Page | 1
NUR 233 EXAM 1 2026 LATEST
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
Giving recognition
Indicates awareness of change and personal effort. Does not
imply good, bad, right, wrong.
Ex: "Good morning, Mr. James, You've combed your hair today, I
see you've eaten your whole lunch"
Offering self
Offers presence, interest, and a desire to understand. Is not
offered to get the person to talk or behave in a specific way.
ex. "I would like to spend time with you"
Offering general leads
Allows the other person to take direction in the discussion.
Indicates that the nurse is interested in what comes next.
ex. "Go on" "Tell me about it"
Giving broad openings
Clarifies that the lead is to be taken by the patient. However, the
nurse discourages pleasantries and small talk.
ex. "Where would you like to begin", "What are you thinking
about"
Placing the events in time or sequence
Puts events and actions in better perspective. Notes cause-and-
effect relationships and identifies patterns of interpersonal
, Page | 2
difficulties.
ex. "What happened before"
Making observations
Calls attention to the PT's BEHAVIOR (e.g. nail biting).
Encourages the PT to notice the behavior to describe thoughts &
feelings for mutual understanding.
*NOTE: helpful w/ MUTE & WITHDRAWN people*
EXAMPLE
"You appear tense."
"I notice you're biting your lips."
"You appear nervous whenever John enters the room."
Encouraging description of perception
Increases the nurse's understanding of the patient's perceptions.
Talking about feelings and difficulties can lessen the need to act
them out inappropriately.
ex. "What do these voices seem to be saying", "Tell me when you
feel anxious"
Encouraging comparison
Brings out recurring themes in experiences or interpersonal
relationships. Helps the person clarify similarities and differences.
ex. "Has this ever happened before", "Was it something like..."
Reflecting
Directs questions, feelings, and ideas back to the patient.
Encourages the patient to accept his or her own ideas and
feelings. Acknowledges the patient's right to have opinions and
make decisions and encourages the patient to think of self as a
capable person.
Focusing
, Page | 3
Concentrates attention on a single point. It is especially useful
when the patient jumps from topic to topic. If a person is
experiencing a severe or panic level of anxiety, the nurse should
not persist until the anxiety lessens.
ex. "This point you are making about leaving school seems worth
looking more closely at"
Exploring
Examines certain ideas, experiences, or relationships more fully.
If the patient chooses not to elaborate by answering no, the nurse
does not probe or pry. In such a case, the nurse respects the
patient's wishes.
ex. "Would you describe it more fully"
Giving information
Makes facts that client needs available.
Ex: "My purpose for being here is..., this medication is for..., this
test will determine..."
Seeking clarification
Helps patients clarify their own thoughts and maximize mutual
understanding between nurse and patient.
ex. "I am not sure I follow you"
Presenting reality
Indicates what is real. The nurse does not argue or try to convince
the patient, just describes personal perceptions or facts in the
situation.
ex. "Your mother is not here, I am a nurse"
Voicing doubt
expressing uncertainty as to the reality of client's perception
ex. "That's hard to believe"
NUR 233 EXAM 1 2026 LATEST
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
Giving recognition
Indicates awareness of change and personal effort. Does not
imply good, bad, right, wrong.
Ex: "Good morning, Mr. James, You've combed your hair today, I
see you've eaten your whole lunch"
Offering self
Offers presence, interest, and a desire to understand. Is not
offered to get the person to talk or behave in a specific way.
ex. "I would like to spend time with you"
Offering general leads
Allows the other person to take direction in the discussion.
Indicates that the nurse is interested in what comes next.
ex. "Go on" "Tell me about it"
Giving broad openings
Clarifies that the lead is to be taken by the patient. However, the
nurse discourages pleasantries and small talk.
ex. "Where would you like to begin", "What are you thinking
about"
Placing the events in time or sequence
Puts events and actions in better perspective. Notes cause-and-
effect relationships and identifies patterns of interpersonal
, Page | 2
difficulties.
ex. "What happened before"
Making observations
Calls attention to the PT's BEHAVIOR (e.g. nail biting).
Encourages the PT to notice the behavior to describe thoughts &
feelings for mutual understanding.
*NOTE: helpful w/ MUTE & WITHDRAWN people*
EXAMPLE
"You appear tense."
"I notice you're biting your lips."
"You appear nervous whenever John enters the room."
Encouraging description of perception
Increases the nurse's understanding of the patient's perceptions.
Talking about feelings and difficulties can lessen the need to act
them out inappropriately.
ex. "What do these voices seem to be saying", "Tell me when you
feel anxious"
Encouraging comparison
Brings out recurring themes in experiences or interpersonal
relationships. Helps the person clarify similarities and differences.
ex. "Has this ever happened before", "Was it something like..."
Reflecting
Directs questions, feelings, and ideas back to the patient.
Encourages the patient to accept his or her own ideas and
feelings. Acknowledges the patient's right to have opinions and
make decisions and encourages the patient to think of self as a
capable person.
Focusing
, Page | 3
Concentrates attention on a single point. It is especially useful
when the patient jumps from topic to topic. If a person is
experiencing a severe or panic level of anxiety, the nurse should
not persist until the anxiety lessens.
ex. "This point you are making about leaving school seems worth
looking more closely at"
Exploring
Examines certain ideas, experiences, or relationships more fully.
If the patient chooses not to elaborate by answering no, the nurse
does not probe or pry. In such a case, the nurse respects the
patient's wishes.
ex. "Would you describe it more fully"
Giving information
Makes facts that client needs available.
Ex: "My purpose for being here is..., this medication is for..., this
test will determine..."
Seeking clarification
Helps patients clarify their own thoughts and maximize mutual
understanding between nurse and patient.
ex. "I am not sure I follow you"
Presenting reality
Indicates what is real. The nurse does not argue or try to convince
the patient, just describes personal perceptions or facts in the
situation.
ex. "Your mother is not here, I am a nurse"
Voicing doubt
expressing uncertainty as to the reality of client's perception
ex. "That's hard to believe"
