TEST BANK; Communication in Nursing 10th Edition by Julia Balzer Riley . Questions with correct and verified answers. A+ GRADED.

TEST BANK; Communication in Nursing 10th Edition by Julia Balzer Riley . Questions with correct and verified answers. A+ GRADED. 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 Balzer Riley: Communication in Nursing, 10th Edition 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) a. The nurse uses profanity to respond to a client who is intoxicated and verbally abusive. b. The nurse helps a client talk to family members about discontinuing chemotherapy. c. The nurse uses interpersonal strategies to help a client develop methods of coping. d. The nurse provides a client’s health information to a close relative who is visiting. e. The nurse listens carefully to the client’s concern about inadequate pain relief. ANS:B, C, E A nurse who communicates responsibly will perform the role of a client advocate, will consider the world of the client and the client’s family, and will naturally focus on the nursing process and problem-solving process. The nurse is responsible for maintaining the professional conduct of the relationship. Examples of unprofessional conduct would include breaching client confidentiality or verbally abusing a client.DIF: Application REF: pp. 11-12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 6. According to Swanson’s theory, there are five caring processes, one of which is “being with.” Which of the responses by the nurse portrays an understanding of the concept of “being with” a client? a. The nurse charting in the room to spend more time with the client b. The nurse wearing locator badge so you can quickly respond any time patient would call front desk and ask to page you c. The nurse requesting one-on-one nurse staffing d. The nurse being emotionally present to the client ANS:D Caring is an essential ingredient in life and must characterize the nurse–client relationship…. Consider Swanson’s five caring processes (Swanson, 1993):1) Maintaining belief—sustaining faith in the capacity of others to transition and have meaningful lives2) Knowing—striving to understand events as they have meaning in the life of the other3) Being with—being emotionally present to the other4) Doing for— doing for others what they would do for themselves if possible5) Enabling—facilitating the capacity of others to care for themselves and family members (Tonges and Ray, 2011, p. 375)DIF: Application REF: p. 11 TOP: Integrated Process: CaringMSC: Physiological Integrity: Basic Care and Comfort 7. According to Swanson’s theory, there are five caring processes, one of which is “knowing.” What are the other four? a. Communication, assertiveness, responsibility, and caring b. Maintaining belief, being with, doing for, and enabling c. Understanding, action, information, and comfort d. Maintaining belief, being with, enabling, and supporting ANS:B Caring is an essential ingredient in life and must characterize the nurse–client relationship…. Consider Swanson’s five caring processes (Swanson, 1993):1) Maintaining belief—sustaining faith in the capacity of others to transition and have meaningful lives2) Knowing—striving to understand events as they have meaning in the life of the other3) Being with—being emotionally present to the other4) Doing for— doing for others what they would do for themselves if possible5) Enabling—facilitating the capacity of others to care for themselves and family members (Tonges and Ray, 2011, p. 375)DIF: Knowledge/Comprehension REF: p. 6 TOP: Integrated Process: CaringMSC: Safe and Effective Care Environment: Management of Care 8. The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive? a. “I had such a bad experience last time. Please send another nurse instead of me.” b. “I will miss working with you today, but I understand that it is my turn to float.” c. “I will not survive on the other unit. The staff are always too busy to help me.” d. “I will float, but you’ll be sorry. You cannot handle emergencies without me.” ANS:D An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care 9. A client has high blood pressure and needs to learn about a low-sodium diet. Which question if asked by the client would be an indirect request for information? a. “How should I prepare food without adding salt?” b. “What will I do to make food taste better?” c. “What diet changes are needed to control my blood pressure?” d. “What foods should I avoid that are high in sodium?” ANS:B Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better?” is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet.DIF: Application REF: p. 6 TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort 10. 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 11. 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 and Effective Care Environment: Management of Care 12. 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 Balzer Riley: Communication in Nursing, 10th Edition Chapter 2: The Client-Nurse Relationship: A Helping Relationship Test Bank Multiple Choice 1. The nurse cares for a patient who has just been diagnosed with lung cancer. Which statement by the nurse is therapeutic? a. “You sound really frightened about your diagnosis of cancer.” b. “You will get better because the treatment will be started this week.” c. “I think you should take a vacation and try to forget about the cancer.” d. “An apple a day will keep the doctor away.” ANS:A Reflecting helps the patient to clarify feelings and is a therapeutic communication technique. Reassuring (i.e., “you will be okay”) negates fears and feelings of the patient. Getting advice (i.e., declaration to the patient of what the nurse thinks) negates the worth of the patient as a mutual partner in decision making. Making stereotyped responses (i.e., trite, meaningless verbal expressions) negates the significance of the patient’s communication.DIF: Analysis REF: p.25 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 2. The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply) a. Expects the patient to meet the goals for exercise as determined by the nurse. b. Listens to the patient describe the feelings of anxiety related to severe dyspnea. c. Develops teaching plan based on the learning preferences of the patient. d. Refrains from touching the patient unless performing physical assessment techniques. e. Requests that the patient wait to ask questions until the end of the home visit. f. Learns the names of the patient’s family members and close friends and neighbors. ANS:B, C, F Responses and behaviors of the nurse that indicate bonding between the nurse and the patient include listening to verbalization of the patient’s feelings, asking for the patient’s input on learning styles and needs, and listening to the patient talk about support persons. Other indicators (responses and behaviors by the nurse) of bonding include touching a patient for reassurance when appropriate, including the patient in the plan of care (and developing goals), and encouraging inquiries from the patient.DIF: Application REF: p. 27 TOP: Integrated Process: CaringMSC: Psychosocial Integrity 3. The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose of the client–nurse relationship? a. To develop a mutually satisfying experience for the client and nurse. b. To assist the client in achieving and maintaining optimal health. c. To provide excellent client service and improve quality of care. d. To allow the client to receive important health information. ANS:B The client–nurse relationship is established primarily to help the client achieve and maintain optimal health. The client–nurse relationship is entered for the benefit of the client but is more effective if the relationship is mutually satisfying. The ability to communicate clearly and with compassion is central to excellent customer (or client) service. The client is not just a passive receiver of health information; the client–nurse relationship refers to the interaction between the nurse and the client.DIF: Knowledge REF: pp. 19-20 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 4. While admitting a patient to the medical unit, the nurse should take which action? a. Demonstrate human caring by hugging the patient for brief intervals. b. Disclose shared intimate details with other healthcare providers. c. Maintain a physical distance of at least 3 to 4 feet at all times. d. Develop the plan of care and measurable objectives with the patient. ANS:D The patient and nurse should develop the plan of care together; attainment of objectives should be evaluated with the patient. Nurses may have strong feelings for their patients and express caring, but the nurse should maintain adequate objectivity and perspective to provide therapeutic assistance. Patients should have a sense of privacy, and confidentiality should be maintained. The nurse should not share intimate patient details with others.DIF: Application REF: p. 23 TOP: Integrated Process: CaringMSC: Psychosocial Integrity 5. The community health nurse is listening to a client talk about a personal problem. Which of these actions by the nurse is most appropriate? a. The nurse should increase the physical distance from the client. b. The nurse should lean toward the client and make eye contact. c. The nurse should periodically interrupt the client to ask questions. d. The nurse should initiate the physical assessment to distract the client. ANS:B To actively listen to a client, the nurse should use open body language, arms open—not crossed; make eye contact without staring; echo words or paraphrase facts and feelings; lean toward the person speaking; do not interrupt; pay attention; and try to relax.DIF: Application REF: p. 25 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 6. As a part of the F.O.C.U.S. model, the “C” stands for a. Communicate b. Connect c. Concern d. Convince ANS:B According to the author, F.O.C.U.S. is a model she created to help nurses connect with the current moment in which they are serving. The model contains the following elements: Feel, Observe, Connect, Understand, and Share.DIF: Knowledge REF: p. 30 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 7. The nurse cares for a female patient who is trying to gain understanding of her life and her diagnosis of metastatic breast cancer. Which approach by the nurse would best meet this patient’s needs? a. Suggest the patient join a breast cancer support group. b. Provide the patient with reading material on death and dying. c. Contact the patient’s spiritual leader to request daily visits. d. Listen to the patient’s stories about her past experiences. ANS:D Listening to the patient’s story is an important assessment tool; the nurse can assess a patient’s self-care knowledge and gain greater understanding of the patient. The nurse is able to learn what is important to the patient and create a personalized plan of care.DIF: Application REF: p. 27 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 8. The nurse cares for a patient who has type 2 diabetes mellitus and does not consistently follow the dietary restrictions and exercise recommendations. The patient takes a daily oral hypoglycemic agent as prescribed. Which statement by the nurse is most appropriate? a. “It is great that you take your medicine as prescribed.” b. “It wouldn’t be that hard to walk a few blocks every other day.” c. “You are definitely not one of my good patients.” d. “It is a waste of time to help you because you will never change.” ANS:A There are guidelines for nurse conduct in client–nurse helping relationships. The nurse should praise and encourage clients in their efforts to take better care of themselves. The nurse should not patronize clients, pigeonhole clients with labels (e.g., good, lazy, or uncooperative), or put down clients by making them feel inadequate or estranged.DIF: Application REF: p. 24 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 9. The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, “My baby cries all the time. I must not be a very good mother.” Which response by the nurse is nontherapeutic? a. “It sounds as if you are concerned about your ability to care for your baby.” b. "The nurse moves closer to the mother and places a hand on her shoulder." c. “You just need to get away for a few hours. Find a babysitter and go to a movie.” d. “I am not sure that I understand what you mean. Tell me more about how you feel.” ANS:C Giving advice (i.e., declaring to the patient what the nurse thinks) negates the worth of the patient as a mutual partner in decision making and is a nontherapeutic communication technique. Restating is repetition to the client of what the nurse believes is the main thought or idea expressed; restating asks for validation of the nurse’s interpretation of the message. Reducing distance between the nurse and the client nonverbally communicates that the nurse wants to be involved with the client. Seeking clarification demonstrates the nurse’s desire to understand the client’s communication.DIF: Analysis REF: p. 26 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 10. The nurse is performing a well-child assessment on a 15-month-old child. The child’s mother and father are present. Which action by the nurse will best determine the health beliefs and values of the parents? a. Have the parents independently complete the Myers-Briggs Type Indicator survey. b. Read the documented health histories of the child’s parents and grandparents. c. Actively listen to the parents talk about their lives and health concerns. d. Review the traditional health practices of the ethnic group identified by the parents. ANS:C Nurses should listen to their client’s story to gain insight and knowledge into how a person defines “health.” The Myers-Briggs Type Indicator identifies a person’s preferences in regard to perception and judgment. Review of health histories or traditional health practices will not provide as much insight on health beliefs and values as allowing the client to tell his or her story.DIF: Application REF: p. 23 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity