NURSING 150 FINAL EXAM QUESTIONS
AND ANSWERS
Describe the nurse's role with initiating active listening with a client. - Answer--Being
attentive to what a patient is saying both verbally & nonverbally
USE SOLER:
S- sit facing the patient (shows interest)
O- open position (suggests you are open to what the patient has to say)
L- lean towards the patient (conveys you are involved)
E- eye contact (shows willingness to listen)
R- relax (restlessness shows a lack of interest)
Describe how the nurse will assess non-verbal communication related to client
behaviors during communication. - Answer--Personal appearance (hygiene & proper
attire)
-Posture & guilt (do not slouch)
-Facial expressions (try not to show disgust on your face)
-Eye contact (don't pay attention if you don't look directly at patient, some cultures eye
contact is disrespectful *pick up on cues)
-Gestures
-Sounds (sigh proves you don't want to be there)
-Territoriality & Space (try not to be too far from patient like 2-3 ft away)
-Metacommunication (anything that influences your communication in any way)
Explain the following non-therapeutic communication techniques (false reassurance,
changing the subject, asking personal questions, asking for explanations, and arguing)
which should be avoided with client interactions. - Answer--asking personal questions
(don't ask questions about boyfriend or personal life)
-giving personal opinions (don't say I think that..)
-changing the subject (let's not talk about your problem with the insurance, it's time for
your walk)
-automatic subject (do not stereotype) "all old people are confused"
-false reassurance (don't tell patient "everything will be okay" because you never know)
-sympathy (try not to be over compassionate with the patient)
-asking for explanations (try not not ask "why" too much, their feelings are real)
-arguing (don't tell them "I don't believe you" or argue with the patient)
Explain the following therapeutic communication techniques (sharing observations,
sharing humor, using silence, clarifying, paraphrasing, validating, summarizing,
focusing) which should be utilized with client interactions. - Answer-Sharing
observations- comment on how the other person looks, sounds, or acts
Sharing humor- make your patient laugh, could backfire (backoff if negative)
Using silence- patient needs to think, internatize (encourage patient to think & then talk
back)
,Sharing feelings- it's okay to cry, it's to be sad
Using touch- hold hand, rub back
Sharing hope- gives patients the idea of improving their conditions
Sharing empathy- put yourself in patients shoes
Describe the therapeutic and non-therapeutic aspects of using touch with a client during
communication. - Answer-Provides affection, emotional support, encouragement,
tenderness, and comfort
Look for nonverbal cues of permission to touch a patient = non-therapeutic
Ask for permission if not sure = therapeutic
Describe the nurse's role with different levels of communication including interpersonal,
intrapersonal, and public. - Answer-Intrapersonal- intra (within) rehearse what you might
say, talk to self about something
Interpersonal- inter (between) two of you talking, conversing
Small group- few people (half a row of students / 3-4 people) - attend a staff meeting
Public- whole class (large group)
Electronic- patient portal (keeps up with doctor & medical records/ sends message to
doctor)
Transpersonal- interaction between a person's spiritual domain (talking to god/praying)
Explain the nurse's role when communicating with a client who is visually impaired. -
Answer--check for use of glasses or contact lenses
-Identify yourself when you enter the room and notify the patient when you leave the
room
-speak in a normal tone of voice
-Do not rely on non-verbal communication
-Use indirect lighting, avoiding glare
-Use 14 point print for discharge papers
Explain the nurse's role when communicating with a client who cannot speak clearly. -
Answer--listen attentively, be patient, and do not interrupt
-ask simple questions that require "yes" or "no" answers
-allow time for understanding and response
-Use visual cues (words, pictures, and objects)
-allow only one person to speak at a time
-encourage the patient to converse
-Let the patient know if you do not understand him/her
-collaborate w/speech therapist if needed
Identify the difference between verbal and non-verbal communication when talking with
a client. - Answer-Verbal communication- uses spoken or written words
Non-verbal communication- includes the 5 senses and everything that does not use the
spoken or written word
, Explain the nurse's role when communicating with a client who is cognitively impaired. -
Answer--Use simple sentences and avoid long explanations
-Ask one question at a time
-Allow time for patient to respond
-Be an attentive listener
-Include family and friends in conversations, especially in subjects known to patient
-Use pictures or gestures that mimic the action desired
Define the purpose of the Nurse Practice Act. - Answer-The legal boundaries of nursing
practice within each state
The scope of nursing practice & expanding nursing roles
Describe the purpose of the NCLEX-RN exam and when one is eligible to take this
exam. - Answer-NCLEX-RN = provides a standardized minimum knowledge for all
nurses
You are eligible to take this exam regardless of the education you have received before
as long as you are prepared
Describe the nurse's role in maintaining client confidentiality (HIPAA). - Answer--avoid
talking about patients in a public hallway
-only give information to those who need it on a day to day basis to take care of the
patient
-message board in the hospital room can not contain any information relating to the
patient's medical condition
-stay off social media (do not post about patient or to patient)
Describe nursing actions which would be categorized as assault, battery, negligence,
misdemeanor, intentional tort, and felony. - Answer-Assault- NOT beating up,
intentionally threatening someone (ex: if you do not eat, I am going to force the food
down your throat)
Battery- offensive touching without consent (ex: force them to move over in bed)
Negligence- failure to carry out duties, non intentional (ex: did not move patient when
you needed to every hour)
Malpractice- when nursing care falls below intended care and injury occurs (ex: when
they form bed sores they did not have before)
False imprisonment- holding them somewhere against will (ex: keeping them in bed)
Misdemeanor- a crime that occurs injury but does not inflict serious harm (ex: parking in
a no parking zone)
Felony- serious offense that results in a significant amount of harm (ex: killing someone)
Intentional tort- acts such as assault, battery, and false imprisonment
Describe how nurses can avoid being liable for malpractice. - Answer--Follow standards
of care
-Give competent care
-Communicate with other health care providers
-developing a bond with your patient & doing their evaluations fully
AND ANSWERS
Describe the nurse's role with initiating active listening with a client. - Answer--Being
attentive to what a patient is saying both verbally & nonverbally
USE SOLER:
S- sit facing the patient (shows interest)
O- open position (suggests you are open to what the patient has to say)
L- lean towards the patient (conveys you are involved)
E- eye contact (shows willingness to listen)
R- relax (restlessness shows a lack of interest)
Describe how the nurse will assess non-verbal communication related to client
behaviors during communication. - Answer--Personal appearance (hygiene & proper
attire)
-Posture & guilt (do not slouch)
-Facial expressions (try not to show disgust on your face)
-Eye contact (don't pay attention if you don't look directly at patient, some cultures eye
contact is disrespectful *pick up on cues)
-Gestures
-Sounds (sigh proves you don't want to be there)
-Territoriality & Space (try not to be too far from patient like 2-3 ft away)
-Metacommunication (anything that influences your communication in any way)
Explain the following non-therapeutic communication techniques (false reassurance,
changing the subject, asking personal questions, asking for explanations, and arguing)
which should be avoided with client interactions. - Answer--asking personal questions
(don't ask questions about boyfriend or personal life)
-giving personal opinions (don't say I think that..)
-changing the subject (let's not talk about your problem with the insurance, it's time for
your walk)
-automatic subject (do not stereotype) "all old people are confused"
-false reassurance (don't tell patient "everything will be okay" because you never know)
-sympathy (try not to be over compassionate with the patient)
-asking for explanations (try not not ask "why" too much, their feelings are real)
-arguing (don't tell them "I don't believe you" or argue with the patient)
Explain the following therapeutic communication techniques (sharing observations,
sharing humor, using silence, clarifying, paraphrasing, validating, summarizing,
focusing) which should be utilized with client interactions. - Answer-Sharing
observations- comment on how the other person looks, sounds, or acts
Sharing humor- make your patient laugh, could backfire (backoff if negative)
Using silence- patient needs to think, internatize (encourage patient to think & then talk
back)
,Sharing feelings- it's okay to cry, it's to be sad
Using touch- hold hand, rub back
Sharing hope- gives patients the idea of improving their conditions
Sharing empathy- put yourself in patients shoes
Describe the therapeutic and non-therapeutic aspects of using touch with a client during
communication. - Answer-Provides affection, emotional support, encouragement,
tenderness, and comfort
Look for nonverbal cues of permission to touch a patient = non-therapeutic
Ask for permission if not sure = therapeutic
Describe the nurse's role with different levels of communication including interpersonal,
intrapersonal, and public. - Answer-Intrapersonal- intra (within) rehearse what you might
say, talk to self about something
Interpersonal- inter (between) two of you talking, conversing
Small group- few people (half a row of students / 3-4 people) - attend a staff meeting
Public- whole class (large group)
Electronic- patient portal (keeps up with doctor & medical records/ sends message to
doctor)
Transpersonal- interaction between a person's spiritual domain (talking to god/praying)
Explain the nurse's role when communicating with a client who is visually impaired. -
Answer--check for use of glasses or contact lenses
-Identify yourself when you enter the room and notify the patient when you leave the
room
-speak in a normal tone of voice
-Do not rely on non-verbal communication
-Use indirect lighting, avoiding glare
-Use 14 point print for discharge papers
Explain the nurse's role when communicating with a client who cannot speak clearly. -
Answer--listen attentively, be patient, and do not interrupt
-ask simple questions that require "yes" or "no" answers
-allow time for understanding and response
-Use visual cues (words, pictures, and objects)
-allow only one person to speak at a time
-encourage the patient to converse
-Let the patient know if you do not understand him/her
-collaborate w/speech therapist if needed
Identify the difference between verbal and non-verbal communication when talking with
a client. - Answer-Verbal communication- uses spoken or written words
Non-verbal communication- includes the 5 senses and everything that does not use the
spoken or written word
, Explain the nurse's role when communicating with a client who is cognitively impaired. -
Answer--Use simple sentences and avoid long explanations
-Ask one question at a time
-Allow time for patient to respond
-Be an attentive listener
-Include family and friends in conversations, especially in subjects known to patient
-Use pictures or gestures that mimic the action desired
Define the purpose of the Nurse Practice Act. - Answer-The legal boundaries of nursing
practice within each state
The scope of nursing practice & expanding nursing roles
Describe the purpose of the NCLEX-RN exam and when one is eligible to take this
exam. - Answer-NCLEX-RN = provides a standardized minimum knowledge for all
nurses
You are eligible to take this exam regardless of the education you have received before
as long as you are prepared
Describe the nurse's role in maintaining client confidentiality (HIPAA). - Answer--avoid
talking about patients in a public hallway
-only give information to those who need it on a day to day basis to take care of the
patient
-message board in the hospital room can not contain any information relating to the
patient's medical condition
-stay off social media (do not post about patient or to patient)
Describe nursing actions which would be categorized as assault, battery, negligence,
misdemeanor, intentional tort, and felony. - Answer-Assault- NOT beating up,
intentionally threatening someone (ex: if you do not eat, I am going to force the food
down your throat)
Battery- offensive touching without consent (ex: force them to move over in bed)
Negligence- failure to carry out duties, non intentional (ex: did not move patient when
you needed to every hour)
Malpractice- when nursing care falls below intended care and injury occurs (ex: when
they form bed sores they did not have before)
False imprisonment- holding them somewhere against will (ex: keeping them in bed)
Misdemeanor- a crime that occurs injury but does not inflict serious harm (ex: parking in
a no parking zone)
Felony- serious offense that results in a significant amount of harm (ex: killing someone)
Intentional tort- acts such as assault, battery, and false imprisonment
Describe how nurses can avoid being liable for malpractice. - Answer--Follow standards
of care
-Give competent care
-Communicate with other health care providers
-developing a bond with your patient & doing their evaluations fully
