ECPI VB Nur 168 Concepts 3 Final Review
UPDATED ACTUAL Questions and
CORRECT Answers
During rounds, a charge nurse hears the patient care technician yelling loudly to a patient
regarding a transfer from the bed to chair. Upon entering the room, what is the nurse's BEST
response?
A."You need to speak to the patient quietly so you don't disturb the other patients."
B. "Let me help you with your transfer technique."
C."When you are finished, be sure to apologize for your rough demeanor."
D. "When your patient is safe and comfortable, meet me at the desk." - CORRECT
ANSWER -D
A public health nurse is leaving the home of a young mother who has a special needs baby. The
neighbor states, "How is she doing, since the baby's father is no help?" What is the nurse's BEST
response to the neighbor?
A. "New mothers need support."
B. "The lack of a father is difficult."
C. "How are you today?"
D. "It is a very sad situation." - CORRECT ANSWER -A
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and
dehydration. During the admission interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions - CORRECT ANSWER -D
,A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. The
patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's BEST
response?
A. "I'm just the IV therapist checking your IV."
B. "I've been transferred to this division and will be caring for you."
C. "I'm sorry, my name is John Smith and I am your nurse."
D. "My name is John Smith, I am your nurse and I'll be caring for you until 11 PM." -
CORRECT ANSWER -D
A nurse enters the room of a patient with cancer. The patient is crying and states, "I feel so
alone." Which response by the nurse is the most therapeutic action?
A. The nurse stands at the patient's bedside and states, "I understand how you feel. My mother
said the same thing when she was ill."
B. The nurse places a hand on the patient's arm and states, "You feel so alone."
C. The nurse stands in the patient's room and asks, "Why do you feel so alone? Your wife has
been here every day."
D. The nurse holds the patient's hand and asks, "What makes you feel so alone?" - CORRECT
ANSWER -D
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a
discharge plan for the patient. Which action should be the focus of this termination phase of the
helping relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications
C. Reporting the progress made in teaching to the staff
D. Including all family members in the teaching session - CORRECT ANSWER -A
A nursing student is nervous and concerned about working at a clinical facility. Which action
would BEST decrease anxiety and ensure success in the student's provision of patient care?
A. Determining the established goals of the institution
B. Ensuring that verbal and nonverbal communication is congruent
,C. Engaging in self-talk to plan the day and decrease fear
D. Speaking with fellow colleagues about how they feel - CORRECT ANSWER -C
A nurse in the rehabilitation division states to the head nurse: "I need the day off and you didn't
give it to me!" The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't
possible since staffing is so inadequate." Instead of this exchange, what communication by the
nurse would have been more effective?
A. "I placed a request to have 8th of August off, but I'm working and I have a doctor's
appointment."
B. "I would like to discuss my schedule with you. I requested the 8th of August off for a doctor's
appointment. Could I make an appointment?"
C. "I will need to call in on the 8th of August because I have a doctor's appointment."
D. "Since you didn't give me the 8th of August off, will I need to find someone to work for me?"
- CORRECT ANSWER -B
During a nursing staff meeting, the nurses resolve a problem of delayed documentation by
agreeing unanimously that they will make sure all vital signs are reported and charted within 15
minutes following assessment. This is an example of which characteristics of effective
communication? Select all that apply.
A. Group decision making
B. Group leadership
C. Group power
D. Group identity
E. Group patterns of interaction
F. Group cohesiveness - CORRECT ANSWER - A, D, E, F
A nurse notices a patient is walking to the bathroom with a stooped gait, facial grimacing, and
gasping sounds. Based on these nonverbal clues, for which condition would the nurse assess?
A. Pain
B. Anxiety
C. Depression
, D. Fluid volume deficit - CORRECT ANSWER -A
A nursing student is preparing to administer morning care to a patient. What is the MOST
important question that the nursing student should ask the patient about personal hygiene?
A. "Would you prefer a bath or a shower?"
B. "May I help you with a bed bath now or later this morning?"
C. "I will be giving you your bath. Do you use soap or shower gel?"
D. "I prefer a shower in the evening. When would you like your bath?" - CORRECT
ANSWER -B
A nurse is providing instruction to a patient regarding the procedure to change a colostomy bag.
During the teaching session, the patient asks, "What type of foods should I avoid to prevent
gas?" The patient's question allows for what type of communication on the nurse's part?
A. A closed-ended answer
B. Information clarification
C. The nurse to give advice
D. Assertive behavior - CORRECT ANSWER -B
When interacting with a patient, the nurse answers, "I am sure everything will be fine. You have
nothing to worry about." This is an example of what type of inappropriate communication
technique?
A. Cliché
B. Giving advice
C. Being judgmental
D. Changing the subject - CORRECT ANSWER -A
A patient states, "I have been experiencing complications of diabetes." The nurse needs to direct
the patient to gain more information. What is the MOST appropriate comment or question to
elicit additional information?
A. "Do you take two injections of insulin to decrease the complications?"
B. "Most health care providers recommend diet and exercise to regulate blood sugar."
UPDATED ACTUAL Questions and
CORRECT Answers
During rounds, a charge nurse hears the patient care technician yelling loudly to a patient
regarding a transfer from the bed to chair. Upon entering the room, what is the nurse's BEST
response?
A."You need to speak to the patient quietly so you don't disturb the other patients."
B. "Let me help you with your transfer technique."
C."When you are finished, be sure to apologize for your rough demeanor."
D. "When your patient is safe and comfortable, meet me at the desk." - CORRECT
ANSWER -D
A public health nurse is leaving the home of a young mother who has a special needs baby. The
neighbor states, "How is she doing, since the baby's father is no help?" What is the nurse's BEST
response to the neighbor?
A. "New mothers need support."
B. "The lack of a father is difficult."
C. "How are you today?"
D. "It is a very sad situation." - CORRECT ANSWER -A
A 3-year-old child is being admitted to a medical division for vomiting, diarrhea, and
dehydration. During the admission interview, the nurse should implement which communication
techniques to elicit the most information from the parents?
A. The use of reflective questions
B. The use of closed questions
C. The use of assertive questions
D. The use of clarifying questions - CORRECT ANSWER -D
,A nurse enters a patient's room and examines the patient's IV fluids and cardiac monitor. The
patient states, "Well, I haven't seen you before. Who are you?" What is the nurse's BEST
response?
A. "I'm just the IV therapist checking your IV."
B. "I've been transferred to this division and will be caring for you."
C. "I'm sorry, my name is John Smith and I am your nurse."
D. "My name is John Smith, I am your nurse and I'll be caring for you until 11 PM." -
CORRECT ANSWER -D
A nurse enters the room of a patient with cancer. The patient is crying and states, "I feel so
alone." Which response by the nurse is the most therapeutic action?
A. The nurse stands at the patient's bedside and states, "I understand how you feel. My mother
said the same thing when she was ill."
B. The nurse places a hand on the patient's arm and states, "You feel so alone."
C. The nurse stands in the patient's room and asks, "Why do you feel so alone? Your wife has
been here every day."
D. The nurse holds the patient's hand and asks, "What makes you feel so alone?" - CORRECT
ANSWER -D
A nurse caring for a patient who is hospitalized following a double mastectomy is preparing a
discharge plan for the patient. Which action should be the focus of this termination phase of the
helping relationship?
A. Determining the progress made in achieving established goals
B. Clarifying when the patient should take medications
C. Reporting the progress made in teaching to the staff
D. Including all family members in the teaching session - CORRECT ANSWER -A
A nursing student is nervous and concerned about working at a clinical facility. Which action
would BEST decrease anxiety and ensure success in the student's provision of patient care?
A. Determining the established goals of the institution
B. Ensuring that verbal and nonverbal communication is congruent
,C. Engaging in self-talk to plan the day and decrease fear
D. Speaking with fellow colleagues about how they feel - CORRECT ANSWER -C
A nurse in the rehabilitation division states to the head nurse: "I need the day off and you didn't
give it to me!" The head nurse replies, "Well, I wasn't aware you needed the day off, and it isn't
possible since staffing is so inadequate." Instead of this exchange, what communication by the
nurse would have been more effective?
A. "I placed a request to have 8th of August off, but I'm working and I have a doctor's
appointment."
B. "I would like to discuss my schedule with you. I requested the 8th of August off for a doctor's
appointment. Could I make an appointment?"
C. "I will need to call in on the 8th of August because I have a doctor's appointment."
D. "Since you didn't give me the 8th of August off, will I need to find someone to work for me?"
- CORRECT ANSWER -B
During a nursing staff meeting, the nurses resolve a problem of delayed documentation by
agreeing unanimously that they will make sure all vital signs are reported and charted within 15
minutes following assessment. This is an example of which characteristics of effective
communication? Select all that apply.
A. Group decision making
B. Group leadership
C. Group power
D. Group identity
E. Group patterns of interaction
F. Group cohesiveness - CORRECT ANSWER - A, D, E, F
A nurse notices a patient is walking to the bathroom with a stooped gait, facial grimacing, and
gasping sounds. Based on these nonverbal clues, for which condition would the nurse assess?
A. Pain
B. Anxiety
C. Depression
, D. Fluid volume deficit - CORRECT ANSWER -A
A nursing student is preparing to administer morning care to a patient. What is the MOST
important question that the nursing student should ask the patient about personal hygiene?
A. "Would you prefer a bath or a shower?"
B. "May I help you with a bed bath now or later this morning?"
C. "I will be giving you your bath. Do you use soap or shower gel?"
D. "I prefer a shower in the evening. When would you like your bath?" - CORRECT
ANSWER -B
A nurse is providing instruction to a patient regarding the procedure to change a colostomy bag.
During the teaching session, the patient asks, "What type of foods should I avoid to prevent
gas?" The patient's question allows for what type of communication on the nurse's part?
A. A closed-ended answer
B. Information clarification
C. The nurse to give advice
D. Assertive behavior - CORRECT ANSWER -B
When interacting with a patient, the nurse answers, "I am sure everything will be fine. You have
nothing to worry about." This is an example of what type of inappropriate communication
technique?
A. Cliché
B. Giving advice
C. Being judgmental
D. Changing the subject - CORRECT ANSWER -A
A patient states, "I have been experiencing complications of diabetes." The nurse needs to direct
the patient to gain more information. What is the MOST appropriate comment or question to
elicit additional information?
A. "Do you take two injections of insulin to decrease the complications?"
B. "Most health care providers recommend diet and exercise to regulate blood sugar."
