Test Bank for Communication in Nursing, 8th Edition, Julia Balzer Riley

Test Bank for Communication in Nursing, 8th Edition, Julia Balzer Riley Part 1: Packing Your Bags for the Journey of Caring, Assertive, Responsible Communication 1. Responsible, Assertive, Caring Communication in Nursing 2. The Client-Nurse Relationship: A Helping Relationship 3. Solving Problems Together 4. Understanding Each Other: Communication and Culture Part Two: Honoring Your Fellow Travelers Along the Journey 5. Demonstrating Warmth 6. Showing Respect 7. Being Genuine 8. Being Empathetic 9. Using Self-Disclosure 10. Being Specificity 11. Asking Questions 12. Expressing Opinions 13. Using Humor 14. Embracing the Spiritual Journey Of Health Caring…Meaning Making Part Three: Developing Road-Worthy Practices Along the Journey 15. Requesting Support 16. Overcoming Evaluation Anxiety 17. Working With Feedback 18. Using Relaxation Techniques 19. Incorporating Imagery in Professional Practice and Self-Care 20. Incorporating Positive Self-Talk 21. Learning to Work Together in Groups 22. Navigating the Changing World of Electronic Communication Part Four: Embracing the Transformative Process of the Journey 23. Learning Confrontation Skills 24. Refusing Unreasonable Requests 25. Communicating Assertively and Responsibly With Distressed Clients and Colleagues 26. Communicating Assertively and Responsibly With Aggressive Clients and Colleagues 27. Communicating Assertively and Responsibly With Unpopular Clients 28. Managing Team Conflict Assertively and Responsibly 29. Communicating at the End of Life 30. Continuing the Commitment to the Journey Chapter 1: Responsible, Assertive, Caring Communication in Nursing 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. 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 don’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. 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. 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. 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. c. The nurse uses interpersonal strategies to help a client develop methods of coping. d. The nurse provides a client’s health information to a close relative who is visiting. e. The nurse listens carefully to the client’s concern about inadequate pain relief. ANS: B, C, E