NUR 226 Exam 1 – Nursing Leadership & Management Practice Questions and
Study Guide
Which maximum score can be given to a patient when using the Mini-Mental State Examination
(MMSE)?
5
20
25
30 - correct answer ✔✔- 30
-- A score of 30 would indicate that the patient has good cognitive abilities. The MMSE is
performed to assess a person's cognitive function. A score of 5 indicates severe cognitive
impairment. A score of 20 indicates mild cognitive impairment. A score of 25 indicates the
patient has no cognitive impairment.
A patient tells the nurse how much pain he is in. Is the nurse collecting subjective data or
objective data? - correct answer ✔✔Subjective
The nurse assesses the patient and notices his heart rate is high and is having a hard time
catching his breath. Is the data objective or subjective? - correct answer ✔✔Objective
If a nurse has a genuine approach toward her patients, she is using what internal factor in the
process of communication? - correct answer ✔✔Liking others
,An internal factor of communication by developing an understanding and sensitivity to others
feeling's - correct answer ✔✔Empathy
Internal factors of communication - correct answer ✔✔- Liking Others
- Empathy
- Ability to listen
- Self-awareness
The Process of Communications, External Factors: - correct answer ✔✔- Ensure Privacy
(geographic--private room or psychological--curtain)
- Avoid Interruptions
- Physical Environment (equal status--sit at eye level with chairs at a 90 degrees; remove
distractions; sufficient lighting and room temp.; keep 4-5 feet b/w you and the client)
- Appearance/Clothing (for you and the patient)
- Note-taking (keep to a minimum)
The working phase during the interview is also known as the - correct answer ✔✔Data-
gathering Phase
The following is examples of what kind of questions:
"You mentioned shortness of breath. Tell me more about that." - correct answer ✔✔Open-
ended
Open-ended Question - correct answer ✔✔- Narrative
- Unbiased
- Used to begin the interview or to introduce a new topic
,A nurse asks her patient that suffers from migraines, "where are your headaches located?", this
is an example of what kind of question? - correct answer ✔✔Closed/direct
Closed/Direct Questions - correct answer ✔✔- Asks for specifics
- Leads to a forced response (i.e. yes/no)
Guidelines to follow when asking direct questions: - correct answer ✔✔1. ONE question at a
time; process what they say and respond (don't bumerang)
2. Client/Patient appropriate language/verbage (some may not have a college education)
5 verbal responses when narrating the interview from the client's perspective: - correct answer
✔✔1. Facilitate: exemplifies interest and encourages the patient to keep talking (i.e. "mmmm",
eye contract, nod up and down)
2. Silence: allow some but not too much-- can cause awkwardness OR allows the client
(specifically older adults) to process/catch their thoughts
3. Reflect: repeat parts of what the client discloses
4. Empathy:
5. Clarify: summary
4 verbal responses when narrating the interview from the examiner's perspective: - correct
answer ✔✔1. Confrontation: clarify any confusion
2. Interpretation:
3. Explaination:
4. Summary:
10 Interviewing Traps: - correct answer ✔✔1. Don't give false hope-- a nurse tells a patient with
a terminal illness that they will better better
2. Don't give unwanted advice-- patients may ask but ultimately it is their decision
, 3. Avoid authority-- "your doctor/nurse knows best"
4. Don't try to avoid certain languages/topics-- "passed away" vs "died"; reality is that someone
died
5. Avoid impersonal speech/distancing-- "the left breast" vs "your left breast"-- specific language
("your") shows that you are confidently knowledgable about the disease
6. Don't assume your client knows/understands the medical terms you spit out at tham
7. Ask unbiased and open-ended questions-- "Do you smoke?" is better than "you don't smoke,
do you?"; clients may feel the need to please/answer the way they think you want them to
8. Listen more than you talk
9. It's rude to interrupt
10. Don't ask why-- it leaves implied bad behavior/wrong doing
What is the best technique to improve a patients health literacy? - correct answer ✔✔Teach
back
What does SBAR stand for? - correct answer ✔✔Situation
Background
Assessment
Recommendation
When do you use an SBAR Report? - correct answer ✔✔Nurse to nurse or nurse to another
healthcare provider (physician)
A sign is ______ while a symptom is ______. - correct answer ✔✔Objective; Subjective
Critical characteristics of a complete health history: - correct answer ✔✔1.) Location:
specifically where is the irritation or pain?
2.) Character: descriptive qualities
Study Guide
Which maximum score can be given to a patient when using the Mini-Mental State Examination
(MMSE)?
5
20
25
30 - correct answer ✔✔- 30
-- A score of 30 would indicate that the patient has good cognitive abilities. The MMSE is
performed to assess a person's cognitive function. A score of 5 indicates severe cognitive
impairment. A score of 20 indicates mild cognitive impairment. A score of 25 indicates the
patient has no cognitive impairment.
A patient tells the nurse how much pain he is in. Is the nurse collecting subjective data or
objective data? - correct answer ✔✔Subjective
The nurse assesses the patient and notices his heart rate is high and is having a hard time
catching his breath. Is the data objective or subjective? - correct answer ✔✔Objective
If a nurse has a genuine approach toward her patients, she is using what internal factor in the
process of communication? - correct answer ✔✔Liking others
,An internal factor of communication by developing an understanding and sensitivity to others
feeling's - correct answer ✔✔Empathy
Internal factors of communication - correct answer ✔✔- Liking Others
- Empathy
- Ability to listen
- Self-awareness
The Process of Communications, External Factors: - correct answer ✔✔- Ensure Privacy
(geographic--private room or psychological--curtain)
- Avoid Interruptions
- Physical Environment (equal status--sit at eye level with chairs at a 90 degrees; remove
distractions; sufficient lighting and room temp.; keep 4-5 feet b/w you and the client)
- Appearance/Clothing (for you and the patient)
- Note-taking (keep to a minimum)
The working phase during the interview is also known as the - correct answer ✔✔Data-
gathering Phase
The following is examples of what kind of questions:
"You mentioned shortness of breath. Tell me more about that." - correct answer ✔✔Open-
ended
Open-ended Question - correct answer ✔✔- Narrative
- Unbiased
- Used to begin the interview or to introduce a new topic
,A nurse asks her patient that suffers from migraines, "where are your headaches located?", this
is an example of what kind of question? - correct answer ✔✔Closed/direct
Closed/Direct Questions - correct answer ✔✔- Asks for specifics
- Leads to a forced response (i.e. yes/no)
Guidelines to follow when asking direct questions: - correct answer ✔✔1. ONE question at a
time; process what they say and respond (don't bumerang)
2. Client/Patient appropriate language/verbage (some may not have a college education)
5 verbal responses when narrating the interview from the client's perspective: - correct answer
✔✔1. Facilitate: exemplifies interest and encourages the patient to keep talking (i.e. "mmmm",
eye contract, nod up and down)
2. Silence: allow some but not too much-- can cause awkwardness OR allows the client
(specifically older adults) to process/catch their thoughts
3. Reflect: repeat parts of what the client discloses
4. Empathy:
5. Clarify: summary
4 verbal responses when narrating the interview from the examiner's perspective: - correct
answer ✔✔1. Confrontation: clarify any confusion
2. Interpretation:
3. Explaination:
4. Summary:
10 Interviewing Traps: - correct answer ✔✔1. Don't give false hope-- a nurse tells a patient with
a terminal illness that they will better better
2. Don't give unwanted advice-- patients may ask but ultimately it is their decision
, 3. Avoid authority-- "your doctor/nurse knows best"
4. Don't try to avoid certain languages/topics-- "passed away" vs "died"; reality is that someone
died
5. Avoid impersonal speech/distancing-- "the left breast" vs "your left breast"-- specific language
("your") shows that you are confidently knowledgable about the disease
6. Don't assume your client knows/understands the medical terms you spit out at tham
7. Ask unbiased and open-ended questions-- "Do you smoke?" is better than "you don't smoke,
do you?"; clients may feel the need to please/answer the way they think you want them to
8. Listen more than you talk
9. It's rude to interrupt
10. Don't ask why-- it leaves implied bad behavior/wrong doing
What is the best technique to improve a patients health literacy? - correct answer ✔✔Teach
back
What does SBAR stand for? - correct answer ✔✔Situation
Background
Assessment
Recommendation
When do you use an SBAR Report? - correct answer ✔✔Nurse to nurse or nurse to another
healthcare provider (physician)
A sign is ______ while a symptom is ______. - correct answer ✔✔Objective; Subjective
Critical characteristics of a complete health history: - correct answer ✔✔1.) Location:
specifically where is the irritation or pain?
2.) Character: descriptive qualities
