PASSPOINTPRO | WGU D439 | QUIZ 4
WGU D439 Foundations of Nursing
Quiz 4: Communication, Ethics, Documentation and Delegation
50 Original Questions with Correct Answers and Detailed Explanations
PASSPOINTPRO
Page 1
, PASSPOINTPRO | WGU D439 | QUIZ 4
Quiz Instructions
Choose the best answer before reviewing the answer and explanation beneath each question. Use missed items to
identify concepts for focused review.
1. A patient says, 'I am afraid my surgery will go badly.' Which response is most therapeutic?
A. Everything will be fine
B. You should not think negatively
C. Other patients have had worse surgery
D. Tell me more about what worries you
Answer: D - Tell me more about what worries you
Explanation: An open invitation encourages the patient to express concerns without false reassurance, judgment, or
comparison. This approach supports safe, respectful, and accountable nursing practice. The remaining options are less
appropriate, inaccurate, or inconsistent with professional standards.
2. Which question is open-ended?
A. What concerns do you have about going home?
B. Did you eat breakfast?
C. Is the pain sharp?
D. Does your incision hurt?
Answer: A - What concerns do you have about going home?
Explanation: Open-ended questions invite a fuller response and help the nurse explore the patient's perspective. This
approach supports safe, respectful, and accountable nursing practice. The remaining options are less appropriate,
inaccurate, or inconsistent with professional standards.
3. Why might a nurse intentionally use silence during an emotional conversation?
A. To avoid documenting the discussion
B. To show disagreement
C. To give the patient time to think and continue
D. To end the interaction quickly
Answer: C - To give the patient time to think and continue
Explanation: Therapeutic silence allows reflection and communicates presence without pressuring the patient. This
approach supports safe, respectful, and accountable nursing practice. The remaining options are less appropriate,
inaccurate, or inconsistent with professional standards.
4. A patient says, 'I feel strange.' Which response best uses clarification?
A. You probably feel anxious
B. That is normal
C. What do you mean when you say strange?
D. Let us discuss something else
Answer: C - What do you mean when you say strange?
Explanation: Clarification asks the patient to explain an unclear message and prevents the nurse from making assumptions.
This approach supports safe, respectful, and accountable nursing practice. The remaining options are less appropriate,
inaccurate, or inconsistent with professional standards.
Page 2
WGU D439 Foundations of Nursing
Quiz 4: Communication, Ethics, Documentation and Delegation
50 Original Questions with Correct Answers and Detailed Explanations
PASSPOINTPRO
Page 1
, PASSPOINTPRO | WGU D439 | QUIZ 4
Quiz Instructions
Choose the best answer before reviewing the answer and explanation beneath each question. Use missed items to
identify concepts for focused review.
1. A patient says, 'I am afraid my surgery will go badly.' Which response is most therapeutic?
A. Everything will be fine
B. You should not think negatively
C. Other patients have had worse surgery
D. Tell me more about what worries you
Answer: D - Tell me more about what worries you
Explanation: An open invitation encourages the patient to express concerns without false reassurance, judgment, or
comparison. This approach supports safe, respectful, and accountable nursing practice. The remaining options are less
appropriate, inaccurate, or inconsistent with professional standards.
2. Which question is open-ended?
A. What concerns do you have about going home?
B. Did you eat breakfast?
C. Is the pain sharp?
D. Does your incision hurt?
Answer: A - What concerns do you have about going home?
Explanation: Open-ended questions invite a fuller response and help the nurse explore the patient's perspective. This
approach supports safe, respectful, and accountable nursing practice. The remaining options are less appropriate,
inaccurate, or inconsistent with professional standards.
3. Why might a nurse intentionally use silence during an emotional conversation?
A. To avoid documenting the discussion
B. To show disagreement
C. To give the patient time to think and continue
D. To end the interaction quickly
Answer: C - To give the patient time to think and continue
Explanation: Therapeutic silence allows reflection and communicates presence without pressuring the patient. This
approach supports safe, respectful, and accountable nursing practice. The remaining options are less appropriate,
inaccurate, or inconsistent with professional standards.
4. A patient says, 'I feel strange.' Which response best uses clarification?
A. You probably feel anxious
B. That is normal
C. What do you mean when you say strange?
D. Let us discuss something else
Answer: C - What do you mean when you say strange?
Explanation: Clarification asks the patient to explain an unclear message and prevents the nurse from making assumptions.
This approach supports safe, respectful, and accountable nursing practice. The remaining options are less appropriate,
inaccurate, or inconsistent with professional standards.
Page 2
