NR 222 EXAM 2 VIEW AHEAD PAPER 2026
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ Preinteraction. Answer: Planning and starting the preliminary
nursing process before the purposeful interaction with the person
begins
◉ Working. Answer: Mutual problem solving to accomplish
therapeutic goals
◉ Termination. Answer: Separating from the formal therapeutic
relationship
◉ Situation. Answer: Hello Dr. Jones: Your patient, Mr. Smith, is
experiencing chest pain and severe dyspnea.
◉ Background. Answer: He was admitted to 6 South this morning
following total knee replacement (TKR) and his pulse is 140 and
weak, respiration are 50 and labored, with BP 108/56. He is
extremely anxious and appears bluish with clammy skin. 02 sat is
76%.
,◉ Assessment. Answer: My assessment indicates that the patient is
experiencing a pulmonary embolism or cardiac event status post
TKR.
◉ Recommendation. Answer: Recommend starting 02 at 10 L/min,
stat EKG, stat medical consult, and further orders.
◉ Offering Self. Answer: Making oneself available to clients in an
unconditional manner. Example: "I'll just sit with you for a while,
whether or not you would like to talk."
◉ Focusing. Answer: Selecting a single topic or concept that the
client has expressed to explore further. Example: "Let's talk more
about your job."
◉ Broad Openings. Answer: Allows the client to take the initiative in
talking and emphasizes his or her importance and control in the
process. Example: "What would you like to talk about today?"
◉ Reflecting. Answer: Referring questions or statements back to the
client. Example: "What do you think you should do about it?"
◉ Restating. Answer: The content or main idea of what the client
said is repeated by the nurse, allowing the client to continue or
,correct perceptions. Example: "You are concerned that this
promotion may be beyond your capabilities?"
◉ Voicing Doubt. Answer: Expresses uncertainty about whether
what the client has said represents reality. Example: "Tell me more
about how you see these things happening today. I need to have a
better understanding of your perceptions."
◉ Presenting Reality. Answer: The nurse defines reality or his or her
perceptions in the face of the client misconception of the
environment. Example: "I don't see anyone else in the room."
◉ Asking for Clarification. Answer: Seeking the meaning of what has
been said for mutual understanding. Example: "Did I understand you
correctly? That you feel you may be fired because of your
hospitalization?"
◉ Seeking Validation. Answer: Similar to seeking clarification, the
nurse confirms that there is a mutual understanding of what the
client has said. Example: "Tell me if I understand what you have
said."
◉ Summarizing. Answer: Identifying key concepts for conclusion to
the conversation or development of an action plan. Example: "Today
we have talked about a plan for you to manage feelings of anger."
, ◉ Using Silence. Answer: Demonstrates acceptance and allows the
client an opportunity to reflect on what has been said or to
introduce additional content. Example: Body language needs to be
attentive without dominating. Opportunities for reflecting on the
conversation are necessary. An uncomfortable period is therapeutic
to encourage the other person to expand on his or her thoughts.
◉ Making Observations. Answer: Allowing the client to recognize his
or her behaviors and to compare the nurse's perceptions with the
client's understanding. Example: "You seem upset about something."
◉ Offering General Leads. Answer: Allows the client the opportunity
to continue with a topic. Example: "What happened next?"
◉ Giving personal opinions. Answer: "If I was you, I'd put your
mother in a nursing home."
◉ Autonomic Responses. Answer: "Older adults are always
confused."
◉ Sympathy. Answer: "I'm so sorry about your mastectomy; it must
be terrible to lose a breast."
QUESTIONS WITH FULL ANSWERS GRADED A+
◉ Preinteraction. Answer: Planning and starting the preliminary
nursing process before the purposeful interaction with the person
begins
◉ Working. Answer: Mutual problem solving to accomplish
therapeutic goals
◉ Termination. Answer: Separating from the formal therapeutic
relationship
◉ Situation. Answer: Hello Dr. Jones: Your patient, Mr. Smith, is
experiencing chest pain and severe dyspnea.
◉ Background. Answer: He was admitted to 6 South this morning
following total knee replacement (TKR) and his pulse is 140 and
weak, respiration are 50 and labored, with BP 108/56. He is
extremely anxious and appears bluish with clammy skin. 02 sat is
76%.
,◉ Assessment. Answer: My assessment indicates that the patient is
experiencing a pulmonary embolism or cardiac event status post
TKR.
◉ Recommendation. Answer: Recommend starting 02 at 10 L/min,
stat EKG, stat medical consult, and further orders.
◉ Offering Self. Answer: Making oneself available to clients in an
unconditional manner. Example: "I'll just sit with you for a while,
whether or not you would like to talk."
◉ Focusing. Answer: Selecting a single topic or concept that the
client has expressed to explore further. Example: "Let's talk more
about your job."
◉ Broad Openings. Answer: Allows the client to take the initiative in
talking and emphasizes his or her importance and control in the
process. Example: "What would you like to talk about today?"
◉ Reflecting. Answer: Referring questions or statements back to the
client. Example: "What do you think you should do about it?"
◉ Restating. Answer: The content or main idea of what the client
said is repeated by the nurse, allowing the client to continue or
,correct perceptions. Example: "You are concerned that this
promotion may be beyond your capabilities?"
◉ Voicing Doubt. Answer: Expresses uncertainty about whether
what the client has said represents reality. Example: "Tell me more
about how you see these things happening today. I need to have a
better understanding of your perceptions."
◉ Presenting Reality. Answer: The nurse defines reality or his or her
perceptions in the face of the client misconception of the
environment. Example: "I don't see anyone else in the room."
◉ Asking for Clarification. Answer: Seeking the meaning of what has
been said for mutual understanding. Example: "Did I understand you
correctly? That you feel you may be fired because of your
hospitalization?"
◉ Seeking Validation. Answer: Similar to seeking clarification, the
nurse confirms that there is a mutual understanding of what the
client has said. Example: "Tell me if I understand what you have
said."
◉ Summarizing. Answer: Identifying key concepts for conclusion to
the conversation or development of an action plan. Example: "Today
we have talked about a plan for you to manage feelings of anger."
, ◉ Using Silence. Answer: Demonstrates acceptance and allows the
client an opportunity to reflect on what has been said or to
introduce additional content. Example: Body language needs to be
attentive without dominating. Opportunities for reflecting on the
conversation are necessary. An uncomfortable period is therapeutic
to encourage the other person to expand on his or her thoughts.
◉ Making Observations. Answer: Allowing the client to recognize his
or her behaviors and to compare the nurse's perceptions with the
client's understanding. Example: "You seem upset about something."
◉ Offering General Leads. Answer: Allows the client the opportunity
to continue with a topic. Example: "What happened next?"
◉ Giving personal opinions. Answer: "If I was you, I'd put your
mother in a nursing home."
◉ Autonomic Responses. Answer: "Older adults are always
confused."
◉ Sympathy. Answer: "I'm so sorry about your mastectomy; it must
be terrible to lose a breast."
