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Exam (elaborations)

NU 311 Skills Exam 4 Questions and Answers (Latest Update 2026).docx

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NU 311 Skills Exam 4 Questions and Answers (Latest Update 2026).docx

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Institution
Clinical nursing
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Clinical nursing

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January 21, 2026
Number of pages
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Written in
2025/2026
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NU 311 Skills Exam 4 Questions and
Answers (Latest Update 2026)
Therapeutic communication -
correct answer ✅is patient centered, purposeful, and time limited.
This differs from social communication which is casual and
comfortable. In this kind of relationship, the nurse recognizes the
patient as a unique individual and establishes a goal to help the
patient. One does not form a social relationship with the patient,
such as dating, confiding personal information, etc.


- Box 3.2 and Document Principles of Communication (look over)


Verbal communication -
correct answer ✅- The conscious use of spoken or written word.
The person speaking needs to be aware of the tone, volume, and
cadence of his or her voice. Feelings can be expressed through the
tone and pace of words. This means that the emotional meaning of
words are altered by how things are said. Nurses need to
remember this important message when giving or receiving
information.


· Be aware of cultural differences between the sender and the
receiver such as the use of dialect or slang.
· Consider barrier's to written communication such as the receiver's
cognitive and visual impairments.

,NU 311 Skills Exam 4 Questions and
Answers (Latest Update 2026)
· Consider the developmental perspectives of the receiver because
these influence the method of communication used.


Nonverbal communication -
correct answer ✅- refers to all behaviors that convey messages
without the use of words. This includes personal appearance and
body language such as facial expression, posture and gait, gestures
and touch.


· It is important that nurses recognize that non-verbal behavior
accounts for 85% of communication. Non-verbal messages are
more likely toconvey how someone truly feels.
· Remember, cultural beliefs are strongly reflected in behavior. For
example, when a Chinese female does not make eye contact, one
may misinterpret the behavior as reflecting a poor self concept or
perhaps see the behavior as representing dishonesty; however, in
the Chinese culture, direct eye contact is considered rude behavior.
The response of the female may simply be a courteous or respectful
social act. To make clinical inferences about discrepancies, nurses
must have an understanding of cultural variations and be willing to
ask probing questions to validate speculations.
· Touch - Touch can be highly therapeutic. Touch can convey caring,
concern, and encouragement. Touch is particularly comforting to
the elderly or those who are grief stricken. However, one must

,NU 311 Skills Exam 4 Questions and
Answers (Latest Update 2026)
carefully consider how another may interpret touch before using
this therapeutic skill.
· Instances when touch may be inappropriate include when
interacting with an:
o Angry person
o Mentally ill person
o Also, touch is not appropriate if another may possibly infer the
act as a sexual gesture. Along those same lines, some cultures
prohibit an individual of the opposite sex to be alone with another.
Sensitivity to these situations are essential to avoid
misinterpretations or touch.


What is SBAR? -
correct answer ✅(SITUATION, BACKGROUND, ASSESMENT,
RECOMMENDATION)


· Situation- the problem
· Background- brief, related to the point.
· Assessment- what you found, what you think
· Recommendation- what you want from the physician ( ex: need
them to come examine the patient; interventions that would help)

, NU 311 Skills Exam 4 Questions and
Answers (Latest Update 2026)
-SBAR is an effective communication tool for patient safety.


· SBAR meets Joint Commission's requirements for appropriate
communication for patient-hand-offs during Admission, Transfers,
Shift to Shift Report, and Daily Rounds.
· SBAR improves physician/clinician communication in critical and
non-critical patient care situations.


Situation -
correct answer ✅-Part of SBAR
- the problem
• State: your name and unit
• I am calling about:: (Patient Name & Room Number)
• The problem: The reason I am calling .....


Background -
correct answer ✅-Part of SBAR
- brief, related, to the point
• State the admission diagnosis and date of admission
• State the pertinent medical history
• A Brief Synopsis of the treatment to date

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