TEST BANK Communication in Nursing
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8th Edition Julia Balzer Riley
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All Chapters 1-30
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, Table of Contents yt yt
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapter
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y 2: The Client-Nurse Relationship: A Helping Relationship Chapter 3:
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yt Solving Problems Together y t yt
Chapter4: Understanding Each Other: Communicationand Culture
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Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect yt yt yt
y t Chapter 7: Being Genuine yt yt yt
yt Chapter 8: Being Empathetic y t yt yt
yt Chapter 9: Using Self-Disclosure
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yt Chapter 10: Being specific yt y t yt
Chapter 11: Asking Questions
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yt Chapter12: Expressing Opinions
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yt Chapter 13: Using Humor yt yt yt
Chapter14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter 15:
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y Requesting Support
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Chapter16:OvercomingEvaluation Anxiety
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y t Chapter 17: Working with Feedback yt yt yt yt
Chapter 18: Using Relaxation technique
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Chapter19: Incorporating Imageryin Professional Practice and Self-Care
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y t Chapter 20 Incorporating Positive Self-Talk
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Chapter21: Learning to Work Together in Groups
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Chapter22:TheChangingWorld of Electronic Communication
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yChapter 23: Learning Confrontation skills
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Chapter24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and y t yt y t yt y t Responsibly with Distressed yt yt y t Clients y t and
yt Colleagues y t Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
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Colleagues 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 Commitment
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,Chapter 1:Responsible,Assertive, CaringCommunication inNursing
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MultipleChoice yt
1. The nurse plans to delegate a client’s personal hygiene to a nursing
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assistant. Which statement if made by the nurse to the nursing assistant is
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assertive?
yt
a. “Would you mind helping the client with a bath when you have time? If not, I will skip yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
my lunch and do it myself.” yt yt yt yt yt
b. “Younever get yourwork done and are always on the phone.You need to help the
yt yt yt yt yt yt yt yt yt yt yt ty yt yt yt yt
client right now with a bath, or I will write you up.” yt yt yt yt yt yt yt yt yt yt yt
c. “The client needs help with bathing. I want you to assist the client now, and you can
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
go to lunch when you are finished.” yt yt yt yt yt yt
d. “Ihave important work to complete this morning. You will assist the client with a
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bath. Do not take a break until you have finished.” yt yt yt yt yt yt yt yt yt
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive
y t y t yt yt yt yt y t yt y t y t y t y t
rights, avoid irrational beliefs, and use the Describe Express Specify Consequence script
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to formulate
yt yt an assertive response. Describe: “The client needs help with bathing.” y t yt yt yt yt yt yt yt yt yt
Express and Specify: “I want you to assist the client now. ”Consequence: “You can go to
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lunch when you are finished. ”The other statements are nonassertive or aggressive: “Would
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you mind helping the client with a bath when you have time? If not, I will skip my
yt yt yt yt yt yt y t y t y t y t y t y t y t y t y t y t y t y t
lunch and do it myself.” is nonassertive, hesitant, and apologetic. “You never get
y t y t y t y t y t y t y t y t y t y t y t y t yt
your work done and are always on the phone. You need to help the client right
y t yt y t y t y t y t yt y t y t y t y t yt yt yt yt yt
now with a bath, or I will write you up.” is aggressive, blaming, and negative. “I have
yt yt yt yt yt yt yt yt yt yt yt yt yt y t yt yt yt
important work to complete this morning. You will assist the client with a bath. Do not
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take a break until you have finished.” is aggressive, sarcastic, uncaring, and
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y superior. DIF: Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation
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y MSC: Safe and Effective Care Environment: Management of Care
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2. A hospital nurse is concerned about the demands of providing safe care to clients who
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are seriously ill. The nurse manager should suggest which intervention to effectively
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help the nurse balance the demanding work in the hospital setting?
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a. Delegate more tasks to the unlicensed nursing personnel on the unit. yt yt yt yt yt yt yt yt yt yt
b. Request a transfer to another nursing care unit with patients who are stable.
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c. Writedown stories in a journal about how caring makes adifference for patients.
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d. Usean assertive communication style forevery patient–nurse interaction.
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ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there
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is satisfaction in being technologically competent, that satisfaction is not as lasting as the
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y satisfaction derived from meaningful moments of connection with clients, family,
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and colleagues. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
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andEffective Care Environment: Management of Care
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3. Which nonverbal action(s) would be consistent with an assertive style of
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communication? (Select all that apply)
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a. Relaxedposture ty
b. Establishedeye contact yt yt
c. Handsplaced on hips yt yt yt
d. Distant, soft voice yt yt
e. Mask-likefacial expression yt yt
ANS:A, B yt
Assertive styles of communication that are nonverbal include a relaxed stance and eyes
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that are warm, in contact, and frank. Aggressive styles of communication
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that are nonverbal include expressionless, cold, narrowed, or staring eyes and
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hands placed on hips. A weak, distant, soft voice is a nonassertive style of
y t y t y t y t y t y t y t yt y t y t yt y t y t yt
nonverbal communication. DIF: Comprehension
y t REF: pp. 11-12 TOP: Integrated
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Process: Communication and Documentation MSC: Psychosocial Integrity
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4. Which statement describes the affective aspect of learning y t y t y t y t y t y t y t
effective communicationstrategies?
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a. “Thenurse should use clear, direct statements using objective words.”
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b. “Thenurse uses body language that is congruent with the verbal message.”
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c. “Thenurse believesthat positive communication strategies build confidence.”
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d. “Thenurse practices assertive andresponsible communication strategies.”
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ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affective
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y aspects (feelings, values, and attitudes), and psychomotor
t aspects
yt (physical yt yt yt yt yt yt yt yt yt
y capability).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
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is the 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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5. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt y t
nurse is assertive and based on rational beliefs?
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a. “Idon’t want you upset, so I will work extra.”
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yt yt yt yt
8th Edition Julia Balzer Riley
yt yt yt yt yt
All Chapters 1-30
yt yt yt
, Table of Contents yt yt
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapter
yt yt yt yt yt ty ty yt
y 2: The Client-Nurse Relationship: A Helping Relationship Chapter 3:
t yt yt yt yt yt yt yt yt
yt Solving Problems Together y t yt
Chapter4: Understanding Each Other: Communicationand Culture
yt yt yt yt yt ty yt
Chapter 5: Demonstrating Warmth
y t yt yt yt
Chapter 6: Showing Respect yt yt yt
y t Chapter 7: Being Genuine yt yt yt
yt Chapter 8: Being Empathetic y t yt yt
yt Chapter 9: Using Self-Disclosure
yt y t yt
yt Chapter 10: Being specific yt y t yt
Chapter 11: Asking Questions
yt yt yt y t
yt Chapter12: Expressing Opinions
yt yt y t
yt Chapter 13: Using Humor yt yt yt
Chapter14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter 15:
yt yt yt yt yt yt yt yt yt yt yt yt
y Requesting Support
t yt
Chapter16:OvercomingEvaluation Anxiety
yt yt yt yt
y t Chapter 17: Working with Feedback yt yt yt yt
Chapter 18: Using Relaxation technique
yt y t yt yt yt
Chapter19: Incorporating Imageryin Professional Practice and Self-Care
yt yt yt yt yt yt yt yt
y t Chapter 20 Incorporating Positive Self-Talk
yt yt yt yt
Chapter21: Learning to Work Together in Groups
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Chapter22:TheChangingWorld of Electronic Communication
yt yt yt yt ty yt yt
yChapter 23: Learning Confrontation skills
t yt yt yt yt
Chapter24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and y t yt y t yt y t Responsibly with Distressed yt yt y t Clients y t and
yt Colleagues y t Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
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Colleagues 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 Commitment
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,Chapter 1:Responsible,Assertive, CaringCommunication inNursing
yt yt yt yt yt yt yt
MultipleChoice yt
1. The nurse plans to delegate a client’s personal hygiene to a nursing
y t y t y t y t y t y t y t y t y t y t y t
assistant. Which statement if made by the nurse to the nursing assistant is
y t y t yt yt yt yt yt yt yt yt yt yt yt
assertive?
yt
a. “Would you mind helping the client with a bath when you have time? If not, I will skip yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
my lunch and do it myself.” yt yt yt yt yt
b. “Younever get yourwork done and are always on the phone.You need to help the
yt yt yt yt yt yt yt yt yt yt yt ty yt yt yt yt
client right now with a bath, or I will write you up.” yt yt yt yt yt yt yt yt yt yt yt
c. “The client needs help with bathing. I want you to assist the client now, and you can
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt
go to lunch when you are finished.” yt yt yt yt yt yt
d. “Ihave important work to complete this morning. You will assist the client with a
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
bath. Do not take a break until you have finished.” yt yt yt yt yt yt yt yt yt
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive
y t y t yt yt yt yt y t yt y t y t y t y t
rights, avoid irrational beliefs, and use the Describe Express Specify Consequence script
y t y t yt yt yt yt yt yt yt yt yt yt
to formulate
yt yt an assertive response. Describe: “The client needs help with bathing.” y t yt yt yt yt yt yt yt yt yt
Express and Specify: “I want you to assist the client now. ”Consequence: “You can go to
yt yt yt yt y t yt yt yt yt yt yt yt yt yt yt yt
lunch when you are finished. ”The other statements are nonassertive or aggressive: “Would
yt yt yt yt yt y t yt yt yt yt yt yt yt
you mind helping the client with a bath when you have time? If not, I will skip my
yt yt yt yt yt yt y t y t y t y t y t y t y t y t y t y t y t y t
lunch and do it myself.” is nonassertive, hesitant, and apologetic. “You never get
y t y t y t y t y t y t y t y t y t y t y t y t yt
your work done and are always on the phone. You need to help the client right
y t yt y t y t y t y t yt y t y t y t y t yt yt yt yt yt
now with a bath, or I will write you up.” is aggressive, blaming, and negative. “I have
yt yt yt yt yt yt yt yt yt yt yt yt yt y t yt yt yt
important work to complete this morning. You will assist the client with a bath. Do not
yt yt yt yt yt yt yt yt yt yt yt yt y t y t y t y t
take a break until you have finished.” is aggressive, sarcastic, uncaring, and
y t y t y t y t y t y t y t y t y t y t y t y t
y superior. DIF: Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation
t yt yt yt yt yt yt yt yt yt yt yt
y MSC: Safe and Effective Care Environment: Management of Care
t yt yt yt yt yt yt yt yt
2. A hospital nurse is concerned about the demands of providing safe care to clients who
yt yt yt yt yt yt yt yt yt yt yt yt yt yt
are seriously ill. The nurse manager should suggest which intervention to effectively
y t yt yt yt yt yt yt yt yt yt yt yt
help the nurse balance the demanding work in the hospital setting?
yt y t yt yt yt yt yt yt yt yt yt
a. Delegate more tasks to the unlicensed nursing personnel on the unit. yt yt yt yt yt yt yt yt yt yt
b. Request a transfer to another nursing care unit with patients who are stable.
yt yt yt yt yt yt yt yt yt yt yt yt
c. Writedown stories in a journal about how caring makes adifference for patients.
ty yt yt yt yt yt yt yt yt yt yt yt yt
d. Usean assertive communication style forevery patient–nurse interaction.
ty yt yt yt yt yt yt yt
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there
yt yt yt yt yt yt yt yt yt yt yt yt yt
is satisfaction in being technologically competent, that satisfaction is not as lasting as the
yt y t yt yt yt yt yt yt yt yt yt yt yt yt
y satisfaction derived from meaningful moments of connection with clients, family,
t y t y t y t y t yt y t y t y t yt
and colleagues. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
y t y t yt yt yt yt yt yt yt yt yt yt yt
andEffective Care Environment: Management of Care
yt yt yt yt yt yt
3. Which nonverbal action(s) would be consistent with an assertive style of
yt y t yt yt yt y t yt yt yt yt
communication? (Select all that apply)
y t yt yt yt yt
a. Relaxedposture ty
b. Establishedeye contact yt yt
c. Handsplaced on hips yt yt yt
d. Distant, soft voice yt yt
e. Mask-likefacial expression yt yt
ANS:A, B yt
Assertive styles of communication that are nonverbal include a relaxed stance and eyes
yt yt yt yt yt yt yt yt yt yt yt yt
that are warm, in contact, and frank. Aggressive styles of communication
yt y t y t y t y t y t y t y t y t y t yt
that are nonverbal include expressionless, cold, narrowed, or staring eyes and
y t y t y t y t y t y t y t y t y t y t y t
hands placed on hips. A weak, distant, soft voice is a nonassertive style of
y t y t y t y t y t y t y t yt y t y t yt y t y t yt
nonverbal communication. DIF: Comprehension
y t REF: pp. 11-12 TOP: Integrated
yt y t yt y t yt yt yt yt
Process: Communication and Documentation MSC: Psychosocial Integrity
yt yt yt yt yt y t yt
4. Which statement describes the affective aspect of learning y t y t y t y t y t y t y t
effective communicationstrategies?
y t y t yt
a. “Thenurse should use clear, direct statements using objective words.”
ty yt yt yt yt yt yt yt yt
b. “Thenurse uses body language that is congruent with the verbal message.”
yt yt yt yt yt yt yt yt yt yt yt
c. “Thenurse believesthat positive communication strategies build confidence.”
ty yt yt yt yt yt yt yt
d. “Thenurse practices assertive andresponsible communication strategies.”
ty yt yt yt yt yt yt
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affective
yt yt yt yt yt yt yt yt yt yt
y aspects (feelings, values, and attitudes), and psychomotor
t aspects
yt (physical yt yt yt yt yt yt yt yt yt
y capability).Learning basic communication skills involves the cognitive domain;
t y t y t y t yt yt y t y t
building confidence through a belief in the value and impact of positive communication
y t y t yt yt yt yt yt yt yt yt yt yt yt
is the affective domain; and putting skills into action is the psychomotor domain.DIF:
yt yt yt y t yt yt yt yt yt yt yt yt yt
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
yt yt yt y t yt yt yt yt yt yt yt
MSC: Psychosocial Integrity
yt yt yt
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff
yt yt yt yt yt yt yt yt yt yt yt yt yt yt yt y t
nurse is assertive and based on rational beliefs?
yt yt yt yt yt yt yt yt
a. “Idon’t want you upset, so I will work extra.”
ty yt yt yt yt yt yt yt yt
