NURS 110 Quiz 2 Study Guide: WCU
Professional Nursing (2026/2027) |
100% Verified A+ Answers
38 Exam-Level Multiple-Choice Questions (A–D) with Answers and Rationales
Q1. The single most important factor in establishing a therapeutic nurse-patient relationship is:
A) Empathy and genuine caring B) Expert clinical knowledge C) Efficient task completion D)
Professional appearance
Answer: A
Rationale: Empathy, respect, and genuineness are the foundation of therapeutic relationships
(Hildegard Peplau, 2026 ANA standards).
Q2. Which statement by the nurse is an example of therapeutic communication?
A) “Don’t worry, everything will be fine.” B) “Why did you wait so long to come to the
hospital?” C) “You seem really anxious about your surgery.” D) “I had the same surgery and
did great.”
Answer: C
Rationale: Reflecting the patient’s feelings validates emotions and encourages further
expression.
Q3. The nurse is using silence effectively when:
A) Thinking of the next question B) Allowing the patient time to gather thoughts or process
emotions C) Avoiding an uncomfortable topic D) Waiting for the provider to enter the room
Answer: B
Rationale: Therapeutic silence gives the patient space to reflect and speak when ready.
Q4. Which response blocks communication?
A) “Tell me more about that.” B) “You shouldn’t feel guilty.” C) “How does that make you
feel?” D) “Go on, I’m listening.”
Answer: B
Rationale: Giving advice or false reassurance (“shouldn’t”) dismisses the patient’s feelings.
, Q5. The nurse is caring for a patient who is crying. The most therapeutic initial response is:
A) “I’ll come back when you’re feeling better.” B) Sit quietly beside the patient and gently touch
their hand (if culturally appropriate) C) “Cheer up, it’s not that bad.” D) Immediately notify the
provider
Answer: B
Rationale: Presence and non-verbal support convey caring when words are inadequate.
Q6. SBAR stands for:
A) Situation – Background – Assessment – Recommendation
B) Symptom – Background – Action – Response
C) Situation – Barriers – Assessment – Review
D) Status – Background – Action – Recommendation
Answer: A
Rationale: TJC and IHI standard for handoff communication (2026).
Q7. During SBAR handoff, the “R” (Recommendation) should include:
A) The patient’s medical history B) What you think needs to be done and by when
C) Vital signs from last shift D) Family contact information
Answer: B
Rationale: Clear, actionable requests prevent delays in care.
Q8. The nurse is documenting an incident in which the patient refused morning medications.
The correct entry uses:
A) Subjective – Objective – Assessment – Plan (SOAP)
B) Focus – Data – Action – Response (DAR)
C) Narrative charting
D) Late entry with explanation
Answer: B
Rationale: Focus charting (DAR) is commonly used for exceptions, refusals, or incidents (WCU
policy).
Q9. Which documentation entry is legally correct and professional?
A) “Pt seems depressed.” B) “Pt refused AM meds, stated ‘I don’t want them.’” C) “Pt
noncompliant again.” D) “Drank 50% of meals.”
Answer: B
Rationale: Uses direct quotes, objective facts, and avoids labeling or judgmental language.
Q10. The nurse documents a late entry. The correct format is:
A) Write “late entry” and the date/time the care occurred and the current date/time signed
B) Back-date the entry
C) Leave a blank space and fill later
Professional Nursing (2026/2027) |
100% Verified A+ Answers
38 Exam-Level Multiple-Choice Questions (A–D) with Answers and Rationales
Q1. The single most important factor in establishing a therapeutic nurse-patient relationship is:
A) Empathy and genuine caring B) Expert clinical knowledge C) Efficient task completion D)
Professional appearance
Answer: A
Rationale: Empathy, respect, and genuineness are the foundation of therapeutic relationships
(Hildegard Peplau, 2026 ANA standards).
Q2. Which statement by the nurse is an example of therapeutic communication?
A) “Don’t worry, everything will be fine.” B) “Why did you wait so long to come to the
hospital?” C) “You seem really anxious about your surgery.” D) “I had the same surgery and
did great.”
Answer: C
Rationale: Reflecting the patient’s feelings validates emotions and encourages further
expression.
Q3. The nurse is using silence effectively when:
A) Thinking of the next question B) Allowing the patient time to gather thoughts or process
emotions C) Avoiding an uncomfortable topic D) Waiting for the provider to enter the room
Answer: B
Rationale: Therapeutic silence gives the patient space to reflect and speak when ready.
Q4. Which response blocks communication?
A) “Tell me more about that.” B) “You shouldn’t feel guilty.” C) “How does that make you
feel?” D) “Go on, I’m listening.”
Answer: B
Rationale: Giving advice or false reassurance (“shouldn’t”) dismisses the patient’s feelings.
, Q5. The nurse is caring for a patient who is crying. The most therapeutic initial response is:
A) “I’ll come back when you’re feeling better.” B) Sit quietly beside the patient and gently touch
their hand (if culturally appropriate) C) “Cheer up, it’s not that bad.” D) Immediately notify the
provider
Answer: B
Rationale: Presence and non-verbal support convey caring when words are inadequate.
Q6. SBAR stands for:
A) Situation – Background – Assessment – Recommendation
B) Symptom – Background – Action – Response
C) Situation – Barriers – Assessment – Review
D) Status – Background – Action – Recommendation
Answer: A
Rationale: TJC and IHI standard for handoff communication (2026).
Q7. During SBAR handoff, the “R” (Recommendation) should include:
A) The patient’s medical history B) What you think needs to be done and by when
C) Vital signs from last shift D) Family contact information
Answer: B
Rationale: Clear, actionable requests prevent delays in care.
Q8. The nurse is documenting an incident in which the patient refused morning medications.
The correct entry uses:
A) Subjective – Objective – Assessment – Plan (SOAP)
B) Focus – Data – Action – Response (DAR)
C) Narrative charting
D) Late entry with explanation
Answer: B
Rationale: Focus charting (DAR) is commonly used for exceptions, refusals, or incidents (WCU
policy).
Q9. Which documentation entry is legally correct and professional?
A) “Pt seems depressed.” B) “Pt refused AM meds, stated ‘I don’t want them.’” C) “Pt
noncompliant again.” D) “Drank 50% of meals.”
Answer: B
Rationale: Uses direct quotes, objective facts, and avoids labeling or judgmental language.
Q10. The nurse documents a late entry. The correct format is:
A) Write “late entry” and the date/time the care occurred and the current date/time signed
B) Back-date the entry
C) Leave a blank space and fill later
