NR324 MID-TERM PRACTICE STUDY GUIDE
2026 QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
◉ Number of Questions. Answer: 100
◉ Time Allotted. Answer: 120 minutes
◉ Testing Timeframe. Answer: The midterm exam will be available
starting on Wednesday of Week 4 at 12:01 am MT until Saturday of
Week 4 at 11:59 pm MT.
◉ Illness. Answer: Patient's lived experience.
◉ Disease. Answer: Clinician's biomedical explanation.
◉ Goal of the Encounter. Answer: Therapeutic partnership with
mutual respect, empathy, and clarity.
◉ FIFE. Answer: Feelings, Ideas, Function, Expectations.
◉ NURSE. Answer: Name, Understand, Respect, Support, Explore.
,◉ Teach-Back. Answer: Patient repeats plan to confirm
understanding.
◉ Shared Decision-Making. Answer: Options → Explore preferences
→ Decide together.
◉ 5Rs of Cultural Humility. Answer: Reflection, Respect, Regard,
Relevance, Resiliency.
◉ Core Values of Ethics. Answer: Beneficence, Nonmaleficence,
Autonomy, Justice.
◉ Decisional Capacity. Answer: Understand, Appreciate, Reason,
Communicate choice (different from legal competence).
◉ Active Listening. Answer: Full attention to patient's words + cues.
◉ Guided Questioning. Answer: Open → focused → closed;
continuers ("go on"), echoing, clarifying vague terms.
◉ Empathy. Answer: Reflect back feelings.
, ◉ Validation. Answer: Legitimize concerns.
◉ Patient Education. Answer: Use plain language; 1-3 key points.
◉ Ask Me Three. Answer: What is my problem? What do I need to
do? Why is it important?
◉ SBAR. Answer: Situation, Background, Assessment,
Recommendation (team communication).
◉ INTERPRET. Answer: Introduce, Note goals, Transparency, Ethics,
Respect, Patient focus, Retain control, Explain, Thank (working with
interpreters).
◉ SPIKES. Answer: Setting, Perception, Invitation, Knowledge,
Emotions, Strategy/Summary (delivering serious news).
◉ OARS. Answer: Open-ended questions, Affirmations, Reflections,
Summaries (motivational interviewing).
◉ Informed Consent - 5 Elements. Answer: Nature of procedure,
Risks and benefits, Alternatives, Risks and benefits of alternatives,
Patient understanding (requires decisional capacity).
2026 QUESTIONS WITH COMPLETE
SOLUTIONS GRADED A+
◉ Number of Questions. Answer: 100
◉ Time Allotted. Answer: 120 minutes
◉ Testing Timeframe. Answer: The midterm exam will be available
starting on Wednesday of Week 4 at 12:01 am MT until Saturday of
Week 4 at 11:59 pm MT.
◉ Illness. Answer: Patient's lived experience.
◉ Disease. Answer: Clinician's biomedical explanation.
◉ Goal of the Encounter. Answer: Therapeutic partnership with
mutual respect, empathy, and clarity.
◉ FIFE. Answer: Feelings, Ideas, Function, Expectations.
◉ NURSE. Answer: Name, Understand, Respect, Support, Explore.
,◉ Teach-Back. Answer: Patient repeats plan to confirm
understanding.
◉ Shared Decision-Making. Answer: Options → Explore preferences
→ Decide together.
◉ 5Rs of Cultural Humility. Answer: Reflection, Respect, Regard,
Relevance, Resiliency.
◉ Core Values of Ethics. Answer: Beneficence, Nonmaleficence,
Autonomy, Justice.
◉ Decisional Capacity. Answer: Understand, Appreciate, Reason,
Communicate choice (different from legal competence).
◉ Active Listening. Answer: Full attention to patient's words + cues.
◉ Guided Questioning. Answer: Open → focused → closed;
continuers ("go on"), echoing, clarifying vague terms.
◉ Empathy. Answer: Reflect back feelings.
, ◉ Validation. Answer: Legitimize concerns.
◉ Patient Education. Answer: Use plain language; 1-3 key points.
◉ Ask Me Three. Answer: What is my problem? What do I need to
do? Why is it important?
◉ SBAR. Answer: Situation, Background, Assessment,
Recommendation (team communication).
◉ INTERPRET. Answer: Introduce, Note goals, Transparency, Ethics,
Respect, Patient focus, Retain control, Explain, Thank (working with
interpreters).
◉ SPIKES. Answer: Setting, Perception, Invitation, Knowledge,
Emotions, Strategy/Summary (delivering serious news).
◉ OARS. Answer: Open-ended questions, Affirmations, Reflections,
Summaries (motivational interviewing).
◉ Informed Consent - 5 Elements. Answer: Nature of procedure,
Risks and benefits, Alternatives, Risks and benefits of alternatives,
Patient understanding (requires decisional capacity).
