NURS 233 Exam 1 Study Guide: Nursing Process, Communication, Assessment & Leadership Questions with Answers with Rationales

A comprehensive set of 101 exam-style questions and answers covering fundamental nursing topics for NURS 233 Exam 1. Key areas include therapeutic communication, nursing process (assessment, diagnosis, intervention, evaluation), critical thinking, patient assessment techniques, delegation, leadership styles (democratic, transformational), discharge planning, home health care, and ethical/legal considerations in nursing practice. Ideal for nursing student review and test preparation. NURS 233 Exam 1 Updated 2026 Questions with Answers Graded A+ 1. Therapeutic communication - ANSWER-to provide effective nursing care, the nurse should engage in what type of communication with the client and significant others? 2. Closed question - ANSWER-During an assessment of a newly admitted client the nurse asks the client many questions. The nurse begins the assessment by asking, "Have you been hospitalized this year for your back pain?" This is an example of which type of question? 3. "I know this is hard for you. Is there any way I could help?" - ANSWER-A nurse is caring for a client who is newly diagnosed with terminal cancer. The nurse enters the client's room and finds the client sitting in the dark crying. Which statement conveys empathy by the nurse? 4. Easy wrinkling of the skin and sunken eyes - ANSWER-A nurse is caring for a client admitted to the hospital for dehydration. Which physical findings should the nurse acknowledge as nonverbal communication concerning this diagnosis? 5. Empathy - ANSWER-A client has cancer, but the significant other does not want the client to know the diagnosis. The nurse demonstrates sensitivity to the significant other and works with the couple to achieve desired outcomes. What kind of behavior is the nurse exhibiting? 6. Assess the client's back visually - ANSWER-The nurse is performing an assessment on a client who reports having a rash on the back that is red and raised. What would be the most appropriate nursing action? 7. Palpating a mass in the lower right quadrant of the abdomen - ANSWER-Which is the most appropriate example of the assessment phase of the nursing process? 8. Clarity - ANSWER-While working as part of an interdisciplinary group developing a client's plan of care, a nurse asks the question, "Can you give me an example?" The nurse is demonstrating which standard for judging thinking? 9. Repositioning the client - ANSWER-The nurse administers pain medication to a postoperative client. Which nursing intervention will assist with the client's unrelieved pain? 10. Administer a high calorie diet, excluding wheat, rye, and oats - ANSWER-The nurse is caring for an underweight female client diagnosed with a new food allergy to wheat, rye, and oats and with a nursing diagnosis of Imbalanced Nutrition: less than body requirements. What is the most appropriate intervention for this client? 11. Prioritize the nursing diagnosis - ANSWER-A nurse has developed a plan of care for an adult client. What nursing function is important when using nursing diagnoses to guide the care of this client? 12. Self-aware, honest, persistent, and authentic - ANSWER-Which are characteristics of one who has developed critical thinking skills? 13. Assessment - ANSWER-The nurse is making morning rounds after receiving reports on clients. The nurse takes the opportunity to greet the clients and do an initial observation. The nurse is actually accomplishing which step of the nursing process? 14. Decide whether to continue, modify, or terminate client care - ANSWER-Which action exemplifies the purpose of evaluation in the nursing process? 15. Reflective practice - ANSWER-Self-evaluation is a method that nurses use to promote their own development and to grow in confidence in their nursing roles. This process is referred to as: 16. Analyze the data and create an individualized nursing diagnosis - ANSWER-The nurse is caring for a client who presents with polydipsia, polyphagia, and polyuria. The client's laboratory test results reveal an increased hgba1c level, which could indicate increased blood glucose levels. What is the next step for the nurse to take based on the nursing process? 17. A nurse is involved in selecting the appropriate nursing diagnosis for a client. Which techniques would the nurse likely use? Select all that apply. - ANSWER- -diagnostic validation -cue clustering -cluster interpretation 18. -nurses should value technologies that support error prevention and care coordination -the use of informatics can help manage knowledge and mitigate error -utilization of information services helps to support decision making - ANSWER-Which statements are true about informatics in nursing practice? Select all that apply. 18. Cognitively understand how to care for the children - ANSWER-A single parent age 17 years, with one child and pregnant with a second, has the mental age of a 12-year-old. The home care nurse's greatest concern in caring for this client should be the client's ability to do which? 19. Clearly defining the purpose and expectations of the admission - ANSWER-A nurse is covering all aspects of admission procedures for a client who is receiving home health services. The nurse explains what procedures will be covered during the nurse's visits. Which aspect of the admission process does this represent?