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NRSNA 300 Final Exam questions and answers graded A+, Exams of Nursing

University of OxfordNursing

NRSNA 300 Final Exam questions and answers graded A+

Typology: Exams

2024/2025

Available from 07/12/2025

Toperthetop
Toperthetop 🇬🇧

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NRSNA 300 Final Exam questions and
answers graded A+
Components of effective communication - correct answer ✔✔Sender, mode of communication,
recipient, and feedback
Nonverbal communication - correct answer ✔✔communication using body movements,
gestures, and facial expressions rather than speech
Working with a patient with behavioral problems - correct answer ✔✔- understand symptoms
of mental health condition
- never take resident's behavior personally
- respect individuality of resident
- be respectful, caring, and supportive
- speak and act calmly to provide a peaceful environment
- assist in providing proper nutrition and adequate exercise/activities
- observe, report, and document physical and behavior changes
Communicating with patients with dementia or confused patients - correct answer ✔✔- smile
and gently touch a resident prn
- keep an even tone of voice
- maintain eye contact
- calmly explain why you are there and what is needed
- KISS
- break down instructions into step prn
- close ended questions
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Download NRSNA 300 Final Exam questions and answers graded A+ and more Exams Nursing in PDF only on Docsity!

NRSNA 300 Final Exam questions and

answers graded A+

Components of effective communication - correct answer ✔✔Sender, mode of communication, recipient, and feedback Nonverbal communication - correct answer ✔✔communication using body movements, gestures, and facial expressions rather than speech Working with a patient with behavioral problems - correct answer ✔✔- understand symptoms of mental health condition

  • never take resident's behavior personally
  • respect individuality of resident
  • be respectful, caring, and supportive
  • speak and act calmly to provide a peaceful environment
  • assist in providing proper nutrition and adequate exercise/activities
  • observe, report, and document physical and behavior changes Communicating with patients with dementia or confused patients - correct answer ✔✔- smile and gently touch a resident prn
  • keep an even tone of voice
  • maintain eye contact
  • calmly explain why you are there and what is needed
  • KISS
  • break down instructions into step prn
  • close ended questions
  • remind them of the time and time
  • provide cues (visual, manual, verbal, or hand-over-hand) Intro steps - correct answer ✔✔- knock prior to entering
  • hand hygiene
  • introduction
  • check resident's ID
  • close for privacy (window, door, curtain)
  • gather supplies/equipment
  • check bed brakes
  • explanation of care and gain consent -raise rails and raise bed to waist height Communicating with a patient with a hearing impairement - correct answer ✔✔- approach resident from the front
  • face resident when speaking
  • maintain good eye contact
  • avoid mumbling
  • speak slower or louder prn
  • KISS
  • ensure resident's hearing aids are on
  • ASL may be used Feeding a dependent patient - correct answer ✔✔- HH and clean overbed table
  • place towel/bib over resident's chest (permission required)
  • check food tray with dietary card (note diet/fluid restrictions)

-wet toothette in water cup and remove excess moisture -clean inner surfaces of teeth, outer surfaces of teeth, gums, roof of mouth, inside of cheeks, inside of lips, and tongue -if solution other than water is used: wet a new toothette and rinse resident's mouth -place tongue blade and toothette(s) in kidney basin -wipe resident's mouth and remove towels -lubricate lips -remove gloves and HH Urine abnormalities - correct answer ✔✔- darkened in color (syrup or brown ale color)

  • blood in urine
  • cloudiness Foreign body airway obstruction (FBAO) - correct answer ✔✔NOTE: do not try and scoop out item Partial blockage:
  • person is coughing a lot but can break and speak
  • allow for them to continue coughing Complete blockage:
  • person cannot speak and holds throat
  • perform abdominal thrusts Responsibilities when there's a fire - correct answer ✔✔Using an extinguisher: T - turn/twist

P - pull lock pin A - aim nozzle S - squeeze handles S - sweep nozzle from side to side R - rescue consumer or anyone in immediate danger A - activate alarm C - confine fire E - extinguish and evacuate Hand hygiene - correct answer ✔✔washing hands with antiseptic soap and water or using alcohol-based hand rubs Contact PPE - correct answer ✔✔Gloves and gown Airborne PPE - correct answer ✔✔N95 mask and gloves Droplet PPE - correct answer ✔✔Gloves, mask, and gown (if within 3-5 feet) TED Stockings - correct answer ✔✔Notes:

  • used to prevent DVT
  • apply while patient is in bed
  • donn in AM and doff in PM
  • hand wash with soap and water and hand to dry in bathroom Procedure:
  • fill washbasin 2/3 full with water and have resident check the temperature
  • fanfold top linens to foot of bed
  • separate labia with one hand
  • wash outer labia then inner labia with long downward strokes
  • complete catheter care prn
  • rinse and pat dry
  • change gloves and place resident in lateral position (away from you)
  • wash, rinse and dry butt cheeks
  • lift top butt cheek and wash, rinse, and dry rectum and butt crack
  • change gloves and assist resident back to supine position Shaving - correct answer ✔✔Note:
  • pull skin taut with fingers
  • shave using downward strokes
  • ask if they'd like to shave their mustache or not
  • dispose of razor in sharps container Supplies:
  • washcloth
  • razor
  • lotion/aftershave
  • shaving cream
  • washbasin Procedure:
  • place wash cloth on resident's face for ~5 min to soften beard
  • apply shaving cream or gel
  • hold skin taut with fingers and shave in direction of hair growth **start at sideburns and shave to jawline **use short strokes along jawline ** shave neck ** use short strokes to shave above chin and below lips
  • apply aftershave or lotion if desired
  • rinse face with washcloth and pat dry Complete vs partial bath - correct answer ✔✔Complete bath:
  • face, neck, arms, armpits, hands, chest, abdomen, legs, feet, back, butt, and genitals Partial bath
  • face, hands, armpits, genitals, back, butt, and skin folds Incontinent care - correct answer ✔✔- adult briefs (diaper) and depend (pull up)
  • remove incontinent product and change gloves
  • perform perineal care
  • change linens and clothing prn
  • apply cream/ointment prn
  • apply new product *if resident is in lateral position, fold brief lengthwise and place between legs - unfold back side, flip resident to supine position and unroll front side Food and activities which promote healing of decubitus ulcers - correct answer ✔✔Foods: good nutrition can promote healing - protein and carbohydrates

ROM exercises:

  • repeat 3-5x
  • pay attention to signs of discomfort
  • remove extra stuff from bed to achieve full ROM
  • support joint you're exercising
  • move joint within client limitation/point of resistance
  • complete exercises when joints are loose Movements:
  • adduction and abduction
  • extension and flexion
  • internal and external rotation
  • rotation
  • circumduction
  • plantar flexion and dorsal flextion Transferring a patient with a weak side - correct answer ✔✔Support the weak leg/side of the patient by placing your legs on each side *pivot on strong leg and place w/c accordingly How to perform transfers - correct answer ✔✔- use of a gait belt (assist resident to stand up, ambulate, and sit down)
  • lifts: Hoyer and sit-to-stand (used for those who cannot bear weight, are unable to bend their body, or those who extremely overweight) Falling patient - correct answer ✔✔Procedure:
  • fall with the patient
  • protect their head Prevention:
  • identify resident's who are fall risks (wristband, sign, picture, colored booties, leaf picture
  • ACT: be aware, correct risks, and take precautions
  • keep room clear and well lit
  • lower resident's bed
  • encourage usage of handrails and bars
  • be aware of medication changes
  • promote bedside commode use
  • wear non-slip and sturdy footwear
  • provide assistive devices when ambulating Cultural beliefs for death and dying - correct answer ✔✔family traditions and spiritual beliefs can influence dying and death Privacy curtains - correct answer ✔✔Are always pulled completely around the bed when giving care Cleaning a resident's room - correct answer ✔✔- sanitize overbed table
  • remove any tripping hazards
  • tidy the bedding
  • do not displace personal belongings Confidentiality - correct answer ✔✔- the act of holding information in confidence, not to be released to unauthorized individuals -HIPAA
  • aggressive behavior may occur
  • trouble controlling bladder and bowel functions Late stage:
  • resident can no longer effectively interact or control movements
  • basic communication
  • memory and cognitive loss
  • full time care for ADLs
  • can lead to coma and death typically from respiratory infection Feeding a patient with dementia - correct answer ✔✔- verbal encouragement/cues
  • gentle touch prn
  • do not rush Caring for a resident with dementia - correct answer ✔✔- understand symptoms
  • respect individuality
  • stay calm and professional
  • provide cues
  • maintain safe and comfortable environment
  • incorporate positive activities
  • communicate with family members and LN staff Activities for dementia residents - correct answer ✔✔validation therapy, recall positive memories, music therapy, relaxing Using a sit-to-stand lift - correct answer ✔✔Notes:
  • check bed and w/c brakes before transfer
  • stand behind resident when lowering to check body alignment Procedure:
  • apply brace to resident (cushion under armpits and handle on outside)
  • move lift under bed (raise bed prn)
  • feet flat on platform and knees at pad
  • lock wheels of lift
  • secure strap around calves prn
  • raise arms of lift and attach straps to hoops
  • have resident hold handles of lift
  • life resident (stand behind for support)
  • transfer to chair or wheelchair
  • open base and place lift in place (around commode, w/c, toilet, etc.)
  • lower resident Using a Hoyer Lift - correct answer ✔✔Note:
  • requires two people
  • must be at least 18 yo
  • apply resident's non-slip shoes once they are seated Procedure:
  • resident should be in supine position with the bed raised
  • roll resident towards you and position sling under them (under knee and beneath shoulders)
  • position lift bar and frame over bed in an open position and lock lift's wheels
  • attach sling to lift (ensure open ends of lift's hooks face away from resident)