Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
TEST BANK
Communication in Nursing
Julia Balzer Riley
10th Edition
, Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
Table of Contents
PART I Basic Competencies for Communication in Nursing
1. Responsible, Assertive, Caring Communication in Nursing
2. The Client–Nurse Relationship: A Helping Relationship
3. Starting with YOU: Understanding Yourself to Build a Foundation for Learning about
Communication
4. Solving Problems Together
5. Understanding Each Other: Communication and Culture
6. Demonstrating Warmth
7. Showing Respect
8. Being Genuine
9. Being Empathetic
10. Honoring Professional Boundaries
11. Being Specific
12. Asking Questions
13. Expressing Opinions
14. Using Humor
15. Embracing the Spiritual Journey of Health caring: Meaning Making
PART II Advanced Competencies for Communication in Nursing
16. Requesting Support
17. Overcoming Evaluation Anxiety
18. Working with Feedback
19. Using Relaxation Techniques to Become More Mindful
20. Incorporating Imagery in Professional Practice and Self-Care
21. Incorporating Positivity into Life and Work
22. Learning to Work Together in Groups
23. Navigating the Complex World of Digital Communication
24. Learning Confrontation Skills
25. Refusing Unreasonable Requests
26. Caring Communication with Clients and Colleagues whose Behaviors Are Challenging
27. Confronting Bullying and Incivility with Honesty and Respect
28. Managing Team Conflict Assertively and Responsibility
29. Communicating at the End of Life
30. Continuing the Commitment to the Journey
, Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. Which statement describes the affective aspect of learning effective
communication strategies?
a. “The nurse should use clear, direct statements using objective Words.”
b. “The nurse uses body language that is congruent with the verbal message.”
c. “The nurse believes that positive communication strategies build confidence.”
d. “The nurse practices assertive and responsible communication strategies.”
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: Comprehension REF: p. 13 TOP: Integrated
Process: Communication and Documentation MSC:
Psychosocial Integrity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
the staff nurse is assertive and based on rational beliefs?
a. “ I d o n ’ t want you upset, so I will work extra.”
b. “Why do I always have to cover extra shifts?”
c. “I am not able to work an extra shift.”
d. “If you can’t find anyone else, I will do it.”
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
or focusing on possible negative outcomes.
DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and
Documentation MSC: Safe and Effective Care Environment: Management of
Care
, Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a
frustrated response from the nurse manager?
a. “I want to decide the shifts for all of the other staff nurses.”
b. “Do whatever you want. It doesn’t really matter to me.”
c. “Thank you for offering me a choice. I prefer 12-hour
shifts.”
d. “You will never be able to give me what I really want to work.”
ANS: B
A statement that allows others to make decisions for a person is an example of a
nonassertive style of communication; the response of others to a nonassertive statement
may include disrespect, guilt, anger, or frustration. Statements that make choices for
others or that are accusations are examples of aggressive styles of communication; the
response of others to an aggressive statement may include hurt, defensiveness, or
humiliation. A statement that allows making one’s own decisions is an example of
assertive style of communication; the response of others to an assertive statement may
include mutual respect.
DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
4. The nurse is providing care to a patient who was admitted with heart failure. The
patient has not been following the prescribed diet or taking the prescribed
medications. Which type of communication approach is most important for the nurse
to use with this patient to facilitate a change in self-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsible, and caring communication
c. Aggressive, sympathetic, and realistic communication
d. Positive, expert, and focused communication
ANS: B
Communication must be technically responsible, assertive, and caring to facilitate a
change in behavior.
DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
Communication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select all
that apply)
a. The nurse uses profanity to respond to a client who is intoxicated and verbally
abusive.
b. The nurse helps a client talk to family members about discontinuing
chemotherapy.
TEST BANK
Communication in Nursing
Julia Balzer Riley
10th Edition
, Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
Table of Contents
PART I Basic Competencies for Communication in Nursing
1. Responsible, Assertive, Caring Communication in Nursing
2. The Client–Nurse Relationship: A Helping Relationship
3. Starting with YOU: Understanding Yourself to Build a Foundation for Learning about
Communication
4. Solving Problems Together
5. Understanding Each Other: Communication and Culture
6. Demonstrating Warmth
7. Showing Respect
8. Being Genuine
9. Being Empathetic
10. Honoring Professional Boundaries
11. Being Specific
12. Asking Questions
13. Expressing Opinions
14. Using Humor
15. Embracing the Spiritual Journey of Health caring: Meaning Making
PART II Advanced Competencies for Communication in Nursing
16. Requesting Support
17. Overcoming Evaluation Anxiety
18. Working with Feedback
19. Using Relaxation Techniques to Become More Mindful
20. Incorporating Imagery in Professional Practice and Self-Care
21. Incorporating Positivity into Life and Work
22. Learning to Work Together in Groups
23. Navigating the Complex World of Digital Communication
24. Learning Confrontation Skills
25. Refusing Unreasonable Requests
26. Caring Communication with Clients and Colleagues whose Behaviors Are Challenging
27. Confronting Bullying and Incivility with Honesty and Respect
28. Managing Team Conflict Assertively and Responsibility
29. Communicating at the End of Life
30. Continuing the Commitment to the Journey
, Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. Which statement describes the affective aspect of learning effective
communication strategies?
a. “The nurse should use clear, direct statements using objective Words.”
b. “The nurse uses body language that is congruent with the verbal message.”
c. “The nurse believes that positive communication strategies build confidence.”
d. “The nurse practices assertive and responsible communication strategies.”
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: Comprehension REF: p. 13 TOP: Integrated
Process: Communication and Documentation MSC:
Psychosocial Integrity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
the staff nurse is assertive and based on rational beliefs?
a. “ I d o n ’ t want you upset, so I will work extra.”
b. “Why do I always have to cover extra shifts?”
c. “I am not able to work an extra shift.”
d. “If you can’t find anyone else, I will do it.”
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
or focusing on possible negative outcomes.
DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and
Documentation MSC: Safe and Effective Care Environment: Management of
Care
, Test Bank - Communication in Nursing 10th Edition (Riley, 2024)
3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a
frustrated response from the nurse manager?
a. “I want to decide the shifts for all of the other staff nurses.”
b. “Do whatever you want. It doesn’t really matter to me.”
c. “Thank you for offering me a choice. I prefer 12-hour
shifts.”
d. “You will never be able to give me what I really want to work.”
ANS: B
A statement that allows others to make decisions for a person is an example of a
nonassertive style of communication; the response of others to a nonassertive statement
may include disrespect, guilt, anger, or frustration. Statements that make choices for
others or that are accusations are examples of aggressive styles of communication; the
response of others to an aggressive statement may include hurt, defensiveness, or
humiliation. A statement that allows making one’s own decisions is an example of
assertive style of communication; the response of others to an assertive statement may
include mutual respect.
DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
4. The nurse is providing care to a patient who was admitted with heart failure. The
patient has not been following the prescribed diet or taking the prescribed
medications. Which type of communication approach is most important for the nurse
to use with this patient to facilitate a change in self-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsible, and caring communication
c. Aggressive, sympathetic, and realistic communication
d. Positive, expert, and focused communication
ANS: B
Communication must be technically responsible, assertive, and caring to facilitate a
change in behavior.
DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
Communication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select all
that apply)
a. The nurse uses profanity to respond to a client who is intoxicated and verbally
abusive.
b. The nurse helps a client talk to family members about discontinuing
chemotherapy.
