COMMUNICATION IN NURSING 10TH EDITION (JULIA BALZER
RILEY) TESTBANK COMPLETE ALL CHAPTERS LATEST UPDATE
2025
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
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank 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.DIF: Comprehension REF: p. 13 TOP: Integrated Process:
Communication and Documentation MSC: Psychosocial Integrity
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.DIF: Analysis
REF: p. 8 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment:
Management of Care
, 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.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC:
Safe and Effective Care Environment: Management of Care
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.DIF:
Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial
Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select all that apply)
RILEY) TESTBANK COMPLETE ALL CHAPTERS LATEST UPDATE
2025
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
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank 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.DIF: Comprehension REF: p. 13 TOP: Integrated Process:
Communication and Documentation MSC: Psychosocial Integrity
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.DIF: Analysis
REF: p. 8 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment:
Management of Care
, 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.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC:
Safe and Effective Care Environment: Management of Care
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.DIF:
Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial
Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select all that apply)
