NURSING 101 EXAM 1 2026 CERTIFICATION
EVALUATION EXAMS COMPLETE QUESTIONS
AND ANSWERS
◉ A pregnant client mentally rehearses giving birth in her mind.
This is an example of:
A) Metacommunication
B) Intrapersonal communication
C) Interpersonal communication
D) Transpersonal communication.
Answer: B) Intrapersonal communication
Intrapersonal communication is also called self-talk, self-instruction,
and inner thought. Self-instruction can provide mental rehearsal for
difficult tasks, such as labor and delivery, so individuals can deal
with them more effectively. Interpersonal communication is one-to-
one interaction that often occurs face to face. Transpersonal
communication is interaction that occurs in a person's spiritual
domain, such as through prayer or meditation. Metacommunication
is looking at the deeper meaning of what is being said.
◉ 11. The nurse may facilitate verbal communication with clients
by:
,A) Using words that can have several meanings
B) Using medical terminology to ensure accuracy
C) Using short sentences that express an idea simply and directly
D) Speaking slowly and deliberately and allowing long pauses in the
conversation.
Answer: C) Using short sentences that express an idea simply and
directly
Verbal communication should be clear and brief. Fewer words result
in less confusion. Communication that is simple, brief, and direct is
more effective. Medical jargon may sound like a foreign language to
clients unfamiliar with the health care setting and should be used
only with other health team members. Nurses should carefully select
words that cannot be easily misinterpreted, especially when
explaining a client's medical condition or therapy. Speaking slowly
and deliberately can convey an unintended message. Long pauses
and rapid shifts to another subject may give the impression that the
nurse is hiding the truth.
◉ A nurse feels frustrated because she is behind in administering
her clients' medications. She comes to the client's bedside hurriedly
with a frown on her face and sighs while she is waiting for the client
to swallow the medication. The nurse then says brightly, "Isn't it a
relaxing day?" The nurse should remember that:
A) The client may respond defensively if his or her personal space is
threatened.
,B) Maintaining eye contact during conversation shows respect and
willingness to listen.
C) Most meaning in conversation is transmitted by spoken words
rather than by nonverbal communication.
D) When there is incongruity between verbal and nonverbal
communication, the receiver usually "hears" the nonverbal message
as the true message..
Answer: D) When there is incongruity between verbal and
nonverbal communication, the receiver usually "hears" the
nonverbal message as the true message.
It has been estimated that approximately 7% of meaning is
transmitted by words, 38% is transmitted by vocal cues, and 55% is
transmitted by body cues. Nonverbal communication is
unconsciously motivated and may more accurately indicate a
person's intended meaning than the spoken words. This is what the
receiver "hears." Although options 1 and 2 are true, they are not the
best statements for explaining incongruity between verbal and
nonverbal communication as depicted in the question.
◉ A client's family member wipes her eyes as she cries at the loss of
a loved one and says, "It's no big deal. I mean, we all have to die
sometime, right?" The nurse is engaging in metacommunication
when the nurse responds:
A) "You are taking this really well."
B) "You are exactly right. Dying is inevitable."
, C) "Losing a loved one can be really difficult. It looks like you're
pretty upset. I'd like to help."
D) "Let's not talk about it. That will help you feel better. After all, God
won't give you more than you can handle.".
Answer: C) "Losing a loved one can be really difficult. It looks like
you're pretty upset. I'd like to help."
Metacommunication uncovers the deeper message beneath what is
being overtly said. Option 3 would be the most therapeutic response
by the nurse. In options 1 and 2, the nurse is not attending to the
nonverbal cues in these responses but sounds oblivious to the real
feelings being expressed by the family member. The nurse should
allow the client to verbalize those feelings.
◉ In a nurse-client helping relationship, the nurse should:
A) Problem solve for the client.
B) Distort the truth when the client is to receive bad news to protect
the client.
C) Convey acceptance by always agreeing with the client or
approving of the client's decisions or actions.
D) Convey nonjudgmental acceptance with a willingness to hear a
message or to acknowledge feelings..
Answer: D) Convey nonjudgmental acceptance with a willingness to
hear a message or to acknowledge feelings.
EVALUATION EXAMS COMPLETE QUESTIONS
AND ANSWERS
◉ A pregnant client mentally rehearses giving birth in her mind.
This is an example of:
A) Metacommunication
B) Intrapersonal communication
C) Interpersonal communication
D) Transpersonal communication.
Answer: B) Intrapersonal communication
Intrapersonal communication is also called self-talk, self-instruction,
and inner thought. Self-instruction can provide mental rehearsal for
difficult tasks, such as labor and delivery, so individuals can deal
with them more effectively. Interpersonal communication is one-to-
one interaction that often occurs face to face. Transpersonal
communication is interaction that occurs in a person's spiritual
domain, such as through prayer or meditation. Metacommunication
is looking at the deeper meaning of what is being said.
◉ 11. The nurse may facilitate verbal communication with clients
by:
,A) Using words that can have several meanings
B) Using medical terminology to ensure accuracy
C) Using short sentences that express an idea simply and directly
D) Speaking slowly and deliberately and allowing long pauses in the
conversation.
Answer: C) Using short sentences that express an idea simply and
directly
Verbal communication should be clear and brief. Fewer words result
in less confusion. Communication that is simple, brief, and direct is
more effective. Medical jargon may sound like a foreign language to
clients unfamiliar with the health care setting and should be used
only with other health team members. Nurses should carefully select
words that cannot be easily misinterpreted, especially when
explaining a client's medical condition or therapy. Speaking slowly
and deliberately can convey an unintended message. Long pauses
and rapid shifts to another subject may give the impression that the
nurse is hiding the truth.
◉ A nurse feels frustrated because she is behind in administering
her clients' medications. She comes to the client's bedside hurriedly
with a frown on her face and sighs while she is waiting for the client
to swallow the medication. The nurse then says brightly, "Isn't it a
relaxing day?" The nurse should remember that:
A) The client may respond defensively if his or her personal space is
threatened.
,B) Maintaining eye contact during conversation shows respect and
willingness to listen.
C) Most meaning in conversation is transmitted by spoken words
rather than by nonverbal communication.
D) When there is incongruity between verbal and nonverbal
communication, the receiver usually "hears" the nonverbal message
as the true message..
Answer: D) When there is incongruity between verbal and
nonverbal communication, the receiver usually "hears" the
nonverbal message as the true message.
It has been estimated that approximately 7% of meaning is
transmitted by words, 38% is transmitted by vocal cues, and 55% is
transmitted by body cues. Nonverbal communication is
unconsciously motivated and may more accurately indicate a
person's intended meaning than the spoken words. This is what the
receiver "hears." Although options 1 and 2 are true, they are not the
best statements for explaining incongruity between verbal and
nonverbal communication as depicted in the question.
◉ A client's family member wipes her eyes as she cries at the loss of
a loved one and says, "It's no big deal. I mean, we all have to die
sometime, right?" The nurse is engaging in metacommunication
when the nurse responds:
A) "You are taking this really well."
B) "You are exactly right. Dying is inevitable."
, C) "Losing a loved one can be really difficult. It looks like you're
pretty upset. I'd like to help."
D) "Let's not talk about it. That will help you feel better. After all, God
won't give you more than you can handle.".
Answer: C) "Losing a loved one can be really difficult. It looks like
you're pretty upset. I'd like to help."
Metacommunication uncovers the deeper message beneath what is
being overtly said. Option 3 would be the most therapeutic response
by the nurse. In options 1 and 2, the nurse is not attending to the
nonverbal cues in these responses but sounds oblivious to the real
feelings being expressed by the family member. The nurse should
allow the client to verbalize those feelings.
◉ In a nurse-client helping relationship, the nurse should:
A) Problem solve for the client.
B) Distort the truth when the client is to receive bad news to protect
the client.
C) Convey acceptance by always agreeing with the client or
approving of the client's decisions or actions.
D) Convey nonjudgmental acceptance with a willingness to hear a
message or to acknowledge feelings..
Answer: D) Convey nonjudgmental acceptance with a willingness to
hear a message or to acknowledge feelings.
