NSG 3180 Exam 2 2026/2027 — Original Practice
NURSING COMMUNICATION & TEAMWORK
NSG 3180: Communication and Teamwork
Exam 2 • 2026/2027
Original application-level practice questions for nursing students
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ Therapeutic Communication Techniques
■ Interprofessional Collaboration & TeamSTEPPS
■ Conflict Resolution & Assertive Communication
■ Handoffs, Documentation & Care Continuity
■ Cultural Humility, Ethics & Special Populations
NOTICE: This is an original practice examination created for study purposes. It is not an official institutional examination. All questions and rationales are
newly written and aligned to standard communication and teamwork competencies in nursing. Passing score on this set: 80%.
STUVIAACTUALEXAM
STUVIAACTUALEXAM Page 1
, NSG 3180 Exam 2 2026/2027 — Original Practice
DOMAIN: THERAPEUTIC COMMUNICATION TECHNIQUES
Q1. A client states, “I don’t know how I’m going to manage after discharge.” The nurse responds, “It sounds like you’re worried about how
things will go at home.” This response is an example of:
A. Changing the subject to reduce anxiety.
B. Reflecting the client’s feelings to encourage further expression.
C. Giving advice about home-care arrangements.
D. Offering false reassurance that everything will be fine.
Correct Answer: A
Rationale: Reflection restates the emotional content of the client’s message, validating the feeling and inviting the client to elaborate.
Q2. During a difficult conversation, a client becomes silent for nearly a minute. The most therapeutic nursing action is to:
A. Immediately fill the silence with another question.
B. Allow the silence and remain present, conveying willingness to wait.
C. Leave the room until the client is ready to talk.
D. Tell the client that silence is unhelpful.
Correct Answer: B
Rationale: Therapeutic use of silence gives the client time to process and formulate thoughts without pressure, demonstrating respect and presence.
Q3. A nurse says to a newly diagnosed client, “Don’t worry—many people live long lives with this condition.” This statement is problematic
because it:
A. Provides evidence-based information.
B. Offers false reassurance that may shut down expression of real fears.
C. Uses open-ended questioning effectively.
D. Demonstrates empathy through shared experience.
Correct Answer: C
Rationale: False reassurance minimizes the client’s concerns and can block further disclosure of anxiety or questions.
Q4. A client says, “The doctor told me I need surgery, but I’m not sure.” The nurse’s best clarifying response is:
A. “Surgery is the only option, so you should schedule it.”
B. “Tell me more about what concerns you regarding the surgery.”
C. “You’ll feel better once it’s over.”
D. “A lot of patients have the same reaction.”
Correct Answer: D
Rationale: An open-ended request for more information invites the client to explore specific fears and supports shared decision-making.
Q5. When a client uses the defense mechanism of denial about a serious diagnosis, the nurse’s most appropriate initial approach is to:
A. Confront the client forcefully with all the facts.
B. Acknowledge the client’s current coping and provide information in small, manageable amounts as readiness allows.
C. Avoid any discussion of the diagnosis permanently.
D. Agree with the denial to maintain rapport.
Correct Answer: A
Rationale: Denial can be protective. Gradual, non-confrontational provision of information respects the client’s pace while remaining honest.
Q6. A nurse sits facing the client, maintains intermittent eye contact, and leans slightly forward. These behaviors primarily convey:
A. Disinterest in the conversation.
B. Attentive listening and engagement.
C. Urgency to end the interaction.
D. Authority and control over the client.
Correct Answer: B
Rationale: Open posture, appropriate eye contact, and forward lean are nonverbal indicators of active, respectful listening.
Q7. A client who speaks limited English is accompanied by a family member who offers to interpret. The nurse should:
A. Rely on the family member for all clinical discussions.
B. Arrange for a qualified professional interpreter for clinical information to protect accuracy and privacy.
C. Speak louder and more slowly so the client understands without an interpreter.
D. Use only written materials in English.
Correct Answer: C
Rationale: Professional interpreters reduce errors, protect confidentiality, and ensure the client receives accurate information without family role strain.
STUVIAACTUALEXAM Page 2
NURSING COMMUNICATION & TEAMWORK
NSG 3180: Communication and Teamwork
Exam 2 • 2026/2027
Original application-level practice questions for nursing students
A+ 5 100%
QUESTIONS VERIFIED EXAM DOMAINS COVERED RATIONALES INCLUDED
CATEGORIES
■ Therapeutic Communication Techniques
■ Interprofessional Collaboration & TeamSTEPPS
■ Conflict Resolution & Assertive Communication
■ Handoffs, Documentation & Care Continuity
■ Cultural Humility, Ethics & Special Populations
NOTICE: This is an original practice examination created for study purposes. It is not an official institutional examination. All questions and rationales are
newly written and aligned to standard communication and teamwork competencies in nursing. Passing score on this set: 80%.
STUVIAACTUALEXAM
STUVIAACTUALEXAM Page 1
, NSG 3180 Exam 2 2026/2027 — Original Practice
DOMAIN: THERAPEUTIC COMMUNICATION TECHNIQUES
Q1. A client states, “I don’t know how I’m going to manage after discharge.” The nurse responds, “It sounds like you’re worried about how
things will go at home.” This response is an example of:
A. Changing the subject to reduce anxiety.
B. Reflecting the client’s feelings to encourage further expression.
C. Giving advice about home-care arrangements.
D. Offering false reassurance that everything will be fine.
Correct Answer: A
Rationale: Reflection restates the emotional content of the client’s message, validating the feeling and inviting the client to elaborate.
Q2. During a difficult conversation, a client becomes silent for nearly a minute. The most therapeutic nursing action is to:
A. Immediately fill the silence with another question.
B. Allow the silence and remain present, conveying willingness to wait.
C. Leave the room until the client is ready to talk.
D. Tell the client that silence is unhelpful.
Correct Answer: B
Rationale: Therapeutic use of silence gives the client time to process and formulate thoughts without pressure, demonstrating respect and presence.
Q3. A nurse says to a newly diagnosed client, “Don’t worry—many people live long lives with this condition.” This statement is problematic
because it:
A. Provides evidence-based information.
B. Offers false reassurance that may shut down expression of real fears.
C. Uses open-ended questioning effectively.
D. Demonstrates empathy through shared experience.
Correct Answer: C
Rationale: False reassurance minimizes the client’s concerns and can block further disclosure of anxiety or questions.
Q4. A client says, “The doctor told me I need surgery, but I’m not sure.” The nurse’s best clarifying response is:
A. “Surgery is the only option, so you should schedule it.”
B. “Tell me more about what concerns you regarding the surgery.”
C. “You’ll feel better once it’s over.”
D. “A lot of patients have the same reaction.”
Correct Answer: D
Rationale: An open-ended request for more information invites the client to explore specific fears and supports shared decision-making.
Q5. When a client uses the defense mechanism of denial about a serious diagnosis, the nurse’s most appropriate initial approach is to:
A. Confront the client forcefully with all the facts.
B. Acknowledge the client’s current coping and provide information in small, manageable amounts as readiness allows.
C. Avoid any discussion of the diagnosis permanently.
D. Agree with the denial to maintain rapport.
Correct Answer: A
Rationale: Denial can be protective. Gradual, non-confrontational provision of information respects the client’s pace while remaining honest.
Q6. A nurse sits facing the client, maintains intermittent eye contact, and leans slightly forward. These behaviors primarily convey:
A. Disinterest in the conversation.
B. Attentive listening and engagement.
C. Urgency to end the interaction.
D. Authority and control over the client.
Correct Answer: B
Rationale: Open posture, appropriate eye contact, and forward lean are nonverbal indicators of active, respectful listening.
Q7. A client who speaks limited English is accompanied by a family member who offers to interpret. The nurse should:
A. Rely on the family member for all clinical discussions.
B. Arrange for a qualified professional interpreter for clinical information to protect accuracy and privacy.
C. Speak louder and more slowly so the client understands without an interpreter.
D. Use only written materials in English.
Correct Answer: C
Rationale: Professional interpreters reduce errors, protect confidentiality, and ensure the client receives accurate information without family role strain.
STUVIAACTUALEXAM Page 2
