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CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible, Assertive, CaringCommunication in l 77 7 77
77 Nursing Chapter 2: The Client-Nurse Relationship: A Helping
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77 Relationship Chapter 3: Solving Problems Together 77 77 77 77 77
77 Chapter4:UnderstandingEachOther:CommunicationandCultureChapter
7 7 5: Demonstrating Warmth
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Chapter 6: Showing Respect 77 77 77
77 Chapter 7: Being Genuine 77 77 77
77 Chapter 8: Being Empathetic 77 77 77
77 Chapter9:UsingSelf-
77 DisclosureChapter 10: Being 77 77
77 specific Chapter 11: Asking 77 77 77
77 Questions Chapter12: 77
Expressing OpinionsChapter 13: l! 7 7
UsingHumor 7
Chapter14:Embracing theSpiritualJourneyofHealthCaring,MeaningMaking Chapter 15: l 7 7 7 7 l! 77
77 Requesting Support 77
Chapter16:OvercomingEvaluation 7
77 AnxietyChapter 17: Working with 77 77 77
77 FeedbackChapter18:Using Relaxation 7 7 7 l!
77 technique
Chapter19:IncorporatingImageryinProfessionalPracticeandSelf- 7 7 7 7 7 7
77 Care Chapter 20 Incorporating Positive Self-Talk
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Chapter21: 7 7 Learning toWork Togetherin Groups l 77 7 77 7 77
77 Chapter22:TheChanging WorldofElectronic l!
77 Communication Chapter23:Learning Confrontation skills l! l! l!
77 Chapter24:RefusingUnreasonableRequests 7 7
Chapter 7 7 25: 7 7 Communicating 7 7 Assertively 7 7 and 7 7 Responsibly 7 7 with 7 7 Distressed
7 7 Clients 7 7 and ColleaguesChapter26:CommunicatingAssertivelyandResponsiblywithAggressive
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Clientsand ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular
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77 Clients Chapter 29: Communicating at the End-of-
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LifeChapter30: ContinuingtheCommitment 7 77 7 7
,BalzerRiley:CommunicationinNursing,10thEdition 7 7
Chapter1:Responsible,Assertive,Caring CommunicationinNursing 7 7
Test Bank 77
77 MultipleChoice
1. Which statement describes the affective 7 7 7 7 7 7 7 7 7 7 aspect 7 7 of
7 7 learning effectivecommunication strategies? 77 l! 77
a. ―Thenurseshoulduseclear,directstatementsusingobjectivewords.‖ 7 7 7 7 7 7 7
b. ―Thenurseuses bodylanguagethatiscongruent with theverbal message.‖ 77 7 77 77 77 77 77
c. ―Thenursebelievesthatpositivecommunicationstrategiesbuildconfidence.‖ 7 7 7 7 7
d. ―Thenursepractices assertiveandresponsiblecommunicationstrategies.‖ 77 7
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
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affective aspects (feelings, values, and attitudes), and psychomotor aspects
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(physicalcapability).Learning basic communication skills involves the cognitive domain;
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building confidence through a belief in the value and impact of positive communication is the
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affective domain; and putting skills into action is the psychomotor domain.DIF:
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Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
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MSC: Psychosocial Integrity
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2. Thenursemanagerasksthestaffnursetoworkan extrashift.Whichresponse bythe
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77 staff nurse is assertive and based on rational beliefs?
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a. ―I don’t want you upset, so I will work extra.‖
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b. ―Whydo Ialwayshavetocoverextrashifts?‖ 77 7 7 7 7 7
c. ―I am notableto workan extrashift.‖
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d. ―Ifyoucan’tfindanyoneelse,Iwilldoit.‖
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ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
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irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
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focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
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Communication and Documentation MSC: Safe and Effective Care Environment:
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Management of Care
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, 3. Anursemanageroffersa staffnurseachoicebetween working8-or12-hourshifts. Which
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77 statement, if made by the staff nurse, is nonassertive and may result in afrustrated response
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77 from the nurse manager? 77 77 77
a. ―I want to decide theshifts forall of theotherstaff nurses.‖
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b. ―Dowhateveryouwant. Itdoesn’treallymatterto me.‖ 7 77 77 7 77 7 77
c. ―Thankyou foroffering meachoice. Iprefer12-hourshifts.‖ 7 77 77 77 7 7
d. ―Youwillneverbeabletogivemewhat Ireallywanttowork.‖ 7 7 7 7 7 7 77 7 7 7
ANS:B
A statement that allows others to make decisions for a person is an example of anonassertive
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style of communication; the response of others to a nonassertive statement may include
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disrespect, guilt, anger, or frustration. Statements that make choices for others or that are
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accusations are examples of aggressive styles of communication; the response of others to an
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aggressive statement may include hurt, defensiveness, or humiliation. A statement that
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allows making one’s own decisions is an example ofassertive style of communication; the
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response of others to an assertive statement may include mutual respect.DIF: Analysis REF:
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p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
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Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. The
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77 patient has not been following the prescribed diet or taking the prescribed medications.
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77 Which type of communication approach is most important for the nurse to use with this
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77 patient to facilitate a change in self-care behavior?
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a. Authoritative,honest,andoutrightcommunication 7 77
b. Assertive,responsible,and caring communication 7 l l
c. Aggressive,sympathetic,andrealisticcommunication 7
d. Positive,expert,andfocusedcommunication 7
ANS:B
Communication must be technically responsible, assertive, and caring to 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
7facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
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7Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
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5. Which are examples of a nurse 7 7 7 7 7 7 7 7 7 7 7 7 who 7 7 is 7 7 communicating
7 7 responsibly? (Select allthat apply) 77 7 7 77
a. The nurse uses profanity to respond to a client who is 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
intoxicated and verballyabusive.
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b. Thenursehelpsaclienttalktofamilymembersabout 7 7 7 7 7 7 7 7 7
discontinuingchemotherapy.
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