Nursing Acceleration Challenge Exam I PN Communication and Documentation

Question 1

A patient says, 'I feel like no one really listens to me.' Which nurse response demonstrates the best therapeutic communication technique?

Accepted Answer

'Tell me more about what you mean by that.'

Answer

'Don't worry—all the nurses here care about you.'

Answer

'I'm sure that's not true. Everyone tries their best.'

Answer

'You should speak with the charge nurse about your concerns.'

Question 2

A nurse needs to hand off a patient to the oncoming nurse. Which communication framework is the standard for structured handoff reporting?

Accepted Answer

SBAR

Answer

ADPIE

Answer

SOAP

Answer

RACE

Question 3

A nurse discovers a medication error was made by a previous nurse. Which documentation action is correct?

Accepted Answer

Document the error in the patient's chart and file an incident report

Answer

Correct the previous nurse's charting and add a note

Answer

File only an incident report and omit it from the patient's chart

Answer

Notify the supervisor verbally and make no written record until instructed

Question 4

Which of the following is an example of a nonverbal communication barrier that a nurse should be aware of?

Accepted Answer

Standing over a seated patient while delivering bad news

Answer

Using medical jargon with a patient

Answer

Speaking too quickly during patient education

Answer

Asking two questions at the same time

Question 5

A nurse is documenting assessment findings. Which entry is written correctly?

Accepted Answer

'Patient rates pain 7/10, diaphoretic, guarding abdomen, BP 152/94.'

Answer

'Patient seemed uncomfortable and appeared to be in pain.'

Answer

'Patient appears anxious—probably worried about surgery.'

Answer

'Patient was uncooperative and difficult during morning care.'

Question 6

A patient who speaks limited English is scheduled for surgery. The nurse needs to obtain informed consent. What is the most appropriate action?

Accepted Answer

Use a hospital-approved professional medical interpreter

Answer

Ask the patient's adult family member to translate the consent form

Answer

Speak slowly and use hand gestures to explain the procedure

Answer

Have the patient sign the consent form after reading it independently