NPP-102 | NURSING FUNDAMENTALS: COMMUNICATION &
NURSING PROCESS EXAM QUESTIONS & ANSWERS | UPDATED
2025 TEST WITH GUARANTEED A+ SUCCESS.
The stage of the interview that establishes the relationship between the nurse and
the patient is the:
1. Opening stage
2. Working stage
3. Surrogate state
4. Examining state – ☑️ CORRECT ANSWER: 1.
The purposes of the opening stage of an interview are to establish rapport and
orient the interviewee. A relationship is established through a process of creating
goodwill and trust. The orientation focuses on explaining the purpose and nature
of the interview and what is expected of the patient.
2. The patient is exhibiting anxious behavior and states, "I just found out that I
have cancer everywhere and I don't have long to live. My life is over." What is the
best response by the nurse?
1. It might be good if your wife were here right now. Shall I call her?
2. What might be the best way to approach this terrible news?
3. That is so sad, you must feel like crying.
4. It sounds like you feel hopeless. – ☑️ CORRECT ANSWER: 4.
This is an example of a reflective technique. When no solutions to a problem are
evident, a person becomes hopeless.
3. Which interviewing skill is being used when the nurse says, "You mentioned
before that you are having a problem with your colostomy?":
1. Focusing
, 2. Clarifying
3. Paraphrasing
4. Acknowledging – ☑️
CORRECT ANSWER: 1.
This example of focusing helps the patient explore a topic of importance. The
nurse selects one topic for further discussion from among several topics
presented by the patient.
4. The patient says, "I'm really nervous about having a spinal tap tomorrow." The
best response by the nurse is:
1. "I'll ask the doctor for a little medication to help you relax."
2. "Patients who have had a spinal tap say it's not that uncomfortable."
3. "The doctor is excellent and is very careful when spinal taps are done."
☑️
4. "It's alright to be nervous, and I don't remember anyone who wasn't." –
CORRECT ANSWER: 4.
This statement is therapeutic. It recognizes the patient's feelings, gives the
patient permission to feel nervous, and reassures the patient that one's behavior
is not unusual. This statement sets the groundwork for the next statement, such
as "Let's talk a little about the spinal tap and the concerns you may have."
5. What phase of the therapeutic relationship is characterized by gathering
☑️
information before meeting the client?
– CORRECT ANSWER: Phase 1 – Pre-Interaction phase
6. What phase of the therapeutic relationship is characterized by meeting clients,
☑️
making conversation, and establishing rapport?
– CORRECT ANSWER: Phase 2 – Orientation phase
7. What phase of the therapeutic relationship is characterized by techniques
related to therapeutic communication and allowing the client to clarify any
☑️
concerns?
– CORRECT ANSWER: Phase 3 – Working phase
8. What phase of the therapeutic relationship is characterized by finding healthy
☑️
ways to conclude a relationship?
– CORRECT ANSWER: Phase 4 – Termination phase
, 9. The main purpose of the working phase of a therapeutic nurse-patient
relationship is to:
1. Establish a formal or informal contract that addresses the patient’s problems
2. Implement nursing interventions designed to achieve expected patient outcomes.
3. Develop rapport and trust so the patient feels protected and an initial care plan
can be identified
☑️
4. Clearly identify the role of the nurse and establish parameters of the professional
relationship. – CORRECT ANSWER: 2.
During the working phase of the therapeutic relationship, nursing interventions
serve a twofold purpose: to assist patients in exploring and understanding their
thoughts and feelings, and to support patient decisions and actions.
10. The nurse uses a reflective technique when communicating with an anxious
patient. The nurse uses a reflective technique in this situation because it focuses
on:
1. Feelings
2. Content themes
3. Clarification of information
4. Summarization of the topics discussed – ☑️ CORRECT ANSWER: 1.
The reflective technique requires active listening to identify the underlying
emotional concerns or feelings contained in a patient's messages. These feelings
are then referred back to the patients to promote a clearer understanding of what
they have said.
11. A patient says, "I don't know if I'll make it through this surgery." Which
response by the nurse may block further communication by the patient?
1. "You sound scared."
2. "You think you will die?"
3. "Surgery can be frightening."
NURSING PROCESS EXAM QUESTIONS & ANSWERS | UPDATED
2025 TEST WITH GUARANTEED A+ SUCCESS.
The stage of the interview that establishes the relationship between the nurse and
the patient is the:
1. Opening stage
2. Working stage
3. Surrogate state
4. Examining state – ☑️ CORRECT ANSWER: 1.
The purposes of the opening stage of an interview are to establish rapport and
orient the interviewee. A relationship is established through a process of creating
goodwill and trust. The orientation focuses on explaining the purpose and nature
of the interview and what is expected of the patient.
2. The patient is exhibiting anxious behavior and states, "I just found out that I
have cancer everywhere and I don't have long to live. My life is over." What is the
best response by the nurse?
1. It might be good if your wife were here right now. Shall I call her?
2. What might be the best way to approach this terrible news?
3. That is so sad, you must feel like crying.
4. It sounds like you feel hopeless. – ☑️ CORRECT ANSWER: 4.
This is an example of a reflective technique. When no solutions to a problem are
evident, a person becomes hopeless.
3. Which interviewing skill is being used when the nurse says, "You mentioned
before that you are having a problem with your colostomy?":
1. Focusing
, 2. Clarifying
3. Paraphrasing
4. Acknowledging – ☑️
CORRECT ANSWER: 1.
This example of focusing helps the patient explore a topic of importance. The
nurse selects one topic for further discussion from among several topics
presented by the patient.
4. The patient says, "I'm really nervous about having a spinal tap tomorrow." The
best response by the nurse is:
1. "I'll ask the doctor for a little medication to help you relax."
2. "Patients who have had a spinal tap say it's not that uncomfortable."
3. "The doctor is excellent and is very careful when spinal taps are done."
☑️
4. "It's alright to be nervous, and I don't remember anyone who wasn't." –
CORRECT ANSWER: 4.
This statement is therapeutic. It recognizes the patient's feelings, gives the
patient permission to feel nervous, and reassures the patient that one's behavior
is not unusual. This statement sets the groundwork for the next statement, such
as "Let's talk a little about the spinal tap and the concerns you may have."
5. What phase of the therapeutic relationship is characterized by gathering
☑️
information before meeting the client?
– CORRECT ANSWER: Phase 1 – Pre-Interaction phase
6. What phase of the therapeutic relationship is characterized by meeting clients,
☑️
making conversation, and establishing rapport?
– CORRECT ANSWER: Phase 2 – Orientation phase
7. What phase of the therapeutic relationship is characterized by techniques
related to therapeutic communication and allowing the client to clarify any
☑️
concerns?
– CORRECT ANSWER: Phase 3 – Working phase
8. What phase of the therapeutic relationship is characterized by finding healthy
☑️
ways to conclude a relationship?
– CORRECT ANSWER: Phase 4 – Termination phase
, 9. The main purpose of the working phase of a therapeutic nurse-patient
relationship is to:
1. Establish a formal or informal contract that addresses the patient’s problems
2. Implement nursing interventions designed to achieve expected patient outcomes.
3. Develop rapport and trust so the patient feels protected and an initial care plan
can be identified
☑️
4. Clearly identify the role of the nurse and establish parameters of the professional
relationship. – CORRECT ANSWER: 2.
During the working phase of the therapeutic relationship, nursing interventions
serve a twofold purpose: to assist patients in exploring and understanding their
thoughts and feelings, and to support patient decisions and actions.
10. The nurse uses a reflective technique when communicating with an anxious
patient. The nurse uses a reflective technique in this situation because it focuses
on:
1. Feelings
2. Content themes
3. Clarification of information
4. Summarization of the topics discussed – ☑️ CORRECT ANSWER: 1.
The reflective technique requires active listening to identify the underlying
emotional concerns or feelings contained in a patient's messages. These feelings
are then referred back to the patients to promote a clearer understanding of what
they have said.
11. A patient says, "I don't know if I'll make it through this surgery." Which
response by the nurse may block further communication by the patient?
1. "You sound scared."
2. "You think you will die?"
3. "Surgery can be frightening."
