Question 1 of 25
NUR 109 Midpoint Assessment 2026. A nurse is assisting a patient who is blind and uses a white cane and a service dog to the radiology department for a diagnostic procedure. The hallway is crowded and noisy. Which nursing actions promote safe, therapeutic communication and respect for the patient’s autonomy? (Select All that Apply.)
- Allow the service dog to accompany the patient throughout the hospital visit.
- Speak to the patient in a loud voice to ensure understanding.
- Speak directly to the patient while maintaining eye contact.
- Introduce self upon entering the room and explain the plan for transport.
- Ask the patient how they prefer to be guided during ambulation.
- Grab hold of the patient’s arm and guide the patient around obstacles.
Question 2 of 25
A hospice nurse educator is a guest lecturer for undergraduate nursing students. The nurse educator is discussing the Kübler-Ross model. Match the following reactions to the stage of grief.
- “I am so fortunate to have had so many wonderful years with him, and he will always be in my memories.” — Acceptance
- “What’s the point of going on?” — Depression
- “He’s not gone. He’ll be home from work any second.” — Denial
- “I will never be angry at my wife again if you’ll just let her live.” — Bargaining
- “Where is God? Why didn’t he protect me?” — Anger
Question 3 of 25
A nurse in a primary care clinic assesses a patient who states, “My dog died three weeks ago. I’ve been crying every day, but I haven’t told many people because they say, ‘It was just a pet.’ I feel embarrassed about how sad I am.” Which nursing diagnosis best reflects the patient’s type of grief, and what initial nursing intervention should the nurse prioritize?
- Normal grief; encourage the patient to focus on positive memories and resume normal activities quickly.
- Disenfranchised grief; validate the patient’s feelings and provide information about support groups for pet loss.
- Anticipatory grief; prepare the patient for the upcoming loss through education and support.
- Prolonged grief disorder; monitor the patient closely for persistent inability to accept the loss and refer to counseling. NUR 109 Midpoint Assessment 2026
Question 4 of 25
A nurse is caring for a patient in the early stages of the dying process. The family states, “Our parent seems confused at times and talks about seeing relatives who died years ago. We’re worried something is wrong.” Which nursing response best addresses the family’s concern while promoting realistic expectations?
- “Your parent may be experiencing normal cognitive changes that can occur as the body begins to shut down, and it’s important to provide calm reassurance and maintain a safe environment for your loved one.”
- “The confusion indicates your parent is losing hope, so encouraging more social interaction will improve their cognition.”
- “Your parent is experiencing sundown syndrome, so you should keep the room brightly lit at all times.”
- “Mixed days and nights cause confusion, so it’s best to keep your parent awake during the day with frequent activities.”
Question 5 of 25
Which statement by a nurse indicates a need for further education on elder abuse?
- “An older adult who appears malnourished or has unexplained injuries may be a victim of abuse.”
- “Elder abuse often involves neglect or financial exploitation by family members.”
- “Elder abuse can include emotional, physical, and sexual forms of mistreatment.”
- “Elder abuse is typically obvious and can be easily identified during a routine physical examination.”
Question 6 of 25
A nurse assesses a 55-year-old patient with chronic back pain who takes prescribed oxycodone as needed. The patient reports daily marijuana use, stating, “It helps me feel more in control and less alone.” The patient is recently divorced, lives alone, and states, “When the pain gets bad, I start thinking I’ll never have a normal life again.” The nurse notes increasing marijuana use over the past several months. As the nurse, you decide to discuss different mental health therapies available. Based on your assessment you educate the patient that [Select…] would benefit him most by providing [Select…]. NUR 109 Midpoint Assessment 2026
- Therapy: Cognitive Behavioral Therapy (CBT)
- Benefit: ways to identify and restructure unhelpful thoughts contributing to substance use.
Question 7 of 25
A nurse in a pediatric clinic assesses a 6-year-old child who has multiple bruises in various stages of healing on the back and upper thighs. The caregiver states, “He’s just clumsy like his dad.” The child avoids eye contact, becomes withdrawn when the caregiver speaks, and whispers to the nurse, “I get in trouble a lot.” Which action should the nurse take first?
- Conduct a detailed physical examination and document all injuries before taking any further steps.
- Notify child protective services according to mandatory reporting laws.
- Provide the caregiver with written information about injury prevention.
- Interview the child alone using open-ended questions to gather more information about the injuries.
Question 8 of 25
A nurse is reinforcing teaching with a newly admitted patient who is scheduled for an invasive diagnostic procedure. The patient states, “I signed the form because the doctor told me it’s routine. I don’t really know what it involves.” Which response by the nurse best reflects the patient’s right to informed consent?
- “You have the right to receive information about the risks, benefits, and alternatives before deciding whether to proceed.”
- “Signing the form means you agree to follow whatever the provider recommends.”
- “You can refuse the procedure, but your insurance may not cover future treatment.”
- “Hospital policy requires all patients to sign consent forms before procedures.”
Question 9 of 25
A nurse is about to explain a therapeutic procedure to a patient who doesn’t speak the same language as the nurse. Which of the following actions should the nurse take?
- Tell the patient that he will receive written information in his language after the procedure.
- Have a medical interpreter present during the teaching.
- Ask a bilingual family member to translate the information.
- Speak slowly and loudly while using hand gestures to explain the procedure. NUR 109 Midpoint Assessment 2026
Question 10 of 25
A nurse is admitting a patient with chronic heart failure who states, “I want to make sure my wishes are followed if I can’t speak for myself. I’m confused about the difference between a living will and a durable power of attorney for health care.” Which response by the nurse best demonstrates accurate teaching and supports informed decision-making?
- “A living will outlines your treatment preferences, and a durable power of attorney allows you to appoint someone to make health care decisions if you are unable.”
- “A living will and a durable power of attorney both document your specific medical treatment choices.”
- “A durable power of attorney becomes active only after a court determines you are incompetent.”
- “A living will assigns someone to manage your finances, while a durable power of attorney identifies your preferred hospital.” NUR 109 Midpoint Assessment 2026
Question 11 of 25
A nurse is teaching a course on complementary and alternative therapies at a community center. Match the therapy with the method.
- Triggers certain points on the skin with needles to relieve pain. — Acupuncture
- Focusing the mind on a particular object, thought, or activity to clear and calm the mind. — Meditation
- A tree extract that may help with brain function, memory, and blood circulation. — Ginkgo biloba
- Provides distraction from pain to promote expression of emotions. — Music and Art Therapy
- Promotes healing through healthy diet, sunlight, exercise, herbal remedies, and stress management. — Naturopathic Medicine
Question 13 of 25
A nurse is caring for a patient recently diagnosed with advanced renal failure. The Patient states, “In my culture, my family makes important health decisions together. I want them involved.” Several extended family members arrive and request detailed information about the diagnosis and treatment options. Which nursing action best demonstrates culturally competent care while maintaining professional standards?
- Ask the patient whom they would like involved in discussions and obtain permission before sharing information.
- Request that the family choose one spokesperson to receive information and make decisions.
- Explain that only the patient can make decisions and limit all discussion to the Patient.
- Provide detailed medical information to all family members to respect cultural traditions.
