TESTBANK COMMUNICATION IN NURSING 10TH
Il` Il` Il` Il`
EDITION BY JULIABALZERRILEY
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BalzerRiley: Communication inNursing,10 Edition
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, Chapter1:Responsible,Assertive,Caring CommunicationinNursing Il`. Il`z Il` Il`
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1. Which statement describes the affective aspect of learning effective c Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`.z l !
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ommunication strategies? Il` Il`.z Il`
a. ―Thenurseshould use clear, direct statements .z Il` Il`.z Il` .z Il` .z
using objective
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b. ―Thenurseuses body languagethat is congruent with Il`.z Il`.z Il`.z Il`.z Il`.z
theverbal message.‖
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c. ―Thenursebelieves that positivecommunication Il` .z Il`.z
strategies build confidence.‖
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d. ―Thenursepractices assertiveandresponsible Il`.z
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communicationstrategies.‖
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ANS:C Il`
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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(physicalcapability).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
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is 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
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response bythe Il`.z Il`.z Il`
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staff nurse is assertive and based on rational beliefs?
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a. ―I don’t want you upset, so I will work extra.‖ l! Il`.z Il`.z Il`.z Il`.z Il`.z l Il`.z Il`.z Il`
b. ―Whydo Ialways have to cover extra shifts?‖ Il`.z Il`.z Il` .z Il`.z Il`.z Il`.z Il`
c. ―I am not able to work an extra shift.‖ l Il`.z Il`.z Il` .z Il`.z Il`.z Il`.z Il`.z Il`
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d. ―If you can’t find anyone else, Iwill do it.‖ Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
ANS:C Il`
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
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or Il`.z Il`
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
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Process: Communication and Documentation MSC: Safe and Effective Care
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Environment: Management of Care
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3. A nurse manager offers a staff nurse a
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working 8- or 12-hour shifts. .z Il` .z Il` .z Il` .z Il` .z Il`
, .z Which statement, if made by the staff nurse, is nonassertive and may result in
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afrustrated response from the nurse manager?
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a. ―I want to decide the shifts for all of the other staff nurses.‖ l! Il`.z Il`.z Il`.z .z Il` Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
b. ―Dowhatever you want. It doesn’t really matterto me.‖ Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
c. ―Thank you foroffering meachoice. Iprefer 12-hour shifts.‖ .z Il` Il`.z Il`.z Il`.z Il`.z .z Il` Il`
d. ―You will never be ableto giveme what Ireally Il` .z Il`.z Il` .z Il` .z Il`.z .z Il` Il`.z
want to Il` .z Il` .z work.‖
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ANS:B Il`
A statement that allows others to make decisions for a person is an example of
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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
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to Il`.z Il`
an aggressive statement may include hurt, defensiveness, or humiliation. A statement that
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allows making one’s own decisions is an example ofassertive style of communication; the
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response of others to an assertive statement may include mutual respect.DIF: Analysis
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
REF:Il`.z Il`
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and
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Effective 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 Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
patient has not been following the prescribed diet or taking the prescribed
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medications. Il`.z Il`
Which type of communication approach is most important for the nurse to use with
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this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, andoutrightcommunication Il` .z Il`.z Il`
b. Assertive,responsible, and caring communication Il`.z l l Il`
c. Aggressive,sympathetic, andrealisticcommunication Il`.z Il`
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d. Positive,expert, andfocusedcommunication Il`.z Il`
ANS:B Il`
Communication must be technically responsible, assertive, and caring to facilitate Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il`
a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
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Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
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5. Which are examples of a Il` . z Il` Il` . z Il` Il` . z Il` Il` . z Il` Il` . z
nurse who Il`is communicating Il` . z Il` Il` . z Il` Il` . z Il` Il`
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responsibly? (Select allthat apply)
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a. The nurse uses profanity Il` to . z Il` Il` . z Il` Il` . z Il` Il` . z Il` Il` . z
respond to Il` a client who Il` . z Il` Il` . z Il` Il` . z Il` Il` . z Il` Il` . z
is Il` Il`
intoxicated and verballyabusive. . z Il` Il` . z Il` Il`.z Il`
b. The nurse helps a client talk to family members about Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
discontinuingchemotherapy. .z Il`
c. Thenurseuses interpersonal strategies to help aclient develop methods of coping. Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
d. Thenurseprovides a client’s health information to a close relative Il`.z Il` .z .z Il` Il` .z Il` .z Il`.z Il`.z Il` .z
who is visiting. .z Il` Il` .z .z Il` Il`
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e. The nurselistens carefully totheclient’s concern aboutinadequate pain relief.
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Il` Il` Il` Il`
EDITION BY JULIABALZERRILEY
Il` Il` Il`
Il`
, th
BalzerRiley: Communication inNursing,10 Edition
Il` .z Il`.z Il`
, Chapter1:Responsible,Assertive,Caring CommunicationinNursing Il`. Il`z Il` Il`
Test Bank Il`.z Il`
.z MultipleChoice Il`
Il`
1. Which statement describes the affective aspect of learning effective c Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`.z l !
Il`
ommunication strategies? Il` Il`.z Il`
a. ―Thenurseshould use clear, direct statements .z Il` Il`.z Il` .z Il` .z
using objective
Il` words.‖ .z Il` .z .z Il` Il`
b. ―Thenurseuses body languagethat is congruent with Il`.z Il`.z Il`.z Il`.z Il`.z
theverbal message.‖
Il`.z Il`.z Il`
c. ―Thenursebelieves that positivecommunication Il` .z Il`.z
strategies build confidence.‖
Il` .z Il` .z Il`.z Il`
d. ―Thenursepractices assertiveandresponsible Il`.z
Il`
communicationstrategies.‖
Il`.z Il`
ANS:C Il`
Learning involves three domains: the cognitive aspects (understanding and meaning),
Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il`
affective aspects (feelings, values, and attitudes), and psychomotor aspects
.z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il`
(physicalcapability).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
.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
is the affective domain; and putting skills into action is the psychomotor domain.DIF:
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
.z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` . z Il` Il` . z Il` Il`
Il`
Documentation MSC: Psychosocial Integrity
.z Il`.z Il`.z Il`.z Il`
Il`
2. The nurse manager asks the staff nurse to work an extra shift. Which
Il` .z Il` .z Il`.z Il`.z Il`.z Il`.z Il`.z .z Il` Il`.z Il`.z Il`.z .z Il`
response bythe Il`.z Il`.z Il`
Il`
staff nurse is assertive and based on rational beliefs?
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a. ―I don’t want you upset, so I will work extra.‖ l! Il`.z Il`.z Il`.z Il`.z Il`.z l Il`.z Il`.z Il`
b. ―Whydo Ialways have to cover extra shifts?‖ Il`.z Il`.z Il` .z Il`.z Il`.z Il`.z Il`
c. ―I am not able to work an extra shift.‖ l Il`.z Il`.z Il` .z Il`.z Il`.z Il`.z Il`.z Il`
Il`
d. ―If you can’t find anyone else, Iwill do it.‖ Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
ANS:C Il`
The staff nurse may turn down even a reasonable request; an assertive response avoids
Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il`
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
or Il`.z Il`
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
Process: Communication and Documentation MSC: Safe and Effective Care
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
Environment: Management of Care
Il`.z Il`.z Il`.z Il`.z Il`
3. A nurse manager offers a staff nurse a
Il` choice between .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il` .z Il`
working 8- or 12-hour shifts. .z Il` .z Il` .z Il` .z Il` .z Il`
, .z Which statement, if made by the staff nurse, is nonassertive and may result in
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
Il`
afrustrated response from the nurse manager?
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Il`
a. ―I want to decide the shifts for all of the other staff nurses.‖ l! Il`.z Il`.z Il`.z .z Il` Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
b. ―Dowhatever you want. It doesn’t really matterto me.‖ Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
c. ―Thank you foroffering meachoice. Iprefer 12-hour shifts.‖ .z Il` Il`.z Il`.z Il`.z Il`.z .z Il` Il`
d. ―You will never be ableto giveme what Ireally Il` .z Il`.z Il` .z Il` .z Il`.z .z Il` Il`.z
want to Il` .z Il` .z work.‖
Il`.z Il` Il`
ANS:B Il`
A statement that allows others to make decisions for a person is an example of
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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
.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
accusations are examples of aggressive styles of communication; the response of others
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to Il`.z Il`
an aggressive statement may include hurt, defensiveness, or humiliation. A statement that
.z
Il`
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
allows making one’s own decisions is an example ofassertive style of communication; the
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response of others to an assertive statement may include mutual respect.DIF: Analysis
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
REF:Il`.z Il`
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and
.z Il` .z Il` .z Il` .z Il` .z Il` . z Il` Il` .z Il` .z Il` .z Il` .z Il` .z Il`
Il`
Effective Care Environment: Management of Care
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Il`
4. The nurse is providing care to a patient who was admitted with heart failure. The Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
patient has not been following the prescribed diet or taking the prescribed
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
medications. Il`.z Il`
Which type of communication approach is most important for the nurse to use with
.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z
Il`
this patient to facilitate a change in self-care behavior?
Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
a. Authoritative, honest, andoutrightcommunication Il` .z Il`.z Il`
b. Assertive,responsible, and caring communication Il`.z l l Il`
c. Aggressive,sympathetic, andrealisticcommunication Il`.z Il`
Il`
d. Positive,expert, andfocusedcommunication Il`.z Il`
ANS:B Il`
Communication must be technically responsible, assertive, and caring to facilitate Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il` Il`. Il`z Il`
a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
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Il`
Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
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Il`
5. Which are examples of a Il` . z Il` Il` . z Il` Il` . z Il` Il` . z Il` Il` . z
nurse who Il`is communicating Il` . z Il` Il` . z Il` Il` . z Il` Il`
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responsibly? (Select allthat apply)
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a. The nurse uses profanity Il` to . z Il` Il` . z Il` Il` . z Il` Il` . z Il` Il` . z
respond to Il` a client who Il` . z Il` Il` . z Il` Il` . z Il` Il` . z Il` Il` . z
is Il` Il`
intoxicated and verballyabusive. . z Il` Il` . z Il` Il`.z Il`
b. The nurse helps a client talk to family members about Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
discontinuingchemotherapy. .z Il`
c. Thenurseuses interpersonal strategies to help aclient develop methods of coping. Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`.z Il`
d. Thenurseprovides a client’s health information to a close relative Il`.z Il` .z .z Il` Il` .z Il` .z Il`.z Il`.z Il` .z
who is visiting. .z Il` Il` .z .z Il` Il`
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e. The nurselistens carefully totheclient’s concern aboutinadequate pain relief.
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