NURS-210
Exam-1-Practice
(Covers Textbook Chapters 1, 2, and 3)
____________________________________________________
1. The key factor in any relationship is _____.
- Respect
2. (T/F) If there is a factor with a patient, which you cannot overcome, you can withdraw
from the relationship
- True
3. Multiculturalism includes _____.
- Health, financial resources, and social resources
** NOT...practice parameters
4. Intentional interviewing
- Having many alternative responses available to any client statement
5. Interviewers need to have "education and training, supervised experience, state and
national professional credentials, and appropriate professional experience." This ethical
standard relates primarily to ____.
- Competence
6. Power relationship between client and interviewer
- Power aspects of dual or multiple relationships may impair professional judgment
- The very act of helping has power implications.
- Awareness of and openness to talking about power issues is an appropriate way to
improve client relations
** NOT... human services professionals are aware that in their relationship
with clients, power and status are equal.
7. Cultural competence includes knowing one's own personal preferences and knowing
one's limits
1) The student has an increased self-awareness of their own values, attitudes, beliefs
and behavior that compose their culture
2) The student has an increased skill in assessment and communication with persons
from other cultures
3) The student is able to provide an assessment of transcultural differences
8. Emotional intelligence (EI)
- Being able to identify, assess, and manage self others and groups
9. (T/F) Emotional intelligence is manifested in how skillfully we air our grievances
- True
10. Effective workplace environments include(s)
- Self-management, relationship management, communication, integrity
11. (T/F) Nurses cannot increase their emotional intelligence, we are born with it
- False
12. Give 3 examples when a nurse would need interviewing skills
- Triage, preparing for surgery, patient counseling, getting a patient's history, talking to a
patient's family, shift changes—"SBAR"
13. The nurse should gain communication skills because…
- It assists the patient to develop more useful ways of thinking, and new behavioral
actions that lead to healthful living
14. Asking closed questions would provide the nurse with ______.
- yes/no answers
15. Asking open questions will provide the nurse with _____.
- explanations/stories
16. Within any culture, what are some things that can impact communication?
- Being 40 years old (age) and being paraplegia (disability)
17. What focuses on gathering client data, problem solving, or providing information?
- Interviewing and counseling
18. Intentional interviewing is concerned with _____?
- Having many alternative responses available to any client statement
19. Natural style
- Basic building block of intentional counseling
20. Views of natural style
- We all have natural strengths in communication
- Too many people in interviewing training may forget the many strengths they
bring to the course even before instruction begins
- Instruction, practice, and learning new skills and strategies can enhance natural
style
** NOT...It is best to identify one's natural style and then always hold to it
21. Attending behavior includes _____?
- Culturally appropriate eye contact
- Appropriate patterns of body language and vocal
- Verbal tracking skills
** NOT... Being totally empathetic with the client
22. If you ask an open question, the prediction is _____.
- The client will talk more about the topic
23. (T/F) Nursing faculty should teach students what the student's professional ethics should be
- True
24. (T/F) The nursing process should not be used in ethical decision-making
- False
25. Ethics
- A guide for behavior
26. Culture is composed of _____.
- Shared beliefs, worldview, and shared values
27. Law vs. Ethics
- Law is external and ethics are internal
28. MORAL model (ethical decision making)- what each of the letters stand for
M- Massage the dilemma (identify/define the issues of dilemma and consider the
opinions of others)
O- Outline the options (examine all options fully; make pro/con list)
R- Resolve the dilemma (apply basic ethical principles to each option)
A- Act by applying the chosen option
L- Look back and evaluate the entire process (including implementation)
29. Ethics has to do with ____.
- What a person should do
30. Appropriate or not (client advocate)?
- Verifying that a client understands what is done during a cardiac catheterization
- Appropriate
31. Appropriate or not (client advocate)?
- Discussing treatment options for terminal diagnosis
- Appropriate
32. Appropriate or not (client advocate)?
- Informing members of the health care team that a client has DNR status
- Appropriate
33. Appropriate or not (client advocate)?
- Reporting that health team member on previous shift didn't provide care as
ordered
- Appropriate
34. Appropriate or not (client advocate)?
- Assisting a client to make a decision about his care based on the nurse's
recommendations
- Not appropriate
35. (T/F) There are inherent right and wrong characteristics of actions or rules
- True
36. (T/F) Deontology states that the ethically correct course is the one that produces the greatest
good as a consequence of the action. It is outcomes focused
- False
** this is definition for utilitarianism
37. Respect for persons
- Acceptance of individuals own choices regardless of whether those choices are in
the person's interests
38. Beneficence
- The ethical principle that obliges one to provide good (promote someone's
welfare)
39. Informed consent
- An individual's autonomous authorization of a medical intervention or of
participation in research
39. Non-malfeasance
- Obligates one from doing harm- preventing putting some one at risk for harm
40. Paternalism
- The overriding of individual autonomous choice in order to provide benefit to an
individual or to prevent harm from occurring to that individual
41. Living Will
- A document containing a person's preferences, usually addressing mechanical or
artificial life-sustaining treatments in the event of a terminal illness or condition.
It becomes effective when a person is unable to participate in decisions about his
care
42. Living Will- respect for autonomy
- Individuals are to be permitted personal liberty to determine their own actions
according to plans they themselves have chosen
43. Negligence
- Conduct that is culpable because it misses the legal standard required of a
reasonable person in protecting individuals against foreseeable risky, harmful acts
of other members of society
44. Privacy
- Not having personal information or observation disclosed to others nondisclosure
of the self
45. Malpractice
- Is an act or omission by a health care provider which deviates from accepted
standards of practice in the medical community and which causes injury to the
patient
46. Prudence
- Caution with regard to practical matters; discretion
47. Temperance
- moderation or self-restraint in action, statement, etc.; self-control
48. Honesty
- freedom from deceit or fraud
49. Caring
- to be concerned or solicitous; have thought or regard
50. Wisdom
- knowledge of what is true or right coupled with just judgment as to action;
sagacity, discernment, or insight
51. Courage
- the quality of mind or spirit that enables a person to face difficulty, danger, pain,
etc., without fear; bravery
52. Restraints
- holding back, controlling, or checking
53. Dignity
- bearing, conduct, or speech indicative of self-respect or appreciation of the
formality or gravity of an occasion or situation
54. Trust
- reliance on the integrity, strength, ability, surety, etc., of a person or thing;
confidence
55. Duty
- something that one is expected or required to do by moral or legal obligation
56. Love
- a feeling of warm personal attachment or deep affection
57. Freedom
- the power to determine action without restraint
58. Responsibility
- answerability, accountability
59. Generosity
- freedom from meanness or smallness of mind or character
60. (T/F) The best way to solve an ethical dilemma is to determine what kinds of acts are right by
figuring the net of good consequences minus bad ones for each person affected and then adding
them up to find the total net good
- False
61. (T/F) Ethics is a discipline in which one attempts to identify, organize, analyze, and justify
choices by applying certain principles to determine the right thing to do in a given situation
- True
62. A nurse is teaching a class of new graduate nurses on negligence. What is a priority for the
nurse to include in the class as an example of negligence?
- Not giving a prescribed medication to an older adult
63. Attending behavior includes ____.
- Eye contact
- Culturally relevant behavior
- Verbal tracking
** NOT...being totally empathetic with the patient
64. Most basic aim of attending skills
- Hearing the world from the patient's point of view
65. Lack of attendance by the interviewer can be useful to ______.
- Stop needless patient talk and allow interviewer talk time
66. (Attending/Non-attending)
- "You think you might have been selfish?"
- Attending
67. (Attending/Non-attending)
- "How old are you now?"
- Non-attending
68. (Attending/Non-attending)
- "Could you tell me more about that?"
- Attending
69. (Attending/Non-attending)
- "Earlier you were talking about some feelings of selfishness as a child. Could you
tell me more about them?"
- Attending
70. (Attending/Non-attending)
- "I've had personal problems too. But I don't think I'm selfish."
- Non-attending
71. Staying with the topic is important in ____.
- Verbal tracking
72. Non-attention
Can help a client stop repeating a story over and over
73. Silence
- Can be useful in a session when clients need to think through their responses
74. Attending skills
- Exist in all cultures, but may be expressed differently
75. Assuming you want to obtain reasons for a client's action; you might want to ask a
__________ question?
- Why
76. (Vague/Concrete)
- Could you give me a specific example of what Sam does?
- Concrete
77. (Vague/Concrete)
- What do you think is happening to you?
- Vague
78. (Vague/Concrete)
- When you found that lump, what did you say to Jane?
- Concrete
79. The who, what, when, where, why and how newspaper approach is...?
- Providing a general framework for diagnosis and question asking
80. Why is silence an effective attending behavior?
- It is useful in helping clients talk
- It may be the most useful and powerful form of attending behaviors
- It provides support
