TEST BANK
]+
Communication in Nursing 10th Edition
]+ ]+ ]+ ]+
Julia Balzer Riley
]+ ]+
, Table of Contents ]+ ]+
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
pter 2: The Client-
]+ ]+ ]+
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problem
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s Together
]+
Chapter 4: Understanding Each Other: Communication and Culture
]+ ]+ ]+ ]+ ]+ ]+ ]+
]+ Chapter 5: Demonstrating Warmth ]+ ]+ ]+
Chapter 6: Showing Respect Ch ]+ ]+ ]+ ]+
apter 7: Being Genuine Chapter
]+ ]+ ]+ ]+ ]+
8: Being Empathetic Chapter 9:
]+ ]+ ]+ ]+ ]+
Using Self- ]+
Disclosure Chapter 10: Being sp ]+ ]+ ]+ ]+
ecific Chapter 11: Asking Quest
]+ ]+ ]+ ]+
ions Chapter 12: Expressing Opi
]+ ]+ ]+ ]+
nions Chapter 13: Using Humor
]+ ]+ ]+ ]+
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapt
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
er 15: Requesting Support
]+ ]+ ]+
Chapter 16: Overcoming Evaluation Anxiety C
]+ ]+ ]+ ]+ ]+
hapter 17: Working with Feedback Chapte
]+ ]+ ]+ ]+ ]+
r 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 Colleague
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
Chapter 29: Communicating at the End-of-]+ ]+ ]+ ]+ ]+
Life Chapter 30: Continuing the Commitmen
]+ ]+ ]+ ]+ ]+
t
,Balzer Riley: Communication in Nursing, 10th Edition
]+ ]+ ]+ ]+ ]+
]+
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
]+ ]+ ]+ ]+ ]+ ]+ ]+
Test Bank Multip]+ ]+
le Choice
]+
1. Which statement describes the affective aspect of learning effec
] + ] + ] + ] + ] + ] + ] + ] +
tive communication strategies?
]+ ]+
a. “The nurse should use clear, direct statements using objective words.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “The nurse uses body language that is congruent with the verbal message.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “The nurse believes that positive communication strategies build confidence.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “The nurse practices assertive and responsible communication strategies.”
]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
lity).Learning basic communication skills involves the cognitive domain; building confi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
dence through a belief in the value and impact of positive communication is the affectiv
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e domain; and putting skills into action is the psychomotor domain.DIF: Comprehension
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psyc
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ] + ]+ ]+
hosocial Integrity ]+
2. The nurse manager asks the staff nurse to work an extra shift. Which response b
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
y the staff nurse is assertive and based on rational beliefs?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “I don’t want you upset, so I will work extra.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “Why do I always have to cover extra shifts?”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “I am not able to work an extra shift.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “If you can’t find anyone else, I will do it.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids i
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
rrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Pro
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
cess: Communication and Documentation MSC: Safe and Effective Care Environment:
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
Management of 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 res
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ult in a frustrated response from the nurse manager?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “I want to decide the shifts for all of the other staff nurses.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “Do whatever you want. It doesn’t really matter to me.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “You will never be able to give me what I really want to work.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS:B
A statement that allows others to make decisions for a person is an example of a nonass
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ertive style of communication; the response of others to a nonassertive statement may in
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
clude disrespect, guilt, anger, or frustration. Statements that make choices for others or t
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
hat are accusations are examples of aggressive styles of communication; the response of
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
+others to an aggressive statement may include hurt, defensiveness, or humiliation. A sta
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
tement that allows making one’s own decisions is an example of assertive style of com
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
munication; the response of others to an assertive statement may include mutual respect.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
MSC: Safe and Effective Care Environment: Management of Care
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
4. The nurse is providing care to a patient who was admitted with heart failure. Th
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e patient has not been following the prescribed diet or taking the prescribed medicati
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ons. Which type of communication approach is most important for the nurse to use
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
with this patient 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 cha
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ] + ]+
Communication and Documentation MSC: Psychosocial Integrity ]+ ]+ ]+ ]+ ]+
5. Which are examples of a nurse who is communicating responsibly? (Selec
]+ ]+ ] + ] + ]+ ]+ ]+ ]+ ]+ ]+
t all that apply)
]+ ]+ ]+
a. The nurse uses profanity to respond to a client who is intoxicated and verba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
lly abusive. ]+
b. The nurse helps a client talk to family members about discontinuin
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
g chemotherapy. ]+
]+
Communication in Nursing 10th Edition
]+ ]+ ]+ ]+
Julia Balzer Riley
]+ ]+
, Table of Contents ]+ ]+
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
pter 2: The Client-
]+ ]+ ]+
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problem
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s Together
]+
Chapter 4: Understanding Each Other: Communication and Culture
]+ ]+ ]+ ]+ ]+ ]+ ]+
]+ Chapter 5: Demonstrating Warmth ]+ ]+ ]+
Chapter 6: Showing Respect Ch ]+ ]+ ]+ ]+
apter 7: Being Genuine Chapter
]+ ]+ ]+ ]+ ]+
8: Being Empathetic Chapter 9:
]+ ]+ ]+ ]+ ]+
Using Self- ]+
Disclosure Chapter 10: Being sp ]+ ]+ ]+ ]+
ecific Chapter 11: Asking Quest
]+ ]+ ]+ ]+
ions Chapter 12: Expressing Opi
]+ ]+ ]+ ]+
nions Chapter 13: Using Humor
]+ ]+ ]+ ]+
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapt
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
er 15: Requesting Support
]+ ]+ ]+
Chapter 16: Overcoming Evaluation Anxiety C
]+ ]+ ]+ ]+ ]+
hapter 17: Working with Feedback Chapte
]+ ]+ ]+ ]+ ]+
r 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 Colleague
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
Chapter 29: Communicating at the End-of-]+ ]+ ]+ ]+ ]+
Life Chapter 30: Continuing the Commitmen
]+ ]+ ]+ ]+ ]+
t
,Balzer Riley: Communication in Nursing, 10th Edition
]+ ]+ ]+ ]+ ]+
]+
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
]+ ]+ ]+ ]+ ]+ ]+ ]+
Test Bank Multip]+ ]+
le Choice
]+
1. Which statement describes the affective aspect of learning effec
] + ] + ] + ] + ] + ] + ] + ] +
tive communication strategies?
]+ ]+
a. “The nurse should use clear, direct statements using objective words.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “The nurse uses body language that is congruent with the verbal message.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “The nurse believes that positive communication strategies build confidence.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “The nurse practices assertive and responsible communication strategies.”
]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
lity).Learning basic communication skills involves the cognitive domain; building confi
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
dence through a belief in the value and impact of positive communication is the affectiv
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e domain; and putting skills into action is the psychomotor domain.DIF: Comprehension
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psyc
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ] + ]+ ]+
hosocial Integrity ]+
2. The nurse manager asks the staff nurse to work an extra shift. Which response b
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
y the staff nurse is assertive and based on rational beliefs?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “I don’t want you upset, so I will work extra.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “Why do I always have to cover extra shifts?”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “I am not able to work an extra shift.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “If you can’t find anyone else, I will do it.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids i
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
rrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Pro
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
cess: Communication and Documentation MSC: Safe and Effective Care Environment:
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
Management of 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 res
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ult in a frustrated response from the nurse manager?
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
a. “I want to decide the shifts for all of the other staff nurses.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
b. “Do whatever you want. It doesn’t really matter to me.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
d. “You will never be able to give me what I really want to work.”
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ANS:B
A statement that allows others to make decisions for a person is an example of a nonass
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ertive style of communication; the response of others to a nonassertive statement may in
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
clude disrespect, guilt, anger, or frustration. Statements that make choices for others or t
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
hat are accusations are examples of aggressive styles of communication; the response of
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]
+others to an aggressive statement may include hurt, defensiveness, or humiliation. A sta
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
tement that allows making one’s own decisions is an example of assertive style of com
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
munication; the response of others to an assertive statement may include mutual respect.
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
MSC: Safe and Effective Care Environment: Management of Care
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
4. The nurse is providing care to a patient who was admitted with heart failure. Th
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
e patient has not been following the prescribed diet or taking the prescribed medicati
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
ons. Which type of communication approach is most important for the nurse to use
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
with this patient 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 cha
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ] + ]+
Communication and Documentation MSC: Psychosocial Integrity ]+ ]+ ]+ ]+ ]+
5. Which are examples of a nurse who is communicating responsibly? (Selec
]+ ]+ ] + ] + ]+ ]+ ]+ ]+ ]+ ]+
t all that apply)
]+ ]+ ]+
a. The nurse uses profanity to respond to a client who is intoxicated and verba
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
lly abusive. ]+
b. The nurse helps a client talk to family members about discontinuin
]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+ ]+
g chemotherapy. ]+
