TESTBANK
f!
CommunicationinNursing10thEdition
f! f! f! f!
Julia Balzer Riley
f! f!
, Table of Contents f! f!
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapt
f! f! f! f! f! f! f! f!
er 2: The Client-
f! f! f!
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
f! f! f! f! f! f! f! f! f!
Together
Chapter 4: Understanding Each Other: Communication and Culture
f! f! f! f! f! f! f! f!
Chapter 5: Demonstrating Warmth f! f! f!
Chapter 6: Showing Respect Cha f! f! f! f!
pter 7: Being Genuine Chapter 8:
f! f! f! f! f!
f! Being Empathetic Chapter 9: Usi
f! f! f! f!
ng Self-
f!
Disclosure Chapter 10: Being spe f! f! f! f!
cific Chapter 11: Asking Questio
f! f! f! f!
ns Chapter 12: Expressing Opinio
f! f! f! f!
ns Chapter 13: Using Humor
f! f! f! f!
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
f! f! f! f! f! f! f! f! f! f! f! f!
15: Requesting Support
f! f!
Chapter 16: Overcoming Evaluation Anxiety C
f! f! f! f! f!
hapter 17: Working with Feedback Chapter
f! f! f! f! f!
f! 18: Using Relaxation technique
f! f! f!
Chapter 19: Incorporating Imagery in Professional Practice and Self-
f! f! f! f! f! f! f! f!
Care Chapter 20 Incorporating Positive Self-Talk
f! f! f! f! f!
Chapter 21: Learning to Work Together in Groups
f! f! f! f! f! f! f!
Chapter 22: The Changing World of Electronic Communication
f! f! f! f! f! f! f! f!
Chapter 23: Learning Confrontation skills
f! f! f! f!
Chapter 24: Refusing Unreasonable Requests
f! f! f! f!
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
f! f! f! f! f! f! f! f! f! f! f!
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
f! f! f! f! f! f! f! f! f! f! f!
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
f! f! f! f! f! f! f! f!
Chapter 29: Communicating at the End-of-
f! f! f! f! f!
Life Chapter 30: Continuing the Commitment
f! f! f! f! f!
,Balzer Riley: Communication in Nursing, 10th Edition
f! f! f! f! f!
f!
Chapter1: Responsible, Assertive, Caring Communication in Nursing
f! f! f! f! f! f! f!
Test Bank Multipl
f! f!
e Choice
f!
1. Which statement describes the affective aspect of learning effecti
f ! f ! f ! f ! f ! f ! f ! f !
ve communication strategies?
f! f!
a. “The nurse should use clear, direct statements using objective words.”
f! f! f! f! f! f! f! f! f!
b. “The nurse uses body language that is congruent with the verbal message.”
f! f! f! f! f! f! f! f! f! f! f!
c. “The nurse believes that positive communication strategies build confidence.”
f! f! f! f! f! f! f! f!
d. “The nurse practices assertive and responsible communication strategies.”
f! f! f! f! f! f! f!
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affe
f! f! f! f! f! f! f! f! f! f!
ctive aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabilit
f! f! f! f! f! f! f! f! f! f!
y).Learning basic communication skills involves the cognitive domain; building confidenc
f! f! f! f! f! f! f! f! f!
e through a belief in the value and impact of positive communication is the affective domai
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
n; and putting skills into action is the psychomotor domain.DIF: Comprehension REF: p. 1
f! f! f! f! f! f! f! f! f! f! f! f! f!
3 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Inte
f! f! f! f! f! f ! f! f! f!
grity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by t
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
he staff nurse is assertive and based on rational beliefs?
f! f! f! f! f! f! f! f! f!
a. “I don’t want you upset, so I will work extra.”
f! f! f! f! f! f! f! f! f!
b. “Why do I always have to cover extra shifts?”
f! f! f! f! f! f! f! f!
c. “I am not able to work an extra shift.”
f! f! f! f! f! f! f! f!
d. “If you can’t find anyone else, I will do it.”
f! f! f! f! f! f! f! f! f!
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irra
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
tional beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or fo
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
cusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process: C
f! f! f! f! f! f! f! f! f! f! f! f!
ommunication and Documentation MSC: Safe and Effective Care Environment: Managef! f! f! f! f! f! f! f! f!
ment of Care f! f!
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
f! f! f! f! f! f! f! f! f! f! f! f! f!
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
in a frustrated response from the nurse manager?
f! f! f! f! f! f! f!
a. “I want to decide the shifts for all of the other staff nurses.”
f! f! f! f! f! f! f! f! f! f! f! f!
b. “Do whatever you want. It doesn’t really matter to me.”
f! f! f! f! f! f! f! f! f!
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
f! f! f! f! f! f! f! f! f! f!
d. “You will never be able to give me what I really want to work.”
f! f! f! f! f! f! f! f! f! f! f! f! f!
ANS:B
A statement that allows others to make decisions for a person is an example of a nonasserti
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
ve style of communication; the response of others to a nonassertive statement may include
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
disrespect, guilt, anger, or frustration. Statements that make choices for others or that are a
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
ccusations are examples of aggressive styles of communication; the response of others to a
f! f! f! f! f! f! f! f! f! f! f! f! f!
n aggressive statement may include hurt, defensiveness, or humiliation. A statement that al
f! f! f! f! f! f! f! f! f! f! f! f!
lows making one’s own decisions is an example of assertive style of communication; the r
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
esponse of others to an assertive statement may include mutual respect.DIF: Analysis REF:
f! f! f! f! f! f! f! f! f! f! f! f!
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effecti
f! f! f! f! f! f! f! f! f! f! f! f!
ve Care Environment: Management of Care
f! f! f! f! f!
4. The nurse is providing care to a patient who was admitted with heart failure. The p
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
atient has not been following the prescribed diet or taking the prescribed medications.
f! f! f! f! f! f! f! f! f! f! f! f! f!
Which type of communication approach is most important for the nurse to use with thi
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
s patient to facilitate a change in self-care behavior?
f! f! f! f! f! f! f! f!
a. Authoritative, honest, and outright communication f! f! f! f!
b. Assertive, responsible, and caring communication f! f! f! f!
c. Aggressive, sympathetic, and realistic communication f! f! f! f!
d. Positive, expert, and focused communication f! f! f! f!
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chang f! f! f! f! f! f! f! f! f! f! f!
e in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Com
f! f! f! f! f! f! f! f! f ! f!
munication and Documentation MSC: Psychosocial Integrity f! f! f! f! f!
5. Which are examples of a nurse who is communicating responsibly? (Select
f! f! f! f ! f! f! f! f! f! f! f!
all that apply) f! f!
a. The nurse uses profanity to respond to a client who is intoxicated and verball
f! f! f! f! f! f! f! f! f! f! f! f! f!
y abusive. f!
b. The nurse helps a client talk to family members about discontinuing
f! f! f! f! f! f! f! f! f! f! f!
chemotherapy.
f!
CommunicationinNursing10thEdition
f! f! f! f!
Julia Balzer Riley
f! f!
, Table of Contents f! f!
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapt
f! f! f! f! f! f! f! f!
er 2: The Client-
f! f! f!
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
f! f! f! f! f! f! f! f! f!
Together
Chapter 4: Understanding Each Other: Communication and Culture
f! f! f! f! f! f! f! f!
Chapter 5: Demonstrating Warmth f! f! f!
Chapter 6: Showing Respect Cha f! f! f! f!
pter 7: Being Genuine Chapter 8:
f! f! f! f! f!
f! Being Empathetic Chapter 9: Usi
f! f! f! f!
ng Self-
f!
Disclosure Chapter 10: Being spe f! f! f! f!
cific Chapter 11: Asking Questio
f! f! f! f!
ns Chapter 12: Expressing Opinio
f! f! f! f!
ns Chapter 13: Using Humor
f! f! f! f!
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
f! f! f! f! f! f! f! f! f! f! f! f!
15: Requesting Support
f! f!
Chapter 16: Overcoming Evaluation Anxiety C
f! f! f! f! f!
hapter 17: Working with Feedback Chapter
f! f! f! f! f!
f! 18: Using Relaxation technique
f! f! f!
Chapter 19: Incorporating Imagery in Professional Practice and Self-
f! f! f! f! f! f! f! f!
Care Chapter 20 Incorporating Positive Self-Talk
f! f! f! f! f!
Chapter 21: Learning to Work Together in Groups
f! f! f! f! f! f! f!
Chapter 22: The Changing World of Electronic Communication
f! f! f! f! f! f! f! f!
Chapter 23: Learning Confrontation skills
f! f! f! f!
Chapter 24: Refusing Unreasonable Requests
f! f! f! f!
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
f! f! f! f! f! f! f! f! f! f! f!
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
f! f! f! f! f! f! f! f! f! f! f!
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
f! f! f! f! f! f! f! f!
Chapter 29: Communicating at the End-of-
f! f! f! f! f!
Life Chapter 30: Continuing the Commitment
f! f! f! f! f!
,Balzer Riley: Communication in Nursing, 10th Edition
f! f! f! f! f!
f!
Chapter1: Responsible, Assertive, Caring Communication in Nursing
f! f! f! f! f! f! f!
Test Bank Multipl
f! f!
e Choice
f!
1. Which statement describes the affective aspect of learning effecti
f ! f ! f ! f ! f ! f ! f ! f !
ve communication strategies?
f! f!
a. “The nurse should use clear, direct statements using objective words.”
f! f! f! f! f! f! f! f! f!
b. “The nurse uses body language that is congruent with the verbal message.”
f! f! f! f! f! f! f! f! f! f! f!
c. “The nurse believes that positive communication strategies build confidence.”
f! f! f! f! f! f! f! f!
d. “The nurse practices assertive and responsible communication strategies.”
f! f! f! f! f! f! f!
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affe
f! f! f! f! f! f! f! f! f! f!
ctive aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabilit
f! f! f! f! f! f! f! f! f! f!
y).Learning basic communication skills involves the cognitive domain; building confidenc
f! f! f! f! f! f! f! f! f!
e through a belief in the value and impact of positive communication is the affective domai
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
n; and putting skills into action is the psychomotor domain.DIF: Comprehension REF: p. 1
f! f! f! f! f! f! f! f! f! f! f! f! f!
3 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Inte
f! f! f! f! f! f ! f! f! f!
grity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by t
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
he staff nurse is assertive and based on rational beliefs?
f! f! f! f! f! f! f! f! f!
a. “I don’t want you upset, so I will work extra.”
f! f! f! f! f! f! f! f! f!
b. “Why do I always have to cover extra shifts?”
f! f! f! f! f! f! f! f!
c. “I am not able to work an extra shift.”
f! f! f! f! f! f! f! f!
d. “If you can’t find anyone else, I will do it.”
f! f! f! f! f! f! f! f! f!
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irra
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
tional beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or fo
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
cusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process: C
f! f! f! f! f! f! f! f! f! f! f! f!
ommunication and Documentation MSC: Safe and Effective Care Environment: Managef! f! f! f! f! f! f! f! f!
ment of Care f! f!
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
f! f! f! f! f! f! f! f! f! f! f! f! f!
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
in a frustrated response from the nurse manager?
f! f! f! f! f! f! f!
a. “I want to decide the shifts for all of the other staff nurses.”
f! f! f! f! f! f! f! f! f! f! f! f!
b. “Do whatever you want. It doesn’t really matter to me.”
f! f! f! f! f! f! f! f! f!
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
f! f! f! f! f! f! f! f! f! f!
d. “You will never be able to give me what I really want to work.”
f! f! f! f! f! f! f! f! f! f! f! f! f!
ANS:B
A statement that allows others to make decisions for a person is an example of a nonasserti
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
ve style of communication; the response of others to a nonassertive statement may include
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
disrespect, guilt, anger, or frustration. Statements that make choices for others or that are a
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
ccusations are examples of aggressive styles of communication; the response of others to a
f! f! f! f! f! f! f! f! f! f! f! f! f!
n aggressive statement may include hurt, defensiveness, or humiliation. A statement that al
f! f! f! f! f! f! f! f! f! f! f! f!
lows making one’s own decisions is an example of assertive style of communication; the r
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
esponse of others to an assertive statement may include mutual respect.DIF: Analysis REF:
f! f! f! f! f! f! f! f! f! f! f! f!
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effecti
f! f! f! f! f! f! f! f! f! f! f! f!
ve Care Environment: Management of Care
f! f! f! f! f!
4. The nurse is providing care to a patient who was admitted with heart failure. The p
f! f! f! f! f! f! f! f! f! f! f! f! f! f! f!
atient has not been following the prescribed diet or taking the prescribed medications.
f! f! f! f! f! f! f! f! f! f! f! f! f!
Which type of communication approach is most important for the nurse to use with thi
f! f! f! f! f! f! f! f! f! f! f! f! f! f!
s patient to facilitate a change in self-care behavior?
f! f! f! f! f! f! f! f!
a. Authoritative, honest, and outright communication f! f! f! f!
b. Assertive, responsible, and caring communication f! f! f! f!
c. Aggressive, sympathetic, and realistic communication f! f! f! f!
d. Positive, expert, and focused communication f! f! f! f!
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chang f! f! f! f! f! f! f! f! f! f! f!
e in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Com
f! f! f! f! f! f! f! f! f ! f!
munication and Documentation MSC: Psychosocial Integrity f! f! f! f! f!
5. Which are examples of a nurse who is communicating responsibly? (Select
f! f! f! f ! f! f! f! f! f! f! f!
all that apply) f! f!
a. The nurse uses profanity to respond to a client who is intoxicated and verball
f! f! f! f! f! f! f! f! f! f! f! f! f!
y abusive. f!
b. The nurse helps a client talk to family members about discontinuing
f! f! f! f! f! f! f! f! f! f! f!
chemotherapy.
