[
  {
    "Question": "What is the primary goal of therapeutic communication in nursing?",
    "Answer": "B",
    "Explanation": "Therapeutic communication aims to establish trust and understanding between the nurse and patient, facilitating effective care and emotional support.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/4/4e/Nurse_and_patient_communication.jpg",
    "OptionA": "To provide medical instructions only",
    "OptionB": "To establish trust and understanding",
    "OptionC": "To entertain the patient",
    "OptionD": "To diagnose the patient",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 1,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "Which of the following is an example of active listening in therapeutic communication?",
    "Answer": "C",
    "Explanation": "Active listening involves giving full attention, nodding, and providing feedback to show understanding, which helps build rapport.",
    "PictureURL": "",
    "OptionA": "Interrupting to give advice",
    "OptionB": "Changing the subject quickly",
    "OptionC": "Nodding and summarizing what the patient says",
    "OptionD": "Ignoring nonverbal cues",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 2,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "Why is cultural sensitivity important in healthcare?",
    "Answer": "A",
    "Explanation": "Cultural sensitivity helps healthcare providers respect patients' beliefs and values, improving communication and care outcomes.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/3/3a/Multicultural_group_of_people.jpg",
    "OptionA": "It improves communication and respects patient values",
    "OptionB": "It allows providers to ignore cultural differences",
    "OptionC": "It focuses only on language translation",
    "OptionD": "It replaces clinical judgment",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Cultural Sensitivity",
    "Item": 3,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Cultural Sensitivity"
  },
  {
    "Question": "Which action demonstrates cultural sensitivity when caring for a patient from a different background?",
    "Answer": "D",
    "Explanation": "Asking about and respecting cultural preferences shows sensitivity and helps tailor care to the patient's needs.",
    "PictureURL": "",
    "OptionA": "Assuming all patients want the same care",
    "OptionB": "Ignoring cultural practices to save time",
    "OptionC": "Forcing the patient to follow hospital routines",
    "OptionD": "Asking about cultural preferences and accommodating them",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Cultural Sensitivity",
    "Item": 4,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Cultural Sensitivity"
  },
  {
    "Question": "Which of the following is NOT a characteristic of therapeutic communication?",
    "Answer": "B",
    "Explanation": "Therapeutic communication is patient-centered and supportive, not judgmental or confrontational.",
    "PictureURL": "",
    "OptionA": "Empathy",
    "OptionB": "Judgmental attitude",
    "OptionC": "Active listening",
    "OptionD": "Open-ended questions",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 5,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "When a nurse uses silence during a conversation with a patient, what is the purpose?",
    "Answer": "C",
    "Explanation": "Silence can give the patient time to think and express feelings, promoting deeper communication.",
    "PictureURL": "",
    "OptionA": "To avoid answering questions",
    "OptionB": "To show disinterest",
    "OptionC": "To allow the patient to reflect and respond",
    "OptionD": "To rush the conversation",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 6,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "Which statement best reflects cultural humility in nursing practice?",
    "Answer": "A",
    "Explanation": "Cultural humility involves recognizing one’s own limitations in understanding another’s culture and being open to learning.",
    "PictureURL": "",
    "OptionA": "I am open to learning about your cultural beliefs",
    "OptionB": "My way is the best way to provide care",
    "OptionC": "Culture does not affect healthcare",
    "OptionD": "I will treat everyone exactly the same",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Cultural Sensitivity",
    "Item": 7,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Cultural Sensitivity"
  },
  {
    "Question": "What is an appropriate response when a patient expresses anger during a therapeutic conversation?",
    "Answer": "B",
    "Explanation": "Acknowledging the patient's feelings and remaining calm helps de-escalate anger and maintain communication.",
    "PictureURL": "",
    "OptionA": "Ignore the anger and change the subject",
    "OptionB": "Acknowledge the feelings and stay calm",
    "OptionC": "Respond with anger to match the patient",
    "OptionD": "Tell the patient to calm down immediately",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 8,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "Which of the following is a barrier to effective therapeutic communication?",
    "Answer": "D",
    "Explanation": "Using medical jargon can confuse patients and hinder understanding, creating a communication barrier.",
    "PictureURL": "",
    "OptionA": "Using open-ended questions",
    "OptionB": "Maintaining eye contact",
    "OptionC": "Active listening",
    "OptionD": "Using complex medical terminology",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 9,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "How can a nurse demonstrate respect for a patient's cultural beliefs during medication administration?",
    "Answer": "C",
    "Explanation": "Discussing the patient's beliefs and adjusting care plans when possible shows respect and cultural sensitivity.",
    "PictureURL": "",
    "OptionA": "Ignore cultural beliefs to ensure medication is taken",
    "OptionB": "Force the patient to take medication regardless of beliefs",
    "OptionC": "Ask about beliefs and collaborate on care plans",
    "OptionD": "Refuse to administer medication if beliefs interfere",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Cultural Sensitivity",
    "Item": 10,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Cultural Sensitivity"
  },
  {
    "Question": "Which communication technique encourages patients to share more information?",
    "Answer": "A",
    "Explanation": "Open-ended questions invite patients to elaborate on their thoughts and feelings, enhancing communication.",
    "PictureURL": "",
    "OptionA": "Asking open-ended questions",
    "OptionB": "Giving yes/no questions only",
    "OptionC": "Interrupting frequently",
    "OptionD": "Changing the topic quickly",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 11,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "What should a nurse do if a patient uses a language the nurse does not understand?",
    "Answer": "B",
    "Explanation": "Using a professional interpreter ensures accurate communication and respects the patient's language needs.",
    "PictureURL": "",
    "OptionA": "Guess the meaning based on context",
    "OptionB": "Use a professional interpreter",
    "OptionC": "Ignore the patient’s language",
    "OptionD": "Ask a family member to interpret without consent",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Cultural Sensitivity",
    "Item": 12,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Cultural Sensitivity"
  },
  {
    "Question": "Which of the following is an example of nonverbal communication that supports therapeutic communication?",
    "Answer": "D",
    "Explanation": "Maintaining eye contact and an open posture conveys interest and support without words.",
    "PictureURL": "https://upload.wikimedia.org/wikipedia/commons/0/0a/Nonverbal_communication.jpg",
    "OptionA": "Looking away frequently",
    "OptionB": "Crossing arms defensively",
    "OptionC": "Checking the clock often",
    "OptionD": "Maintaining eye contact and nodding",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 13,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  },
  {
    "Question": "How can a nurse avoid stereotyping when providing culturally sensitive care?",
    "Answer": "A",
    "Explanation": "Treating each patient as an individual and asking about their unique preferences prevents stereotyping.",
    "PictureURL": "",
    "OptionA": "Ask about individual beliefs rather than assuming",
    "OptionB": "Apply generalizations about the culture",
    "OptionC": "Ignore cultural differences",
    "OptionD": "Use only cultural stereotypes to guide care",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Cultural Sensitivity",
    "Item": 14,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Cultural Sensitivity"
  },
  {
    "Question": "What is the best way for a nurse to respond to a patient who is reluctant to share personal information?",
    "Answer": "C",
    "Explanation": "Respecting the patient’s pace and reassuring confidentiality helps build trust and encourages sharing.",
    "PictureURL": "",
    "OptionA": "Pressure the patient to talk immediately",
    "OptionB": "Ignore the reluctance and continue questioning",
    "OptionC": "Reassure confidentiality and allow time",
    "OptionD": "Tell the patient their information is not important",
    "OptionE": "",
    "OptionF": "",
    "OptionG": "",
    "TestName": "Psychosocial Integrity Practice Test",
    "Content Type": "Question",
    "Title": "Therapeutic Communication",
    "Item": 15,
    "Type": "multiple choice",
    "Path": "Psychosocial Integrity/Therapeutic Communication"
  }
]