NUR 105
Nursing 105 Complete Exam 1 2025
A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates
empathy?
a. "Tomorrow will be better."
b. "This must be hard news to hear."
c. "What's your biggest fear about this diagnosis?"
d. "I believe you can overcome this because I've seen how strong you are."
B - Empathy is the ability to understand and accept another person's reality.
When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the
morning. Which therapeutic response is most appropriate?
a. "It will be okay. Your surgeon will talk to you in the morning."
b. "Why can't you sleep? You have the best surgeon in the hospital."
c. "Don't worry. The surgeon ordered a sleeping pill to help you sleep."
d. "It must be difficult not to know what the surgeon will find. What can I do to help?"
D - Therapeutic communication are responses that encourage the expression of feelings and
ideas and convey acceptance and respect.
How can the nurse best identify that a client needs clarification with discharge information?
a. Ask the client's significant other if the discharge instructions seem clear.
b. Provide the client with written discharge instructions.
c. Talk to the client about discharge instructions while PT is in the room.
d. Watch for nonverbal clues that indicate the client might have misunderstood the discharge
instructions.
D - You determine the need for clarification by watching the listener for nonverbal cues that
suggest confusion or misunderstanding.
Which of the following indicates the nurse is actively listening to her client? Choose all that
apply.
a. The nurse focuses in on the clients verbal and nonverbal cues.
b. The nurse communicates a sense of being relaxed.
c. The nurse crosses her arms while talking to the client.
d. The nurse leans forward towards the patient.
A, B, D - Active listening means to be attentive to what the client is saying both verbally and
nonverbally.
Which of the following statements represents the nurse using the technique: clarifying?
a. "Your Chest X-ray shows that you have pneumonia."
b. "I can understand your concern about being the caretaker for your Mother."
c. "I heard you are having difficulty getting to your PCP appointments on time."
d. "When you said you were sicker than usual, what did you mean?"
D - Clarifying is when the nurse checks whether understanding is accurate by restating an
unclear message to clarify the sender's meaning, or by asking the other person to restate the
message, explain further, or give an example of what the person means.
A patient is aphasic, and the nurse notices that the patient's hands shake intermittently. Which
nursing action is most appropriate to facilitate communication?
a. Use a picture board.
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b. Use pen and paper.
c. Use an interpreter.
d. Use a hearing aid.
A - Using a pen and paper can be frustrating for a nonverbal (aphasic) patient whose handwriting
is shaky; the nurse can revise the care plan to include use of a picture board instead. An
interpreter is used for a patient who speaks and foreign language. A hearing aid is used for the
hard of hearing, not for an aphasic patient.
The patient is facing emergency cardiac surgery. Prior to surgery, the pre-op nurse begins talking
to the patient about smoking cessation. The nurse manager overhears the conversation and
understands that the nurse is making which error?
a. Denotative meaning.
b. Pacing.
c. Intonation.
d. Timing and relevance.
D - Discussing smoking cessation immediately before a patient is having emergency surgery is
an error in timing and relevance. The client is not likely to pay attention or comprehend.
The nurse asks a patient where the pain is, and the patient responds by pointing to the area of
pain. Which form of communication did the patient use?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
B - Nonverbal communication includes the five senses and everything that does no involve the
spoken or written word.
A nurse works with a patient using therapeutic communication and the phases of the therapeutic
relationship. Place the nurse's statements in order according to these phases.
a. The nurse states, "Let's work on learning injection techniques."
b. The nurse is mindful of his/her own biases and knowledge in working with the patient with
B12 deficiency.
c. The nurse summarizes progress made during the nursing relationship.
d. After providing introductions, the nurse defines the scope and purpose of the nurse-patient
relationship.
B, D, A, C - Therapeutic communication techniques are specific responses that encourage the
expression of feelings and ideas and convey acceptance and respect. These techniques apply in a
variety of different situations.
A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most
assertive?
a. "I think you have had a hard day."
b. "I feel uncomfortable hearing that statement."
c. "I don't think you should say things like that. It is not right."
d. "I have been checking on you regularly. How can you say that?"
B - Assertive responses contain "I" messages such as "I want," "I need," "I think," or "I feel".
While all of these start with "I," the only one that is the most assertive is "I feel uncomfortable
hearing that statement." An assertive nurse communicates self-assurance; communicates
feelings; takes responsibility for choices; and is respectful of others' feelings, ideas, and choices.
"I think you've had a hard day" is not addressing the problem. Arguing ("How can you say
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that?") is not assertive or therapeutic. Showing disapproval (using words like 'right' is not
assertive or therapeutic.
When working with an older adult who is hearing-impaired, the use of which techniques would
improve communication? (Select all that apply.)
a. Check for needed adaptive equipment.
b. Exaggerate lip movements to help the patient lip read.
c. Give the patient time to respond to questions.
d. Keep communication short and to the point.
e. Communicate only through written information.
A, C, D - Hearing loss and visual impairments are changes that may occur during aging that
contribute to communication barriers. Communicate with older adults on an adult level and avoid
patronizing or speaking in a condescending manner.
Nursing is defined as a profession because nurses:
a. Perform specific skills.
b. Practice autonomy.
c. Utilize knowledge from the medical discipline.
d. Charge a fee for services rendered.
B - Autonomy indicates using critical thinking skills. A nursing assistant can perform specific
skills.
A patient who needs nursing and rehabilitation following a stroke would most benefit from
receiving care at a:
a. primary care center.
b. restorative care setting.
c. assisted-living center.
d. respite center.
B - The goals of restorative care are to help individuals regain maximal functional status and
enhance quality of life through promotion of independence and self-care.
Technological advances in health care:
a. Make the nurse's job easier.
b. Depersonalize bedside patient care.
c. Threaten the integrity of the health care industry.
d. Do not replace sound, personal judgement.
D - In many ways technology makes your work easier, but it does not replace nursing judgment.
For example, it is your responsibility when managing a patient's IV therapy to monitor the
infusion to be sure that it infuses on time and without complications. An electronic infusion
device provides a constant rate of infusion, but you need to be sure that you calculate the rate
correctly. The device sets off an alarm if the infusion slows, making it important for you to
respond to the alarm and troubleshoot the problem. Technology does not replace your critical eye
and clinical judgment.
According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet
first?
a. self-actualization
b. self-esteem
c. shelter
d. love and belonging
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, NUR 105
C - According to this model, certain human needs are more basic than others (i.e., some needs
must be met before other needs [e.g., fulfilling the physiological needs before the needs of love
and belonging]).
After evaluating a patient's external variables, the nurse concludes that health beliefs and
practices can be influenced by
a. Emotional factors.
b. Intellectual background.
c. Developmental stage.
d. Socioeconomic factors.
D - Emotional factors, intellectual background, and developmental stage are internal factors, not
external factors.
You will use the concept of primary prevention when instructing a patient to:
a. Get a flu shot every year.
b. Take a blood pressure reading every day.
c. Explore hiring a patient with a known disability.
d. Undergo physical therapy following a cerebrovascular accident.
A
Sally has decided to set aside 30 minutes a day to walk after work next week. Sally is in what
stage of risk factor management?
a. Precontemplation
b. Contemplation
c. Preparation
d. Action
e. Maintenance
C - Preparation is making small changes in preparation for a change in the next month.
You are invited to attend the weekly unit patient care conference. The staff discusses patient care
issues. This type of communication is:
a. public.
b. intrapersonal.
c. transpersonal.
d. small group.
D
Helping relationships serve as the foundation of clinical nursing practice. Which stage are
contracts for a therapeutic helping relationship formed?
a. orientation stage.
b. working stage.
c. termination stage.
d. pre-interaction stage.
A
While admitting a patient, during the initial interview, a family member tells you, "My mom
really means that she does not understand her medical diagnosis." The communication form used
by the family member is:
a. focusing.
b. clarifying.
c. summarizing.
d. paraphrasing.
NUR 105
Nursing 105 Complete Exam 1 2025
A patient just received a diagnosis of cancer. Which statement by the nurse demonstrates
empathy?
a. "Tomorrow will be better."
b. "This must be hard news to hear."
c. "What's your biggest fear about this diagnosis?"
d. "I believe you can overcome this because I've seen how strong you are."
B - Empathy is the ability to understand and accept another person's reality.
When making rounds, the nurse finds a patient who is not able to sleep because of surgery in the
morning. Which therapeutic response is most appropriate?
a. "It will be okay. Your surgeon will talk to you in the morning."
b. "Why can't you sleep? You have the best surgeon in the hospital."
c. "Don't worry. The surgeon ordered a sleeping pill to help you sleep."
d. "It must be difficult not to know what the surgeon will find. What can I do to help?"
D - Therapeutic communication are responses that encourage the expression of feelings and
ideas and convey acceptance and respect.
How can the nurse best identify that a client needs clarification with discharge information?
a. Ask the client's significant other if the discharge instructions seem clear.
b. Provide the client with written discharge instructions.
c. Talk to the client about discharge instructions while PT is in the room.
d. Watch for nonverbal clues that indicate the client might have misunderstood the discharge
instructions.
D - You determine the need for clarification by watching the listener for nonverbal cues that
suggest confusion or misunderstanding.
Which of the following indicates the nurse is actively listening to her client? Choose all that
apply.
a. The nurse focuses in on the clients verbal and nonverbal cues.
b. The nurse communicates a sense of being relaxed.
c. The nurse crosses her arms while talking to the client.
d. The nurse leans forward towards the patient.
A, B, D - Active listening means to be attentive to what the client is saying both verbally and
nonverbally.
Which of the following statements represents the nurse using the technique: clarifying?
a. "Your Chest X-ray shows that you have pneumonia."
b. "I can understand your concern about being the caretaker for your Mother."
c. "I heard you are having difficulty getting to your PCP appointments on time."
d. "When you said you were sicker than usual, what did you mean?"
D - Clarifying is when the nurse checks whether understanding is accurate by restating an
unclear message to clarify the sender's meaning, or by asking the other person to restate the
message, explain further, or give an example of what the person means.
A patient is aphasic, and the nurse notices that the patient's hands shake intermittently. Which
nursing action is most appropriate to facilitate communication?
a. Use a picture board.
NUR 105
,NUR 105
b. Use pen and paper.
c. Use an interpreter.
d. Use a hearing aid.
A - Using a pen and paper can be frustrating for a nonverbal (aphasic) patient whose handwriting
is shaky; the nurse can revise the care plan to include use of a picture board instead. An
interpreter is used for a patient who speaks and foreign language. A hearing aid is used for the
hard of hearing, not for an aphasic patient.
The patient is facing emergency cardiac surgery. Prior to surgery, the pre-op nurse begins talking
to the patient about smoking cessation. The nurse manager overhears the conversation and
understands that the nurse is making which error?
a. Denotative meaning.
b. Pacing.
c. Intonation.
d. Timing and relevance.
D - Discussing smoking cessation immediately before a patient is having emergency surgery is
an error in timing and relevance. The client is not likely to pay attention or comprehend.
The nurse asks a patient where the pain is, and the patient responds by pointing to the area of
pain. Which form of communication did the patient use?
a. Verbal
b. Nonverbal
c. Intonation
d. Vocabulary
B - Nonverbal communication includes the five senses and everything that does no involve the
spoken or written word.
A nurse works with a patient using therapeutic communication and the phases of the therapeutic
relationship. Place the nurse's statements in order according to these phases.
a. The nurse states, "Let's work on learning injection techniques."
b. The nurse is mindful of his/her own biases and knowledge in working with the patient with
B12 deficiency.
c. The nurse summarizes progress made during the nursing relationship.
d. After providing introductions, the nurse defines the scope and purpose of the nurse-patient
relationship.
B, D, A, C - Therapeutic communication techniques are specific responses that encourage the
expression of feelings and ideas and convey acceptance and respect. These techniques apply in a
variety of different situations.
A patient says, "You are the worst nurse I have ever had." Which response by the nurse is most
assertive?
a. "I think you have had a hard day."
b. "I feel uncomfortable hearing that statement."
c. "I don't think you should say things like that. It is not right."
d. "I have been checking on you regularly. How can you say that?"
B - Assertive responses contain "I" messages such as "I want," "I need," "I think," or "I feel".
While all of these start with "I," the only one that is the most assertive is "I feel uncomfortable
hearing that statement." An assertive nurse communicates self-assurance; communicates
feelings; takes responsibility for choices; and is respectful of others' feelings, ideas, and choices.
"I think you've had a hard day" is not addressing the problem. Arguing ("How can you say
NUR 105
,NUR 105
that?") is not assertive or therapeutic. Showing disapproval (using words like 'right' is not
assertive or therapeutic.
When working with an older adult who is hearing-impaired, the use of which techniques would
improve communication? (Select all that apply.)
a. Check for needed adaptive equipment.
b. Exaggerate lip movements to help the patient lip read.
c. Give the patient time to respond to questions.
d. Keep communication short and to the point.
e. Communicate only through written information.
A, C, D - Hearing loss and visual impairments are changes that may occur during aging that
contribute to communication barriers. Communicate with older adults on an adult level and avoid
patronizing or speaking in a condescending manner.
Nursing is defined as a profession because nurses:
a. Perform specific skills.
b. Practice autonomy.
c. Utilize knowledge from the medical discipline.
d. Charge a fee for services rendered.
B - Autonomy indicates using critical thinking skills. A nursing assistant can perform specific
skills.
A patient who needs nursing and rehabilitation following a stroke would most benefit from
receiving care at a:
a. primary care center.
b. restorative care setting.
c. assisted-living center.
d. respite center.
B - The goals of restorative care are to help individuals regain maximal functional status and
enhance quality of life through promotion of independence and self-care.
Technological advances in health care:
a. Make the nurse's job easier.
b. Depersonalize bedside patient care.
c. Threaten the integrity of the health care industry.
d. Do not replace sound, personal judgement.
D - In many ways technology makes your work easier, but it does not replace nursing judgment.
For example, it is your responsibility when managing a patient's IV therapy to monitor the
infusion to be sure that it infuses on time and without complications. An electronic infusion
device provides a constant rate of infusion, but you need to be sure that you calculate the rate
correctly. The device sets off an alarm if the infusion slows, making it important for you to
respond to the alarm and troubleshoot the problem. Technology does not replace your critical eye
and clinical judgment.
According to Maslow's hierarchy of needs, which of these needs would the patient seek to meet
first?
a. self-actualization
b. self-esteem
c. shelter
d. love and belonging
NUR 105
, NUR 105
C - According to this model, certain human needs are more basic than others (i.e., some needs
must be met before other needs [e.g., fulfilling the physiological needs before the needs of love
and belonging]).
After evaluating a patient's external variables, the nurse concludes that health beliefs and
practices can be influenced by
a. Emotional factors.
b. Intellectual background.
c. Developmental stage.
d. Socioeconomic factors.
D - Emotional factors, intellectual background, and developmental stage are internal factors, not
external factors.
You will use the concept of primary prevention when instructing a patient to:
a. Get a flu shot every year.
b. Take a blood pressure reading every day.
c. Explore hiring a patient with a known disability.
d. Undergo physical therapy following a cerebrovascular accident.
A
Sally has decided to set aside 30 minutes a day to walk after work next week. Sally is in what
stage of risk factor management?
a. Precontemplation
b. Contemplation
c. Preparation
d. Action
e. Maintenance
C - Preparation is making small changes in preparation for a change in the next month.
You are invited to attend the weekly unit patient care conference. The staff discusses patient care
issues. This type of communication is:
a. public.
b. intrapersonal.
c. transpersonal.
d. small group.
D
Helping relationships serve as the foundation of clinical nursing practice. Which stage are
contracts for a therapeutic helping relationship formed?
a. orientation stage.
b. working stage.
c. termination stage.
d. pre-interaction stage.
A
While admitting a patient, during the initial interview, a family member tells you, "My mom
really means that she does not understand her medical diagnosis." The communication form used
by the family member is:
a. focusing.
b. clarifying.
c. summarizing.
d. paraphrasing.
NUR 105
