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