ETELPMOC • 2 MAXE
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Exam 2 — Fundamentals
CO M P L E T E CO M P R E H E N S I V E R E V I E W — CO M M U N I C AT I O N , D O CU M E N TAT I O N , I N F O R M AT I CS & L E G A L
I SS U E S
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 2
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Exam 2 — Fundamentals Complete Review TOTAL QUESTIONS Complete Study Guide — All Topics
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive Exam 2 covers communication (levels, process, verbal/nonverbal, therapeutic relationships, SOLER, SBAR),
documentation (standards, formats, EHR, legal principles), informatics (NIS, CDSS, simulation, social media), and legal issues
(laws, torts, HIPAA, PSDA, malpractice, Good Samaritan).
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 2 core concepts.
SECTION I — COMMUNICATION & THERAPEUTIC RELATIONSHIPS Part A
1. Communication in nursing is best defined as:
A. Only speaking to patients.
B. A dynamic process of sending and receiving verbal and nonverbal messages that builds relationships and meets
physical, psychosocial, emotional, and spiritual needs.
C. Documenting in the medical record.
D. Following physician orders.
CORRECT ANSWER B — A dynamic process of sending and receiving verbal and nonverbal messages.
RATIONALE Communication is a basic human function involving a circular, dynamic loop (not linear). It is the foundation
for the nurse-client relationship and a powerful tool to activate the nursing process. It requires constant
adjustment based on active feedback.
, 2. The four levels of communication in nursing are:
A. Verbal, nonverbal, written, electronic.
B. Intrapersonal, Interpersonal, Group, and Public Speaking.
C. Sender, receiver, message, feedback.
D. Therapeutic, nontherapeutic, assertive, passive.
CORRECT ANSWER B — Intrapersonal, Interpersonal, Group, and Public Speaking.
RATIONALE Intrapersonal is self-talk (internal dialogue). Interpersonal is face-to-face (most common in nursing). Group
occurs in staff meetings/care conferences. Public Speaking addresses large audiences (community education,
professional presentations).
3. Intrapersonal communication is best described as:
A. Communication between two people.
B. Self-talk—the internal dialogue that occurs within an individual; can be positive or negative and influences clinical
confidence.
C. Communication in a group setting.
D. Public speaking to large audiences.
CORRECT ANSWER B — Self-talk; internal dialogue influencing clinical confidence.
RATIONALE Intrapersonal communication is the ongoing internal conversation—it can be positive (enhancing confidence)
or negative (creating self-doubt). It directly affects a nurse's clinical performance and decision-making.
4. The six core elements of the communication process are:
A. Assessment, Diagnosis, Planning, Implementation, Evaluation, Documentation.
B. Sender, Encoding, Message, Channel, Receiver, Feedback.
C. Intrapersonal, Interpersonal, Group, Public, Verbal, Nonverbal.
D. SOLER—Sit, Open, Lean, Eye contact, Relax.
CORRECT ANSWER B — Sender, Encoding, Message, Channel, Receiver, Feedback.
RATIONALE The communication process is a circular, dynamic loop: Sender initiates → Encoding (selecting
words/tone/symbols) → Message (the actual content) → Channel (medium: face-to-face, phone, written) →
Receiver interprets → Feedback (response indicating understanding).
5. Denotative meaning refers to ________, while connotative meaning refers to ________.
A. Emotional meaning; literal dictionary definition.
B. The literal, dictionary definition; the implied, emotional, or cultural interpretation.
C. Verbal communication; nonverbal communication.
D. Medical jargon; lay terminology.
CORRECT ANSWER B — Denotative: literal dictionary definition; Connotative: implied/emotional/cultural interpretation.
RATIONALE Understanding this distinction is critical for therapeutic communication—a word's dictionary meaning may
differ dramatically from the emotional meaning a patient attaches to it based on their culture, experiences, or
beliefs.
Nursing Fundamentals
NF College of Nursing & Health Sciences
B U I L D I N G T H E F O U N D AT I O N F O R N U R S I N G E X C E L L E N C E
FUNDAMENTALS
Exam 2 — Fundamentals
CO M P L E T E CO M P R E H E N S I V E R E V I E W — CO M M U N I C AT I O N , D O CU M E N TAT I O N , I N F O R M AT I CS & L E G A L
I SS U E S
INSTITUTION Nursing Fundamentals Program EXAM TYPE Nursing Fundamentals Exam 2
PROGRAM RN Nursing Program ACADEMIC YEAR
EXAM TITLE Exam 2 — Fundamentals Complete Review TOTAL QUESTIONS Complete Study Guide — All Topics
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the Single Best
Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question unless otherwise specified.
▸ This comprehensive Exam 2 covers communication (levels, process, verbal/nonverbal, therapeutic relationships, SOLER, SBAR),
documentation (standards, formats, EHR, legal principles), informatics (NIS, CDSS, simulation, social media), and legal issues
(laws, torts, HIPAA, PSDA, malpractice, Good Samaritan).
▸ Correct answers and detailed rationales appear below each question.
▸ All content is derived from Nursing Fundamentals Exam 2 core concepts.
SECTION I — COMMUNICATION & THERAPEUTIC RELATIONSHIPS Part A
1. Communication in nursing is best defined as:
A. Only speaking to patients.
B. A dynamic process of sending and receiving verbal and nonverbal messages that builds relationships and meets
physical, psychosocial, emotional, and spiritual needs.
C. Documenting in the medical record.
D. Following physician orders.
CORRECT ANSWER B — A dynamic process of sending and receiving verbal and nonverbal messages.
RATIONALE Communication is a basic human function involving a circular, dynamic loop (not linear). It is the foundation
for the nurse-client relationship and a powerful tool to activate the nursing process. It requires constant
adjustment based on active feedback.
, 2. The four levels of communication in nursing are:
A. Verbal, nonverbal, written, electronic.
B. Intrapersonal, Interpersonal, Group, and Public Speaking.
C. Sender, receiver, message, feedback.
D. Therapeutic, nontherapeutic, assertive, passive.
CORRECT ANSWER B — Intrapersonal, Interpersonal, Group, and Public Speaking.
RATIONALE Intrapersonal is self-talk (internal dialogue). Interpersonal is face-to-face (most common in nursing). Group
occurs in staff meetings/care conferences. Public Speaking addresses large audiences (community education,
professional presentations).
3. Intrapersonal communication is best described as:
A. Communication between two people.
B. Self-talk—the internal dialogue that occurs within an individual; can be positive or negative and influences clinical
confidence.
C. Communication in a group setting.
D. Public speaking to large audiences.
CORRECT ANSWER B — Self-talk; internal dialogue influencing clinical confidence.
RATIONALE Intrapersonal communication is the ongoing internal conversation—it can be positive (enhancing confidence)
or negative (creating self-doubt). It directly affects a nurse's clinical performance and decision-making.
4. The six core elements of the communication process are:
A. Assessment, Diagnosis, Planning, Implementation, Evaluation, Documentation.
B. Sender, Encoding, Message, Channel, Receiver, Feedback.
C. Intrapersonal, Interpersonal, Group, Public, Verbal, Nonverbal.
D. SOLER—Sit, Open, Lean, Eye contact, Relax.
CORRECT ANSWER B — Sender, Encoding, Message, Channel, Receiver, Feedback.
RATIONALE The communication process is a circular, dynamic loop: Sender initiates → Encoding (selecting
words/tone/symbols) → Message (the actual content) → Channel (medium: face-to-face, phone, written) →
Receiver interprets → Feedback (response indicating understanding).
5. Denotative meaning refers to ________, while connotative meaning refers to ________.
A. Emotional meaning; literal dictionary definition.
B. The literal, dictionary definition; the implied, emotional, or cultural interpretation.
C. Verbal communication; nonverbal communication.
D. Medical jargon; lay terminology.
CORRECT ANSWER B — Denotative: literal dictionary definition; Connotative: implied/emotional/cultural interpretation.
RATIONALE Understanding this distinction is critical for therapeutic communication—a word's dictionary meaning may
differ dramatically from the emotional meaning a patient attaches to it based on their culture, experiences, or
beliefs.
