Professionalism
Accountability
Advocacy- for pt and family
Managing a pt, a team of pts, the family members
Research Consumer - Answer-Identifies researchable problems
Seeks scientific evidence to support interventions
Participates in lifelong learning
Levels of Prevention- primary - Answer-Primary - Health Promotion/ physical exams,
testing
Levels of Prevention: Secondary - Answer-early detection, screening, and management
of disease
Levels of Prevention: Tertiary - Answer-Restoration and Rehabilitation- prevent further
complications or issues
Can a primary prevention become a secondary prevention? - Answer-If something is
found during a primary prevention like a pap smear then it is considered a secondary
prevention. ONLY when something is found during routine tests
, Evidence-Based Practice (EBP) - Answer-Process of integrating:
best available evidence
clinician expertise
patient values
EBP Process - Answer-1. Ask the clinical question
2. Search for evidence
3. Appraise and synthesize the evidence
4. Integrate with clinical expertise, patient values, and preferences for implementation
5. Evaluate
Comparing Concepts- health - Answer-Physical, mental, social well-being
Not just absence of disease
"Health- behaviors can affect like not eating well or lack of activity"
Comparing Concepts- wellness - Answer-Optimal state of health
Achieving one's greatest potential, while successfully fulfilling role expectations
Comparing Concepts- Illness - Answer-PERSONALIZED (doesn't have to be physical),
SUBJECTIVE experience
Diminished physical, emotional, spiritual, INTELLECTUAL, social functioning
Nursing's focus
Comparing Concepts- disease - Answer-portion of illness
Alteration in normal physiology (what's normal)
OBJECTIVE PHYSICAL manifestation of pathophysiology (what's happening to the
body because of disease)
Role of Patient/Caregiver Teaching - Answer-Interactive/Dynamic
Key Nursing Intervention
Teachable Moment
Happens in All Settings
Teaching-Learning Process- Teaching - Answer-Deliberate arrangement in external
conditions (PURPOSEFUL action)
PLANNING increases efficiency
Include family
Teaching-Learning Process- Learning - Answer-Result is actual or potential change in
behavior
7 Adult Learning Principles - Answer-•Independence- they have to want it themselves
•Readiness
•Past experiences- context is helpful
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