NUR 336 EXAM 1
Q:Your interpretation of what is happening to the patient would fall in what category of
SBAR?
a. Situation
b. Background
c. Assessment
d. Recommendation - ANS:C (The assessment part of SBAR includes telling the health
care provider what you think the problem is.)
Q:A nurse calls the health care provider for their patient and suggests that an EKG be
ordered for the patient. Which part of SBAR does this represent?
a. Situation
b. Background
c. Assessment
d. Recommendation - ANS:D (Recommendation involves suggesting/requesting that the
HCP order certain tests, a change in the patient's treatment, a higher level of care is
needed (Ex. referral to a specialist) and asking the HCP is they have any questions for
you or if they need any other information.)
Q:The nurse asks a newly admitted client, "What can we do to help you?" What is the
purpose of this therapeutic communication technique?
a. To reframe the client's thoughts about mental health treatment
b. To put the client at ease
c. To explore a subject, idea, experience, or relationship
,d. To communicate that the nurse is listening to the conversation - ANS:C (This is an
example of the therapeutic communication technique of exploring. The purpose of
using exploring is to delve further into the subject, idea, experience, or relationship. This
technique is especially helpful with clients who tend to remain on a superficial level of
communication.)
Q:Which nursing statement is a good example of the therapeutic communication
technique of focusing?
a. "Describe one of the best things that happened to you this week."
b. "I'm having a difficult time understanding what you mean."
c. "Your counseling session is in 30 minutes. I'll stay with you until then."
d. "You mentioned your relationship with your father. Let's discuss that further." - ANS:D
(This is an example of the therapeutic communication technique of focusing. Focusing
takes notice of a single idea or even a single word and works especially well with a client
who is moving rapidly from one thought to another.)
Q:During a nurse-client interaction, which nursing statement may belittle the client's
feelings and concerns?
a. "Don't worry. Everything will be alright."
b. "You appear uptight."
c. "I notice you have bitten your nails to the quick."
d. "You are jumping to conclusions." - ANS:A (This nursing statement is an example of
the nontherapeutic communication block of belittling feelings. Belittling feelings occur
when the nurse misjudges the degree of the client's discomfort, thus a lack of empathy
and understanding may be conveyed.)
Q:A client on an inpatient psychiatric unit tells the nurse, "I should have died because I
am totally worthless." In order to encourage the client to continue talking about feelings,
which should be the nurse's initial response?
,a. "How would your family feel if you died?"
b. "You feel worthless now, but that can change with time."
c. "You've been feeling sad and alone for some time now?"
d. "It is great that you have come in for help." - ANS:C (This nursing statement is an
example of the therapeutic communication technique of reflection. When reflection is
used, questions and feelings are referred back to the client so that they may be
recognized and accepted.)
Q:Which therapeutic communication technique should the nurse use when
communicating with a client who is experiencing auditory hallucinations?
a. "My sister has the same diagnosis as you and she also hears voices."
b. "I understand that the voices seem real to you, but I do not hear any voices."
c. "Why not turn up the radio so that the voices are muted."
d. "I wouldn't worry about these voices. The medication will make them disappear." -
ANS:B (This is an example of the therapeutic communication technique of presenting
reality. Presenting reality is when the client has a misperception of the environment. The
nurse defines reality or indicates his or her perception of the situation for the client.)
Q:A mother rescues two of her four children from a house fire. In the emergency
department, she cries, "I should have gone back in to get them. I should have died, not
them." What is the nurse's best response?
a. "The smoke was too thick. You couldn't have gone back in."
b. "You're feeling guilty because you weren't able to save your children."
c. "Focus on the fact that you could have lost all four of your children."
d. "It's best if you try not to think about what happened. Try to move on." - ANS:B (The
best response by the nurse is, "You're experiencing feelings of guilt because you weren't
able to save your children." This response utilizes the therapeutic communication
technique of reflection which identifies a client's emotional response and reflects these
feelings back to the client so that they may be recognized and accepted.)
, Q:Which of the following are examples of objective data? (Select all that apply.)
a. When asked to report their pain on a scale from 0 to 10, the patient reports a 6.
b. The patient's liver is non palpable.
c. The patient's scalp is round, symmetrical, and no bumps or lumps are present.
d. The patient has had frequent headaches for the past few weeks.
e. The patient's tympanic membrane is a pearly/gray white. - ANS:B C E
Q:The nurse is helping a patient with hemiparesis take a few steps. A gait belt has been
applied. The patient is using a cane. Where should the nurse stand in relation to the
patient?
A. On the patient's strong side
B. On the patient's weak side
C. Behind the patient
D. In front of the patient - ANS:B
Q: In which nurse interaction may SBAR be used?
a. Nurse to social worker
b. Nurse to doctor
c. Nurse to nurse
d. All of the above - ANS:D
Q:A nurse tells a doctor a patient has diabetes. Which part of the SBAR model is this
statement?
a. Situation
b. Background
c. Assessment
Q:Your interpretation of what is happening to the patient would fall in what category of
SBAR?
a. Situation
b. Background
c. Assessment
d. Recommendation - ANS:C (The assessment part of SBAR includes telling the health
care provider what you think the problem is.)
Q:A nurse calls the health care provider for their patient and suggests that an EKG be
ordered for the patient. Which part of SBAR does this represent?
a. Situation
b. Background
c. Assessment
d. Recommendation - ANS:D (Recommendation involves suggesting/requesting that the
HCP order certain tests, a change in the patient's treatment, a higher level of care is
needed (Ex. referral to a specialist) and asking the HCP is they have any questions for
you or if they need any other information.)
Q:The nurse asks a newly admitted client, "What can we do to help you?" What is the
purpose of this therapeutic communication technique?
a. To reframe the client's thoughts about mental health treatment
b. To put the client at ease
c. To explore a subject, idea, experience, or relationship
,d. To communicate that the nurse is listening to the conversation - ANS:C (This is an
example of the therapeutic communication technique of exploring. The purpose of
using exploring is to delve further into the subject, idea, experience, or relationship. This
technique is especially helpful with clients who tend to remain on a superficial level of
communication.)
Q:Which nursing statement is a good example of the therapeutic communication
technique of focusing?
a. "Describe one of the best things that happened to you this week."
b. "I'm having a difficult time understanding what you mean."
c. "Your counseling session is in 30 minutes. I'll stay with you until then."
d. "You mentioned your relationship with your father. Let's discuss that further." - ANS:D
(This is an example of the therapeutic communication technique of focusing. Focusing
takes notice of a single idea or even a single word and works especially well with a client
who is moving rapidly from one thought to another.)
Q:During a nurse-client interaction, which nursing statement may belittle the client's
feelings and concerns?
a. "Don't worry. Everything will be alright."
b. "You appear uptight."
c. "I notice you have bitten your nails to the quick."
d. "You are jumping to conclusions." - ANS:A (This nursing statement is an example of
the nontherapeutic communication block of belittling feelings. Belittling feelings occur
when the nurse misjudges the degree of the client's discomfort, thus a lack of empathy
and understanding may be conveyed.)
Q:A client on an inpatient psychiatric unit tells the nurse, "I should have died because I
am totally worthless." In order to encourage the client to continue talking about feelings,
which should be the nurse's initial response?
,a. "How would your family feel if you died?"
b. "You feel worthless now, but that can change with time."
c. "You've been feeling sad and alone for some time now?"
d. "It is great that you have come in for help." - ANS:C (This nursing statement is an
example of the therapeutic communication technique of reflection. When reflection is
used, questions and feelings are referred back to the client so that they may be
recognized and accepted.)
Q:Which therapeutic communication technique should the nurse use when
communicating with a client who is experiencing auditory hallucinations?
a. "My sister has the same diagnosis as you and she also hears voices."
b. "I understand that the voices seem real to you, but I do not hear any voices."
c. "Why not turn up the radio so that the voices are muted."
d. "I wouldn't worry about these voices. The medication will make them disappear." -
ANS:B (This is an example of the therapeutic communication technique of presenting
reality. Presenting reality is when the client has a misperception of the environment. The
nurse defines reality or indicates his or her perception of the situation for the client.)
Q:A mother rescues two of her four children from a house fire. In the emergency
department, she cries, "I should have gone back in to get them. I should have died, not
them." What is the nurse's best response?
a. "The smoke was too thick. You couldn't have gone back in."
b. "You're feeling guilty because you weren't able to save your children."
c. "Focus on the fact that you could have lost all four of your children."
d. "It's best if you try not to think about what happened. Try to move on." - ANS:B (The
best response by the nurse is, "You're experiencing feelings of guilt because you weren't
able to save your children." This response utilizes the therapeutic communication
technique of reflection which identifies a client's emotional response and reflects these
feelings back to the client so that they may be recognized and accepted.)
, Q:Which of the following are examples of objective data? (Select all that apply.)
a. When asked to report their pain on a scale from 0 to 10, the patient reports a 6.
b. The patient's liver is non palpable.
c. The patient's scalp is round, symmetrical, and no bumps or lumps are present.
d. The patient has had frequent headaches for the past few weeks.
e. The patient's tympanic membrane is a pearly/gray white. - ANS:B C E
Q:The nurse is helping a patient with hemiparesis take a few steps. A gait belt has been
applied. The patient is using a cane. Where should the nurse stand in relation to the
patient?
A. On the patient's strong side
B. On the patient's weak side
C. Behind the patient
D. In front of the patient - ANS:B
Q: In which nurse interaction may SBAR be used?
a. Nurse to social worker
b. Nurse to doctor
c. Nurse to nurse
d. All of the above - ANS:D
Q:A nurse tells a doctor a patient has diabetes. Which part of the SBAR model is this
statement?
a. Situation
b. Background
c. Assessment
