TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
Communication in Nursing 8th Edition
Julia Balzer Riley
,TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
Table of Contents
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapter 2: The Client-Nurse
Relationship: A Helping Relationship Chapter 3: Solving Problems Together Chapter 4: Understanding
Each Other: Communication and Culture Chapter 5: Demonstrating Warmth Chapter 6: Showing
Respect Chapter 7: Being Genuine Chapter 8: Being Empathetic Chapter 9: Using Self-Disclosure
Chapter 10: Being specific Chapter 11: Asking Questions Chapter 12: Expressing Opinions Chapter 13:
Using Humor Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
15: Requesting Support Chapter 16: Overcoming Evaluation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using Relaxation technique Chapter 19: Incorporating Imagery in Professional Practice and
Self-Care Chapter 20 Incorporating Positive Self-Talk Chapter 21: Learning to Work Together in
Groups Chapter 22: The Changing World of Electronic Communication Chapter 23: Learning
Confrontation skills Chapter 24: Refusing Unreasonable Requests Chapter 25: Communicating
Assertively and Responsibly with Distressed Clients and Colleagues Chapter 26: Communicating
Assertively and Responsibly with Aggressive Clients and Colleagues Chapter 27: Communicating
Assertively and Responsibly with Unpopular Clients Chapter 29: Communicating at the End-of-Life
Chapter 30: Continuing the Commitment
th
Balzer Riley: Communication in Nursing, 8 Edition
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. The nurse plans to delegate a client’s personal hygiene to a nursing assistant. Which
statement if made by the nurse to the nursing assistant is assertive?
a. “Would you mind helping the client with a bath when you have time? If not, I will
skip my lunch and do it myself.”
b. “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.”
c. “The client needs help with bathing. I want you to assist the client now, and you
can go to lunch when you are finished.”
,TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
d. “I have important work to complete this morning. You will assist the client with a
bath. Do not take a break until you have 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 Consequence script to
formulate an assertive response.Describe: “The client needs help with bathing.” Express
and Specify: “I want you to assist the client now.”Consequence: “You can go to lunch
when you are finished.”The other statements are nonassertive or aggressive:“Would you
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 important work to complete this
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: Management of 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 demanding work in the hospital setting?
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
b. Request a transfer to another nursing care unit with patients who are stable.
c. Write down stories in a journal about how caring makes a difference for patients.
d. Use an assertive communication style 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: Application REF: p. 13 TOP: Integrated Process: CaringMSC: Safe
, TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
and Effective Care Environment: Management of Care
3. Which nonverbal action(s) would be consistent with an assertive style of
communication? (Select all that apply)
a. Relaxed posture
b. Established eye contact
c. Hands placed on hips
d. Distant, soft voice
e. Mask-like facial expression
ANS:A, B
Assertive styles of communication that 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: Communication and Documentation MSC:
Psychosocial Integrity
4. 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
5. 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.”
EDITION BY JULIA BALZER RILEY
Communication in Nursing 8th Edition
Julia Balzer Riley
,TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
Table of Contents
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapter 2: The Client-Nurse
Relationship: A Helping Relationship Chapter 3: Solving Problems Together Chapter 4: Understanding
Each Other: Communication and Culture Chapter 5: Demonstrating Warmth Chapter 6: Showing
Respect Chapter 7: Being Genuine Chapter 8: Being Empathetic Chapter 9: Using Self-Disclosure
Chapter 10: Being specific Chapter 11: Asking Questions Chapter 12: Expressing Opinions Chapter 13:
Using Humor Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
15: Requesting Support Chapter 16: Overcoming Evaluation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using Relaxation technique Chapter 19: Incorporating Imagery in Professional Practice and
Self-Care Chapter 20 Incorporating Positive Self-Talk Chapter 21: Learning to Work Together in
Groups Chapter 22: The Changing World of Electronic Communication Chapter 23: Learning
Confrontation skills Chapter 24: Refusing Unreasonable Requests Chapter 25: Communicating
Assertively and Responsibly with Distressed Clients and Colleagues Chapter 26: Communicating
Assertively and Responsibly with Aggressive Clients and Colleagues Chapter 27: Communicating
Assertively and Responsibly with Unpopular Clients Chapter 29: Communicating at the End-of-Life
Chapter 30: Continuing the Commitment
th
Balzer Riley: Communication in Nursing, 8 Edition
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. The nurse plans to delegate a client’s personal hygiene to a nursing assistant. Which
statement if made by the nurse to the nursing assistant is assertive?
a. “Would you mind helping the client with a bath when you have time? If not, I will
skip my lunch and do it myself.”
b. “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.”
c. “The client needs help with bathing. I want you to assist the client now, and you
can go to lunch when you are finished.”
,TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
d. “I have important work to complete this morning. You will assist the client with a
bath. Do not take a break until you have 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 Consequence script to
formulate an assertive response.Describe: “The client needs help with bathing.” Express
and Specify: “I want you to assist the client now.”Consequence: “You can go to lunch
when you are finished.”The other statements are nonassertive or aggressive:“Would you
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 important work to complete this
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: Management of 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 demanding work in the hospital setting?
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
b. Request a transfer to another nursing care unit with patients who are stable.
c. Write down stories in a journal about how caring makes a difference for patients.
d. Use an assertive communication style 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: Application REF: p. 13 TOP: Integrated Process: CaringMSC: Safe
, TEST BANK FOR COMMUNICATION IN NURSING 8TH
EDITION BY JULIA BALZER RILEY
and Effective Care Environment: Management of Care
3. Which nonverbal action(s) would be consistent with an assertive style of
communication? (Select all that apply)
a. Relaxed posture
b. Established eye contact
c. Hands placed on hips
d. Distant, soft voice
e. Mask-like facial expression
ANS:A, B
Assertive styles of communication that 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: Communication and Documentation MSC:
Psychosocial Integrity
4. 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
5. 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.”
