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Communication in Nursing 10th Edition
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by Julia Balzer Riley
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Expert Verified Q&As| A+
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Page | 1
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, Table of Contents jh jh
jh Chapter 1: Responsible, Assertive, Caring Communication in
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Nursing Chapter 2: The Client-Nurse Relationship: A Helping
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jh Relationship Chapter 3: Solving Problems Together
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Chapter 4: Understanding Each Other: Communication and Culture
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jh Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect
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jh Chapter 7: Being Genuine
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jh Chapter 8: Being Empathetic
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jh Chapter 9: Using Self-Disclosure
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jh Chapter 10: Being specific
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jh Chapter 11: Asking Questions
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jh Chapter 12: Expressing Opinions
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jh Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning
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Making Chapter 15: Requesting Support
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Chapter 16: Overcoming Evaluation
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Anxiety Chapter 17: Working with
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jh Feedback Chapter 18: Using Relaxation
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jh technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
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jh Chapter 20 Incorporating Positive Self-Talk
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Chapter 21: Learning to Work Together in Groups
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Chapter 22: The Changing World of Electronic Communication
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jh Chapter 23: Learning Confrontation skills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
jh jh jh jh jh jh jh jh jh jh
Page | 2
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,Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
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Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 28: Managing Team Conflict Assertively and Responsibly
jh jh jh jh jh jh jh
jh Chapter 29: Communicating at the End-of-Life
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Chapter 30: Continuing the Commitment
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
jh jh jh jh jh jh jh
Multiple Choice
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1. Which statement describes the affective aspect of learning effective communication strategies?
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a. ―The nurse should use clear, direct statements using objective words.‖
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b. ―The nurse uses body language that is congruent with the verbal message.‖
jh jh jh jh jh jh jh jh jh jh jh
c. ―The nurse believes that positive communication strategies build confidence.‖
jh jh jh jh jh jh jh jh
d. ―The nurse practices assertive and responsible communication strategies.‖
jh jh jh jh jh jh jh
ANSWER: C jh
Learning involves three domains: the cognitive aspects (understanding and meaning), affective aspects
jh jh jh jh jh jh jh jh jh jh jh
(feelings, values, and attitudes), and psychomotor aspects (physical capability).Learning basic
jh jh jh jh jh jh jh jh jh jh
communication skills involves the cognitive domain; building confidence through a belief in the
jh jh jh jh jh jh jh jh jh jh jh jh jh
value and impact of positive communication is the affective domain; and putting skills into action is
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
the psychomotor domain. DIF: Comprehension REF: p. 13 TOP: Integrated Process: Communication
jh jh jh jh jh jh jh jh jh jh jh jh
and Documentation MSC: Psychosocial Integrity
jh jh jh jh jh
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
nurse is assertive and based on rational beliefs?
jh jh jh jh jh jh jh jh
a. ―I don’t want you upset, so I will work extra.‖
jh jh jh jh jh jh jh jh jh
b. ―Why do I always have to cover extra shifts?‖
jh jh jh jh jh jh jh jh
c. ―I am not able to work an extra shift.‖
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d. ―If you can’t find anyone else, I will do it.‖
jh jh jh jh jh jh jh jh jh
ANSWER: C jh
Page | 3 jh jh
, The staff nurse may turn down even a reasonable request; an assertive response avoids irrational
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
possible negative outcomes. DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and
jh jh jh jh jh jh jh jh jh jh jh jh jh
Documentation MSC: Safe and Effective Care Environment: Management of Care
jh jh jh jh jh jh jh jh jh jh
3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from
jh j h jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
the nurse manager?
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a. ―I want to decide the shifts for all of the other staff nurses.‖
jh jh jh jh jh jh jh jh jh jh jh jh
b. ―Do whatever you want. It doesn’t really matter to me.‖
jh jh jh jh jh jh jh jh jh
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
jh jh jh jh jh jh jh jh jh jh
d. ―You will never be able to give me what I really want to work.‖
jh jh jh jh jh jh jh jh jh jh jh jh jh
ANSWER: B jh
A statement that allows others to make decisions for a person is an example of a nonassertive style
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
of communication; the response of others to a nonassertive statement may include disrespect, guilt,
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
anger, or frustration. Statements that make choices for others or that are accusations are examples of
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
aggressive styles of communication; the response of others to an aggressive statement may include
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
hurt, defensiveness, or humiliation. A statement that allows making one’s own decisions is an
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
example of assertive style of communication; the response of others to an assertive statement may
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
include mutual respect. DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and
jh jh jh jh jh jh jh jh jh jh jh jh jh
Documentation MSC: Safe and Effective Care Environment: Management of Care
jh jh jh jh jh jh jh jh jh jh
4. The nurse is providing care to a patient who was admitted with heart failure. The patient has not
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
been following the prescribed diet or taking the prescribed medications. Which type of
jh jh jh jh jh jh jh jh jh jh jh jh jh
communication approach is most important for the nurse to use with this patient to facilitate a
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
change in self-care behavior?
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a. Authoritative, honest, and outright communication jh jh jh jh
b. Assertive, responsible, and caring communication jh jh jh jh
c. Aggressive, sympathetic, and realistic communication jh jh jh jh
d. Positive, expert, and focused communication jh jh jh jh
jh ANSWER: B jh
Communication must be technically responsible, assertive, and caring to facilitate a change in
jh jh jh jh jh jh jh jh jh jh jh jh
behavior. DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and
jh jh jh jh jh jh jh jh jh jh jh
Documentation MSC: Psychosocial Integrity
jh jh jh jh
Page | 4 jh jh
Communication in Nursing 10th Edition
jh jh jh jh jh
by Julia Balzer Riley
jh jh jh
Expert Verified Q&As| A+
jh jh jh
Page | 1
jh jh
, Table of Contents jh jh
jh Chapter 1: Responsible, Assertive, Caring Communication in
jh jh jh jh jh jh
Nursing Chapter 2: The Client-Nurse Relationship: A Helping
jh jh jh jh jh jh jh jh
jh Relationship Chapter 3: Solving Problems Together
jh jh jh jh jh
Chapter 4: Understanding Each Other: Communication and Culture
jh jh jh jh jh jh jh
jh Chapter 5: Demonstrating Warmth
jh jh jh
Chapter 6: Showing Respect
jh jh jh
jh Chapter 7: Being Genuine
jh jh jh
jh Chapter 8: Being Empathetic
jh jh jh
jh Chapter 9: Using Self-Disclosure
jh jh jh
jh Chapter 10: Being specific
jh jh jh
jh Chapter 11: Asking Questions
jh jh jh
jh Chapter 12: Expressing Opinions
jh jh jh
jh Chapter 13: Using Humor
jh jh jh
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning
jh jh jh jh jh jh jh jh jh
Making Chapter 15: Requesting Support
jh jh jh jh jh
Chapter 16: Overcoming Evaluation
jh jh jh
Anxiety Chapter 17: Working with
jh jh jh jh jh
jh Feedback Chapter 18: Using Relaxation
j h jh jh jh
jh technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
jh jh jh jh jh jh jh jh
jh Chapter 20 Incorporating Positive Self-Talk
jh jh jh jh
Chapter 21: Learning to Work Together in Groups
jh jh jh jh jh jh jh
Chapter 22: The Changing World of Electronic Communication
jh jh jh jh jh jh jh
jh Chapter 23: Learning Confrontation skills
jh jh jh jh
Chapter 24: Refusing Unreasonable Requests
jh jh jh jh
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
jh jh jh jh jh jh jh jh jh jh
Page | 2
jh jh
,Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
jh jh jh jh jh jh jh jh jh jh
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
jh jh jh jh jh jh jh jh jh
Chapter 28: Managing Team Conflict Assertively and Responsibly
jh jh jh jh jh jh jh
jh Chapter 29: Communicating at the End-of-Life
jh jh jh jh jh
Chapter 30: Continuing the Commitment
jh jh jh jh
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
jh jh jh jh jh jh jh
Multiple Choice
jh jh
1. Which statement describes the affective aspect of learning effective communication strategies?
jh jh jh jh jh jh jh jh jh jh
a. ―The nurse should use clear, direct statements using objective words.‖
jh jh jh jh jh jh jh jh jh
b. ―The nurse uses body language that is congruent with the verbal message.‖
jh jh jh jh jh jh jh jh jh jh jh
c. ―The nurse believes that positive communication strategies build confidence.‖
jh jh jh jh jh jh jh jh
d. ―The nurse practices assertive and responsible communication strategies.‖
jh jh jh jh jh jh jh
ANSWER: C jh
Learning involves three domains: the cognitive aspects (understanding and meaning), affective aspects
jh jh jh jh jh jh jh jh jh jh jh
(feelings, values, and attitudes), and psychomotor aspects (physical capability).Learning basic
jh jh jh jh jh jh jh jh jh jh
communication skills involves the cognitive domain; building confidence through a belief in the
jh jh jh jh jh jh jh jh jh jh jh jh jh
value and impact of positive communication is the affective domain; and putting skills into action is
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
the psychomotor domain. DIF: Comprehension REF: p. 13 TOP: Integrated Process: Communication
jh jh jh jh jh jh jh jh jh jh jh jh
and Documentation MSC: Psychosocial Integrity
jh jh jh jh jh
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
nurse is assertive and based on rational beliefs?
jh jh jh jh jh jh jh jh
a. ―I don’t want you upset, so I will work extra.‖
jh jh jh jh jh jh jh jh jh
b. ―Why do I always have to cover extra shifts?‖
jh jh jh jh jh jh jh jh
c. ―I am not able to work an extra shift.‖
jh jh jh jh jh jh jh jh
d. ―If you can’t find anyone else, I will do it.‖
jh jh jh jh jh jh jh jh jh
ANSWER: C jh
Page | 3 jh jh
, The staff nurse may turn down even a reasonable request; an assertive response avoids irrational
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
possible negative outcomes. DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and
jh jh jh jh jh jh jh jh jh jh jh jh jh
Documentation MSC: Safe and Effective Care Environment: Management of Care
jh jh jh jh jh jh jh jh jh jh
3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from
jh j h jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
the nurse manager?
jh jh jh
a. ―I want to decide the shifts for all of the other staff nurses.‖
jh jh jh jh jh jh jh jh jh jh jh jh
b. ―Do whatever you want. It doesn’t really matter to me.‖
jh jh jh jh jh jh jh jh jh
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
jh jh jh jh jh jh jh jh jh jh
d. ―You will never be able to give me what I really want to work.‖
jh jh jh jh jh jh jh jh jh jh jh jh jh
ANSWER: B jh
A statement that allows others to make decisions for a person is an example of a nonassertive style
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
of communication; the response of others to a nonassertive statement may include disrespect, guilt,
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
anger, or frustration. Statements that make choices for others or that are accusations are examples of
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
aggressive styles of communication; the response of others to an aggressive statement may include
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
hurt, defensiveness, or humiliation. A statement that allows making one’s own decisions is an
jh jh jh jh jh jh jh jh jh jh jh jh jh jh
example of assertive style of communication; the response of others to an assertive statement may
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
include mutual respect. DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and
jh jh jh jh jh jh jh jh jh jh jh jh jh
Documentation MSC: Safe and Effective Care Environment: Management of Care
jh jh jh jh jh jh jh jh jh jh
4. The nurse is providing care to a patient who was admitted with heart failure. The patient has not
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
been following the prescribed diet or taking the prescribed medications. Which type of
jh jh jh jh jh jh jh jh jh jh jh jh jh
communication approach is most important for the nurse to use with this patient to facilitate a
jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh jh
change in self-care behavior?
jh jh jh jh
a. Authoritative, honest, and outright communication jh jh jh jh
b. Assertive, responsible, and caring communication jh jh jh jh
c. Aggressive, sympathetic, and realistic communication jh jh jh jh
d. Positive, expert, and focused communication jh jh jh jh
jh ANSWER: B jh
Communication must be technically responsible, assertive, and caring to facilitate a change in
jh jh jh jh jh jh jh jh jh jh jh jh
behavior. DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and
jh jh jh jh jh jh jh jh jh jh jh
Documentation MSC: Psychosocial Integrity
jh jh jh jh
Page | 4 jh jh
