NUR 224 ACTUAL TEST PAPER 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◉4 phases of a nurse-patient relationship. Answer: the
preinteraction phase
the orinetiation/introductory phase
the working phase
the termination phase
◉the preinteraction phase of a nurse-patient relationship. Answer:
prepare for the 1st encounter
obtain available patient information
examine ones *own feelings* and fears
◉the orientation phase of a nurse-patient relationship. Answer:
meet patient
trust and rapport is established
identify patient strengths and weaknesses
development of a realistic plan of action
,◉the working phase of a nurse-patient relationship. Answer:
maintain established trust and rapport
promote patient's insight, reality perception and problem solving
overcome resistance barriers
◉the termination phase of a nurse-patient relationship. Answer:
goals are met; discharge commences
plan for continuing of care
examine own feelings, summarize learning
◉empathy is... Answer: the ability to see beyond the displayed
behavior and to understand the situation from the patient's
perspective
*to remain emotionally separate from the patient*
◉sympathy is... Answer: actually identifying and sharing what the
patient is feeling and experiencing a need to alleviate distress
*nurse is not emotionally separate - taking on the patients needs and
problems as if they were his/her own*
◉sympathy is often making the situation about... Answer: you not
the patient
,◉transference is. Answer: a patient displaces feelings and behaviors
from the past onto a nurse
◉example of transference. Answer: patient feels angry toward the
nurse as the nurse reminds him of his abusive mother
◉countertransference is. Answer: the nurse displaces feelings and
behaviors from the past onto the patient
◉example of countertransference. Answer: nurse over identifies
with a patient's feelings, feels the need to rescue the patient and has
a difficult time setting limits
◉if a patient asks you to keep a secret, what is a good response?.
Answer: "i can't guarantee that i can keep your secret"
◉therapeutic interaction skills
silence. Answer: allows the opportunity for both patient and nurse
to collect and organize thoughts
◉therapeutic interaction skills
silence EXAMPLE. Answer: leaning in
◉therapeutic interaction skills
, accepting. Answer: convey reception and positive regard
◉therapeutic interaction skills
accepting EXAMPLE. Answer: "i understand what you said"
◉therapeutic interaction skills
giving recognition EXAMPLE. Answer: "i noticed that you attended
group today"
◉therapeutic interaction skills
giving recognition. Answer: indicating awareness, not the same as
complimenting
◉therapeutic interaction skills
offering self. Answer: making oneself available
◉therapeutic interaction skills
offering self EXAMPLE. Answer: "ill stay here with you"
◉therapeutic interaction skills
giving broad openings. Answer: allowing the patient to take an active
role in the conversation
QUESTIONS WITH SOLUTIONS GRADED A+
◉4 phases of a nurse-patient relationship. Answer: the
preinteraction phase
the orinetiation/introductory phase
the working phase
the termination phase
◉the preinteraction phase of a nurse-patient relationship. Answer:
prepare for the 1st encounter
obtain available patient information
examine ones *own feelings* and fears
◉the orientation phase of a nurse-patient relationship. Answer:
meet patient
trust and rapport is established
identify patient strengths and weaknesses
development of a realistic plan of action
,◉the working phase of a nurse-patient relationship. Answer:
maintain established trust and rapport
promote patient's insight, reality perception and problem solving
overcome resistance barriers
◉the termination phase of a nurse-patient relationship. Answer:
goals are met; discharge commences
plan for continuing of care
examine own feelings, summarize learning
◉empathy is... Answer: the ability to see beyond the displayed
behavior and to understand the situation from the patient's
perspective
*to remain emotionally separate from the patient*
◉sympathy is... Answer: actually identifying and sharing what the
patient is feeling and experiencing a need to alleviate distress
*nurse is not emotionally separate - taking on the patients needs and
problems as if they were his/her own*
◉sympathy is often making the situation about... Answer: you not
the patient
,◉transference is. Answer: a patient displaces feelings and behaviors
from the past onto a nurse
◉example of transference. Answer: patient feels angry toward the
nurse as the nurse reminds him of his abusive mother
◉countertransference is. Answer: the nurse displaces feelings and
behaviors from the past onto the patient
◉example of countertransference. Answer: nurse over identifies
with a patient's feelings, feels the need to rescue the patient and has
a difficult time setting limits
◉if a patient asks you to keep a secret, what is a good response?.
Answer: "i can't guarantee that i can keep your secret"
◉therapeutic interaction skills
silence. Answer: allows the opportunity for both patient and nurse
to collect and organize thoughts
◉therapeutic interaction skills
silence EXAMPLE. Answer: leaning in
◉therapeutic interaction skills
, accepting. Answer: convey reception and positive regard
◉therapeutic interaction skills
accepting EXAMPLE. Answer: "i understand what you said"
◉therapeutic interaction skills
giving recognition EXAMPLE. Answer: "i noticed that you attended
group today"
◉therapeutic interaction skills
giving recognition. Answer: indicating awareness, not the same as
complimenting
◉therapeutic interaction skills
offering self. Answer: making oneself available
◉therapeutic interaction skills
offering self EXAMPLE. Answer: "ill stay here with you"
◉therapeutic interaction skills
giving broad openings. Answer: allowing the patient to take an active
role in the conversation
