TEST BANK
n
Communication in Nursing 10th Edition
n n n n
Julia Balzer Riley
n n
, Table of Contents n n
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
n n n n n n n
Chapter 2: The Client-Nurse Relationship: A Helping Relationship
n n n n n n n n
Chapter 3: Solving Problems Together
n n n n n
Chapter 4: Understanding Each Other: Communication and Culture
n n n n n n n
Chapter 5: Demonstrating Warmth
n n n n
Chapter 6: Showing Respect
n n n
Chapter 7: Being Genuine
n n n n
Chapter 8: Being Empathetic
n n n n
Chapter 9: Using Self-Disclosure
n n n n
Chapter 10: Being specific
n n n n
Chapter 11: Asking Questions
n n n n
Chapter 12: Expressing Opinions
n n n n
Chapter 13: Using Humor
n n n n
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
n n n n n n n n n n
Chapter 15: Requesting Support
n n n n
Chapter 16: Overcoming Evaluation Anxiety
n n n n
Chapter 17: Working with Feedback
n n n n n
Chapter 18: Using Relaxation technique
n n n n n
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
n n n n n n n n
Chapter 20 Incorporating Positive Self-Talk
n n n n n
Chapter 21: Learning to Work Together in Groups
n n n n n n n
Chapter 22: The Changing World of Electronic Communication
n n n n n n n
Chapter 23: Learning Confrontation skills
n n n n n
Chapter 24: Refusing Unreasonable Requests
n n n n
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
n n n n n n n n n n
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
n n n n n n n n n n
Colleagues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
n n n n n n n n n n
Chapter 29: Communicating at the End-of-Life
n n n n n
Chapter 30: Continuing the Commitment
n n n n n
,Balzer Riley: Communication in Nursing, 10th Edition
n n n n n
n
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
n n n n n n n
Test Bank n
n Multiple Choice n
1. Which statement describes the affective aspect of learning
n n n n n n n
n effective communication strategies? n n
a. “The nurse should use clear, direct statements using objective words.”
n n n n n n n n n
b. “The nurse uses body language that is congruent with the verbal message.”
n n n n n n n n n n n
c. “The nurse believes that positive communication strategies build confidence.”
n n n n n n n n
d. “The nurse practices assertive and responsible communication strategies.”
n n n n n n n
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
n n n n n n n n n
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
n n n n n n n n n n
capability).Learning basic communication skills involves the cognitive domain; building
n n n n n n n n n
confidence through a belief in the value and impact of positive communication is the
n n n n n n n n n n n n n n
affective domain; and putting skills into action is the psychomotor domain.DIF:
n n n n n n n n n n n
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
n n n n n n n n n
nDocumentation MSC: Psychosocial Integrity n n n
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
n n n n n n n n n n n n n n
the staff nurse is assertive and based on rational beliefs?
n n n n n n n n n n
a. “I don’t want you upset, so I will work extra.”
n n n n n n n n n
b. “Why do I always have to cover extra shifts?”
n n n n n n n n
c. “I am not able to work an extra shift.”
n n n n n n n n
d. “If you can’t find anyone else, I will do it.”
n n n n n n n n n
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
n n n n n n n n n n n n n
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
n n n n n n n n n n n n n
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
n n n n n n n n n n n n
Process: Communication and Documentation MSC: Safe and Effective Care
n n n n n n n n n
Environment: Management of Care
n n n n
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
n n n n n n n n n n n n n
shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a
n n n n n n n n n n n n n n n n
frustrated response from the nurse manager?
n n n n n n
a. “I want to decide the shifts for all of the other staff nurses.”
n n n n n n n n n n n n
b. “Do whatever you want. It doesn’t really matter to me.”
n n n n n n n n n
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
n n n n n n n n n n
d. “You will never be able to give me what I really want to work.”
n n n n n n n n n n n n n
ANS:B
A statement that allows others to make decisions for a person is an example of a
n n n n n n n n n n n n n n n
nonassertive style of communication; the response of others to a nonassertive statement
n n n n n n n n n n n n
may include disrespect, guilt, anger, or frustration. Statements that make choices for
n n n n n n n n n n n n
others or that are accusations are examples of aggressive styles of communication; the
n n n n n n n n n n n n n
response of others to an aggressive statement may include hurt, defensiveness, or
n n n n n n n n n n n n
humiliation. A statement that allows making one’s own decisions is an example of
n n n n n n n n n n n n n
assertive style of communication; the response of others to an assertive statement may
n n n n n n n n n n n n n
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication
n n n n n n n n n n n
and Documentation MSC: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n n
4. The nurse is providing care to a patient who was admitted with heart failure. The
n n n n n n n n n n n n n n
patient has not been following the prescribed diet or taking the prescribed
n n n n n n n n n n n n
medications. Which type of communication approach is most important for the nurse
n n n n n n n n n n n n
to use with this patient to facilitate a change in self-care behavior?
n n n n n n n n n n n n
a. Authoritative, honest, and outright communication n n n n
b. Assertive, responsible, and caring communication n n n n
c. Aggressive, sympathetic, and realistic communication n n n n
d. Positive, expert, and focused communication n n n n
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a n n n n n n n n n n
change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
n n n n n n n n n
Process: Communication and Documentation MSC: Psychosocial Integrity
n n n n n n n
5. Which are examples of a nurse who is communicating responsibly? (Select
n n n n n n n n n n
n all that apply)
n n
a. The nurse uses profanity to respond to a client who is intoxicated and
n n n n n n n n n n n n
verbally abusive.n n
b. The nurse helps a client talk to family members about discontinuing
n n n n n n n n n n
chemotherapy. n
n
Communication in Nursing 10th Edition
n n n n
Julia Balzer Riley
n n
, Table of Contents n n
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
n n n n n n n
Chapter 2: The Client-Nurse Relationship: A Helping Relationship
n n n n n n n n
Chapter 3: Solving Problems Together
n n n n n
Chapter 4: Understanding Each Other: Communication and Culture
n n n n n n n
Chapter 5: Demonstrating Warmth
n n n n
Chapter 6: Showing Respect
n n n
Chapter 7: Being Genuine
n n n n
Chapter 8: Being Empathetic
n n n n
Chapter 9: Using Self-Disclosure
n n n n
Chapter 10: Being specific
n n n n
Chapter 11: Asking Questions
n n n n
Chapter 12: Expressing Opinions
n n n n
Chapter 13: Using Humor
n n n n
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
n n n n n n n n n n
Chapter 15: Requesting Support
n n n n
Chapter 16: Overcoming Evaluation Anxiety
n n n n
Chapter 17: Working with Feedback
n n n n n
Chapter 18: Using Relaxation technique
n n n n n
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
n n n n n n n n
Chapter 20 Incorporating Positive Self-Talk
n n n n n
Chapter 21: Learning to Work Together in Groups
n n n n n n n
Chapter 22: The Changing World of Electronic Communication
n n n n n n n
Chapter 23: Learning Confrontation skills
n n n n n
Chapter 24: Refusing Unreasonable Requests
n n n n
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
n n n n n n n n n n
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
n n n n n n n n n n
Colleagues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
n n n n n n n n n n
Chapter 29: Communicating at the End-of-Life
n n n n n
Chapter 30: Continuing the Commitment
n n n n n
,Balzer Riley: Communication in Nursing, 10th Edition
n n n n n
n
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
n n n n n n n
Test Bank n
n Multiple Choice n
1. Which statement describes the affective aspect of learning
n n n n n n n
n effective communication strategies? n n
a. “The nurse should use clear, direct statements using objective words.”
n n n n n n n n n
b. “The nurse uses body language that is congruent with the verbal message.”
n n n n n n n n n n n
c. “The nurse believes that positive communication strategies build confidence.”
n n n n n n n n
d. “The nurse practices assertive and responsible communication strategies.”
n n n n n n n
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
n n n n n n n n n
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
n n n n n n n n n n
capability).Learning basic communication skills involves the cognitive domain; building
n n n n n n n n n
confidence through a belief in the value and impact of positive communication is the
n n n n n n n n n n n n n n
affective domain; and putting skills into action is the psychomotor domain.DIF:
n n n n n n n n n n n
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
n n n n n n n n n
nDocumentation MSC: Psychosocial Integrity n n n
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
n n n n n n n n n n n n n n
the staff nurse is assertive and based on rational beliefs?
n n n n n n n n n n
a. “I don’t want you upset, so I will work extra.”
n n n n n n n n n
b. “Why do I always have to cover extra shifts?”
n n n n n n n n
c. “I am not able to work an extra shift.”
n n n n n n n n
d. “If you can’t find anyone else, I will do it.”
n n n n n n n n n
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
n n n n n n n n n n n n n
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
n n n n n n n n n n n n n
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
n n n n n n n n n n n n
Process: Communication and Documentation MSC: Safe and Effective Care
n n n n n n n n n
Environment: Management of Care
n n n n
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
n n n n n n n n n n n n n
shifts. Which statement, if made by the staff nurse, is nonassertive and may result in a
n n n n n n n n n n n n n n n n
frustrated response from the nurse manager?
n n n n n n
a. “I want to decide the shifts for all of the other staff nurses.”
n n n n n n n n n n n n
b. “Do whatever you want. It doesn’t really matter to me.”
n n n n n n n n n
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
n n n n n n n n n n
d. “You will never be able to give me what I really want to work.”
n n n n n n n n n n n n n
ANS:B
A statement that allows others to make decisions for a person is an example of a
n n n n n n n n n n n n n n n
nonassertive style of communication; the response of others to a nonassertive statement
n n n n n n n n n n n n
may include disrespect, guilt, anger, or frustration. Statements that make choices for
n n n n n n n n n n n n
others or that are accusations are examples of aggressive styles of communication; the
n n n n n n n n n n n n n
response of others to an aggressive statement may include hurt, defensiveness, or
n n n n n n n n n n n n
humiliation. A statement that allows making one’s own decisions is an example of
n n n n n n n n n n n n n
assertive style of communication; the response of others to an assertive statement may
n n n n n n n n n n n n n
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication
n n n n n n n n n n n
and Documentation MSC: Safe and Effective Care Environment: Management of Care
n n n n n n n n n n n
4. The nurse is providing care to a patient who was admitted with heart failure. The
n n n n n n n n n n n n n n
patient has not been following the prescribed diet or taking the prescribed
n n n n n n n n n n n n
medications. Which type of communication approach is most important for the nurse
n n n n n n n n n n n n
to use with this patient to facilitate a change in self-care behavior?
n n n n n n n n n n n n
a. Authoritative, honest, and outright communication n n n n
b. Assertive, responsible, and caring communication n n n n
c. Aggressive, sympathetic, and realistic communication n n n n
d. Positive, expert, and focused communication n n n n
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a n n n n n n n n n n
change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
n n n n n n n n n
Process: Communication and Documentation MSC: Psychosocial Integrity
n n n n n n n
5. Which are examples of a nurse who is communicating responsibly? (Select
n n n n n n n n n n
n all that apply)
n n
a. The nurse uses profanity to respond to a client who is intoxicated and
n n n n n n n n n n n n
verbally abusive.n n
b. The nurse helps a client talk to family members about discontinuing
n n n n n n n n n n
chemotherapy. n
