,Galen NSG 3180 Exam 3 | Communication and
Teamwork (2026) Actual Q&A PDF
1. During the orientation phase of the nurse-patient relationship, the nurse
should first:
A) Review the patient's chart in depth
B) Introduce oneself, explain the nurse's role, and establish rapport
C) Begin exploring the patient's deep-seated emotional conflicts
D) Prepare for termination
Correct Answer: Introduce oneself, explain the nurse's role, and establish
rapport
Rationale: The orientation phase sets the foundation by building trust, clarifying
roles, and setting mutual goals. Reviewing the chart is pre-interaction. Deep
exploration occurs in the working phase. Termination is the final phase.
2. A patient tells the nurse, "I just can't seem to do anything right anymore."
The nurse responds, "You're feeling pretty discouraged right now." This is an
example of:
A) Restating (paraphrasing)
B) Reflection of feeling (validation)
C) Exploring
D) Clarifying
Correct Answer: Reflection of feeling (validation)
,Rationale: The nurse identifies and names the underlying emotion
(discouragement), validating the patient's experience. Restating repeats
content, exploring gathers more detail, clarifying checks for understanding.
3. A patient says, "The nurses on the night shift never check on me." Which
response by the nurse demonstrates the exploring technique?
A) "The night nurses are very busy."
B) "Don't worry, I'll be here during the day."
C) "Tell me exactly what happened when you needed help last night."
D) "You feel neglected."
Correct Answer: "Tell me exactly what happened when you needed help last
night."
Rationale: Exploring seeks specific, objective information to better understand
the situation. The other options are defending, false reassurance, and reflection,
respectively.
4. The four core concepts of the nursing metaparadigm are:
A) Assessment, planning, implementation, evaluation
B) Caring, compassion, communication, collaboration
C) Mental, social, spiritual, physical
D) Person, environment, health, nursing
Correct Answer: Person, environment, health, nursing
, Rationale: The nursing metaparadigm defines the discipline's focus: the
recipient of care (person), the context (environment), the goal (health), and the
actions of the nurse (nursing). The other options are nursing process steps or
attributes.
5. According to General Systems Theory, a change in the health status of one
family member will most likely:
A) Affect the entire family system
B) Only affect that individual
C) Have no impact if the family is functional
D) Only affect the primary caregiver
Correct Answer: Affect the entire family system
Rationale: General Systems Theory views the family as an interconnected
system where a change in one part affects all others. This holistic perspective
guides family-centered nursing care.
6. Which statement about the history of nursing is accurate?
A) Nursing became a formal profession during the Middle Ages.
B) Florence Nightingale established the first nursing school in Germany.
C) Nursing in its earliest form was often provided by female family caregivers
and religious orders.
D) Men were the primary caregivers in early nursing.
Correct Answer: Nursing in its earliest form was often provided by female family
caregivers and religious orders.
Teamwork (2026) Actual Q&A PDF
1. During the orientation phase of the nurse-patient relationship, the nurse
should first:
A) Review the patient's chart in depth
B) Introduce oneself, explain the nurse's role, and establish rapport
C) Begin exploring the patient's deep-seated emotional conflicts
D) Prepare for termination
Correct Answer: Introduce oneself, explain the nurse's role, and establish
rapport
Rationale: The orientation phase sets the foundation by building trust, clarifying
roles, and setting mutual goals. Reviewing the chart is pre-interaction. Deep
exploration occurs in the working phase. Termination is the final phase.
2. A patient tells the nurse, "I just can't seem to do anything right anymore."
The nurse responds, "You're feeling pretty discouraged right now." This is an
example of:
A) Restating (paraphrasing)
B) Reflection of feeling (validation)
C) Exploring
D) Clarifying
Correct Answer: Reflection of feeling (validation)
,Rationale: The nurse identifies and names the underlying emotion
(discouragement), validating the patient's experience. Restating repeats
content, exploring gathers more detail, clarifying checks for understanding.
3. A patient says, "The nurses on the night shift never check on me." Which
response by the nurse demonstrates the exploring technique?
A) "The night nurses are very busy."
B) "Don't worry, I'll be here during the day."
C) "Tell me exactly what happened when you needed help last night."
D) "You feel neglected."
Correct Answer: "Tell me exactly what happened when you needed help last
night."
Rationale: Exploring seeks specific, objective information to better understand
the situation. The other options are defending, false reassurance, and reflection,
respectively.
4. The four core concepts of the nursing metaparadigm are:
A) Assessment, planning, implementation, evaluation
B) Caring, compassion, communication, collaboration
C) Mental, social, spiritual, physical
D) Person, environment, health, nursing
Correct Answer: Person, environment, health, nursing
, Rationale: The nursing metaparadigm defines the discipline's focus: the
recipient of care (person), the context (environment), the goal (health), and the
actions of the nurse (nursing). The other options are nursing process steps or
attributes.
5. According to General Systems Theory, a change in the health status of one
family member will most likely:
A) Affect the entire family system
B) Only affect that individual
C) Have no impact if the family is functional
D) Only affect the primary caregiver
Correct Answer: Affect the entire family system
Rationale: General Systems Theory views the family as an interconnected
system where a change in one part affects all others. This holistic perspective
guides family-centered nursing care.
6. Which statement about the history of nursing is accurate?
A) Nursing became a formal profession during the Middle Ages.
B) Florence Nightingale established the first nursing school in Germany.
C) Nursing in its earliest form was often provided by female family caregivers
and religious orders.
D) Men were the primary caregivers in early nursing.
Correct Answer: Nursing in its earliest form was often provided by female family
caregivers and religious orders.
