Exam 1: NU 180 / NU180 (Latest
Update 2025 / 2026) Nursing and Healthcare II | NCLEX Type Questions with Correct Answers | V1 | 100 % Correct | Grade A - Galen
Question:
A nurse asks a patient when her pain started. This is an example of which type of question that occurs when a nurse asks a patient to provide a time for onset of pain?
Answer:
Closed-ended
RATIONALE
Closed-ended questions require a specific answer. This is not a type of question that would be used in affective communication. Open-ended questions allow the patient to respond in a way that is most meaningful to the patient and often begin with what, when, why, where, and how. Focused questions provide definitive information.
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Question:
Which type of communication block is the nurse demonstrating when telling a depressed patient that all depressed people feel the same?
Answer:
Simple answers
RATIONALE
With false reassurance, it is not possible to guarantee what was said to the patient. With simple answers, patients feel dismissed and misunderstood.Chiding is scolding for behavior that may be harmful to the patient. Belittling involves making fun of the patient in some way.
Question:
Which statement identifies the situation step in SBAR?
Answer:
"Hello, my name is Mrs. Smith; I'm the charge nurse on 5N."
RATIONALE
This information is included in the situation step of SBAR. The information in option B is included in the background step of SBAR. The information in option C is included in the background step of SBAR. The information in option D is included in the assessment step of SBAR.
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Question:
A 48-year-old woman is given information about what to expect post surgically smiles and nods while the nurse is speaking. Given the characteristics of communication by women, which action should the nurse implement?
Answer:
Ask the patient to tell what she understood from the nurse.
RATIONALE
Women tend to smile and nod during conversation, which does not necessarily signal that they have understood. It is important for the nurse not to take the smiling and nodding as either agreement or understanding and to ask the patient to repeat back what she thought she heard. A lack of questions may or may not indicate understanding.
Question:
Which statement does not apply to communicating with older adults?
Answer:
Communication is more difficult with older adults.
RATIONALE
Most older adults think more clearly in the morning. Older adult patients tend to hear low-pitched sounds more clearly and remember visual rather than auditory information. It is important to assume that the older adults can hear and communicate effectively.
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