NURSING SKILLS MIDTERM 2026 UPDATED EXAM QUESTIONS
& ANSWERS WITH DETAILED RATIONALES | INSTANT PDF
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1.Which of the following is an example of a therapeutic communication technique? (Select all
that apply.)
A. Listening
B. Restating
C. Giving advice
D. Reflecting
E. Clarifying - correct answer -A. Listening
B. Restating
D. Reflecting
E. Clarifying
Notes: Giving advice is nontherapeutic and can serve as a barrier to communicating with
patients. The other listed techniques are considered to be therapeutic. (REF: pp. 32, 35)
Which of the following is an example of a nontherapeutic communication technique? (Select all
that apply.)
A. Challenging
B. Defending
C. Focusing
D. Paraphrasing
E. Disapproving - correct answer -A.Challenging
,B. Defending
E. Disapproving
Notes: Focusing and paraphrasing are therapeutic communication techniques. The other
techniques are considered to be nontherapeutic. (REF: p. 32)
3.Which statement demonstrates the most effective strategy for providing teaching to a
depressed patient?
A. Information is given to the patient in small amounts.
B. Information is given to the patient in written form.
C. Patients who are depressed do not benefit from health teaching.
D. Patients who are depressed respond better to the NAP for health teaching - correct answer -
Information is given to the patient in small amounts.
Notes: When providing health teaching to a depressed patient, it is important to provide the
information in small amounts, as patients with depression tend to have poor concentration and
limited memory as symptoms of their condition. Consequently, giving too much information at a
time may prove to be an ineffective strategy. (REF: p. 42)
4.You are the nurse assigned to care for a 4-year-old child who was involved in an automobile
accident. She is withdrawn and is not communicating readily with the staff. What strategy can
you use to interact with her?
A. Ask her open-ended questions.
B. Give her paper and crayons.
C. Ask her family for help.
D. Consult the staff psychologist - correct answer -Give her paper and crayons
,Notes: When interacting with children, it is important to understand the child's developmental
level and to select the most age-appropriate communication techniques. Drawing is an
appropriate pre-reading communication technique for a 4-year-old child. (REF: p. 36)
1.Which of the following is an example of a violation in patient confidentiality? (Select all that
apply.)
A. Providing test results to a family member who has been given information privileges by the
patient
B. Leaving a computer screen with patient information in view of a visitor
C. Discussing patient information in the cafeteria
D. Leaving copies of confidential patient information lying in a nonsecluded area on a desk -
correct answer -B. Leaving a computer screen with patient information in view of a visitor
C.Discussing patient information in the cafeteria
D. Leaving copies of confidential patient information lying in a nonsecluded area on a desk
Notes: Leaving a computer screen open with patient information allows that information to be
viewed by anyone and is a violation of patient confidentiality. Patient information should not be
discussed in any public place; such discussion violates patient confidentiality. All paper charts
must be kept in areas where only health care professionals who are directly caring for the
patient can view them. (REF: pp. 48, 51)
2.Which of the following information entries is included in the patient's health care record?
(Select all that apply.)
A. Continuing health status
B. Treatments delivered
C. Results of tests
, D. Patient's response to therapy - correct answer -A .Continuing health status
B. Treatments delivered
C. Results of tests
D. Patient's response to therapy
Notes: A patient's record or chart is a confidential, permanent legal document containing
information relevant to a patient's health care. Nurses and other health care providers record
information about a patient's health care after each patient contact. The record provides a
continuing account of the patient's health status and needs, treatments delivered, results of
diagnostic tests, and the patient's response to therapy.
(REF: p. 52)
3.Common issues in malpractice caused by inaccurate or incorrect documentation include:
(Select all that apply.)
A. Failing to document the correct time of events.
B. Failing to record verbal orders or failing to have them signed.
C. Documenting incorrect data.
D. Failing to give a report, or giving an incomplete report - correct answer -A. Failing to
document the correct time of events.
B. Failing to record verbal orders or failing to have them signed.
C. Documenting incorrect data.
D. Failing to give a report, or giving an incomplete report.
Notes: Common issues in malpractice caused by inadequate or incorrect documentation include
(1) failing to document the correct time of events; (2) failing to record verbal orders or failing to
have them signed; (3) charting actions in advance to save time; (4) documenting incorrect data;
and (5) failing to give a report, or giving an incomplete report, to an oncoming shift. (REF: p. 51,
Table 4-1)
& ANSWERS WITH DETAILED RATIONALES | INSTANT PDF
DOWNLOAD
1.Which of the following is an example of a therapeutic communication technique? (Select all
that apply.)
A. Listening
B. Restating
C. Giving advice
D. Reflecting
E. Clarifying - correct answer -A. Listening
B. Restating
D. Reflecting
E. Clarifying
Notes: Giving advice is nontherapeutic and can serve as a barrier to communicating with
patients. The other listed techniques are considered to be therapeutic. (REF: pp. 32, 35)
Which of the following is an example of a nontherapeutic communication technique? (Select all
that apply.)
A. Challenging
B. Defending
C. Focusing
D. Paraphrasing
E. Disapproving - correct answer -A.Challenging
,B. Defending
E. Disapproving
Notes: Focusing and paraphrasing are therapeutic communication techniques. The other
techniques are considered to be nontherapeutic. (REF: p. 32)
3.Which statement demonstrates the most effective strategy for providing teaching to a
depressed patient?
A. Information is given to the patient in small amounts.
B. Information is given to the patient in written form.
C. Patients who are depressed do not benefit from health teaching.
D. Patients who are depressed respond better to the NAP for health teaching - correct answer -
Information is given to the patient in small amounts.
Notes: When providing health teaching to a depressed patient, it is important to provide the
information in small amounts, as patients with depression tend to have poor concentration and
limited memory as symptoms of their condition. Consequently, giving too much information at a
time may prove to be an ineffective strategy. (REF: p. 42)
4.You are the nurse assigned to care for a 4-year-old child who was involved in an automobile
accident. She is withdrawn and is not communicating readily with the staff. What strategy can
you use to interact with her?
A. Ask her open-ended questions.
B. Give her paper and crayons.
C. Ask her family for help.
D. Consult the staff psychologist - correct answer -Give her paper and crayons
,Notes: When interacting with children, it is important to understand the child's developmental
level and to select the most age-appropriate communication techniques. Drawing is an
appropriate pre-reading communication technique for a 4-year-old child. (REF: p. 36)
1.Which of the following is an example of a violation in patient confidentiality? (Select all that
apply.)
A. Providing test results to a family member who has been given information privileges by the
patient
B. Leaving a computer screen with patient information in view of a visitor
C. Discussing patient information in the cafeteria
D. Leaving copies of confidential patient information lying in a nonsecluded area on a desk -
correct answer -B. Leaving a computer screen with patient information in view of a visitor
C.Discussing patient information in the cafeteria
D. Leaving copies of confidential patient information lying in a nonsecluded area on a desk
Notes: Leaving a computer screen open with patient information allows that information to be
viewed by anyone and is a violation of patient confidentiality. Patient information should not be
discussed in any public place; such discussion violates patient confidentiality. All paper charts
must be kept in areas where only health care professionals who are directly caring for the
patient can view them. (REF: pp. 48, 51)
2.Which of the following information entries is included in the patient's health care record?
(Select all that apply.)
A. Continuing health status
B. Treatments delivered
C. Results of tests
, D. Patient's response to therapy - correct answer -A .Continuing health status
B. Treatments delivered
C. Results of tests
D. Patient's response to therapy
Notes: A patient's record or chart is a confidential, permanent legal document containing
information relevant to a patient's health care. Nurses and other health care providers record
information about a patient's health care after each patient contact. The record provides a
continuing account of the patient's health status and needs, treatments delivered, results of
diagnostic tests, and the patient's response to therapy.
(REF: p. 52)
3.Common issues in malpractice caused by inaccurate or incorrect documentation include:
(Select all that apply.)
A. Failing to document the correct time of events.
B. Failing to record verbal orders or failing to have them signed.
C. Documenting incorrect data.
D. Failing to give a report, or giving an incomplete report - correct answer -A. Failing to
document the correct time of events.
B. Failing to record verbal orders or failing to have them signed.
C. Documenting incorrect data.
D. Failing to give a report, or giving an incomplete report.
Notes: Common issues in malpractice caused by inadequate or incorrect documentation include
(1) failing to document the correct time of events; (2) failing to record verbal orders or failing to
have them signed; (3) charting actions in advance to save time; (4) documenting incorrect data;
and (5) failing to give a report, or giving an incomplete report, to an oncoming shift. (REF: p. 51,
Table 4-1)
