NUFT 204 EXAM 1 REVIEW |QUESTIONS & ANSWERS | GRADE A | 100% CORRECT (2026/2027)
When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions
.4. Keep communication short and to the point.
5. Communicate only through written information. ✔️1,3,4
Nurses must communicate effectively with the health care team for which of the following reasons? (Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies ✔️2,3,4
A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the fol- lowing is the
best strategy to help the nurse find more time for this communication?
1. Include communication while performing tasks such as chang- ing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up
remaining time for communication. ✔️1
Motivational interviewing (MI) is a technique that applies under-
standing a patient's values and goals in helping the patient make behavior changes. What are other benefits of using MI techniques? (Select all
that apply.)
1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to
promote change
5. Identifying differences in patient's health goals and current
behaviors ✔️1,3,5
A nurse is talking with a young-adult patient about the purpose
of a new medication. The nurse says, "I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange is an
example of which element of the transactional communica- tion process?
1. Message
2. Obtaining feedback
3. Channel
,4. Referent ✔️ans: 2
A patient who is Spanish-speaking does not appear to understand
the nurse's information on wound care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the
procedure
2. Ask a fellow Spanish-speaking patient to help explain the
procedure
3. Use a professional interpreter to provide wound care education
in Spanish
4. Ask the patient to write down questions that he or she has for
the nurse ✔️ans: 3
A nurse prepares to contact a patient's physician about a change
in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and
Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago
with pneumonia and was started on Levaquin at 5 PM yester-
day. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of
Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we
give her a nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening
and has vomited several times during the night." ✔️Ans: 4S, 1B, 2A, 3R
A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your culture and want to learn how to better
meet your health care needs." Which therapeutic commu-
nication technique did the nurse use in this situation?
1. Validation
2. Empathy
3. Sarcasm
4. Humility ✔️Ans: 4
A new nurse is experiencing lateral violence at work. Which steps
could the nurse take to address this problem?
1. Challenge the nurses in a public forum to embarrass them and
change their behavior
2. Talk with the department secretary and ask if this has been a
problem for other nurses
, 3. Talk with the preceptor or manager and ask for assistance in
handling this issue
4. Say nothing and hope things get better ✔️ans: 3
A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care
that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient
relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase ✔️Ans: 1
A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While
assessing the patient, which statement would be the most therapeutic?
1. "Why did you drive after you had been drinking?"
2. "We have multiple patients to see tonight as a result of this
accident."
3. "Tell me what happened before, during, and after the automo-
bile accident tonight."
4. "It will be okay. No one was seriously hurt in the accident." ✔️Ans: 3
A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of
family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments
used encouraged openness and allowed the patient to "tell his story." This is an example of which step of the nursing process?
1. Planning
2. Assessment
3. Intervention
4. Evaluation ✔️ANS; 4
Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility?
(Select all that apply.)
1. Collaboration between staff members from sending and
receiving departments
2. Requiring that the patient visit the facility before a transfer is
arranged
3. Using a standardized transfer policy and transfer tool
4. Arranging all patient transfers during the same time each day
5. Relying on family members to share information with the new
facility ✔️ans: 1,3
The nurse uses silence as a therapeutic communication tech- nique. What is the purpose of the nurse's silence? (Select all that apply.)
1. Prevent the nurse from saying the wrong thing
When working with an older adult who is hearing-impaired, the use of which techniques would improve communication? (Select all that apply.)
1. Check for needed adaptive equipment.
2. Exaggerate lip movements to help the patient lip read.
3. Give the patient time to respond to questions
.4. Keep communication short and to the point.
5. Communicate only through written information. ✔️1,3,4
Nurses must communicate effectively with the health care team for which of the following reasons? (Select all that apply.)
1. Improve the nurse's status with the health team members
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
5. Prevent issues that need to be reported to outside agencies ✔️2,3,4
A new nurse complains to her preceptor that she has no time for therapeutic communication with her patients. Which of the fol- lowing is the
best strategy to help the nurse find more time for this communication?
1. Include communication while performing tasks such as chang- ing dressings and checking vital signs.
2. Ask the patient if you can talk during the last few minutes of visiting hours.
3. Ask Pastoral care to come back a little later in the day.
4. Remind the nurse to complete all her tasks and then set up
remaining time for communication. ✔️1
Motivational interviewing (MI) is a technique that applies under-
standing a patient's values and goals in helping the patient make behavior changes. What are other benefits of using MI techniques? (Select all
that apply.)
1. Gaining an understanding of patient's motivations
2. Focusing on opportunities to avoid poor health choices
3. Recognizing patient's strengths and supporting their efforts
4. Providing assessment data that can be shared with families to
promote change
5. Identifying differences in patient's health goals and current
behaviors ✔️1,3,5
A nurse is talking with a young-adult patient about the purpose
of a new medication. The nurse says, "I want to be clear. Can you tell me in your words the purpose of this medicine?" This exchange is an
example of which element of the transactional communica- tion process?
1. Message
2. Obtaining feedback
3. Channel
,4. Referent ✔️ans: 2
A patient who is Spanish-speaking does not appear to understand
the nurse's information on wound care. Which action should the nurse take?
1. Arrange for a Spanish-speaking social worker to explain the
procedure
2. Ask a fellow Spanish-speaking patient to help explain the
procedure
3. Use a professional interpreter to provide wound care education
in Spanish
4. Ask the patient to write down questions that he or she has for
the nurse ✔️ans: 3
A nurse prepares to contact a patient's physician about a change
in the patient's condition. Put the following statements in the correct order using SBAR (Situation, Background, Assessment, and
Recommendation) communication.
1. "She is a 53-year-old female who was admitted 2 days ago
with pneumonia and was started on Levaquin at 5 PM yester-
day. She complains of a poor appetite."
2. "The patient reported feeling very nauseated after her dose of
Levaquin an hour ago."
3. "Would you like to make a change in antibiotics, or could we
give her a nutritional supplement before her medication?"
4. "The patient started complaining of nausea yesterday evening
and has vomited several times during the night." ✔️Ans: 4S, 1B, 2A, 3R
A nurse is assigned to care for a patient for the first time and states, "I don't know a lot about your culture and want to learn how to better
meet your health care needs." Which therapeutic commu-
nication technique did the nurse use in this situation?
1. Validation
2. Empathy
3. Sarcasm
4. Humility ✔️Ans: 4
A new nurse is experiencing lateral violence at work. Which steps
could the nurse take to address this problem?
1. Challenge the nurses in a public forum to embarrass them and
change their behavior
2. Talk with the department secretary and ask if this has been a
problem for other nurses
, 3. Talk with the preceptor or manager and ask for assistance in
handling this issue
4. Say nothing and hope things get better ✔️ans: 3
A nurse has been gathering physical assessment data on a patient and is now listening to the patient's concerns. The nurse sets a goal of care
that incorporates the patient's desire to make treatment decisions. This is an example of the nurse engaged in which phase of the nurse-patient
relationship?
1. Working phase
2. Preinteraction phase
3. Termination phase
4. Orientation phase ✔️Ans: 1
A patient is evaluated in the emergency department after causing an automobile accident while being under the influence of alcohol. While
assessing the patient, which statement would be the most therapeutic?
1. "Why did you drive after you had been drinking?"
2. "We have multiple patients to see tonight as a result of this
accident."
3. "Tell me what happened before, during, and after the automo-
bile accident tonight."
4. "It will be okay. No one was seriously hurt in the accident." ✔️Ans: 3
A nursing student is reviewing a process recording with the instructor. The student engaged the patient in a discussion about availability of
family members to provide support at home once the patient is discharged. The student reviews with the instructor whether the comments
used encouraged openness and allowed the patient to "tell his story." This is an example of which step of the nursing process?
1. Planning
2. Assessment
3. Intervention
4. Evaluation ✔️ANS; 4
Which strategies should a nurse use to facilitate a safe transition of care during a patient's transfer from the hospital to a skilled nursing facility?
(Select all that apply.)
1. Collaboration between staff members from sending and
receiving departments
2. Requiring that the patient visit the facility before a transfer is
arranged
3. Using a standardized transfer policy and transfer tool
4. Arranging all patient transfers during the same time each day
5. Relying on family members to share information with the new
facility ✔️ans: 1,3
The nurse uses silence as a therapeutic communication tech- nique. What is the purpose of the nurse's silence? (Select all that apply.)
1. Prevent the nurse from saying the wrong thing
