TEST BANK
Communication in Nursing 8th Edition
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
1
,Balzer Riley: Communication in Nursing, 8th 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.”
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
2
, 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
3
Communication in Nursing 8th Edition
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
1
,Balzer Riley: Communication in Nursing, 8th 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.”
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
2
, 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
3
