RASMUSSEN COLLEGE
NUR 2 392 M ULT IDIM ENSIONA L C A RE II
MDC 2 Exam 1: Questions and
Answers
with Verified Rationales
Course NUR 2392 - Multidimensional
Care II
Exam MDC 2 Exam 1 (Comprehensive)
Questions 75 Verified Questions with
Rationales
Academic Year 2026/2027
Format Study Guide with A+ Graded
Explanations
NC LEX-RN ALI GNED | C OM PREHENSI VE PREPARATI ON
,MDC 2 Exam 1 Study Guide | Rasmussen College | 2026/2027
Rasmussen College MDC 2 Exam 1
NUR 2392 Multidimensional Care II | 75 Verified Questions with Comprehensive
Rationales | 2026/2027
Section 1: Therapeutic Communication and Nurse-Client Relationship (Q1-Q12)
Q1: A nurse is caring for a client who recently lost a family member. The nurse says, "I understand how
difficult this must be for you." Which therapeutic communication technique is the nurse demonstrating?
A. Sympathy
B. Empathy [CORRECT]
C. Genuineness
D. Concreteness
Correct Answer: B
Rationale: Empathy involves the desire to understand and be sensitive to the client's feelings, beliefs, and situations without
directly experiencing them. Sympathy implies sharing the feelings personally, which can burden the client. Genuineness refers to
responding truthfully, and concreteness involves using specific terms rather than vague generalizations. The nurse in this scenario
is attempting to connect with the client's emotional experience through empathy, which is a cornerstone of therapeutic
communication in nursing practice.
Q2: A nurse is communicating with a client from a culture that values indirect eye contact. Which nursing
action demonstrates cultural competence in therapeutic communication?
A. Maintain direct eye contact to show confidence and honesty
B. Avoid eye contact entirely to demonstrate submission
C. Adapt eye contact patterns to align with the client's cultural preferences [CORRECT]
D. Ask the client to adopt the nurse's cultural communication style
Correct Answer: C
Rationale: Cultural competence in therapeutic communication requires the nurse to be aware of and adapt to cultural preferences
related to eye contact, personal space, and touch. Forcing direct eye contact on a client whose culture considers it disrespectful
undermines the therapeutic relationship. Avoiding eye contact entirely is also incorrect as it may be perceived as disengagement.
The nurse should modify their approach to respect the client's cultural norms while maintaining effective communication, which
strengthens trust and promotes culturally sensitive care delivery.
Q3: During a therapeutic conversation, a client makes a vague statement about "things just not working
out." Which response by the nurse best demonstrates the technique of concreteness?
A. "I understand. Sometimes life is difficult."
B. "Can you tell me specifically which things are not working out for you?" [CORRECT]
C. "You seem upset about many things right now."
D. "Everything will get better with time."
Correct Answer: B
Rationale: Concreteness is the ability to respond using specific, clear terms rather than vague generalizations. By asking the client
to identify specific concerns, the nurse helps clarify the situation and promotes meaningful dialogue. The other options either use
1
, MDC 2 Exam 1 Study Guide | Rasmussen College | 2026/2027
vague language, offer false reassurance, or fail to encourage the client to elaborate on their actual concerns. Concreteness is
essential in nursing assessment because it helps the nurse gather accurate data to plan appropriate interventions.
Q4: A nurse is conducting an admission assessment and asks, "How has your health been since your last
visit?" Which type of question did the nurse use?
A. Closed-ended question
B. Open-ended question [CORRECT]
C. Confrontation
D. Clarification
Correct Answer: B
Rationale: An open-ended question encourages the client to elaborate and share more information without being restricted to a
simple "yes" or "no" response. This technique promotes active listening and allows the nurse to gather comprehensive data about
the client's health status. Closed-ended questions limit responses and are useful for obtaining specific factual information but do
not facilitate in-depth exploration. Open-ended questions are a fundamental therapeutic communication technique that supports
holistic nursing assessment and builds rapport with clients.
Q5: A nurse notices that a client's verbal statement ("I feel fine") contradicts their nonverbal behavior
(grimacing and guarding the abdomen). Which therapeutic communication technique should the nurse
use?
A. Restating
B. Confrontation [CORRECT]
C. Reflecting
D. Summarizing
Correct Answer: B
Rationale: Confrontation in therapeutic communication is used to clarify discrepancies between what the client says and what the
client does, or to point out inconsistencies in the client's message. It is not aggressive but rather a gentle technique to help the client
recognize and explore mixed messages. Restating involves repeating the main idea, reflecting directs feelings back to the client, and
summarizing provides an overview of the conversation. Confrontation is appropriate here because the nurse needs to address the
inconsistency between verbal and nonverbal cues to provide accurate care.
Q6: Which type of communication occurs within an individual's own mind through self-talk and internal
processing?
A. Interpersonal communication
B. Intrapersonal communication [CORRECT]
C. Small group communication
D. Public communication
Correct Answer: B
Rationale: Intrapersonal communication is the internal dialogue that occurs within an individual's own mind, including self-talk,
thought processing, and internal decision-making. Interpersonal communication involves two or more people exchanging messages.
Small group communication occurs among three or more people, and public communication involves a speaker addressing a larger
audience. Understanding intrapersonal communication is important in nursing because a nurse's internal thoughts and
self-awareness directly affect the quality of therapeutic interactions with clients.
Q7: A nurse uses humor during a conversation with a chronically ill client to help ease tension. Which
guideline should the nurse follow when using humor as a therapeutic tool?
A. Use humor only with clients of the same cultural background as the nurse
2
NUR 2 392 M ULT IDIM ENSIONA L C A RE II
MDC 2 Exam 1: Questions and
Answers
with Verified Rationales
Course NUR 2392 - Multidimensional
Care II
Exam MDC 2 Exam 1 (Comprehensive)
Questions 75 Verified Questions with
Rationales
Academic Year 2026/2027
Format Study Guide with A+ Graded
Explanations
NC LEX-RN ALI GNED | C OM PREHENSI VE PREPARATI ON
,MDC 2 Exam 1 Study Guide | Rasmussen College | 2026/2027
Rasmussen College MDC 2 Exam 1
NUR 2392 Multidimensional Care II | 75 Verified Questions with Comprehensive
Rationales | 2026/2027
Section 1: Therapeutic Communication and Nurse-Client Relationship (Q1-Q12)
Q1: A nurse is caring for a client who recently lost a family member. The nurse says, "I understand how
difficult this must be for you." Which therapeutic communication technique is the nurse demonstrating?
A. Sympathy
B. Empathy [CORRECT]
C. Genuineness
D. Concreteness
Correct Answer: B
Rationale: Empathy involves the desire to understand and be sensitive to the client's feelings, beliefs, and situations without
directly experiencing them. Sympathy implies sharing the feelings personally, which can burden the client. Genuineness refers to
responding truthfully, and concreteness involves using specific terms rather than vague generalizations. The nurse in this scenario
is attempting to connect with the client's emotional experience through empathy, which is a cornerstone of therapeutic
communication in nursing practice.
Q2: A nurse is communicating with a client from a culture that values indirect eye contact. Which nursing
action demonstrates cultural competence in therapeutic communication?
A. Maintain direct eye contact to show confidence and honesty
B. Avoid eye contact entirely to demonstrate submission
C. Adapt eye contact patterns to align with the client's cultural preferences [CORRECT]
D. Ask the client to adopt the nurse's cultural communication style
Correct Answer: C
Rationale: Cultural competence in therapeutic communication requires the nurse to be aware of and adapt to cultural preferences
related to eye contact, personal space, and touch. Forcing direct eye contact on a client whose culture considers it disrespectful
undermines the therapeutic relationship. Avoiding eye contact entirely is also incorrect as it may be perceived as disengagement.
The nurse should modify their approach to respect the client's cultural norms while maintaining effective communication, which
strengthens trust and promotes culturally sensitive care delivery.
Q3: During a therapeutic conversation, a client makes a vague statement about "things just not working
out." Which response by the nurse best demonstrates the technique of concreteness?
A. "I understand. Sometimes life is difficult."
B. "Can you tell me specifically which things are not working out for you?" [CORRECT]
C. "You seem upset about many things right now."
D. "Everything will get better with time."
Correct Answer: B
Rationale: Concreteness is the ability to respond using specific, clear terms rather than vague generalizations. By asking the client
to identify specific concerns, the nurse helps clarify the situation and promotes meaningful dialogue. The other options either use
1
, MDC 2 Exam 1 Study Guide | Rasmussen College | 2026/2027
vague language, offer false reassurance, or fail to encourage the client to elaborate on their actual concerns. Concreteness is
essential in nursing assessment because it helps the nurse gather accurate data to plan appropriate interventions.
Q4: A nurse is conducting an admission assessment and asks, "How has your health been since your last
visit?" Which type of question did the nurse use?
A. Closed-ended question
B. Open-ended question [CORRECT]
C. Confrontation
D. Clarification
Correct Answer: B
Rationale: An open-ended question encourages the client to elaborate and share more information without being restricted to a
simple "yes" or "no" response. This technique promotes active listening and allows the nurse to gather comprehensive data about
the client's health status. Closed-ended questions limit responses and are useful for obtaining specific factual information but do
not facilitate in-depth exploration. Open-ended questions are a fundamental therapeutic communication technique that supports
holistic nursing assessment and builds rapport with clients.
Q5: A nurse notices that a client's verbal statement ("I feel fine") contradicts their nonverbal behavior
(grimacing and guarding the abdomen). Which therapeutic communication technique should the nurse
use?
A. Restating
B. Confrontation [CORRECT]
C. Reflecting
D. Summarizing
Correct Answer: B
Rationale: Confrontation in therapeutic communication is used to clarify discrepancies between what the client says and what the
client does, or to point out inconsistencies in the client's message. It is not aggressive but rather a gentle technique to help the client
recognize and explore mixed messages. Restating involves repeating the main idea, reflecting directs feelings back to the client, and
summarizing provides an overview of the conversation. Confrontation is appropriate here because the nurse needs to address the
inconsistency between verbal and nonverbal cues to provide accurate care.
Q6: Which type of communication occurs within an individual's own mind through self-talk and internal
processing?
A. Interpersonal communication
B. Intrapersonal communication [CORRECT]
C. Small group communication
D. Public communication
Correct Answer: B
Rationale: Intrapersonal communication is the internal dialogue that occurs within an individual's own mind, including self-talk,
thought processing, and internal decision-making. Interpersonal communication involves two or more people exchanging messages.
Small group communication occurs among three or more people, and public communication involves a speaker addressing a larger
audience. Understanding intrapersonal communication is important in nursing because a nurse's internal thoughts and
self-awareness directly affect the quality of therapeutic interactions with clients.
Q7: A nurse uses humor during a conversation with a chronically ill client to help ease tension. Which
guideline should the nurse follow when using humor as a therapeutic tool?
A. Use humor only with clients of the same cultural background as the nurse
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