NUR 099 (Nursing Seminar 1)
STUDENT ACTIVITY SHEET BS NURSING / FOURTH YEAR
Session # 3
LESSON TITLE: FUNDAMENTALS OF NURSING Materials:
LEARNING OUTCOMES: Book, pen and notebook, index card/class list
Upon completion of this lesson, the nursing student can:
1. Review the different methods of therapeutic communication
and differentiate them from the non-therapeutic
communication; References: Fundamentals of Nursing 9th Edition
2. Recall the basics of asepsis and infection control; by Patricia A. Potter, Anne Griffin Perry, Patricia
3. Discern the importance of nutrition in a well client. Stockert, and Amy Hall
MAIN LESSON (50 minutes)
The students will study and read their book about this lesson:
Outline of the topics the students will read on will be the following:
I. The therapeutic and non-therapeutic forms of communication
II. Asepsis and infection control
III. Nutrition and diet therapy
CHECK FOR UNDERSTANDING (25 minutes)
You will answer and rationalize this by yourself. This will be recorded as your quiz. One (1) point will be given to correct
answer and another one (1) point for the correct ratio. Superimpositions or erasures in you answer/ratio is not allowed. You
are given 25 minutes for this activity:
Multiple Choice
1. Which of the following statements by Nurse Stella is a great example of the therapeutic communication technique
known as giving recognition?
a. “I’m glad that you are already taking your medication. They will help you a lot.”
b. “I can see that you have a new dress today and it seems that you have washed your hair.”
c. “I will sit beside you until it is time for your group session.”
d. “I’ve noticed that you did not attend the group session today. Are you willing to talk about that?”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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2. A client named Rodrigo De Lima tells the nurse, “Whenever I am furious, I always get into a fistfight with my
spouse, sometimes I punch my children as well.” The nurse states, “I have observed you smiling while you talk
about domestic violence.” The therapeutic communication technique employed by the nurse is
a. Making observations
b. Formulating a plan of action
c. Providing general leads
d. Exploring
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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3. A client named Agot tells Nurse Jinky, “I feel awful because my mom does not allow me to go back home after I
am discharged from the hospital.” Which response from Nurse Jinky is therapeutic?
a. “Your mom sounds like she is an empathic person. I’ll help you talk to her.”
b. “You feel that your mom will not allow you to return to your home?”
c. “Why will you not speak this out with your mom? You may probably learn that she really does not feel that
way?”
d. “It’s somehow common for patients to have feelings like this after long periods of being in the hospital.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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4. Nurse Ronald is conducting an interview to a depressed patient. Which statement from Nurse Ronald is a great
example of giving general leads?
a. “I can see that and then?”
b. “Why are you feeling so depressed right now?”
c. “Can you give me the date and time we are currently in today?”
d. “You seem so tense right now.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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5. Nurse Roque has told to his patient who will undergo an major surgery, “Don’t worry, we’ve got some great
doctors here at the hospital. You’ll be in good shape once the operation is done.” The type of non-therapeutic
technique applied in the statement is
a. Interrogation
b. Giving advice
c. False reassurance
d. Defending
ANSWER: ________
RATIO:___________________________________________________________________________________________
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6. A patient named Panfilo has had a left above-the-knee amputation after a motor vehicular accident. Upon
regaining consciousness, the patient states, “What happened? I can’t recall anything.” What is the nurse’s initial
response?
a. “I think you will recall more about the incident as you get better.”
b. “It was necessary to amputate your leg after the accident.”
c. “You were in a motor-vehicular accident last night.”
d. “Tell me what you think happened?”
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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7. After giving anxiolytics, the patient says to Nurse Tina, “It seems that you are too busy to stay with me.” How
should nurse Tina respond?
a. “You’ll feel better after I’ve given you the medication.”
b. “You will be able to sleep after the drug starts to take effect.”
c. “I have to attend to other patients, however, I will be back after 10 minutes.”
d. “I apologize but I need to attend to other patients in the ward.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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8. A patient named Historia seems tense and anxious during a nurse-client interaction, which nursing statement
belittles the patient’s feelings and concerns?
a. “You seem to be assuming a lot of things.”
b. “I have observed that you are biting your nails again.”
c. “You seem anxious today.”
d. “Come on, I know you can do better than that.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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9. Which of the following statements from Nurse Katrina shows a good example of focusing?
a. “You mentioned about growing up with your mother. Let’s discuss that further.”
b. “Your time with me today is for an hour. I’ll stay with you until then.”
c. “I’m finding it hard to understand what you mean.”
d. “Tell me one of the wonderful things that has occurred to you this week.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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10. A patient named Mocha tells the nurse, “You will not believe what my father said to me during visiting hours. How
dare he talk to me that way. I don’t deserve any of that.” Which would be the best response by the nurse?
a. “Describe to me what has occurred during your time with your father.”
b. “Why do you think your father has behaved that way?”
c. “What do you think is your role in this relationship with your father?”
d. “Does your father often treat you in that manner?”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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11. A patient named Bong is experiencing hallucinations and tells the nurse, “I can hear voices telling me to eat a lot
of soap.” Which of the following therapeutic communication skills must the nurse employ?
a. Focusing
b. Seeking clarification
c. Present reality
d. Provide general leads
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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12. When Nurse Martha visits a patient at home the patient tells her, “I haven’t slept during the last couple of nights.”
Which of the following statements from the nurse is therapeutic for the patient?
a. “I too have trouble sleeping sometimes.”
b. “I see that you have difficulty of sleeping.”
c. “Is that so?”
d. “I see.”
ANSWER: ________
RATIO:___________________________________________________________________________________________
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13. Nurse Mona is assigned 4 patients in the infectious disease ward. Which of the following patients must Nurse
Mona attend to first?
a. A 54-year old male patient who is recently diagnosed to have pulmonary tuberculosis
b. A 66-year old female patient who has community acquired pneumonia
c. A 37-year old male patient who is diagnosed to have Acquired Immunodeficiency Syndrome (AIDS)
d. A 24-year old female patient who is suspected to have a streptococcus infection
ANSWER: ________
RATIO:___________________________________________________________________________________________
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14. A 7-year old child recently had German measles or rubella. Being immune to rubella after having the disease would
be
a. Natural active acquired immunity
b. Artificial active acquired immunity
c. Natural passive acquired immunity
d. Artificial passive acquired immunity
ANSWER: ________
RATIO:___________________________________________________________________________________________
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15. Nurse Susan is currently assigned to the medical ward. She is tasked to properly practice the proper isolation
techniques. Which of the following patients should Nurse Susan place in reverse isolation?
a. A 45-year old patient who is suffering from pneumonia
b. A 28-year old patient who is diagnosed with acute myelogenous leukemia
c. A 33-year old patient who has a diabetic foot
d. A 55-year old patient who is suffering from pulmonary tuberculosis
ANSWER: ________
RATIO:___________________________________________________________________________________________
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16. A patient named Bato who has an infected would of the head is positive for methicillin-resistant staphylococcus
aureus. Nurse Chel must practice which of the following?
a. Standard precautions
b. Respiratory isolation
c. Reverse isolation
d. Contact Isolation
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ANSWER: ________
RATIO:___________________________________________________________________________________________
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17. Nurse Joyce is teaching the community the best way to prevent the transmission of infection. This is best done by
teaching which of the following to the community?
a. Proper wearing and using face masks
b. Hand hygiene
c. Cleaning the surroundings
d. Eating nutritious food
ANSWER: ________
RATIO:___________________________________________________________________________________________
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18. Nurse Jessie is currently adhering to the principles of medical asepsis when performing patient care in the
hospital setting. Which nursing action performed by the nurse follows these recommended guidelines?
a. The nurse carries the patient’s soiled bed linens close to the body to prevent spreading microorganisms
into the air.
b. The nurse places soiled bed linens and hospital gowns on the floor when making the bed.
c. The nurse moves the patient table away from the nurse’s body when wiping it off after a meal.
d. The nurse cleans the most soiled items in the patient’s bathroom first and follows with the cleaner items.
ANSWER: ________
RATIO:___________________________________________________________________________________________
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19. A 44-year old female is recently diagnosed to have pulmonary tuberculosis. She is currently undergoing treatment
at the DOTS center. The nurse assigned to her must know that the tubercle bacilli is transmitted in which of the
following?
a. Airborne
b. Contact
c. Droplet
d. All of the above
ANSWER: ________
RATIO:___________________________________________________________________________________________
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20. Nurse Naya is teaching the community about the importance of hand hygiene. Which component of hand washing
should the nurse include that is most important for removing microorganisms?
a. Friction
b. Water
c. Time
d. Soap
ANSWER: ________
RATIO:___________________________________________________________________________________________
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RATIONALIZATION ACTIVITY (THIS WILL BE DONE DURING THE FACE TO FACE INTERACTION)
The instructor will now rationalize the answers to the students. You can now ask questions and debate among yourselves.
Write the correct answer and correct/additional ratio in the space provided.
1. ANSWER: ________
RATIO:_______________________________________________________________________________________
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LESSON WRAP-UP (10 minutes)
You will now mark (encircle) the session you have finished today in the tracker below. This is simply a visual to help you
track how much work you have accomplished and how much work there is left to do.
You are done with the session! Let’s track your progress.
AL Strategy: Question Exchange
(Asking students to write questions about studied material, and then to discuss each question with others.)
(For next session, review from OBGYN NURSING, reproductive system, contraceptives, pregnancy, labor and
delivery)
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