Galen College NSG 3180 Exam 2 (pdf) | 2026/2027 | Communication
& Teamwork Q&A | Nursing
1. A nurse is educating a patient about their new medication regimen. The
patient has low health literacy. Which teaching method is most appropriate
for the nurse to use?
A) Provide a detailed pamphlet with complex medical terminology
B) Use the teach-back method to confirm understanding
C) Give all the information in one long session
D) Ask the patient to read the medication insert
Correct Answer: Use the teach-back method to confirm understanding
Rationale: The teach-back method is an effective strategy for patients with
low health literacy. It involves asking the patient to explain the information in
their own words, which reveals any gaps in understanding and allows for
clarification. Pamphlets with complex terminology and long sessions are not
effective for patients with low health literacy.
2. A nurse is preparing to provide patient education. Which of the following is
a key factor to consider before beginning the teaching session?
A) The cost of the teaching materials
B) The patient's background, readiness to learn, and current condition
C) The patient's insurance coverage
D) The patient's family support system
Correct Answer: The patient's background, readiness to learn, and current
condition
Rationale: Before education can occur, the nurse must assess the patient's
background, readiness to learn, and current condition. This includes the
,patient's health literacy, motivation, and physical and emotional state. Cost,
insurance, and family support are secondary considerations.
3. A nurse is teaching a patient about the signs and symptoms of
hypoglycemia. This teaching primarily addresses which domain of learning?
A) Psychomotor
B) Affective
C) Cognitive
D) Social
Correct Answer: Cognitive
Rationale: The cognitive domain involves intellectual behaviors, including
knowledge, comprehension, and application. Teaching a patient about the
signs and symptoms of a condition requires the patient to understand and
remember information. The psychomotor domain involves physical skills, the
affective domain involves attitudes, and the social domain involves
interactions.
4. A nurse is teaching a patient with a new diagnosis of diabetes about
insulin administration. Which learning domain is the nurse primarily
addressing when the patient demonstrates how to draw up and inject
insulin?
A) Cognitive
B) Affective
C) Psychomotor
D) Social
Correct Answer: Psychomotor
,Rationale: The psychomotor domain involves physical skills and the
performance of tasks. Demonstrating how to draw up and inject insulin
requires the development of motor skills. The cognitive domain involves
knowledge, the affective domain involves attitudes and feelings, and the
social domain involves interactions.
5. A patient states, "I understand that I need to weigh myself every day." This
statement indicates the patient is in which domain of learning?
A) Psychomotor
B) Cognitive
C) Affective
D) Social
Correct Answer: Cognitive
Rationale: The patient's statement demonstrates comprehension and recall
of the information provided, which is characteristic of the cognitive domain.
The patient understands the teaching but has not yet demonstrated the skill
(psychomotor) or expressed a change in attitude or belief (affective).
6. A nurse is caring for a patient who is visually impaired. Which action
should the nurse take to facilitate communication?
A) Speak loudly to compensate for the impairment
B) Orient the patient to the room and the location of items
C) Keep the room brightly lit at all times
D) Avoid touching the patient to prevent startling them
Correct Answer: Orient the patient to the room and the location of items
, Rationale: For a patient with a visual impairment, the nurse should orient
them to their surroundings by describing the layout and the location of items
like the call light, bathroom, and furniture. Speaking loudly is not helpful, and
the nurse should always announce their presence before touching the
patient.
7. A patient with a hearing impairment is being admitted. The nurse should:
A) Speak loudly and directly into the patient's ear
B) Face the patient and speak clearly
C) Use complex medical terminology
D) Write all instructions on a piece of paper
Correct Answer: Face the patient and speak clearly
Rationale: For patients with hearing impairments, the nurse should face the
patient, speak clearly, and ensure the patient can see the nurse's lips.
Writing may be helpful, but speaking loudly into the ear is not effective.
Using complex terminology should be avoided.
8. A nurse is caring for a patient with expressive aphasia. Which
communication strategy is most effective?
A) Speak loudly and slowly
B) Use a communication board or picture cards
C) Ask the patient to repeat words
D) Avoid communicating with the patient
Correct Answer: Use a communication board or picture cards
Rationale: Expressive aphasia impairs the ability to produce speech, but the
patient may still understand language. Using alternative communication
& Teamwork Q&A | Nursing
1. A nurse is educating a patient about their new medication regimen. The
patient has low health literacy. Which teaching method is most appropriate
for the nurse to use?
A) Provide a detailed pamphlet with complex medical terminology
B) Use the teach-back method to confirm understanding
C) Give all the information in one long session
D) Ask the patient to read the medication insert
Correct Answer: Use the teach-back method to confirm understanding
Rationale: The teach-back method is an effective strategy for patients with
low health literacy. It involves asking the patient to explain the information in
their own words, which reveals any gaps in understanding and allows for
clarification. Pamphlets with complex terminology and long sessions are not
effective for patients with low health literacy.
2. A nurse is preparing to provide patient education. Which of the following is
a key factor to consider before beginning the teaching session?
A) The cost of the teaching materials
B) The patient's background, readiness to learn, and current condition
C) The patient's insurance coverage
D) The patient's family support system
Correct Answer: The patient's background, readiness to learn, and current
condition
Rationale: Before education can occur, the nurse must assess the patient's
background, readiness to learn, and current condition. This includes the
,patient's health literacy, motivation, and physical and emotional state. Cost,
insurance, and family support are secondary considerations.
3. A nurse is teaching a patient about the signs and symptoms of
hypoglycemia. This teaching primarily addresses which domain of learning?
A) Psychomotor
B) Affective
C) Cognitive
D) Social
Correct Answer: Cognitive
Rationale: The cognitive domain involves intellectual behaviors, including
knowledge, comprehension, and application. Teaching a patient about the
signs and symptoms of a condition requires the patient to understand and
remember information. The psychomotor domain involves physical skills, the
affective domain involves attitudes, and the social domain involves
interactions.
4. A nurse is teaching a patient with a new diagnosis of diabetes about
insulin administration. Which learning domain is the nurse primarily
addressing when the patient demonstrates how to draw up and inject
insulin?
A) Cognitive
B) Affective
C) Psychomotor
D) Social
Correct Answer: Psychomotor
,Rationale: The psychomotor domain involves physical skills and the
performance of tasks. Demonstrating how to draw up and inject insulin
requires the development of motor skills. The cognitive domain involves
knowledge, the affective domain involves attitudes and feelings, and the
social domain involves interactions.
5. A patient states, "I understand that I need to weigh myself every day." This
statement indicates the patient is in which domain of learning?
A) Psychomotor
B) Cognitive
C) Affective
D) Social
Correct Answer: Cognitive
Rationale: The patient's statement demonstrates comprehension and recall
of the information provided, which is characteristic of the cognitive domain.
The patient understands the teaching but has not yet demonstrated the skill
(psychomotor) or expressed a change in attitude or belief (affective).
6. A nurse is caring for a patient who is visually impaired. Which action
should the nurse take to facilitate communication?
A) Speak loudly to compensate for the impairment
B) Orient the patient to the room and the location of items
C) Keep the room brightly lit at all times
D) Avoid touching the patient to prevent startling them
Correct Answer: Orient the patient to the room and the location of items
, Rationale: For a patient with a visual impairment, the nurse should orient
them to their surroundings by describing the layout and the location of items
like the call light, bathroom, and furniture. Speaking loudly is not helpful, and
the nurse should always announce their presence before touching the
patient.
7. A patient with a hearing impairment is being admitted. The nurse should:
A) Speak loudly and directly into the patient's ear
B) Face the patient and speak clearly
C) Use complex medical terminology
D) Write all instructions on a piece of paper
Correct Answer: Face the patient and speak clearly
Rationale: For patients with hearing impairments, the nurse should face the
patient, speak clearly, and ensure the patient can see the nurse's lips.
Writing may be helpful, but speaking loudly into the ear is not effective.
Using complex terminology should be avoided.
8. A nurse is caring for a patient with expressive aphasia. Which
communication strategy is most effective?
A) Speak loudly and slowly
B) Use a communication board or picture cards
C) Ask the patient to repeat words
D) Avoid communicating with the patient
Correct Answer: Use a communication board or picture cards
Rationale: Expressive aphasia impairs the ability to produce speech, but the
patient may still understand language. Using alternative communication
