NURS 345 Exam 3 Review Questions
and Correct Answers
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 ✅-
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 ✅- 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.
- There are longer patient stays.
- Patient outcomes are improved. ✅- Patient outcomes are improved.
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 ✅- 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. ✅- The
nurse is obtaining a personal health history from her patient: Interpersonal
- The nurse feels confident by using positive self-talk: Intrapersonal
- The nurse is addressing a quality task force: Small group
- A nurse is asked to serve as a professional expert on health care issues: Public
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 ✅- 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 ✅- 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." ✅- "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. ✅- Recognize this as a cultural difference in communication and request
a female nurse to perform the assessment.
he nurse needs to communicate the patient's plan of care to the provider. Which
responses are appropriate interprofessional communications from the nurse? SATA:
- "Here are my recommendations for the care of the patient."
- "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?" ✅- "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. ✅- 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 ✅- 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 ✅- Educating patients and the
community in a public forum
Which nurse response suggests understand of SBAR? SATA:
- "I am going to ask you questions about your health history."
- "I will be providing discharge instructions for you before you leave the hospital. You will
then be taken home and introduced to your home health care nurse."
- "Hello, Mrs. K. I am Joe, and I will be taking care of you today."
- "I have developed a plan of care based on the information you gave me in your
history."
- "Who came here with you today?" ✅- "I am going to ask you questions about your
health history."
- "I have developed a plan of care based on the information you gave me in your
history."
The nurse is asking the patient about his personal health history. Which question is an
effective verbal technique for getting more information?
- "Do you exercise regularly?"
"You look like a smoker."
- "Tell me more about your diet and exercise plan."
- "Why do you eat fast food every day?" ✅- "Tell me more about your diet and exercise
plan."
A nurse is caring for a patient who had a heart attack. The patient has had no visitors
and is about to undergo a heart catheterization in one hour. When the nurse comes into
the room, the patient yells because the nurse is late with his medication. What is the
best response from the nurse?
- "Stop yelling at me!"
- "You're mad because your wife hasn't called you yet."
- "Why are you acting this way?"
- "I understand that you are probably nervous about the procedure. Tell me more about
how you are feeling." ✅- "I understand that you are probably nervous about the
procedure. Tell me more about how you are feeling."
A provider is rounding on the unit. The nurse taking care of one of his patients needs to
alert him of new findings in the patient's assessment. What is the most appropriate way
to communicate this to the provider?
- "Something is wrong with my patient."
and Correct Answers
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 ✅-
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 ✅- 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.
- There are longer patient stays.
- Patient outcomes are improved. ✅- Patient outcomes are improved.
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 ✅- 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. ✅- The
nurse is obtaining a personal health history from her patient: Interpersonal
- The nurse feels confident by using positive self-talk: Intrapersonal
- The nurse is addressing a quality task force: Small group
- A nurse is asked to serve as a professional expert on health care issues: Public
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 ✅- 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 ✅- 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." ✅- "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. ✅- Recognize this as a cultural difference in communication and request
a female nurse to perform the assessment.
he nurse needs to communicate the patient's plan of care to the provider. Which
responses are appropriate interprofessional communications from the nurse? SATA:
- "Here are my recommendations for the care of the patient."
- "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?" ✅- "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. ✅- 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 ✅- 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 ✅- Educating patients and the
community in a public forum
Which nurse response suggests understand of SBAR? SATA:
- "I am going to ask you questions about your health history."
- "I will be providing discharge instructions for you before you leave the hospital. You will
then be taken home and introduced to your home health care nurse."
- "Hello, Mrs. K. I am Joe, and I will be taking care of you today."
- "I have developed a plan of care based on the information you gave me in your
history."
- "Who came here with you today?" ✅- "I am going to ask you questions about your
health history."
- "I have developed a plan of care based on the information you gave me in your
history."
The nurse is asking the patient about his personal health history. Which question is an
effective verbal technique for getting more information?
- "Do you exercise regularly?"
"You look like a smoker."
- "Tell me more about your diet and exercise plan."
- "Why do you eat fast food every day?" ✅- "Tell me more about your diet and exercise
plan."
A nurse is caring for a patient who had a heart attack. The patient has had no visitors
and is about to undergo a heart catheterization in one hour. When the nurse comes into
the room, the patient yells because the nurse is late with his medication. What is the
best response from the nurse?
- "Stop yelling at me!"
- "You're mad because your wife hasn't called you yet."
- "Why are you acting this way?"
- "I understand that you are probably nervous about the procedure. Tell me more about
how you are feeling." ✅- "I understand that you are probably nervous about the
procedure. Tell me more about how you are feeling."
A provider is rounding on the unit. The nurse taking care of one of his patients needs to
alert him of new findings in the patient's assessment. What is the most appropriate way
to communicate this to the provider?
- "Something is wrong with my patient."
