TEST BANK Communication in Nursing
8th Edition Julia Balzer Riley
All Chapters 1-30
, Table of Contents
Chapter1:Responsible,Assertive,Caring Communicationin Nursing Chapter
2: The Client- Nurse Relationship:A Helping RelationshipChapter3: Solving
Problems Together
Chapter4: UnderstandingEach Other:Communicationand Culture
Chapter5: DemonstratingWarmth
Chapter6: Showing Respect
Chapter7: Being GenuineChapter
8: Being EmpatheticChapter9:
UsingSelf- DisclosureChapter10:
Being specific Chapter11:Asking
QuestionsChapter12:Expressing
OpinionsChapter13:Using Humor
Chapter14:EmbracingtheSpiritual Journey of HealthCaring, MeaningMakingChapter15:
RequestingSupport
Chapter16:OvercomingEvaluationAnxiety
Chapter17:Workingwith Feedback Chapter
18:Using Relaxation technique
Chapter19:IncorporatingImageryin ProfessionalPractice and Self-
Care Chapter20 IncorporatingPositive Self- Talk
Chapter21: Learning to WorkTogetherin Groups
Chapter22:TheChangingWorldof ElectronicCommunication
Chapter23: Learning Confrontation skills
Chapter24:RefusingUnreasonableRequests
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: CommunicatingAssertively and Responsibly with Aggressive Clients and Colleagues
Chapter27:CommunicatingAssertively and Responsiblywith UnpopularClients
Chapter 29: Communicatingat the End-of- Life
Chapter30: Continuingthe Commitment
,Chapter1:Responsible,Assertive,Caring Communicationin Nursing
MultipleChoice
1. The nurse plans to delegate a client’s personal hygiene to a nursing
assistant. Whichstatementif made by the nurse to the nursing assistant is
assertive?
a. “Wouldyou mind helping the client with a bath whenyou have time?If not,I will skip
my lunch and do it myself.”
b. “Younever get your work doneand are always on the phone.Youneed to help the
client right now with a bath, or I will write you up.”
c. “Theclient needs help with bathing.I want you to assist the client now,and you can
go to lunch when you are finished.”
d. “I have importantwork to completethis morning.You will assist the client with a
bath.Do not take a break until youhave finished.”
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive
rights, avoid irrational beliefs, and use the Describe Express Specify Consequencescript to
formulate an assertive response. Describe: “The client needs help with bathing.” Express
and Specify: “I want you to assist the client now. ”Consequence:“Youcan go to lunch when
you are finished. ”The other statements are nonassertive or aggressive: “Wouldyou mind
helping the client with a bath when you have time? If not, I will skip my lunch and do it
myself.” is nonassertive, hesitant, and apologetic. “You never get your work done and are
always on the phone. You need to help the client right now with a bath, or I will write you
up.” is aggressive, blaming, and negative. “I have importantwork to completethis morning.
You will assist the client with a bath. Do not take a break until you have finished.” is
aggressive, sarcastic, uncaring, and superior. DIF: Analysis REF: p. 6 TOP: Integrated
Process: Communication and Documentation MSC: Safe and Effective Care Environment:
Managementof Care
2. A hospital nurse is concerned about the demands of providing safe care to clients who
are seriously ill. The nurse manager should suggest which intervention to effectively
help the nurse balance the demandingwork in the hospital setting?
a. Delegatemore tasks to the unlicensed nursing personnelon the unit.
b. Requesta trANSfer to anothernursing care unit with patientswho are stable.
c. Writedownstories in a journal abouthow caring makes a differencefor patients.
d. Usean assertive communicationstyle for every patient–nurse interaction.
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there
is satisfaction in being technologically competent,that satisfaction is not as lasting as the
satisfaction derived from meaningful moments of connection with clients, family, and
colleagues. DIF: ApplicationREF: p. 13TOP:IntegratedProcess: Caring MSC:Safe
and EffectiveCare Environment:Managementof Care
3. Whichnonverbal action(s)wouldbe consistent with an assertive style of
communication?(Select all that apply)
a. Relaxed posture
b. Establishedeye contact
c. Handsplaced on hips
d. Distant,soft voice
e. Mask- like facial expression
ANS:A, B
Assertive styles of communicationthat are nonverbal include a relaxed stance and eyes
that are warm, in contact, and frank. Aggressive styles of communication that are
nonverbal include expressionless, cold, narrowed, or staring eyes and hands placed on
hips. A weak, distant, soft voice is a nonassertive style of nonverbal communication.DIF:
Comprehension REF: pp. 11-12 TOP: Integrated Process: Communicationand Documentation
MSC: Psychosocial Integrity
4. Which statement describes the affective aspect of learning effective
communicationstrategies?
a. “Thenurse should use clear, direct statementsusing objectivewords.”
b. “Thenurse uses body language that is congruentwith the verbal message.”
c. “Thenurse believes that positivecommunicationstrategies build confidence.”
d. “Thenurse practices assertive and responsiblecommunicationstrategies.”
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
capability).Learning basic communication skills involves the cognitive domain; building
confidence through a belief in the value and impact of positive communication is the
affective domain; and putting skills into action is the psychomotor domain.DIF:
ComprehensionREF: p. 13TOP:IntegratedProcess: Communicationand DocumentationMSC:
Psychosocial Integrity
5. The nurse manager asks the staff nurse to work an extra shift. Whichresponseby the
staff nurse is assertive and based on rational beliefs?
a. “Idon’twant you upset,so I will work extra.”
8th Edition Julia Balzer Riley
All Chapters 1-30
, Table of Contents
Chapter1:Responsible,Assertive,Caring Communicationin Nursing Chapter
2: The Client- Nurse Relationship:A Helping RelationshipChapter3: Solving
Problems Together
Chapter4: UnderstandingEach Other:Communicationand Culture
Chapter5: DemonstratingWarmth
Chapter6: Showing Respect
Chapter7: Being GenuineChapter
8: Being EmpatheticChapter9:
UsingSelf- DisclosureChapter10:
Being specific Chapter11:Asking
QuestionsChapter12:Expressing
OpinionsChapter13:Using Humor
Chapter14:EmbracingtheSpiritual Journey of HealthCaring, MeaningMakingChapter15:
RequestingSupport
Chapter16:OvercomingEvaluationAnxiety
Chapter17:Workingwith Feedback Chapter
18:Using Relaxation technique
Chapter19:IncorporatingImageryin ProfessionalPractice and Self-
Care Chapter20 IncorporatingPositive Self- Talk
Chapter21: Learning to WorkTogetherin Groups
Chapter22:TheChangingWorldof ElectronicCommunication
Chapter23: Learning Confrontation skills
Chapter24:RefusingUnreasonableRequests
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: CommunicatingAssertively and Responsibly with Aggressive Clients and Colleagues
Chapter27:CommunicatingAssertively and Responsiblywith UnpopularClients
Chapter 29: Communicatingat the End-of- Life
Chapter30: Continuingthe Commitment
,Chapter1:Responsible,Assertive,Caring Communicationin Nursing
MultipleChoice
1. The nurse plans to delegate a client’s personal hygiene to a nursing
assistant. Whichstatementif made by the nurse to the nursing assistant is
assertive?
a. “Wouldyou mind helping the client with a bath whenyou have time?If not,I will skip
my lunch and do it myself.”
b. “Younever get your work doneand are always on the phone.Youneed to help the
client right now with a bath, or I will write you up.”
c. “Theclient needs help with bathing.I want you to assist the client now,and you can
go to lunch when you are finished.”
d. “I have importantwork to completethis morning.You will assist the client with a
bath.Do not take a break until youhave finished.”
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive
rights, avoid irrational beliefs, and use the Describe Express Specify Consequencescript to
formulate an assertive response. Describe: “The client needs help with bathing.” Express
and Specify: “I want you to assist the client now. ”Consequence:“Youcan go to lunch when
you are finished. ”The other statements are nonassertive or aggressive: “Wouldyou mind
helping the client with a bath when you have time? If not, I will skip my lunch and do it
myself.” is nonassertive, hesitant, and apologetic. “You never get your work done and are
always on the phone. You need to help the client right now with a bath, or I will write you
up.” is aggressive, blaming, and negative. “I have importantwork to completethis morning.
You will assist the client with a bath. Do not take a break until you have finished.” is
aggressive, sarcastic, uncaring, and superior. DIF: Analysis REF: p. 6 TOP: Integrated
Process: Communication and Documentation MSC: Safe and Effective Care Environment:
Managementof Care
2. A hospital nurse is concerned about the demands of providing safe care to clients who
are seriously ill. The nurse manager should suggest which intervention to effectively
help the nurse balance the demandingwork in the hospital setting?
a. Delegatemore tasks to the unlicensed nursing personnelon the unit.
b. Requesta trANSfer to anothernursing care unit with patientswho are stable.
c. Writedownstories in a journal abouthow caring makes a differencefor patients.
d. Usean assertive communicationstyle for every patient–nurse interaction.
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there
is satisfaction in being technologically competent,that satisfaction is not as lasting as the
satisfaction derived from meaningful moments of connection with clients, family, and
colleagues. DIF: ApplicationREF: p. 13TOP:IntegratedProcess: Caring MSC:Safe
and EffectiveCare Environment:Managementof Care
3. Whichnonverbal action(s)wouldbe consistent with an assertive style of
communication?(Select all that apply)
a. Relaxed posture
b. Establishedeye contact
c. Handsplaced on hips
d. Distant,soft voice
e. Mask- like facial expression
ANS:A, B
Assertive styles of communicationthat are nonverbal include a relaxed stance and eyes
that are warm, in contact, and frank. Aggressive styles of communication that are
nonverbal include expressionless, cold, narrowed, or staring eyes and hands placed on
hips. A weak, distant, soft voice is a nonassertive style of nonverbal communication.DIF:
Comprehension REF: pp. 11-12 TOP: Integrated Process: Communicationand Documentation
MSC: Psychosocial Integrity
4. Which statement describes the affective aspect of learning effective
communicationstrategies?
a. “Thenurse should use clear, direct statementsusing objectivewords.”
b. “Thenurse uses body language that is congruentwith the verbal message.”
c. “Thenurse believes that positivecommunicationstrategies build confidence.”
d. “Thenurse practices assertive and responsiblecommunicationstrategies.”
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
capability).Learning basic communication skills involves the cognitive domain; building
confidence through a belief in the value and impact of positive communication is the
affective domain; and putting skills into action is the psychomotor domain.DIF:
ComprehensionREF: p. 13TOP:IntegratedProcess: Communicationand DocumentationMSC:
Psychosocial Integrity
5. The nurse manager asks the staff nurse to work an extra shift. Whichresponseby the
staff nurse is assertive and based on rational beliefs?
a. “Idon’twant you upset,so I will work extra.”
