TEST BANK Communication in Nursing
8th Edition Julia Balzer Riley
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 28: Communicating at the End-of-Life
Chapter 29: Continuing the Commitment
,Chapter1: Responsible, Assertive, Caring Communication in Nursing
C C C C C C C
Multiple Choice C
1. The nurse plans to delegate a client’s personal hygiene to a nursing
C C C C C C C C C C C
assistant. Which statement if made by the nurse to the nursing assistant is
C C C C C C C C C C C C C
assertive?
C
a. “Would you mind helping the client with a bath when you have time? If not, I will skip
C C C C C C C C C C C C C C C C C
my lunch and do it myself.” C C C C C
b. “You never get your work done and are always on the phone. You need to help the
C C C C C C C C C C C C C C C C
client right now with a bath, or I will write you up.”
C C C C C C C C C C C
c. “The client needs help with bathing. I want you to assist the client now, and you can
C C C C C C C C C C C C C C C C
go to lunch when you are finished.” C C C C C C
d. “I have important work to complete this morning. You will assist the client with a
C C C C C C C C C C C C C C
bath. Do not take a break until you have finished.”
C C C C C C C C C
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive
C C C C C C C C C C C C
Crights, avoid irrational beliefs, and use the Describe Express Specify Consequence script to
C C C C C C C C C C C C
formulate an assertive response. Describe: “The client needs help with bathing.” Express
C C C C C C C C C C C C
and Specify: “I want you to assist the client now. ”Consequence: “You can go to lunch
C C C C C C C C C C C C C C C C
when you are finished. ”The other statements are nonassertive or aggressive: “Would you
C C C C C C C C C C C C C
mind helping the client with a bath when you have time? If not, I will skip my lunch
C C C C C C C C C C C C C C C C C C
Cand do it myself.” is nonassertive, hesitant, and apologetic. “You never get your work
C C C C C C C C C C C C C
Cdone and are always on the phone. You need to help the client right now with a
C C C C C C C C C C C C C C C C
bath, or I will write you up.” is aggressive, blaming, and negative. “I have important
C C C C C C C C C C C C C C C
work to complete this morning. You will assist the client with a bath. Do not take a
C C C C C C C C C C C C C C C C C
Cbreak until you have finished.” is aggressive, sarcastic, uncaring, and superior. DIF:
C C C C C C C C C C C
Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation MSC: Safe
C C C C C C C C C C C C
and Effective Care Environment: Management of Care
C C C C C C C
2. A hospital nurse is concerned about the demands of providing safe care to clients who
C C C C C C C C C C C C C C
are seriously ill. The nurse manager should suggest which intervention to effectively
C C C C C C C C C C C C
help the nurse balance the demanding work in the hospital setting?
C C C C C C C C C C C
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
C C C C C C C C C C
b. Request a transfer to another nursing care unit with patients who are stable.
C C C C C C C C C C C C
c. Write down stories in a journal about how caring makes a difference for patients.
C C C C C C C C C C C C C
d. Use an assertive communication style for every patient–nurse interaction.
C C C C C C C C
ANS:C
Caring is the moral ideal that guides nurses through the caregiving process. Although there
C C C C C C C C C C C C C
is satisfaction in being technologically competent, that satisfaction is not as lasting as the
C C C C C C C C C C C C C C
Csatisfaction derived from meaningful moments of connection with clients, family, and
C C C C C C C C C C
Ccolleagues. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
C C C C C C C C C C C
, and Effective Care Environment: Management of Care
C C C C C C
3. Which nonverbal action(s) would be consistent with an assertive style of
C C C C C C C C C C
communication? (Select all that apply)
C C C C C
a. Relaxed posture C
b. Established eye contact C C
c. Hands placed on hips C C C
d. Distant, soft voice C C
e. Mask-like facial expression C C
ANS:A, B C
Assertive styles of communication that are nonverbal include a relaxed stance and eyes
C C C C C C C C C C C C
that are warm, in contact, and frank. Aggressive styles of communication that
C C C C C C C C C C C C
Care nonverbal include expressionless, cold, narrowed, or staring eyes and hands
C C C C C C C C C C
Cplaced on hips. A weak, distant, soft voice is a nonassertive style of nonverbal
C C C C C C C C C C C C C
Ccommunication. DIF: Comprehension REF: pp. 11-12 TOP: Integrated Process: C C C C C C C C
Communication and Documentation MSC: Psychosocial Integrity
C C C C C C
4. Which statement describes the affective aspect of learning effective
C C C C C C C C
communication strategies?
C C
a. “The nurse should use clear, direct statements using objective words.”
C C C C C C C C C
b. “The nurse uses body language that is congruent with the verbal message.”
C C C C C C C C C C C
c. “The nurse believes that positive communication strategies build confidence.”
C C C C C C C C
d. “The nurse practices assertive and responsible communication strategies.”
C C C C C C C
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affective
C C C C C C C C C C
Caspects (feelings, values, and attitudes), and psychomotor
C aspects (physical C C C C C C C C C
Ccapability).Learning basic communication skills involves the cognitive domain; building C C C C C C C C
Cconfidence through a belief in the value and impact of positive communication is the
C C C C C C C C C C C C C
affective domain; and putting skills into action is the psychomotor domain.DIF:
C C C C C C C C C C C
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
C C C C C C C C C C C
MSC: Psychosocial Integrity
C C C
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the
C C C C C C C C C C C C C C C
staff nurse is assertive and based on rational beliefs?
C C C C C C C C C
a. “I don’t want you upset, so I will work extra.”
C C C C C C C C C
b. “Why do I always have to cover extra shifts?”
C C C C C C C C
c. “I am not able to work an extra shift.”
C C C C C C C C
d. “If you can’t find anyone else, I will do it.”
C C C C C C C C C
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
C C C C C C C C C C C C C
8th Edition Julia Balzer Riley
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 28: Communicating at the End-of-Life
Chapter 29: Continuing the Commitment
,Chapter1: Responsible, Assertive, Caring Communication in Nursing
C C C C C C C
Multiple Choice C
1. The nurse plans to delegate a client’s personal hygiene to a nursing
C C C C C C C C C C C
assistant. Which statement if made by the nurse to the nursing assistant is
C C C C C C C C C C C C C
assertive?
C
a. “Would you mind helping the client with a bath when you have time? If not, I will skip
C C C C C C C C C C C C C C C C C
my lunch and do it myself.” C C C C C
b. “You never get your work done and are always on the phone. You need to help the
C C C C C C C C C C C C C C C C
client right now with a bath, or I will write you up.”
C C C C C C C C C C C
c. “The client needs help with bathing. I want you to assist the client now, and you can
C C C C C C C C C C C C C C C C
go to lunch when you are finished.” C C C C C C
d. “I have important work to complete this morning. You will assist the client with a
C C C C C C C C C C C C C C
bath. Do not take a break until you have finished.”
C C C C C C C C C
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive
C C C C C C C C C C C C
Crights, avoid irrational beliefs, and use the Describe Express Specify Consequence script to
C C C C C C C C C C C C
formulate an assertive response. Describe: “The client needs help with bathing.” Express
C C C C C C C C C C C C
and Specify: “I want you to assist the client now. ”Consequence: “You can go to lunch
C C C C C C C C C C C C C C C C
when you are finished. ”The other statements are nonassertive or aggressive: “Would you
C C C C C C C C C C C C C
mind helping the client with a bath when you have time? If not, I will skip my lunch
C C C C C C C C C C C C C C C C C C
Cand do it myself.” is nonassertive, hesitant, and apologetic. “You never get your work
C C C C C C C C C C C C C
Cdone and are always on the phone. You need to help the client right now with a
C C C C C C C C C C C C C C C C
bath, or I will write you up.” is aggressive, blaming, and negative. “I have important
C C C C C C C C C C C C C C C
work to complete this morning. You will assist the client with a bath. Do not take a
C C C C C C C C C C C C C C C C C
Cbreak until you have finished.” is aggressive, sarcastic, uncaring, and superior. DIF:
C C C C C C C C C C C
Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation MSC: Safe
C C C C C C C C C C C C
and Effective Care Environment: Management of Care
C C C C C C C
2. A hospital nurse is concerned about the demands of providing safe care to clients who
C C C C C C C C C C C C C C
are seriously ill. The nurse manager should suggest which intervention to effectively
C C C C C C C C C C C C
help the nurse balance the demanding work in the hospital setting?
C C C C C C C C C C C
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
C C C C C C C C C C
b. Request a transfer to another nursing care unit with patients who are stable.
C C C C C C C C C C C C
c. Write down stories in a journal about how caring makes a difference for patients.
C C C C C C C C C C C C C
d. Use an assertive communication style for every patient–nurse interaction.
C C C C C C C C
ANS:C
Caring is the moral ideal that guides nurses through the caregiving process. Although there
C C C C C C C C C C C C C
is satisfaction in being technologically competent, that satisfaction is not as lasting as the
C C C C C C C C C C C C C C
Csatisfaction derived from meaningful moments of connection with clients, family, and
C C C C C C C C C C
Ccolleagues. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
C C C C C C C C C C C
, and Effective Care Environment: Management of Care
C C C C C C
3. Which nonverbal action(s) would be consistent with an assertive style of
C C C C C C C C C C
communication? (Select all that apply)
C C C C C
a. Relaxed posture C
b. Established eye contact C C
c. Hands placed on hips C C C
d. Distant, soft voice C C
e. Mask-like facial expression C C
ANS:A, B C
Assertive styles of communication that are nonverbal include a relaxed stance and eyes
C C C C C C C C C C C C
that are warm, in contact, and frank. Aggressive styles of communication that
C C C C C C C C C C C C
Care nonverbal include expressionless, cold, narrowed, or staring eyes and hands
C C C C C C C C C C
Cplaced on hips. A weak, distant, soft voice is a nonassertive style of nonverbal
C C C C C C C C C C C C C
Ccommunication. DIF: Comprehension REF: pp. 11-12 TOP: Integrated Process: C C C C C C C C
Communication and Documentation MSC: Psychosocial Integrity
C C C C C C
4. Which statement describes the affective aspect of learning effective
C C C C C C C C
communication strategies?
C C
a. “The nurse should use clear, direct statements using objective words.”
C C C C C C C C C
b. “The nurse uses body language that is congruent with the verbal message.”
C C C C C C C C C C C
c. “The nurse believes that positive communication strategies build confidence.”
C C C C C C C C
d. “The nurse practices assertive and responsible communication strategies.”
C C C C C C C
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affective
C C C C C C C C C C
Caspects (feelings, values, and attitudes), and psychomotor
C aspects (physical C C C C C C C C C
Ccapability).Learning basic communication skills involves the cognitive domain; building C C C C C C C C
Cconfidence through a belief in the value and impact of positive communication is the
C C C C C C C C C C C C C
affective domain; and putting skills into action is the psychomotor domain.DIF:
C C C C C C C C C C C
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
C C C C C C C C C C C
MSC: Psychosocial Integrity
C C C
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the
C C C C C C C C C C C C C C C
staff nurse is assertive and based on rational beliefs?
C C C C C C C C C
a. “I don’t want you upset, so I will work extra.”
C C C C C C C C C
b. “Why do I always have to cover extra shifts?”
C C C C C C C C
c. “I am not able to work an extra shift.”
C C C C C C C C
d. “If you can’t find anyone else, I will do it.”
C C C C C C C C C
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
C C C C C C C C C C C C C
