TEST BANK
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Communication in Nursing 10th Edition
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Julia Balzer Riley
c* c*
, Table of Contents c* c*
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
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pter 2: The Client-
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Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
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ms Together
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Chapter 4: Understanding Each Other: Communication and Cultur
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e Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect Ch c* c* c* c*
apter 7: Being Genuine Chapter
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8: Being Empathetic Chapter 9:
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Using Self- c*
Disclosure Chapter 10: Being sp c* c* c* c*
ecific Chapter 11: Asking Quest
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ions Chapter 12: Expressing Opi
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nions Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chap
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ter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback Cha c* c* c* c* c*
pter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
c* c* c* c* c* c* c* c*
Care Chapter 20 Incorporating Positive Self-Talk
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Chapter 21: Learning to Work Together in Groups
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Chapter 22: The Changing World of Electronic Communicatio
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n Chapter 23: Learning Confrontation skills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleague
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s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
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ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
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Life Chapter 30: Continuing the Commitmen
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t
,Balzer Riley: Communication in Nursing, 10th Edition
c* c* c* c* c*
c*
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
c* c* c* c* c* c* c*
Test Bank Multip
c* c*
le Choice
c*
1. Which statement describes the affective aspect of learning effe
c * c * c * c * c * c * c * c *
ctive communication strategies?
c* c*
a. “The nurse should use clear, direct statements using objective words.”
c* c* c* c* c* c* c* c* c*
b. “The nurse uses body language that is congruent with the verbal message.”
c* c* c* c* c* c* c* c* c* c* c*
c. “The nurse believes that positive communication strategies build confidence.”
c* c* c* c* c* c* c* c*
d. “The nurse practices assertive and responsible communication strategies.”
c* c* c* c* c* c* c*
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), af
c* c* c* c* c* c* c* c* c* c*
fective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capa
c* c* c* c* c* c* c* c* c* c*
bility).Learning basic communication skills involves the cognitive domain; building con
c* c* c* c* c* c* c* c* c*
fidence through a belief in the value and impact of positive communication is the affect
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ive domain; and putting skills into action is the psychomotor domain.DIF: Comprehensi
c* c* c* c* c* c* c* c* c* c* c*
on REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Ps
c* c* c* c* c* c* c* c* c * c* c*
ychosocial Integrity c*
2. The nurse manager asks the staff nurse to work an extra shift. Which response
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
by the staff nurse is assertive and based on rational beliefs?
c* c* c* c* c* c* c* c* c* c*
a. “I don’t want you upset, so I will work extra.”
c* c* c* c* c* c* c* c* c*
b. “Why do I always have to cover extra shifts?”
c* c* c* c* c* c* c* c*
c. “I am not able to work an extra shift.”
c* c* c* c* c* c* c* c*
d. “If you can’t find anyone else, I will do it.”
c* c* c* c* c* c* c* c* c*
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 assertivenes
c* c* c* c* c* c* c* c* c* c* c* c*
s or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
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Process: Communication and Documentation MSC: Safe and Effective Care Environme
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nt: Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
c* c* c* c* c* c* c* c* c* c* c* c* c*
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may res
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ult in a frustrated response from the nurse manager?
c* c* c* c* c* c* c* c*
a. “I want to decide the shifts for all of the other staff nurses.”
c* c* c* c* c* c* c* c* c* c* c* c*
b. “Do whatever you want. It doesn’t really matter to me.”
c* c* c* c* c* c* c* c* c*
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
c* c* c* c* c* c* c* c* c* c*
d. “You will never be able to give me what I really want to work.”
c* c* c* c* c* c* c* c* c* c* c* c* c*
ANS:B
A statement that allows others to make decisions for a person is an example of a nonas
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
sertive style of communication; the response of others to a nonassertive statement may i
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nclude disrespect, guilt, anger, or frustration. Statements that make choices for others or
c* c* c* c* c* c* c* c* c* c* c* c*
that are accusations are examples of aggressive styles of communication; the response
c* c* c* c* c* c* c* c* c* c* c* c* c*
of others to an aggressive statement may include hurt, defensiveness, or humiliation. A
c* c* c* c* c* c* c* c* c* c* c* c* c*
statement that allows making one’s own decisions is an example of assertive style of co
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
mmunication; the response of others to an assertive statement may include mutual respe
c* c* c* c* c* c* c* c* c* c* c* c*
ct.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentatio
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n MSC: Safe and Effective Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. Th
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e patient has not been following the prescribed diet or taking the prescribed medicat
c* c* c* c* c* c* c* c* c* c* c* c* c*
ions. Which type of communication approach is most important for the nurse to use
c* c* c* c* c* c* c* c* c* c* c* c* c* c
*with this patient to facilitate a change in self-care behavior?
c* c* c* c* c* c* c* c* c*
a. Authoritative, honest, and outright communication c* c* c* c*
b. Assertive, responsible, and caring communicationc* c* c* c*
c. Aggressive, sympathetic, and realistic communication c* c* c* c*
d. Positive, expert, and focused communication
c* c* c* c*
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a cha
c* c* c* c* c* c* c* c* c* c* c*
nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
c* c* c* c* c* c* c* c* c * c*
Communication and Documentation MSC: Psychosocial Integrity c* c* c* c* c*
5. Which are examples of a nurse who is communicating responsibly? (Sele
c* c* c * c * c* c* c* c * c * c*
ct all that apply)
c * c* c*
a. The nurse uses profanity to respond to a client who is intoxicated and verb
c* c* c* c * c* c* c* c* c* c* c* c* c*
ally abusive. c*
b. The nurse helps a client talk to family members about discontinuin
c* c* c* c* c* c* c* c* c* c*
g chemotherapy. c*
c*
Communication in Nursing 10th Edition
c* c* c* c*
Julia Balzer Riley
c* c*
, Table of Contents c* c*
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
c* c* c* c* c* c* c* c*
pter 2: The Client-
c* c* c*
Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
c* c* c* c* c* c* c* c*
ms Together
c*
Chapter 4: Understanding Each Other: Communication and Cultur
c* c* c* c* c* c* c*
e Chapter 5: Demonstrating Warmth
c* c* c* c*
Chapter 6: Showing Respect Ch c* c* c* c*
apter 7: Being Genuine Chapter
c* c* c* c* c
8: Being Empathetic Chapter 9:
* c* c* c* c* c*
Using Self- c*
Disclosure Chapter 10: Being sp c* c* c* c*
ecific Chapter 11: Asking Quest
c* c* c* c*
ions Chapter 12: Expressing Opi
c* c* c* c*
nions Chapter 13: Using Humor
c* c* c* c*
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chap
c* c* c* c* c* c* c* c* c* c* c*
ter 15: Requesting Support
c* c* c*
Chapter 16: Overcoming Evaluation Anxiety
c* c* c* c* c*
Chapter 17: Working with Feedback Cha c* c* c* c* c*
pter 18: Using Relaxation technique
c* c* c* c*
Chapter 19: Incorporating Imagery in Professional Practice and Self-
c* c* c* c* c* c* c* c*
Care Chapter 20 Incorporating Positive Self-Talk
c* c* c* c* c*
Chapter 21: Learning to Work Together in Groups
c* c * c* c* c* c* c*
Chapter 22: The Changing World of Electronic Communicatio
c* c* c* c* c* c* c*
n Chapter 23: Learning Confrontation skills
c* c* c* c* c*
Chapter 24: Refusing Unreasonable Requests
c* c* c* c*
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleague
c* c* c* c* c* c* c* c* c* c*
s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
c* c* c* c* c* c* c* c* c* c* c*
ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
c* c* c* c* c* c* c* c* c*
Chapter 29: Communicating at the End-of-
c* c* c* c* c*
Life Chapter 30: Continuing the Commitmen
c* c* c* c* c*
t
,Balzer Riley: Communication in Nursing, 10th Edition
c* c* c* c* c*
c*
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
c* c* c* c* c* c* c*
Test Bank Multip
c* c*
le Choice
c*
1. Which statement describes the affective aspect of learning effe
c * c * c * c * c * c * c * c *
ctive communication strategies?
c* c*
a. “The nurse should use clear, direct statements using objective words.”
c* c* c* c* c* c* c* c* c*
b. “The nurse uses body language that is congruent with the verbal message.”
c* c* c* c* c* c* c* c* c* c* c*
c. “The nurse believes that positive communication strategies build confidence.”
c* c* c* c* c* c* c* c*
d. “The nurse practices assertive and responsible communication strategies.”
c* c* c* c* c* c* c*
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), af
c* c* c* c* c* c* c* c* c* c*
fective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capa
c* c* c* c* c* c* c* c* c* c*
bility).Learning basic communication skills involves the cognitive domain; building con
c* c* c* c* c* c* c* c* c*
fidence through a belief in the value and impact of positive communication is the affect
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ive domain; and putting skills into action is the psychomotor domain.DIF: Comprehensi
c* c* c* c* c* c* c* c* c* c* c*
on REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Ps
c* c* c* c* c* c* c* c* c * c* c*
ychosocial Integrity c*
2. The nurse manager asks the staff nurse to work an extra shift. Which response
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
by the staff nurse is assertive and based on rational beliefs?
c* c* c* c* c* c* c* c* c* c*
a. “I don’t want you upset, so I will work extra.”
c* c* c* c* c* c* c* c* c*
b. “Why do I always have to cover extra shifts?”
c* c* c* c* c* c* c* c*
c. “I am not able to work an extra shift.”
c* c* c* c* c* c* c* c*
d. “If you can’t find anyone else, I will do it.”
c* c* c* c* c* c* c* c* c*
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertivenes
c* c* c* c* c* c* c* c* c* c* c* c*
s or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
c* c* c* c* c* c* c* c* c* c* c* c* c*
Process: Communication and Documentation MSC: Safe and Effective Care Environme
c* c* c* c* c* c* c* c* c*
nt: Management of Care
c* c* c*
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
c* c* c* c* c* c* c* c* c* c* c* c* c*
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may res
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
ult in a frustrated response from the nurse manager?
c* c* c* c* c* c* c* c*
a. “I want to decide the shifts for all of the other staff nurses.”
c* c* c* c* c* c* c* c* c* c* c* c*
b. “Do whatever you want. It doesn’t really matter to me.”
c* c* c* c* c* c* c* c* c*
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
c* c* c* c* c* c* c* c* c* c*
d. “You will never be able to give me what I really want to work.”
c* c* c* c* c* c* c* c* c* c* c* c* c*
ANS:B
A statement that allows others to make decisions for a person is an example of a nonas
c* c* c* c* c* c* c* c* c* c* c* c* c* c* c* c*
sertive style of communication; the response of others to a nonassertive statement may i
c* c* c* c* c* c* c* c* c* c* c* c* c*
nclude disrespect, guilt, anger, or frustration. Statements that make choices for others or
c* c* c* c* c* c* c* c* c* c* c* c*
that are accusations are examples of aggressive styles of communication; the response
c* c* c* c* c* c* c* c* c* c* c* c* c*
of others to an aggressive statement may include hurt, defensiveness, or humiliation. A
c* c* c* c* c* c* c* c* c* c* c* c* c*
statement that allows making one’s own decisions is an example of assertive style of co
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
mmunication; the response of others to an assertive statement may include mutual respe
c* c* c* c* c* c* c* c* c* c* c* c*
ct.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentatio
c* c* c* c* c* c* c* c* c* c*
n MSC: Safe and Effective Care Environment: Management of Care
c* c* c* c* c* c* c* c* c*
4. The nurse is providing care to a patient who was admitted with heart failure. Th
c* c* c* c* c* c* c* c* c* c* c* c* c* c*
e patient has not been following the prescribed diet or taking the prescribed medicat
c* c* c* c* c* c* c* c* c* c* c* c* c*
ions. Which type of communication approach is most important for the nurse to use
c* c* c* c* c* c* c* c* c* c* c* c* c* c
*with this patient to facilitate a change in self-care behavior?
c* c* c* c* c* c* c* c* c*
a. Authoritative, honest, and outright communication c* c* c* c*
b. Assertive, responsible, and caring communicationc* c* c* c*
c. Aggressive, sympathetic, and realistic communication c* c* c* c*
d. Positive, expert, and focused communication
c* c* c* c*
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a cha
c* c* c* c* c* c* c* c* c* c* c*
nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
c* c* c* c* c* c* c* c* c * c*
Communication and Documentation MSC: Psychosocial Integrity c* c* c* c* c*
5. Which are examples of a nurse who is communicating responsibly? (Sele
c* c* c * c * c* c* c* c * c * c*
ct all that apply)
c * c* c*
a. The nurse uses profanity to respond to a client who is intoxicated and verb
c* c* c* c * c* c* c* c* c* c* c* c* c*
ally abusive. c*
b. The nurse helps a client talk to family members about discontinuin
c* c* c* c* c* c* c* c* c* c*
g chemotherapy. c*