NURS 204 –Final Exam Study Guide
Questions with 100% Correct Verified
Answers
nurse practice act - Answer State laws intended to protect citizens and make nurses
accountable for consistent care and best practice within the scope + standards of
nursing
Patient Privacy and Confidentiality - Answer It requires health care providers to keep a
patient's personal health information private unless consent to release the
information is provided by the patient.
informed consent - Answer consent expressed in writing, must be provided for pts
to make well-informed decisions about their health care
refusal - Answer pts have right to refuse medication or treatment (autonomy)
Malpractice - Answer when a nurse acts in a manner that is not consistent with best-
practice standards and harm is caused to a pt as a result, they can be charged with
malpractice (type of negligence)
Negligence - Answer failure to perform minimum nursing care within
designated standards of conduct resulting in harm or loss (carelessness)
HIPAA - Answer Protects health information that could be used to identify an individual
,Applies to paper, oral, and electronic records of health information that healthcare
professionals and health plans transmit
Information may be disclosed if required by law regarding victims of abuse, neglect,
or domestic violence, regarding descendants, and for research purposes
Also protects individual health insurance coverage through portability (ability to
transfer and continue coverage if a person loses employer-sponsored health insurance
due to a job loss or a job change)
Requires that national standards be established to ensure accountability
compassionate care - Answer Recognize the pain and suffering of others and take
actions to help alleviate them. It requires the nurse to focus on the humanizing
factors in the art of nursing and recognize the human aspect of the client rather than
the disease or illness they have.
providing comfort - Answer Can take many forms and can help alleviate
distress, anxiety, pain, and loneliness in clients.
EX: Placing clean, wrinkle-free sheets on a client's bed, assisting the client to take a
drink of water, holding a client's hand during a procedure that can be frightening, and
backrubs.
listening - Answer Active process that requires the nurse to not only ask questions and
provide information, but also to be attentive to the verbal and nonverbal messages of
the client. Active listening focuses on what and how the client says things.
Allow appropriate pauses
Be comfortable with silence
being present - Answer Spending time with a client without performing assessment
or other treatments can help alleviate some of the clients loneliness and feelings of
isolation (this is considered a form of being present).
Other forms of being present include active listening to both verbal and
nonverbal responses from the client
, touch - Answer Expressive touching, including touching the client's hand, forearm, or
shoulder, relays caring behaviors and compassion on the part of the nurse. Nurses
take into consideration the clients cultural and religious practices because some
cultures/religions only use expressive touching between family members only.
Must obtain permission from the client before touching or else it is considered battery
cultural competent care - Answer "the application of evidence-based nursing that is
congruent to the preferred cultural values, beliefs, worldviews, and practices" of
the client
Nurses must develop knowledge, skills, and attitudes in relation to the clients culture
to be able to provide patient-centered care. This can help reduce racial and ethnic
disparities. Model below is used as a guide.
cultural awareness - Answer self-assessment of one's own culture and biases
about individuals of other cultures
cultural knowledge - Answer being willing to learn about another person's cultural
values, beliefs, and activities
cultural skill - Answer ability to accurately assess client's cultural beliefs, values,
and lifestyles
cultural encounters - Answer interactions with clients from cultures different from
one's own
cultural desire - Answer commitment to become connected with clients' cultures
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