N310 - EXAM 1 | QUESTIONS AND ANSWERS |
2025/2026 UPDATE | WITH COMPLETE SOLUTION
The nurse is caring for an older adult client in a long-term care facility. Which
behavior by the nurse best conveys physical attending when communicating
with this client?
a. facilitating and taking action when needed
b. maintaining a distance of 25 feet separation when speaking with the client
c. leaning toward the client during conversation
d. being concrete and inflexible about actions that need to be taken during
client care Answer - c. leaning toward the client during conversation
Rationale: The nurse best conveys physical attending by leaning toward the
client, which communicates involvement. Facilitating and taking action and
maintaining social distance do not convey physical attending. Being concrete is
a method of communicating information to the client, not a method of
conveying physical attending.
The nurse is admitting a client who reports chest pains. The nurse noticed that
the client is very anxious and worried. The nurse tells the client "not to worry"
and that "its going to be okay." Which barrier to communication is the nurse
using?
a. changing topics and subjects
b. giving unwarranted reassurance
c. giving common advice
,d. agreeing and disagreeing Answer - b. giving unwarranted reassurance
Rationale: Giving unwarranted reassurances, which are comforting statements
of advice, as a means to assure the client should be avoided. Nurses need to be
cognizant of these barriers and avoid them. Nurses also need to recognize the
barriers when they occur and change to more effective means of
communication. Giving common advice is telling the client what to do. These
responses deny the client's right to be an equal partner. Agreeing and
disagreeing deters clients from thinking through their position and may cause a
client to become defensive. Changing topics and subjects implies that what the
nurse considers important will be discussed and that clients should not discuss
certain topics.
The nurse is preparing to teach a client who speaks limited English. Which
should the nurse do to convey the information to the client? (Select the 3
answers that apply)
a. use written illustrations in the client's first language and in English
b. use appropriate layman's terminology
c. use an interpreter
d. speak louder and use hand gestures Answer - a. use written illustrations in
the client's first language and in English
b. use appropriate layman's terminology
c. use an interpreter
Rationale: When communicating with a client who does not understand
English, the nurse may use written illustrations. Simple layman's terminology
and an interpreter may also be helpful in conveying the correct information to
the client. Although videos and the internet may be good sources of additional
information, these are not the best option for this scenario. Furthermore,
videos and internet resources are mostly presented in English and will not
benefit this client
, A nurse mentor is teaching a group of students about therapeutic touch. In
which situation is it appropriate to use therapeutic touch?
a. when a client's family member is making inappropriate comments to the
nurse
b. when an upset spouse is alone and the client has just expired
c. when speaking to a client with a history of physical abuse
d. when a young male client asks a young student nurse for a hug Answer - b.
when an upset spouse is alone and the client has just expired
Rationale: Therapeutic touch may be an appropriate means for communication
when providing nursing care. However, nurses must use therapeutic touch with
caution and intention. People from different cultures may view the use of
touch differently. Similarly, clients with a history of physical or sexual abuse
and/or certain mental illnesses may misinterpret the use of touch.
Furthermore, touch is not appropriate when a client's family member is making
inappropriate comments to the nurse or when a client asks a student nurse for
a hug. Thus, of the options listed, the only one in which therapeutic touch is
appropriate is the situation involving the grieving spouse.
A nurse paraphrased some statements made by an adult client during a
conversation with the patient. What is the best way to paraphrase the
conversation while continuing to communicate with the client?
a. "In other words, you would like to be treated like an adult?"
b. "You're too young to be treated like an adult"
c. "That is no way to feel. Your family is trying to help you out"
d. "I have experienced a similar situation and here is what I did" Answer - a. "In
other words, you would like to be treated like an adult?"
2025/2026 UPDATE | WITH COMPLETE SOLUTION
The nurse is caring for an older adult client in a long-term care facility. Which
behavior by the nurse best conveys physical attending when communicating
with this client?
a. facilitating and taking action when needed
b. maintaining a distance of 25 feet separation when speaking with the client
c. leaning toward the client during conversation
d. being concrete and inflexible about actions that need to be taken during
client care Answer - c. leaning toward the client during conversation
Rationale: The nurse best conveys physical attending by leaning toward the
client, which communicates involvement. Facilitating and taking action and
maintaining social distance do not convey physical attending. Being concrete is
a method of communicating information to the client, not a method of
conveying physical attending.
The nurse is admitting a client who reports chest pains. The nurse noticed that
the client is very anxious and worried. The nurse tells the client "not to worry"
and that "its going to be okay." Which barrier to communication is the nurse
using?
a. changing topics and subjects
b. giving unwarranted reassurance
c. giving common advice
,d. agreeing and disagreeing Answer - b. giving unwarranted reassurance
Rationale: Giving unwarranted reassurances, which are comforting statements
of advice, as a means to assure the client should be avoided. Nurses need to be
cognizant of these barriers and avoid them. Nurses also need to recognize the
barriers when they occur and change to more effective means of
communication. Giving common advice is telling the client what to do. These
responses deny the client's right to be an equal partner. Agreeing and
disagreeing deters clients from thinking through their position and may cause a
client to become defensive. Changing topics and subjects implies that what the
nurse considers important will be discussed and that clients should not discuss
certain topics.
The nurse is preparing to teach a client who speaks limited English. Which
should the nurse do to convey the information to the client? (Select the 3
answers that apply)
a. use written illustrations in the client's first language and in English
b. use appropriate layman's terminology
c. use an interpreter
d. speak louder and use hand gestures Answer - a. use written illustrations in
the client's first language and in English
b. use appropriate layman's terminology
c. use an interpreter
Rationale: When communicating with a client who does not understand
English, the nurse may use written illustrations. Simple layman's terminology
and an interpreter may also be helpful in conveying the correct information to
the client. Although videos and the internet may be good sources of additional
information, these are not the best option for this scenario. Furthermore,
videos and internet resources are mostly presented in English and will not
benefit this client
, A nurse mentor is teaching a group of students about therapeutic touch. In
which situation is it appropriate to use therapeutic touch?
a. when a client's family member is making inappropriate comments to the
nurse
b. when an upset spouse is alone and the client has just expired
c. when speaking to a client with a history of physical abuse
d. when a young male client asks a young student nurse for a hug Answer - b.
when an upset spouse is alone and the client has just expired
Rationale: Therapeutic touch may be an appropriate means for communication
when providing nursing care. However, nurses must use therapeutic touch with
caution and intention. People from different cultures may view the use of
touch differently. Similarly, clients with a history of physical or sexual abuse
and/or certain mental illnesses may misinterpret the use of touch.
Furthermore, touch is not appropriate when a client's family member is making
inappropriate comments to the nurse or when a client asks a student nurse for
a hug. Thus, of the options listed, the only one in which therapeutic touch is
appropriate is the situation involving the grieving spouse.
A nurse paraphrased some statements made by an adult client during a
conversation with the patient. What is the best way to paraphrase the
conversation while continuing to communicate with the client?
a. "In other words, you would like to be treated like an adult?"
b. "You're too young to be treated like an adult"
c. "That is no way to feel. Your family is trying to help you out"
d. "I have experienced a similar situation and here is what I did" Answer - a. "In
other words, you would like to be treated like an adult?"
