.z
i i
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible, Assertive, Caring Communication in l i.z i.z i.z
i.z Nursing Chapter 2: The Client-Nurse Relationship: A Helping
l! i.z i.z i.z i.z i.z i.z
i.z Relationship Chapter 3: Solving Problems Together i.z i.z i.z i.z i.z
i.z Chapter4:UnderstandingEachOther:CommunicationandCultureChapter
i . z 5: Demonstrating Warmth
i.z i.z
Chapter 6: Showing Respect i.z i.z i.z
i.z Chapter 7: Being Genuine i.z i.z i.z
i.z Chapter 8: Being Empathetic i.z i.z i.z
i.z Chapter9:UsingSelf-
i.z DisclosureChapter 10: Being i.z i.z
i.z specific Chapter 11: Asking i.z i.z i.z
i.z Questions Chapter12: i.z
Expressing OpinionsChapter 13: l! i.z
UsingHumor i.z
Chapter14:Embracing theSpiritualJourneyof HealthCaring,MeaningMaking Chapter 15: l i.z i.z i.z i.z l! i.z
i.z Requesting Support i.z
Chapter16:OvercomingEvaluation i.z
i.zAnxietyChapter 17: Working with i.z i.z i.z
i.zFeedbackChapter18:Using Relaxation i.z i.z i.z l!
i.ztechnique
Chapter19:IncorporatingImageryinProfessionalPracticeandSelf- i.z i.z i.z i.z i.z i.z
i.z Care Chapter 20 Incorporating Positive Self-Talk
l! i.z i.z i.z i.z
Chapter21: i . z Learning to Work Together in Groups l i.z i.z i.z i.z i.z
i.z Chapter22:TheChanging WorldofElectronic l!
i.z Communication Chapter23:Learning Confrontation skills l! l! l!
i.z Chapter24:RefusingUnreasonableRequests i.z i.z
Chapter i . z 25: i . z Communicating i . z Assertively i . z and i . z Responsibly i . z with i . z Distressed
i . z Clients i . z and ColleaguesChapter26: CommunicatingAssertivelyand
i . z i.z i.z i.z i.z
ResponsiblywithAggressive Clientsand ColleaguesChapter 27: Communicating Assertively and
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
i.z Responsibly with Unpopular Clients Chapter 29: Communicating at the End-of- i.z i.z i.z i.z i . z i . z i . z i . z i . z
LifeChapter30: ContinuingtheCommitment i.z i.z i.z i.z
,BalzerRiley:CommunicationinNursing,10thEdition i.z i.z
Chapter1:Responsible,Assertive,Caring CommunicationinNursing i.z
Test Bank i.z
i.z MultipleChoice
1. Which statement describes the affective i . z i . z i . z i . z i . z aspect
i . z of learning effectivecommunication strategies?
i . z i.z l! i.z
a. ―Thenurseshoulduseclear,directstatementsusingobjectivewords.‖ i.z i.z i.z i.z i.z i.z i.z
b. ―Thenurseuses bodylanguagethat is congruent with theverbal message.‖ i.z i.z i.z i.z i.z i.z i.z
c. ―Thenursebelievesthat positivecommunicationstrategiesbuildconfidence.‖ i.z i.z i.z i.z i.z
d. ―Thenursepractices assertiveandresponsiblecommunicationstrategies.‖ i.z i.z
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
i.z i.z i.z i.z i.z i.z i.z i.z i.z
affective aspects (feelings, values, and attitudes), and psychomotor aspects
i.z i.z i.z i.z i.z i.z i.z i.z i.z
(physicalcapability).Learning basic communication skills involves the cognitive domain;
i.z i.z i.z i.z i.z i.z i.z i.z
building confidence through a belief in the value and impact of positive communication is the
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
affective domain; and putting skills into action is the psychomotor domain.DIF:
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
Comprehension REF: p. 13 TOP: Integrated Process:
i.z Communication and i.z i.z i.z i.z i.z i.z i . z i . z
Documentation MSC: Psychosocial Integrity
i.z i.z i.z i.z
2. Thenursemanagerasksthestaffnursetoworkan extrashift. Whichresponse
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
bythe staff nurse is assertive and based on rational beliefs?
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
a. ―I don’t want you upset, so I will work extra.‖
l! i.z i.z i.z i.z i.z l i.z i.z
b. ―Whydo Ialwayshavetocoverextrashifts?‖ i.z i.z i.z i.z i.z i.z
c. ―I am notableto work an extrashift.‖
l i.z i.z i.z i.z i.z i.z i.z
d. ―Ifyoucan’tfindanyone else, Iwilldoit.‖
i.z i.z i.z i.z i.z i.z i.z i.z
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
Process: Communication and Documentation MSC: Safe and Effective Care
i.z i.z i.z i.z i.z i.z i.z i.z i.z
Environment: Management of Care
i.z i.z i.z i.z
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts.
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
Which statement, if made by the staff nurse, is nonassertive and may result in
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
afrustrated response from the nurse manager?
i.z i.z i.z i.z i.z i.z
a. ―I want to decide theshifts forall of theotherstaff nurses.‖
l! i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
b. ―Dowhateveryou want. Itdoesn’t reallymatterto me.‖ i.z i.z i.z i.z i.z i.z i.z
c. ―Thankyou foroffering meachoice. Iprefer12-hourshifts.‖ i.z i.z i.z i.z i.z i.z
d. ―Youwillneverbeabletogivemewhat Ireallywanttowork.‖ i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
ANS:B
A statement that allows others to make decisions for a person is an example of
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
anonassertive style of communication; the response of others to a nonassertive statement
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
may include disrespect, guilt, anger, or frustration. Statements that make choices for
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
others or that are accusations are examples of aggressive styles of communication; the
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
response of others to an aggressive statement may include hurt, defensiveness, or
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
humiliation. A statement that allows making one’s own decisions is an example
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
ofassertive style of communication; the response of others to an assertive statement may
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process:
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
iCommunication and Documentation MSC: Safe and Effective Care Environment:
. z i.z i.z i.z i.z i.z i.z i.z i.z
Management of Care
i.z i.z i.z
4. The nurse is providing care to a patient who was admitted with heart failure. The
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
i.z patient has not been following the prescribed diet or taking the prescribed i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
i.z medications. Which type of communication approach is most important for the nurse i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
i.z to use with this patient to facilitate a change in self-care behavior?
i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z i.z
a. Authoritative,honest, andoutrightcommunication i.z i.z
b. Assertive,responsible,and caring communication i.z l l
c. Aggressive,sympathetic,andrealisticcommunication i.z
d. Positive,expert,andfocusedcommunication i.z
ANS:B
Communication must be technically responsible, assertive, and i . z i . z i . z i . z i . z i . z
i caring
. to
z facilitate a change in behavior.DIF: Knowledge/Comprehension REF:
i . z i . z i.z i.z i.z i.z i.z i.z
p. 13 TOP:
i.z Integrated Process: Communication and Documentation MSC:
i.z i.z i . z i.z i.z i.z i.z i.z
Psychosocial Integrity
i.z i.z
5. Which are examples of a nurse who is i . z i . z i . z i . z i . z i . z i . z
i . z communicating responsibly? (Select allthat apply) i . z i.z i . z i.z
a. The nurse uses profanity to respond to i . z i . z i . z i . z i . z i . z i . z a client i . z i . z who is i . z
intoxicated and verballyabusive.
i . z i . z i.z
b. Thenursehelpsaclienttalktofamilymembersabout i.z i.z i.z i.z i.z i.z i.z i.z i.z
discontinuingchemotherapy.
i.z