NURSING 2200
Art of Professional
Nursing
Q & A w/ Rationales
2024
,1. A nurse is caring for a patient who has been diagnosed
with terminal cancer. The patient expresses anger, sadness,
and fear about his condition and asks the nurse why this is
happening to him. The nurse should:
a) Explain the stages of grief and tell the patient that his
feelings are normal.
b) Avoid discussing the patient's emotions and focus on his
physical needs.
c) Encourage the patient to talk to a spiritual leader or
counselor.
d) Validate the patient's feelings and provide empathic
listening.*
Rationale: The correct answer is d. The nurse should
validate the patient's feelings and provide empathic
listening, which are essential skills for therapeutic
communication and relationship building. The nurse should
not explain the stages of grief, as this may sound
dismissive or patronizing. The nurse should not avoid
discussing the patient's emotions, as this may make the
patient feel isolated or ignored. The nurse should not
encourage the patient to talk to a spiritual leader or
counselor, unless the patient expresses a desire to do so, as
this may impose the nurse's values or beliefs on the patient.
2. A nurse is conducting a health assessment of a new
client at a community health center. The client is a 35-year-
old woman who immigrated from India two years ago. The
nurse should:
a) Use an interpreter if the client has limited English
, proficiency.*
b) Ask the client about her cultural beliefs and practices
related to health and illness.
c) Respect the client's preferences for personal space and
eye contact.
d) All of the above.*
Rationale: The correct answer is d. The nurse should use an
interpreter if the client has limited English proficiency, as
this will ensure accurate and effective communication and
avoid misunderstandings or errors. The nurse should ask
the client about her cultural beliefs and practices related to
health and illness, as this will help the nurse understand the
client's perspective and provide culturally competent care.
The nurse should respect the client's preferences for
personal space and eye contact, as these may vary
depending on the client's culture and may affect the rapport
and trust between the nurse and the client.
3. A nurse is teaching a group of nursing students about the
principles of evidence-based practice (EBP). The nurse
explains that EBP is:
a) A process of integrating the best available research
evidence with clinical expertise and patient values.*
b) A method of applying standardized guidelines and
protocols to clinical situations.
c) A strategy of using trial and error to solve clinical
problems.
d) A technique of basing clinical decisions on intuition and
experience.
Rationale: The correct answer is a. EBP is a process of
Art of Professional
Nursing
Q & A w/ Rationales
2024
,1. A nurse is caring for a patient who has been diagnosed
with terminal cancer. The patient expresses anger, sadness,
and fear about his condition and asks the nurse why this is
happening to him. The nurse should:
a) Explain the stages of grief and tell the patient that his
feelings are normal.
b) Avoid discussing the patient's emotions and focus on his
physical needs.
c) Encourage the patient to talk to a spiritual leader or
counselor.
d) Validate the patient's feelings and provide empathic
listening.*
Rationale: The correct answer is d. The nurse should
validate the patient's feelings and provide empathic
listening, which are essential skills for therapeutic
communication and relationship building. The nurse should
not explain the stages of grief, as this may sound
dismissive or patronizing. The nurse should not avoid
discussing the patient's emotions, as this may make the
patient feel isolated or ignored. The nurse should not
encourage the patient to talk to a spiritual leader or
counselor, unless the patient expresses a desire to do so, as
this may impose the nurse's values or beliefs on the patient.
2. A nurse is conducting a health assessment of a new
client at a community health center. The client is a 35-year-
old woman who immigrated from India two years ago. The
nurse should:
a) Use an interpreter if the client has limited English
, proficiency.*
b) Ask the client about her cultural beliefs and practices
related to health and illness.
c) Respect the client's preferences for personal space and
eye contact.
d) All of the above.*
Rationale: The correct answer is d. The nurse should use an
interpreter if the client has limited English proficiency, as
this will ensure accurate and effective communication and
avoid misunderstandings or errors. The nurse should ask
the client about her cultural beliefs and practices related to
health and illness, as this will help the nurse understand the
client's perspective and provide culturally competent care.
The nurse should respect the client's preferences for
personal space and eye contact, as these may vary
depending on the client's culture and may affect the rapport
and trust between the nurse and the client.
3. A nurse is teaching a group of nursing students about the
principles of evidence-based practice (EBP). The nurse
explains that EBP is:
a) A process of integrating the best available research
evidence with clinical expertise and patient values.*
b) A method of applying standardized guidelines and
protocols to clinical situations.
c) A strategy of using trial and error to solve clinical
problems.
d) A technique of basing clinical decisions on intuition and
experience.
Rationale: The correct answer is a. EBP is a process of
