NMNC EXAM 1 CAREER RISE PATH 2026
FULL CASE EXAMPLES WITH SCORES
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. Answer: 1. Check
for needed adaptive equipment.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point
⫸ 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 Answer:
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
⫸ A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the following
is the best strategy to help the nurse find more time for this
communication?
1. Include communication while performing tasks such as changing
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. Answer: 1. Include
communication while performing tasks such as changing dressings
and checking vital signs.
⫸ Motivational interviewing (MI) is a technique that applies
understanding 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 Answer: 1. Gaining an understanding of patient's
motivations
3. Recognizing patient's strengths and supporting their efforts
, 5. Identifying differences in patient's health goals and current
behaviors
⫸ 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 334is an
example of which element of the transactional communication
process?
1. Message
2. Obtaining feedback
3. Channel
4. Referent Answer: 2. Obtaining feedback
⫸ 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
FULL CASE EXAMPLES WITH SCORES
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. Answer: 1. Check
for needed adaptive equipment.
3. Give the patient time to respond to questions.
4. Keep communication short and to the point
⫸ 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 Answer:
2. Reduce the risk of errors to the patient
3. Provide optimum level of patient care
4. Improve patient outcomes
⫸ A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the following
is the best strategy to help the nurse find more time for this
communication?
1. Include communication while performing tasks such as changing
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. Answer: 1. Include
communication while performing tasks such as changing dressings
and checking vital signs.
⫸ Motivational interviewing (MI) is a technique that applies
understanding 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 Answer: 1. Gaining an understanding of patient's
motivations
3. Recognizing patient's strengths and supporting their efforts
, 5. Identifying differences in patient's health goals and current
behaviors
⫸ 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 334is an
example of which element of the transactional communication
process?
1. Message
2. Obtaining feedback
3. Channel
4. Referent Answer: 2. Obtaining feedback
⫸ 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
