TESTBANK
CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible,Assertive,CaringCommunicationinNursing Chapt# (i
er#2:#The#Client-
Nurse#Relationship:#A#Helping#Relationship#Chapter#3:#Solving#Problems#To
gether
Chapter4:UnderstandingEachOther:CommunicationandCulture# Cha
pter#5:#Demonstrating#Warmth
Chapter#6:#Showing Respect#Cha#p
(i
ter#7:#Being#Genuine#Chapter#8:
Being Empathetic#Chapter#9:#Usi#n
(i
g#Self-
Disclosure#Chapter#10:#Being spe# (i
cific#Chapter#11:#Asking Questio# (i
ns#Chapter#12:#Expressing Opinio (i
ns#Chapter#13:#Using#Humor
#
Chapter14:Embracingthe Spiritual#Journey#of#HealthCaring,#Meaning Making#Chapter#15
(i (i
:#Requesting#Support
Chapter#16:#OvercomingEvaluation Anxiety#C# (i
hapter#17:#Working#with#Feedback#Chapter#
18:#Using#Relaxation#technique
Chapter19:IncorporatingImageryin Professional#Practice#and Self-
(i (i
#Care#Chapter#20#Incorporating#Positive#Self-Talk
Chapter21:# Learning#to Work#Together#in#Groups
(i
Chapter22:TheChanging Worldof#ElectronicCommunication#Chapt
(i
er#23:#Learning Confrontation#skills
(i
Chapter#24:#RefusingUnreasonable#Requests
Chapter25:#Communicating Assertively#and#Responsiblywith#Distressed#Clientsand#Colleagues#C#ha
(i
pter#26:#Communicating#Assertively#and#Responsibly#with#Aggressive#Clients#and#Colleagues#C#hapte
r#27:#Communicating Assertively#and#Responsibly#with#Unpopular#Clients
(i
Chapter#29:#Communicating#at#the#End-of-
#Life#Chapter#30:#Continuing the#Commitment (i
,BalzerRiley:Communication inNursing,10thEdition
#
Chapter1:Responsible,Assertive,Caring CommunicationinNursing(i
Test#Bank#Multipl#eCh
oice
1. Which# statement# describes# the# affective# aspect# of# learning# effecti#v
e#communication#strategies?
a. ―Thenurse#should#use#clear,#direct#statements#using#objective#words.‖
b. ―Thenurse#uses#body#language#that is#congruent#with#the#verbal#message.‖
(i
c. ―Thenurse#believes#that#positive#communication#strategies build confidence.‖
(i (i
d. ―Thenurse#practices# assertive#and#responsible#communication#strategies.‖
ANS:C
Learning#involves#three#domains:#the#cognitive#aspects#(understanding#and#meaning),#affec#t
ive#aspects#(feelings,#values,#and#attitudes),#and#psychomotor#aspects#(physical#capability)
.Learning#basic#communication#skills#involves#the#cognitive#domain;#building#confidence#t#
hrough#a#belief#in#the#value#and#impact#of#positive#communication#is#the#affective#domain;#a
nd#putting#skills#into#action is#the#psychomotor#domain.DIF:#Comprehension#REF:#p.#13#T
(i
OP:#Integrated#Process:#Communication#and
Documentation#MSC:#Psychosocial#Integr
#ity
2. The#nurse#manager#asks#the#staff#nurse#to#work#an#extra#shift.#Which response#by#th#
(i
e#staff#nurse#is#assertive#and#based#on#rational#beliefs?
a. ―Idon’t#want#you#upset,#so#Iwill#work#extra.‖
b. ―Why#do#I#always#have#to#cover#extra#shifts?‖
c. ―I#am#not#able#to work an#extra#shift.‖
(i (i
d. ―If#you#can’t#find#anyone#else,#I will#do#it.‖
(i
ANS:C
The#staff#nurse#may#turn#down#even#a#reasonable#request;#an#assertive#response#avoids#irrat#io
nal#beliefs.#Irrational#beliefs#occur#as#a#result#of#being#anxious#about#assertiveness#or#foc#usi
ng#on#possible#negative#outcomes.DIF:#Analysis#REF:#p.#8#TOP:#Integrated#Process:#Co#mm
unication#and#Documentation#MSC:#Safe and#Effective#Care#Environment:#Manageme#nt#of#
(i
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#i#n#
a#frustrated#response from#the nurse#manager?
(i (i
a. ―Iwant#to#decide#the#shifts#for#all#of#the#other#staff#nurses.‖
b. ―Dowhatever#you#want.#It#doesn’t#really#matter#to#me.‖
c. ―Thank#you#for#offering#me#a#choice.#I prefer#12-hour#shifts.‖
(i
d. ―You#will#never#be#able#to#give#me#what#I really#want#to#work.‖
(i
ANS:B
A#statement#that allows#others#to#make#decisions#for#a#person#is#an#example of#a#nonasserti#v
(i (i
e#style#of#communication;#the#response#of#others#to#a#nonassertive#statement#may#include#di
srespect,#guilt,#anger,#or#frustration.#Statements#that#make#choices#for#others#or#that#are#ac#cus
ations#are#examples#of#aggressive#styles#of#communication;#the#response#of#others#to#an#aggr
essive#statement#may#include#hurt,#defensiveness,#or#humiliation.#A#statement#that#allo#ws#m
aking#one’s#own#decisions#is#an#example#of#assertive#style#of#communication;#the#resp#onse#o
f#others#to#an#assertive#statement#may#include mutual#respect.DIF:#Analysis#REF:#p.#7#TOP:#I
(i
ntegrated#Process:#Communication#and#Documentation#MSC:#Safe#and#Effective#C#are#Env
ironment:#Management#of#Care
4. The#nurse#is#providing care#to#a#patient#who#was#admitted#with#heart#failure.#The#pa#ti
(i
ent#has#not been#following#the#prescribed#diet#or#taking#the#prescribed#medications.#W#hi
(i
ch#type#of#communication#approach#is#most#important#for#the#nurse#to#use#with#this#p#ati
ent#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#i
n#behavior.DIF:#Knowledge/Comprehension#REF:#p.#13#TOP:#Integrated# Process:#Com#m
unication#and#Documentation#MSC:#Psychosocial#Integrity
5. Which# are# examples# of# a# nurse# who# is# communicating# responsibly?# (Select#a
ll#that apply)
(i
a. The#nurse#uses# profanity# to# respond# to# a#client# who#is# intoxicated# and# verbally#a
busive.
b. The#nurse#helps#a#client#talk#to#family#members#about#discontinuing#c#
hemotherapy.
CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible,Assertive,CaringCommunicationinNursing Chapt# (i
er#2:#The#Client-
Nurse#Relationship:#A#Helping#Relationship#Chapter#3:#Solving#Problems#To
gether
Chapter4:UnderstandingEachOther:CommunicationandCulture# Cha
pter#5:#Demonstrating#Warmth
Chapter#6:#Showing Respect#Cha#p
(i
ter#7:#Being#Genuine#Chapter#8:
Being Empathetic#Chapter#9:#Usi#n
(i
g#Self-
Disclosure#Chapter#10:#Being spe# (i
cific#Chapter#11:#Asking Questio# (i
ns#Chapter#12:#Expressing Opinio (i
ns#Chapter#13:#Using#Humor
#
Chapter14:Embracingthe Spiritual#Journey#of#HealthCaring,#Meaning Making#Chapter#15
(i (i
:#Requesting#Support
Chapter#16:#OvercomingEvaluation Anxiety#C# (i
hapter#17:#Working#with#Feedback#Chapter#
18:#Using#Relaxation#technique
Chapter19:IncorporatingImageryin Professional#Practice#and Self-
(i (i
#Care#Chapter#20#Incorporating#Positive#Self-Talk
Chapter21:# Learning#to Work#Together#in#Groups
(i
Chapter22:TheChanging Worldof#ElectronicCommunication#Chapt
(i
er#23:#Learning Confrontation#skills
(i
Chapter#24:#RefusingUnreasonable#Requests
Chapter25:#Communicating Assertively#and#Responsiblywith#Distressed#Clientsand#Colleagues#C#ha
(i
pter#26:#Communicating#Assertively#and#Responsibly#with#Aggressive#Clients#and#Colleagues#C#hapte
r#27:#Communicating Assertively#and#Responsibly#with#Unpopular#Clients
(i
Chapter#29:#Communicating#at#the#End-of-
#Life#Chapter#30:#Continuing the#Commitment (i
,BalzerRiley:Communication inNursing,10thEdition
#
Chapter1:Responsible,Assertive,Caring CommunicationinNursing(i
Test#Bank#Multipl#eCh
oice
1. Which# statement# describes# the# affective# aspect# of# learning# effecti#v
e#communication#strategies?
a. ―Thenurse#should#use#clear,#direct#statements#using#objective#words.‖
b. ―Thenurse#uses#body#language#that is#congruent#with#the#verbal#message.‖
(i
c. ―Thenurse#believes#that#positive#communication#strategies build confidence.‖
(i (i
d. ―Thenurse#practices# assertive#and#responsible#communication#strategies.‖
ANS:C
Learning#involves#three#domains:#the#cognitive#aspects#(understanding#and#meaning),#affec#t
ive#aspects#(feelings,#values,#and#attitudes),#and#psychomotor#aspects#(physical#capability)
.Learning#basic#communication#skills#involves#the#cognitive#domain;#building#confidence#t#
hrough#a#belief#in#the#value#and#impact#of#positive#communication#is#the#affective#domain;#a
nd#putting#skills#into#action is#the#psychomotor#domain.DIF:#Comprehension#REF:#p.#13#T
(i
OP:#Integrated#Process:#Communication#and
Documentation#MSC:#Psychosocial#Integr
#ity
2. The#nurse#manager#asks#the#staff#nurse#to#work#an#extra#shift.#Which response#by#th#
(i
e#staff#nurse#is#assertive#and#based#on#rational#beliefs?
a. ―Idon’t#want#you#upset,#so#Iwill#work#extra.‖
b. ―Why#do#I#always#have#to#cover#extra#shifts?‖
c. ―I#am#not#able#to work an#extra#shift.‖
(i (i
d. ―If#you#can’t#find#anyone#else,#I will#do#it.‖
(i
ANS:C
The#staff#nurse#may#turn#down#even#a#reasonable#request;#an#assertive#response#avoids#irrat#io
nal#beliefs.#Irrational#beliefs#occur#as#a#result#of#being#anxious#about#assertiveness#or#foc#usi
ng#on#possible#negative#outcomes.DIF:#Analysis#REF:#p.#8#TOP:#Integrated#Process:#Co#mm
unication#and#Documentation#MSC:#Safe and#Effective#Care#Environment:#Manageme#nt#of#
(i
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#i#n#
a#frustrated#response from#the nurse#manager?
(i (i
a. ―Iwant#to#decide#the#shifts#for#all#of#the#other#staff#nurses.‖
b. ―Dowhatever#you#want.#It#doesn’t#really#matter#to#me.‖
c. ―Thank#you#for#offering#me#a#choice.#I prefer#12-hour#shifts.‖
(i
d. ―You#will#never#be#able#to#give#me#what#I really#want#to#work.‖
(i
ANS:B
A#statement#that allows#others#to#make#decisions#for#a#person#is#an#example of#a#nonasserti#v
(i (i
e#style#of#communication;#the#response#of#others#to#a#nonassertive#statement#may#include#di
srespect,#guilt,#anger,#or#frustration.#Statements#that#make#choices#for#others#or#that#are#ac#cus
ations#are#examples#of#aggressive#styles#of#communication;#the#response#of#others#to#an#aggr
essive#statement#may#include#hurt,#defensiveness,#or#humiliation.#A#statement#that#allo#ws#m
aking#one’s#own#decisions#is#an#example#of#assertive#style#of#communication;#the#resp#onse#o
f#others#to#an#assertive#statement#may#include mutual#respect.DIF:#Analysis#REF:#p.#7#TOP:#I
(i
ntegrated#Process:#Communication#and#Documentation#MSC:#Safe#and#Effective#C#are#Env
ironment:#Management#of#Care
4. The#nurse#is#providing care#to#a#patient#who#was#admitted#with#heart#failure.#The#pa#ti
(i
ent#has#not been#following#the#prescribed#diet#or#taking#the#prescribed#medications.#W#hi
(i
ch#type#of#communication#approach#is#most#important#for#the#nurse#to#use#with#this#p#ati
ent#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#i
n#behavior.DIF:#Knowledge/Comprehension#REF:#p.#13#TOP:#Integrated# Process:#Com#m
unication#and#Documentation#MSC:#Psychosocial#Integrity
5. Which# are# examples# of# a# nurse# who# is# communicating# responsibly?# (Select#a
ll#that apply)
(i
a. The#nurse#uses# profanity# to# respond# to# a#client# who#is# intoxicated# and# verbally#a
busive.
b. The#nurse#helps#a#client#talk#to#family#members#about#discontinuing#c#
hemotherapy.
