NURS 502 PRACTICE QUESTIONS & CORRECT VERIFIED ANSWERS | RATIONALES| GRADED A| 2025 UPDATE

NURS 502 PRACTICE QUESTIONS & CORRECT VERIFIED ANSWERS
| RATIONALES| GRADED A| 2025 UPDATE




1. When caring for an older patient with hypertension who has been hospital-
ized after a transient ischemic (TIA), which topic is the most important for the
nurse to include in the discharge teaching?

a. Mechanism of action of anticoagulant therapy

b. Effect of atherosclerosis on cerebral blood vessels

c. Symptoms indicating that the patient should contact the health care
provider

d. Impact of the patient's family history on likelihood of developing a serious
stroke ANS >> C

RATIONALE>> One of the priority tasks for patients with chronic illnesses is to
prevent and manage a crisis. The patient needs instruction on recognition of
symptoms of hypertension and TIA and appropriate actions to take if these
symptoms occur. The other information may also be included in patient teaching
but is not as essential in the patient's

self-management of the illness.

2. Which is most likely to encourage parents to talk about their feelings related
to their child's illness?

a. Be sympathetic.


,b. Use direct questions.

c. Use open-ended questions.

d. Avoid periods of silence. ANS >> C

RATIONALE >> Closed-ended questions should be avoided when attempting to
elicit parents' feel- ings. Open-ended questions require the parent to respond with
more than a brief answer. Sympathy is having feelings or emotions in common
with another person rather than understanding those feelings (empathy).
Sympathy is not therapeutic in helping the relationship. Direct questions may obtain
limited information. In addition, the parent may consider them threatening. Silence
can be an effective interviewing tool. It allows sharing of feelings in which two or
more people absorb the emotion in depth. Silence permits the interviewee to sort
out thoughts and feelings and search for responses to questions.

3. Which communication technique should the nurse avoid when interviewing
children and their families?

a. Using silence

b. Using clichés

c. Directing the focus

d. Defining the problem ANS >> B

RATIONALE>> Using stereotyped comments or clichés can block effective
communication, and this technique should be avoided. After use of such trite
phrases, parents will often not respond. Silence can be an effective interviewing
tool. Silence permits the






,interviewee to sort out thoughts and feelings and search for responses to questions.
To be effective, the nurse must be able to direct the focus of the interview while
allowing maximal freedom of expression. By using open-ended questions, along with
guiding questions, the nurse can obtain the necessary information and maintain the
relationship with the family. The nurse and parent must collaborate and define the
problem that will be the focus of the nursing intervention.

4. What is the single most important factor to consider when communicating
with children?

a. The child's physical condition

b. Presence or absence of the child's parent

c. The child's developmental level

d. The child's nonverbal behaviors ANS >> C

RATIONALE>> The nurse must be aware of the child's developmental stage to
engage in effective communication. The use of both verbal and nonverbal
communication should be appropriate to the developmental level. Although the
child's physical condition is a consideration, developmental level is much more
important. The parents' presence is important when communicating with young
children but may be detrimental when speaking with adolescents. Nonverbal
behaviors will vary in importance, based on the child's developmental level.

5. What is an important consideration for the nurse who is communicating
with a very young child?

a. Speak loudly, clearly, and directly.

b. Use transition objects, such as a doll.

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, c. Disguise own feelings, attitudes, and anxiety. K K K K K




d. Initiate contact with child when parent is not present. ANS >> B
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Using a transition object allows the young child an opportunity to evaluate an
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unfamiliar person (the nurse). This will facilitate communication with a child this age.
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Speaking in this manner will tend to increase anxiety in very young children. The
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nurse must be honest with the child. Attempts at deception will lead to a lack of
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trust. Whenever possible, the parent should be present for interactions with young
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children.
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6. When the nurse interviews an adolescent, which is especially important?
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a. Focus the discussion on the peer group.
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b. Allow an opportunity to express feelings.
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c. Emphasize that confidentiality will always be maintained. K K K K K K




d. Use the same type of language as the adolescent. ANS >> B
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Adolescents, like all children, need an opportunity to express their feelings. Often
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they will interject feelings into their words. The nurse must be alert to the words
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and feelings expressed. Although the peer group is important to this age group, the
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