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CommunicationinNursing10thEdition
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JuliaBalzerRiley
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, TableofContents ! !
Chapter1: Responsible, Assertive, Caring Communication in
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NursingChapter 2: The Client-Nurse Relationship: A Helping Relationship
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Chapter 3: Solving Problems Together
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Chapter4: Understanding Each Other: Communicationand CultureChapter 5:
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Demonstrating Warmth
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Chapter 6: Showing Respect
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Chapter 7: Being Genuine
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Chapter 8: Being Empathetic
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Chapter9: UsingSelf-
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DisclosureChapter 10: Being ! ! !
specific Chapter 11: Asking
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Questions Chapter12:
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ExpressingOpinionsChapter 13:
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Using Humor
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Chapter14:Embracing the Spiritual Journey of Health Caring, Meaning MakingChapter
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15: Requesting Support
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Chapter 16: Overcoming Evaluation
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AnxietyChapter 17: Working with
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Feedback Chapter 18: UsingRelaxation
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technique
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Chapter19: Incorporating Imagery in Professional Practice and Self-
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CareChapter 20 Incorporating Positive Self-Talk
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Chapter21: Learning to Work Together in Groups
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Chapter22: TheChangingWorld of Electronic
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CommunicationChapter23:LearningConfrontationskills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and
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Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
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ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
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LifeChapter 30: Continuing the Commitment
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,BalzerRiley: Communication in Nursing, 10th Edition
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Chapter1: Responsible,Assertive, Caring Communication in Nursing
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Test Bank !
Multiple Choice
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1. Which statement describes the affective aspect of learning ! ! ! ! ! ! !
! effectivecommunication strategies? ! !
a. ―The nurse should use clear, direct statements using objective words.‖
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b. ―The nurse uses body language that is congruent with the verbal message.‖
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c. ―Thenurse believes that positive communication strategies build confidence.‖
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d. ―Thenurse practices assertive and responsible communication strategies.‖
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ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
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affective aspects (feelings, values, and attitudes), and psychomotor aspects
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!(physical 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 is
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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
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Documentation MSC: Psychosocial Integrity
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2. The nurse manager asks the staff nurse to work an extra shift. Which response bythe
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staff 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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b. ―Why do I always have to cover extra shifts?‖ ! ! ! ! ! ! ! !
c. ―I am not able to work an extra shift.‖
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d. ―If you can’t find anyone else, I will do it.‖
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ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
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irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
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focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
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Communication and Documentation MSC: Safe and Effective Care Environment:
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Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts.
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Which statement, if made by the staff nurse, is nonassertive and may result in afrustrated
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response from the nurse manager?
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a. ―Iwant to decide the shifts for all of the other staff nurses.‖
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b. ―Do whatever you want. It doesn’t really matter to me.‖
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c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
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d. ―You will never be able to give me what I really want to work.‖
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ANS:B
A statement that allows others to make decisions for a person is an example of anonassertive
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style of communication; the response of others to a nonassertive statement may include
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disrespect, guilt, anger, or frustration. Statements that make choices for others or that are
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accusations are examples of aggressive styles of communication; the response of others to an
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aggressive statement may include hurt, defensiveness, or humiliation. A statement that
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allows making one’s own decisions is an example of assertive style of communication; the
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response of others to an assertive statement may include mutual respect.DIF: Analysis REF:
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p. 7 TOP: Integrated Process: Communicationand Documentation MSC: Safe and Effective
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Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. The
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patient has not been following the prescribed diet or taking the prescribed medications.
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Which type of communication approach is most important for the nurse to use with this
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patient to facilitate a change in self-care behavior?
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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:
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Communication and Documentation MSC: Psychosocial Integrity
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5. Which are examples of a nurse who is communicating responsibly? (Select
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! allthat apply)
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a. The nurse uses profanity to respond to a client who is intoxicated and
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verballyabusive. ! !
b. The nurse helps a client talk to family members about
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discontinuingchemotherapy.
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