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