NUR 1020C- Exam 2 Test Questions
with All Actual Detailed Answers 2026
Updated.
Referent - Answer Event or thought that initiates the communication.
Sender - Answer Person who initiates and encodes the communication.
Message - Answer Information that is communicated
Channel - Answer Method of communication
Receiver - Answer Person who receives and decodes, or
interprets, the communication.
Feedback - Answer Response of the receiver
Nurse-Patient Relationships - Answer Building trust
Demonstrating empathy
Establishing boundaries
Recognizing and respecting cultural influences
Developing a comprehensive plan of care (Nursing Process(
Phases of the Helping Relationship - Answer Orientation
Working
Termination
**The five steps of the nursing process are used in each phase of the helping relationship
Orientation Phase - Answer • Making introductions, establishing professional role boundaries
(formally or informally) and expectations, and clarifying the role of the nurse
• Observing, interviewing, and assessing the patient, followed by validation of perceptions
• Identifying the needs and resources of the patient
Working Phase - Answer • Development of a contract or plan of care to achieve identified
patient goals
,• Implementation of the care plan or contract
• Collaborative work among the nurse, patient, and other health care providers, as needed
• Enhancement of trust and rapport between the nurse and the patient
• Reflection by the patient on emotional aspects of illness
• Use of therapeutic communication by the nurse to keep interactions focused on the patient
Termination Phase - Answer • Alerting the patient to impending closure of the relationship
• Evaluating the outcomes achieved during the interaction
• Concluding the relationship and transitioning patient care to another caregiver, as needed
Factors Affecting the Timing of Patient Communication: Pain or Anxiety - Answer Pain or
Anxiety: Patients experiencing a moderate to high level of pain comprehend direct, empathetic
communication most effectively. Short questions or specific instructions are best when patients
are suffering from pain or intense anxiety.
Short sentences that include only essential information should be used.
Extensive patient education or preoperative teaching should be provided at a different time
when the patient is more relaxed or when the pain level is more tolerable.
Factors Affecting the Timing of Patient Communication: Location and Distractions - Answer
Location and Distractions
Privacy and confidentiality are critical during the interviewing and assessment process. Patients
should not be asked to share their health histories while visitors or non-health care providers
are present.
If it is impossible to provide a private area in which to gather vital information, ask for the
patient's permission to conduct the interview in the current setting before initiating the health
history interview.
Turn off any distracting technology
It is appropriate for the nurse to ask visitors to leave a patient's room for a few minutes to
obtain critical private information directly from the patient.
Respect - Answer Asking a patient's name preference during initial contact Ensuring privacy,
providing necessary health care information, and fostering autonomy in decision-making
Assertiveness - Answer The ability to express ideas and concerns clearly while respecting the
thoughts of others. Assertive nurses communicate with patients, families, and other members
of the health care team regularly and without hesitation.
Overly assertive nurses may be perceived as aggressive if they do not respect the rights and
opinions of others.
,Collaboration - Answer Physicians, nurse practitioners, laboratory technicians, social workers,
and respiratory, physical, occupational, and speech therapists, along with unlicensed assistive
personnel, may share responsibility for patient care.
Ongoing communication with the patient about the status of the health care team collaboration
is essential to allay unnecessary anxiety associated with not knowing what is happening.
Delegation - Answer Transferring responsibility to a person for a specific task
Delegation is a multifaceted responsibility of the registered nurse.
Advocacy - Answer Advocacy involves defending the rights of others, especially those who are
vulnerable or unable to make decisions independently
SOLER - Answer S SIT (if possible) facing the patient.
O maintain an OPEN stance or posture while listening.
L suggests that the listener LEAN toward the speaker, positioning the body in an open stance.
E maintain EYE contact without staring.
R reminds the nurse to RELAX.
Critical thinking - Answer Application of knowledge and experience to identify patient
problems and to direct clinical judgments and actions that result in positive patient outcomes.
Clinical reasoning - Answer Ability to focus and filter clinical data in to recognize what is most
and least important, so the nurse can identify if an actual problem is present.
National Council of State Judgement Models and Rubric - Answer RECOGNIZE CUES: Identify
relevant info from diff. sources. Immediate concern ?
ANALYZE CUES: Organizing and linking the recognized cues to the clients clinical presentation
PRIORITIZE HYPOTHESES: Evaluating and ranking hypotheses according to priority, urgency,
likelihood, risk, difficulty and time
GENERATE SOLUTIONS: Identify Expected outcomes. Define a set of interventions for the
expected outcomes. FIND A GOAL!
TAKE ACTION: Implementing solutions. Addressing the highest priority
EVALUATE OUTCOMES: Compare observed outcomes against expected outcomes
Did the patient meet goal?
Did the patient improve?
Status Changed?
Environmental Factors that Influence Clinical Judgement - Answer Task Complexity
, Time Pressures
Interruptions
Specialty area and autonomy
Strategies to Develop Clinical Judgement Skills - Answer Clinical and unfolding case studies
Literature Review
Clinical application of knowledge
Concept Mapping (active learning)
Collaborative group learning
Reflection
Clinical Judgement and the Nursing Process - Answer Recognize Cues: Assessment
Analyze Cues: Diagnosis (concept)
Prioritize Hypotheses: Planning
Generate Solutions: Planning/Implementation
Take Action: Implementation
Evaluate Outcomes: Evaluation
Care Coordination - Answer A set of activities purposefully organized by a team to facilitate
the appropriate delivery of the necessary services and information to support optimal health
and care across settings and over time.
ANA has a blueprint with six actionable steps - Answer • Patient, family, and caregiver
engagement
• Competency and readiness
• Teams and teamwork
• Documentation and health information technology
• Quality and performance measurement
• Payment
Goal of Care Coordination - Answer • Improve and optimize care
• Promote health and independence
• Reduce unnecessary service utilization
Populations with the greatest need that benefit from care coordination - Answer Vulnerable
populations
with All Actual Detailed Answers 2026
Updated.
Referent - Answer Event or thought that initiates the communication.
Sender - Answer Person who initiates and encodes the communication.
Message - Answer Information that is communicated
Channel - Answer Method of communication
Receiver - Answer Person who receives and decodes, or
interprets, the communication.
Feedback - Answer Response of the receiver
Nurse-Patient Relationships - Answer Building trust
Demonstrating empathy
Establishing boundaries
Recognizing and respecting cultural influences
Developing a comprehensive plan of care (Nursing Process(
Phases of the Helping Relationship - Answer Orientation
Working
Termination
**The five steps of the nursing process are used in each phase of the helping relationship
Orientation Phase - Answer • Making introductions, establishing professional role boundaries
(formally or informally) and expectations, and clarifying the role of the nurse
• Observing, interviewing, and assessing the patient, followed by validation of perceptions
• Identifying the needs and resources of the patient
Working Phase - Answer • Development of a contract or plan of care to achieve identified
patient goals
,• Implementation of the care plan or contract
• Collaborative work among the nurse, patient, and other health care providers, as needed
• Enhancement of trust and rapport between the nurse and the patient
• Reflection by the patient on emotional aspects of illness
• Use of therapeutic communication by the nurse to keep interactions focused on the patient
Termination Phase - Answer • Alerting the patient to impending closure of the relationship
• Evaluating the outcomes achieved during the interaction
• Concluding the relationship and transitioning patient care to another caregiver, as needed
Factors Affecting the Timing of Patient Communication: Pain or Anxiety - Answer Pain or
Anxiety: Patients experiencing a moderate to high level of pain comprehend direct, empathetic
communication most effectively. Short questions or specific instructions are best when patients
are suffering from pain or intense anxiety.
Short sentences that include only essential information should be used.
Extensive patient education or preoperative teaching should be provided at a different time
when the patient is more relaxed or when the pain level is more tolerable.
Factors Affecting the Timing of Patient Communication: Location and Distractions - Answer
Location and Distractions
Privacy and confidentiality are critical during the interviewing and assessment process. Patients
should not be asked to share their health histories while visitors or non-health care providers
are present.
If it is impossible to provide a private area in which to gather vital information, ask for the
patient's permission to conduct the interview in the current setting before initiating the health
history interview.
Turn off any distracting technology
It is appropriate for the nurse to ask visitors to leave a patient's room for a few minutes to
obtain critical private information directly from the patient.
Respect - Answer Asking a patient's name preference during initial contact Ensuring privacy,
providing necessary health care information, and fostering autonomy in decision-making
Assertiveness - Answer The ability to express ideas and concerns clearly while respecting the
thoughts of others. Assertive nurses communicate with patients, families, and other members
of the health care team regularly and without hesitation.
Overly assertive nurses may be perceived as aggressive if they do not respect the rights and
opinions of others.
,Collaboration - Answer Physicians, nurse practitioners, laboratory technicians, social workers,
and respiratory, physical, occupational, and speech therapists, along with unlicensed assistive
personnel, may share responsibility for patient care.
Ongoing communication with the patient about the status of the health care team collaboration
is essential to allay unnecessary anxiety associated with not knowing what is happening.
Delegation - Answer Transferring responsibility to a person for a specific task
Delegation is a multifaceted responsibility of the registered nurse.
Advocacy - Answer Advocacy involves defending the rights of others, especially those who are
vulnerable or unable to make decisions independently
SOLER - Answer S SIT (if possible) facing the patient.
O maintain an OPEN stance or posture while listening.
L suggests that the listener LEAN toward the speaker, positioning the body in an open stance.
E maintain EYE contact without staring.
R reminds the nurse to RELAX.
Critical thinking - Answer Application of knowledge and experience to identify patient
problems and to direct clinical judgments and actions that result in positive patient outcomes.
Clinical reasoning - Answer Ability to focus and filter clinical data in to recognize what is most
and least important, so the nurse can identify if an actual problem is present.
National Council of State Judgement Models and Rubric - Answer RECOGNIZE CUES: Identify
relevant info from diff. sources. Immediate concern ?
ANALYZE CUES: Organizing and linking the recognized cues to the clients clinical presentation
PRIORITIZE HYPOTHESES: Evaluating and ranking hypotheses according to priority, urgency,
likelihood, risk, difficulty and time
GENERATE SOLUTIONS: Identify Expected outcomes. Define a set of interventions for the
expected outcomes. FIND A GOAL!
TAKE ACTION: Implementing solutions. Addressing the highest priority
EVALUATE OUTCOMES: Compare observed outcomes against expected outcomes
Did the patient meet goal?
Did the patient improve?
Status Changed?
Environmental Factors that Influence Clinical Judgement - Answer Task Complexity
, Time Pressures
Interruptions
Specialty area and autonomy
Strategies to Develop Clinical Judgement Skills - Answer Clinical and unfolding case studies
Literature Review
Clinical application of knowledge
Concept Mapping (active learning)
Collaborative group learning
Reflection
Clinical Judgement and the Nursing Process - Answer Recognize Cues: Assessment
Analyze Cues: Diagnosis (concept)
Prioritize Hypotheses: Planning
Generate Solutions: Planning/Implementation
Take Action: Implementation
Evaluate Outcomes: Evaluation
Care Coordination - Answer A set of activities purposefully organized by a team to facilitate
the appropriate delivery of the necessary services and information to support optimal health
and care across settings and over time.
ANA has a blueprint with six actionable steps - Answer • Patient, family, and caregiver
engagement
• Competency and readiness
• Teams and teamwork
• Documentation and health information technology
• Quality and performance measurement
• Payment
Goal of Care Coordination - Answer • Improve and optimize care
• Promote health and independence
• Reduce unnecessary service utilization
Populations with the greatest need that benefit from care coordination - Answer Vulnerable
populations
