NUR 1410 Unit 3 – NCLEX-Style Practice Questions and
Answers Latest Updated Graded A+
1. Multiple Choice
A nurse is caring for a patient who is struggling with multiple stressors. According to Neuman’s Systems
Model, how are stressors best described?
A. Always internal factors that lead to illness
B. External forces that cannot be controlled
C. Environmental forces that can be physiological, psychological, sociocultural, developmental, or spiritual
D. The body’s automatic defense mechanisms against disease
Answer: C
Rationale: Neuman’s model views the human as an open system interacting with environmental stressors that
may be internal or external, and multidimensional (physiological, psychological, sociocultural, developmental,
spiritual).
2. SATA
Which are considered positive health behaviors? (Select all that apply)
A. Attending regular health screenings
B. Smoking cigarettes to relieve stress
C. Following prescribed medications
D. Exercising three times a week
E. Ignoring symptoms of illness
Answer: A, C, D
Rationale: Positive health behaviors promote health and prevent illness (screenings, adherence to meds,
exercise). Smoking and ignoring symptoms are negative behaviors.
3. Multiple Choice
A patient states, “I don’t need to go to the doctor, I feel fine.” The nurse recognizes this reflects which concept?
A. Health behavior
B. Health belief
C. Maslow’s need for safety
D. Self-concept
Answer: B
Rationale: Health beliefs are the ideas and attitudes a person holds about health and illness, which influence
behaviors.
,4. Priority Question
A nurse is prioritizing Maslow’s hierarchy of needs for a trauma patient. Which need takes highest priority?
A. Self-esteem
B. Safety and security
C. Love and belonging
D. Airway and oxygenation
Answer: D
Rationale: Physiological needs (air, water, food, elimination, rest, oxygen) are always the first priority.
5. Multiple Choice
During the orientation phase of the nurse-patient relationship, the nurse should:
A. Evaluate whether patient goals have been met
B. Establish rapport and clarify roles
C. Implement interventions to meet identified goals
D. Summarize and close the therapeutic relationship
Answer: B
Rationale: Orientation is focused on building trust, clarifying roles, and identifying patient concerns/goals.
6. Which are considered nonverbal forms of communication? (Select all that apply)
A. Facial expression
B. Eye contact
C. Written messages
D. Gestures
E. Tone of voice
Answer: A, B, D, E
Rationale: Nonverbal includes facial expressions, gestures, posture, eye contact, appearance, and tone. Written
communication is verbal.
7. Multiple Choice
A nurse notices that a patient’s verbal statement does not match their nonverbal cues. The nurse should first:
A. Ignore the nonverbal cues
B. Confront the patient immediately
C. Seek clarification to resolve incongruence
D. Report to the physician
Answer: C
Rationale: Therapeutic communication involves seeking clarification when there is incongruence between
verbal and nonverbal messages.
, 8. Multiple Choice
A patient says, “I feel overwhelmed and out of control with this pregnancy.” The most therapeutic response is:
A. “Don’t worry, everything will be fine.”
B. “Why do you feel that way?”
C. “You sound very overwhelmed. Tell me more about what feels out of control.”
D. “At least you are young and healthy.”
Answer: C
Rationale: A therapeutic response uses active listening, reflection, and exploration. Option C validates feelings
and encourages expression.
9. SATA
Which strategies enhance therapeutic communication? (Select all that apply)
A. Active listening
B. Summarizing the conversation
C. Using silence
D. Offering personal opinions
E. Restating and clarifying
Answer: A, B, C, E
Rationale: Techniques that promote understanding include listening, summarizing, silence, restating/clarifying.
Giving personal opinions is a barrier.
10. Multiple Choice
A patient expresses, “I’m such a failure since I can’t keep my job.” This statement most directly reflects a
problem with:
A. Self-concept
B. Communication
C. Cultural uniqueness
D. Spirituality
Answer: A
Rationale: Negative self-talk related to role performance and esteem reflects impaired self-concept.
Answers Latest Updated Graded A+
1. Multiple Choice
A nurse is caring for a patient who is struggling with multiple stressors. According to Neuman’s Systems
Model, how are stressors best described?
A. Always internal factors that lead to illness
B. External forces that cannot be controlled
C. Environmental forces that can be physiological, psychological, sociocultural, developmental, or spiritual
D. The body’s automatic defense mechanisms against disease
Answer: C
Rationale: Neuman’s model views the human as an open system interacting with environmental stressors that
may be internal or external, and multidimensional (physiological, psychological, sociocultural, developmental,
spiritual).
2. SATA
Which are considered positive health behaviors? (Select all that apply)
A. Attending regular health screenings
B. Smoking cigarettes to relieve stress
C. Following prescribed medications
D. Exercising three times a week
E. Ignoring symptoms of illness
Answer: A, C, D
Rationale: Positive health behaviors promote health and prevent illness (screenings, adherence to meds,
exercise). Smoking and ignoring symptoms are negative behaviors.
3. Multiple Choice
A patient states, “I don’t need to go to the doctor, I feel fine.” The nurse recognizes this reflects which concept?
A. Health behavior
B. Health belief
C. Maslow’s need for safety
D. Self-concept
Answer: B
Rationale: Health beliefs are the ideas and attitudes a person holds about health and illness, which influence
behaviors.
,4. Priority Question
A nurse is prioritizing Maslow’s hierarchy of needs for a trauma patient. Which need takes highest priority?
A. Self-esteem
B. Safety and security
C. Love and belonging
D. Airway and oxygenation
Answer: D
Rationale: Physiological needs (air, water, food, elimination, rest, oxygen) are always the first priority.
5. Multiple Choice
During the orientation phase of the nurse-patient relationship, the nurse should:
A. Evaluate whether patient goals have been met
B. Establish rapport and clarify roles
C. Implement interventions to meet identified goals
D. Summarize and close the therapeutic relationship
Answer: B
Rationale: Orientation is focused on building trust, clarifying roles, and identifying patient concerns/goals.
6. Which are considered nonverbal forms of communication? (Select all that apply)
A. Facial expression
B. Eye contact
C. Written messages
D. Gestures
E. Tone of voice
Answer: A, B, D, E
Rationale: Nonverbal includes facial expressions, gestures, posture, eye contact, appearance, and tone. Written
communication is verbal.
7. Multiple Choice
A nurse notices that a patient’s verbal statement does not match their nonverbal cues. The nurse should first:
A. Ignore the nonverbal cues
B. Confront the patient immediately
C. Seek clarification to resolve incongruence
D. Report to the physician
Answer: C
Rationale: Therapeutic communication involves seeking clarification when there is incongruence between
verbal and nonverbal messages.
, 8. Multiple Choice
A patient says, “I feel overwhelmed and out of control with this pregnancy.” The most therapeutic response is:
A. “Don’t worry, everything will be fine.”
B. “Why do you feel that way?”
C. “You sound very overwhelmed. Tell me more about what feels out of control.”
D. “At least you are young and healthy.”
Answer: C
Rationale: A therapeutic response uses active listening, reflection, and exploration. Option C validates feelings
and encourages expression.
9. SATA
Which strategies enhance therapeutic communication? (Select all that apply)
A. Active listening
B. Summarizing the conversation
C. Using silence
D. Offering personal opinions
E. Restating and clarifying
Answer: A, B, C, E
Rationale: Techniques that promote understanding include listening, summarizing, silence, restating/clarifying.
Giving personal opinions is a barrier.
10. Multiple Choice
A patient expresses, “I’m such a failure since I can’t keep my job.” This statement most directly reflects a
problem with:
A. Self-concept
B. Communication
C. Cultural uniqueness
D. Spirituality
Answer: A
Rationale: Negative self-talk related to role performance and esteem reflects impaired self-concept.
