Foundations of Nursing Exam 3 Blueprint Review
ACTUAL EXAM WITH ELABORATED AND REVIEWED
ANSWERS 2026
Communication (Therapeutic) - ANSWER☑️⭐-Use of purposeful, goal-directed interaction to support
patient well-being; improves outcomes and prevents errors
Therapeutic Communication Goal - ANSWER☑️⭐-Build trust, gather accurate data, and support
emotional needs for safe care
Nontherapeutic Communication - ANSWER☑️⭐-Blocks communication (e.g., giving advice, false
reassurance) and leads to poor patient outcomes
Open-Ended Question - ANSWER☑️⭐-Encourages patient to elaborate; best for assessment and building
rapport
Closed-Ended Question - ANSWER☑️⭐-Used for specific data; limits patient response and depth
Active Listening - ANSWER☑️⭐-Fully focusing, nodding, and reflecting; improves accuracy of assessment
Silence in Communication - ANSWER☑️⭐-Allows patient time to think and express feelings; therapeutic
Nonverbal Communication - ANSWER☑️⭐-Body language, tone, facial expression; often more important
than words
A nurse says "Everything will be fine." What is wrong? - ANSWER☑️⭐-False reassurance; dismisses
patient feelings and is nontherapeutic
, A nurse asks "How are you feeling about surgery?" What type? - ANSWER☑️⭐-Therapeutic open-ended
question; promotes expression
Priority communication action if patient is anxious - ANSWER☑️⭐-Use calm tone and open-ended
questions to assess concerns first
Delegation and communication - ANSWER☑️⭐-RN performs therapeutic communication; UAP only
reports observations
Stress - ANSWER☑️⭐-Response of body to demands; can be acute or chronic and affect all systems
Acute vs Chronic Stress - ANSWER☑️⭐-Acute = short-term; Chronic = long-term and leads to illness
General Adaptation Syndrome - ANSWER☑️⭐-Alarm → Resistance → Exhaustion; prolonged stress leads
to breakdown
Maladaptive Coping - ANSWER☑️⭐-Unhealthy behaviors (e.g., substance use); worsens health
Adaptive Coping - ANSWER☑️⭐-Healthy strategies (exercise, talking); improves outcomes
Signs of Stress - ANSWER☑️⭐-Increased HR, BP, anxiety, insomnia, poor concentration
Priority nursing action for stressed patient - ANSWER☑️⭐-Assess coping mechanisms before intervening
A patient uses alcohol to cope—what is this? - ANSWER☑️⭐-Maladaptive coping; requires intervention
Family Dynamics - ANSWER☑️⭐-Interactions and roles within a family affecting health and decision-
making
ACTUAL EXAM WITH ELABORATED AND REVIEWED
ANSWERS 2026
Communication (Therapeutic) - ANSWER☑️⭐-Use of purposeful, goal-directed interaction to support
patient well-being; improves outcomes and prevents errors
Therapeutic Communication Goal - ANSWER☑️⭐-Build trust, gather accurate data, and support
emotional needs for safe care
Nontherapeutic Communication - ANSWER☑️⭐-Blocks communication (e.g., giving advice, false
reassurance) and leads to poor patient outcomes
Open-Ended Question - ANSWER☑️⭐-Encourages patient to elaborate; best for assessment and building
rapport
Closed-Ended Question - ANSWER☑️⭐-Used for specific data; limits patient response and depth
Active Listening - ANSWER☑️⭐-Fully focusing, nodding, and reflecting; improves accuracy of assessment
Silence in Communication - ANSWER☑️⭐-Allows patient time to think and express feelings; therapeutic
Nonverbal Communication - ANSWER☑️⭐-Body language, tone, facial expression; often more important
than words
A nurse says "Everything will be fine." What is wrong? - ANSWER☑️⭐-False reassurance; dismisses
patient feelings and is nontherapeutic
, A nurse asks "How are you feeling about surgery?" What type? - ANSWER☑️⭐-Therapeutic open-ended
question; promotes expression
Priority communication action if patient is anxious - ANSWER☑️⭐-Use calm tone and open-ended
questions to assess concerns first
Delegation and communication - ANSWER☑️⭐-RN performs therapeutic communication; UAP only
reports observations
Stress - ANSWER☑️⭐-Response of body to demands; can be acute or chronic and affect all systems
Acute vs Chronic Stress - ANSWER☑️⭐-Acute = short-term; Chronic = long-term and leads to illness
General Adaptation Syndrome - ANSWER☑️⭐-Alarm → Resistance → Exhaustion; prolonged stress leads
to breakdown
Maladaptive Coping - ANSWER☑️⭐-Unhealthy behaviors (e.g., substance use); worsens health
Adaptive Coping - ANSWER☑️⭐-Healthy strategies (exercise, talking); improves outcomes
Signs of Stress - ANSWER☑️⭐-Increased HR, BP, anxiety, insomnia, poor concentration
Priority nursing action for stressed patient - ANSWER☑️⭐-Assess coping mechanisms before intervening
A patient uses alcohol to cope—what is this? - ANSWER☑️⭐-Maladaptive coping; requires intervention
Family Dynamics - ANSWER☑️⭐-Interactions and roles within a family affecting health and decision-
making
