GALEN NSG 4800
Transition to Professional Nursing Practice
COMMUNICATION, COLLABORATION
& CONFLICT MANAGEMENT TEST
70 Questions with Answers & Detailed Explanations
70 A-D Every Q
Original Questions Multiple Choice Answer + Rationale
PASSPOINTPRO
Focused practice in therapeutic communication, SBAR and handoffs, team collaboration, conflict resolution, feedback,
psychological safety, and patient-family communication.
,PASSPOINTPRO | NSG 4800 COMMUNICATION, COLLABORATION & CONFLICT
HOW TO USE THIS TEST
Answer each scenario before reviewing the rationale. Focus on clear communication, closed-loop handoffs, collaboration,
conflict resolution, feedback, psychological safety, and patient-centered communication.
QUESTION 1 | THERAPEUTIC COMMUNICATION
A patient says, "I am scared I will not be able to manage at home." Which response by the nurse is
best?
A Ask, "What concerns you most about managing at home?"
B Tell the patient there is nothing to worry about
C Explain that discharge is required today
D Change the subject to medications
Answer: A
Explanation:
An open-ended response invites the patient to describe specific concerns and supports assessment, problem solving, and
patient-centered planning.
QUESTION 2 | THERAPEUTIC COMMUNICATION
A patient begins to cry after receiving a new diagnosis. What is the nurse's best initial response?
A Immediately provide detailed statistics about the condition
B Sit quietly and allow the patient time to express emotion
C Tell the patient to stay positive
D Leave so the patient can be alone
Answer: B
Explanation:
Presence and therapeutic silence acknowledge emotion without rushing the patient. Information can be offered after the
patient is ready to engage.
Transition to Professional Nursing Practice Page 2
,PASSPOINTPRO | NSG 4800 COMMUNICATION, COLLABORATION & CONFLICT
QUESTION 3 | THERAPEUTIC COMMUNICATION
Which statement by a nurse is most therapeutic when a patient says, "No one listens to me"?
A "That is not true; we are all listening."
B "You need to be more specific."
C "You sound frustrated. Tell me what you feel has not been heard."
D "The team is very busy today."
Answer: C
Explanation:
Reflection validates the patient's emotion and invites clarification. Defensive or dismissive responses can shut down
communication.
QUESTION 4 | THERAPEUTIC COMMUNICATION
A patient gives a vague answer to a safety question. What should the nurse do?
A Assume the answer is negative
B Document that the patient refused to answer
C Ask another patient for context
D Use a focused follow-up question to clarify the meaning
Answer: D
Explanation:
Clarifying questions reduce ambiguity and help the nurse obtain accurate information before making clinical decisions.
Transition to Professional Nursing Practice Page 3
, PASSPOINTPRO | NSG 4800 COMMUNICATION, COLLABORATION & CONFLICT
QUESTION 5 | THERAPEUTIC COMMUNICATION
Which nurse statement is an example of using teach-back?
A "Please tell me in your own words how you will take this medication at home."
B "Do you understand?"
C "Read the instructions later."
D "Sign here to show that teaching is complete."
Answer: A
Explanation:
Teach-back assesses understanding by asking the patient to explain the plan in their own words. It identifies gaps that require
re-teaching.
QUESTION 6 | THERAPEUTIC COMMUNICATION
A patient with limited English proficiency needs discharge teaching. Which action is best?
A Ask a young family member to translate complex instructions
B Use a qualified medical interpreter and speak directly to the patient
C Skip detailed teaching because interpretation takes time
D Speak louder in English
Answer: B
Explanation:
Qualified interpreters improve accuracy, privacy, and patient participation. The nurse should address the patient directly and
use plain language.
Transition to Professional Nursing Practice Page 4
Transition to Professional Nursing Practice
COMMUNICATION, COLLABORATION
& CONFLICT MANAGEMENT TEST
70 Questions with Answers & Detailed Explanations
70 A-D Every Q
Original Questions Multiple Choice Answer + Rationale
PASSPOINTPRO
Focused practice in therapeutic communication, SBAR and handoffs, team collaboration, conflict resolution, feedback,
psychological safety, and patient-family communication.
,PASSPOINTPRO | NSG 4800 COMMUNICATION, COLLABORATION & CONFLICT
HOW TO USE THIS TEST
Answer each scenario before reviewing the rationale. Focus on clear communication, closed-loop handoffs, collaboration,
conflict resolution, feedback, psychological safety, and patient-centered communication.
QUESTION 1 | THERAPEUTIC COMMUNICATION
A patient says, "I am scared I will not be able to manage at home." Which response by the nurse is
best?
A Ask, "What concerns you most about managing at home?"
B Tell the patient there is nothing to worry about
C Explain that discharge is required today
D Change the subject to medications
Answer: A
Explanation:
An open-ended response invites the patient to describe specific concerns and supports assessment, problem solving, and
patient-centered planning.
QUESTION 2 | THERAPEUTIC COMMUNICATION
A patient begins to cry after receiving a new diagnosis. What is the nurse's best initial response?
A Immediately provide detailed statistics about the condition
B Sit quietly and allow the patient time to express emotion
C Tell the patient to stay positive
D Leave so the patient can be alone
Answer: B
Explanation:
Presence and therapeutic silence acknowledge emotion without rushing the patient. Information can be offered after the
patient is ready to engage.
Transition to Professional Nursing Practice Page 2
,PASSPOINTPRO | NSG 4800 COMMUNICATION, COLLABORATION & CONFLICT
QUESTION 3 | THERAPEUTIC COMMUNICATION
Which statement by a nurse is most therapeutic when a patient says, "No one listens to me"?
A "That is not true; we are all listening."
B "You need to be more specific."
C "You sound frustrated. Tell me what you feel has not been heard."
D "The team is very busy today."
Answer: C
Explanation:
Reflection validates the patient's emotion and invites clarification. Defensive or dismissive responses can shut down
communication.
QUESTION 4 | THERAPEUTIC COMMUNICATION
A patient gives a vague answer to a safety question. What should the nurse do?
A Assume the answer is negative
B Document that the patient refused to answer
C Ask another patient for context
D Use a focused follow-up question to clarify the meaning
Answer: D
Explanation:
Clarifying questions reduce ambiguity and help the nurse obtain accurate information before making clinical decisions.
Transition to Professional Nursing Practice Page 3
, PASSPOINTPRO | NSG 4800 COMMUNICATION, COLLABORATION & CONFLICT
QUESTION 5 | THERAPEUTIC COMMUNICATION
Which nurse statement is an example of using teach-back?
A "Please tell me in your own words how you will take this medication at home."
B "Do you understand?"
C "Read the instructions later."
D "Sign here to show that teaching is complete."
Answer: A
Explanation:
Teach-back assesses understanding by asking the patient to explain the plan in their own words. It identifies gaps that require
re-teaching.
QUESTION 6 | THERAPEUTIC COMMUNICATION
A patient with limited English proficiency needs discharge teaching. Which action is best?
A Ask a young family member to translate complex instructions
B Use a qualified medical interpreter and speak directly to the patient
C Skip detailed teaching because interpretation takes time
D Speak louder in English
Answer: B
Explanation:
Qualified interpreters improve accuracy, privacy, and patient participation. The nurse should address the patient directly and
use plain language.
Transition to Professional Nursing Practice Page 4
