NURS 345 Exam 3 Study Guide
Questions and Actual Answers 2025-
2026 Edition.
A nurse has learned about SBAR communication, and is observing how this model fits what she
hears in a meeting on infection prevention. Match the SBAR step to the examples she jots down.
- Situation
- Background
- Recommendation
- Assessment
- Nosocomial infections up 15% in Cardiac Recovery ward
- Never used to have MRSA originate at Cardiac Recovery ward
- Need to find source of MRSA and weak link to contamination
- Review all equipment introduced since change. Match infection to source - Answer -
Nosocomial infections up 15% in Cardiac Recovery ward: Situation
- Never used to have MRSA: Background
- Need to find source of MRSA and weak link to contamination: Assessment
- Review all equipment introduced since change. Match infection to source: Recommendation
The nurse is explaining the patient's plan of care to the patient and notes that the patient's eyes
are moving from side to side before he responds. How is this particular patient most likely
processing the communication?
- Auditory channel
- Visual channel
- Olfactory channel
- Intrapersonal thoughts - Answer - Auditory channel
What is the result of a flight nurse utilizing therapeutic communication?
- The nurse's work is more efficient.
- The Joint Commission measures the results.
,Susan, a nursing student, has prepared a scenario for Professor Brown to teach the six key
elements of communication. Match the element of the communication process with the
example of the element.
- Feedback
- Receiver
- Channel
- Referent
- Message
- Sender
- Professor Brown tells Susan the assignment is due today.
- Professor Brown
- Susan uses email to ask Professor Brown about the assignment.
- Susan reviews her planner and sees the assignment, but not the due date.
- "Hi, Professor Brown. When is our assignment due?"
- Susan - Answer - Professor Brown tells Susan the assignment is due today: Feedback
- Professor Brown: Receiver
- Susan uses email to ask Professor Brown about the assignment.: Channel
- Susan reviews her planner and sees the assignment, but not the due date: Referent
- "Hi, Professor Brown. When is our assignment due?": Message
-Susan: Sender
Match the type of communication with the appropriate scenario.
- Interpersonal
- Intrapersonal
- Small group
- Public
- The nurse is obtaining a personal health history from her patient.
- The nurse feels confident by using positive self-talk.
- The nurse is addressing a quality task force.
- A nurse is asked to serve as a professional expert on health care issues. - Answer - The nurse
,A nurse is sharing potential communication problems with a group of new nurse trainees. Of the
scenarios listed, which complies with Regulations of the Health Insurance Portability and
Accountability Act (HIPAA)?
- Whispering in a crowded elevator about a patient's diagnosis and treatment
- Writing nursing notes at the nurse's station
- Providing the medical record to a patient's spouse
- Posting the results of a patient's successful surgery on Facebook - Answer - Writing nursing
notes at the nurse's station
Which scenario complies with professional role boundaries?
- Accepting a $100 "tip" from a patient for the excellent care provided
- Going to the movies with a patient and paying his/her way
- Borrowing a patient's car because the nurse's car requires mechanical work
- Visiting a patient to provide home health care - Answer - Visiting a patient to provide home
health care
The nurse is assessing a patient and observes the patient avoiding eye contact when asked
about personal health history. The nurse should assess the patient's nonverbal communication
and respond with which answer?
- "You seem uncomfortable."
- "Is there a reason why you are ignoring me?"
- "You have to look at me when I am talking to you."
- "Obviously you don't trust me. I will document 'refused' in your history." - Answer - "You
seem uncomfortable."
The male nurse is caring for a female patient from the Middle East. The patient will not speak to
the nurse nor let him perform a physical assessment. What action should the nurse take?
- Tell the patient he is going to perform his assessment anyway.
- Recognize this as a cultural difference in communication and request a female nurse to
perform the assessment.
- Insist that the patient speak to him.
- Recognize this as a cultural difference in communication and continue attempting his
assessment. - Answer - Recognize this as a cultural difference in communication and request a
female nurse to perform the assessment.
, - "Your patient is hard to care for."
- "The patient has clearer breath sounds this morning."
- "The patient has a history of COPD and diabetes."
- "Did you get all of the emails I sent to you this morning?" - Answer - "Here are my
recommendations for the care of the patient."
- "The patient has clearer breath sounds this morning."
- "The patient has a history of COPD and diabetes."
After reviewing the side effects of a medication with a patient, the nurse asks the patient if she
comprehends. The patient stares blankly, shakes her head, and states, "Sure." What does this
communication tell the nurse?
- The side effects of the medication do not interest the patient.
- The education session is effective.
- The patient does not understand the information.
- The medication is something the patient wants to learn more about. - Answer - The patient
does not understand the information.
A group working with a patient who has diabetes tries to resolve a wound on the patient that
will not heal. What is the correct phase of this group?
- Norming
- Forming
- Performing
- Storming - Answer - Performing
A student nurse asks the instructor for an example of public communication. What is the best
example of public communication?
- Educating patients and the community in a public forum
- Speaking to the patient's family members in the hallway
- Writing a reflective journal to share with her instructor
- Teaching a patient before the patient is discharged - Answer - Educating patients and the
community in a public forum
Which nurse response suggests understand of SBAR? SATA:
Questions and Actual Answers 2025-
2026 Edition.
A nurse has learned about SBAR communication, and is observing how this model fits what she
hears in a meeting on infection prevention. Match the SBAR step to the examples she jots down.
- Situation
- Background
- Recommendation
- Assessment
- Nosocomial infections up 15% in Cardiac Recovery ward
- Never used to have MRSA originate at Cardiac Recovery ward
- Need to find source of MRSA and weak link to contamination
- Review all equipment introduced since change. Match infection to source - Answer -
Nosocomial infections up 15% in Cardiac Recovery ward: Situation
- Never used to have MRSA: Background
- Need to find source of MRSA and weak link to contamination: Assessment
- Review all equipment introduced since change. Match infection to source: Recommendation
The nurse is explaining the patient's plan of care to the patient and notes that the patient's eyes
are moving from side to side before he responds. How is this particular patient most likely
processing the communication?
- Auditory channel
- Visual channel
- Olfactory channel
- Intrapersonal thoughts - Answer - Auditory channel
What is the result of a flight nurse utilizing therapeutic communication?
- The nurse's work is more efficient.
- The Joint Commission measures the results.
,Susan, a nursing student, has prepared a scenario for Professor Brown to teach the six key
elements of communication. Match the element of the communication process with the
example of the element.
- Feedback
- Receiver
- Channel
- Referent
- Message
- Sender
- Professor Brown tells Susan the assignment is due today.
- Professor Brown
- Susan uses email to ask Professor Brown about the assignment.
- Susan reviews her planner and sees the assignment, but not the due date.
- "Hi, Professor Brown. When is our assignment due?"
- Susan - Answer - Professor Brown tells Susan the assignment is due today: Feedback
- Professor Brown: Receiver
- Susan uses email to ask Professor Brown about the assignment.: Channel
- Susan reviews her planner and sees the assignment, but not the due date: Referent
- "Hi, Professor Brown. When is our assignment due?": Message
-Susan: Sender
Match the type of communication with the appropriate scenario.
- Interpersonal
- Intrapersonal
- Small group
- Public
- The nurse is obtaining a personal health history from her patient.
- The nurse feels confident by using positive self-talk.
- The nurse is addressing a quality task force.
- A nurse is asked to serve as a professional expert on health care issues. - Answer - The nurse
,A nurse is sharing potential communication problems with a group of new nurse trainees. Of the
scenarios listed, which complies with Regulations of the Health Insurance Portability and
Accountability Act (HIPAA)?
- Whispering in a crowded elevator about a patient's diagnosis and treatment
- Writing nursing notes at the nurse's station
- Providing the medical record to a patient's spouse
- Posting the results of a patient's successful surgery on Facebook - Answer - Writing nursing
notes at the nurse's station
Which scenario complies with professional role boundaries?
- Accepting a $100 "tip" from a patient for the excellent care provided
- Going to the movies with a patient and paying his/her way
- Borrowing a patient's car because the nurse's car requires mechanical work
- Visiting a patient to provide home health care - Answer - Visiting a patient to provide home
health care
The nurse is assessing a patient and observes the patient avoiding eye contact when asked
about personal health history. The nurse should assess the patient's nonverbal communication
and respond with which answer?
- "You seem uncomfortable."
- "Is there a reason why you are ignoring me?"
- "You have to look at me when I am talking to you."
- "Obviously you don't trust me. I will document 'refused' in your history." - Answer - "You
seem uncomfortable."
The male nurse is caring for a female patient from the Middle East. The patient will not speak to
the nurse nor let him perform a physical assessment. What action should the nurse take?
- Tell the patient he is going to perform his assessment anyway.
- Recognize this as a cultural difference in communication and request a female nurse to
perform the assessment.
- Insist that the patient speak to him.
- Recognize this as a cultural difference in communication and continue attempting his
assessment. - Answer - Recognize this as a cultural difference in communication and request a
female nurse to perform the assessment.
, - "Your patient is hard to care for."
- "The patient has clearer breath sounds this morning."
- "The patient has a history of COPD and diabetes."
- "Did you get all of the emails I sent to you this morning?" - Answer - "Here are my
recommendations for the care of the patient."
- "The patient has clearer breath sounds this morning."
- "The patient has a history of COPD and diabetes."
After reviewing the side effects of a medication with a patient, the nurse asks the patient if she
comprehends. The patient stares blankly, shakes her head, and states, "Sure." What does this
communication tell the nurse?
- The side effects of the medication do not interest the patient.
- The education session is effective.
- The patient does not understand the information.
- The medication is something the patient wants to learn more about. - Answer - The patient
does not understand the information.
A group working with a patient who has diabetes tries to resolve a wound on the patient that
will not heal. What is the correct phase of this group?
- Norming
- Forming
- Performing
- Storming - Answer - Performing
A student nurse asks the instructor for an example of public communication. What is the best
example of public communication?
- Educating patients and the community in a public forum
- Speaking to the patient's family members in the hallway
- Writing a reflective journal to share with her instructor
- Teaching a patient before the patient is discharged - Answer - Educating patients and the
community in a public forum
Which nurse response suggests understand of SBAR? SATA:
