TEST BANK
Communication in Nursing
By Julia Balzer Riley
10th Edition
All Chapters (1-30) Correct And Verified Answers| Graded A+
Page 1 of 144
, TABLE OF CONTENTS
Chapter 1: Responsible, Assertive, Caring Communication in Nursing .................................................... 3
Chapter 2: The Client-Nurse Relationship: A Helping Relationship ....................................................... 10
Chapter 3: Solving Problems Together .................................................................................................... 16
Chapter 4: Understanding Each Other: Communication and Culture ...................................................... 23
Chapter 5: Demonstrating Warmth .......................................................................................................... 29
Chapter 6: Showing Respect .................................................................................................................... 35
Chapter 7: Being Genuine ........................................................................................................................ 40
Chapter 8: Being Empathetic ................................................................................................................... 43
Chapter 9: Using Self-Disclosure ............................................................................................................ 46
Chapter 10: Being specific ....................................................................................................................... 50
Chapter 11: Asking Questions ................................................................................................................. 54
Chapter 12: Expressing Opinions ............................................................................................................ 57
Chapter 13: Using Humor ........................................................................................................................ 61
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning .............................................. 64
Chapter 15: Requesting Support .............................................................................................................. 67
Chapter 16: Overcoming Evaluation Anxiety .......................................................................................... 71
Chapter 18: Using Relaxation technique ................................................................................................. 78
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care ............................................ 81
Chapter 20 Incorporating Positive Self-Talk ........................................................................................... 85
Chapter 21: Learning to Work Together in Groups ................................................................................. 89
Chapter 22: The Changing World of Electronic Communication ........................................................... 95
Chapter 23: Learning Confrontation skills............................................................................................. 102
Chapter 24: Refusing Unreasonable Requests ....................................................................................... 105
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues .... 108
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues .. 112
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients ............................. 115
Chapter 28: Managing Team Conflict Assertively and Responsibly ..................................................... 119
Chapter 29: Communicating at the End-of-Life .................................................................................... 122
Chapter 30: Continuing the Commitment .............................................................................................. 126
Page 2 of 144
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Multiple Choice
1. Which statement describes the affective aspect of learning effective 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.”
CORRECT ANSWER:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
capability).Learning basic communication skills involves the cognitive domain; building
confidence through a belief in the value and impact of positive communication is the
affective domain; and putting skills into action is the psychomotor domain.DIF:
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
Documentation MSC: Psychosocial Integrity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by 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.”
CORRECT ANSWER:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
irrational 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
Page 3 of 144
, Process: 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 result 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.”
CORRECT ANSWER:B
A statement that allows others to make decisions for a person is an example of a
nonassertive style of communication; the response of others to a nonassertive statement
may include disrespect, guilt, anger, or frustration. Statements that make choices for
others or that are accusations are examples of aggressive styles of communication; the
response of others to an aggressive statement may include hurt, defensiveness, or
humiliation. A statement that allows making one’s own decisions is an example of
assertive style of communication; 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. The
patient has not been following the prescribed diet or taking the prescribed
medications. 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
Page 4 of 144
Communication in Nursing
By Julia Balzer Riley
10th Edition
All Chapters (1-30) Correct And Verified Answers| Graded A+
Page 1 of 144
, TABLE OF CONTENTS
Chapter 1: Responsible, Assertive, Caring Communication in Nursing .................................................... 3
Chapter 2: The Client-Nurse Relationship: A Helping Relationship ....................................................... 10
Chapter 3: Solving Problems Together .................................................................................................... 16
Chapter 4: Understanding Each Other: Communication and Culture ...................................................... 23
Chapter 5: Demonstrating Warmth .......................................................................................................... 29
Chapter 6: Showing Respect .................................................................................................................... 35
Chapter 7: Being Genuine ........................................................................................................................ 40
Chapter 8: Being Empathetic ................................................................................................................... 43
Chapter 9: Using Self-Disclosure ............................................................................................................ 46
Chapter 10: Being specific ....................................................................................................................... 50
Chapter 11: Asking Questions ................................................................................................................. 54
Chapter 12: Expressing Opinions ............................................................................................................ 57
Chapter 13: Using Humor ........................................................................................................................ 61
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning .............................................. 64
Chapter 15: Requesting Support .............................................................................................................. 67
Chapter 16: Overcoming Evaluation Anxiety .......................................................................................... 71
Chapter 18: Using Relaxation technique ................................................................................................. 78
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care ............................................ 81
Chapter 20 Incorporating Positive Self-Talk ........................................................................................... 85
Chapter 21: Learning to Work Together in Groups ................................................................................. 89
Chapter 22: The Changing World of Electronic Communication ........................................................... 95
Chapter 23: Learning Confrontation skills............................................................................................. 102
Chapter 24: Refusing Unreasonable Requests ....................................................................................... 105
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues .... 108
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues .. 112
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients ............................. 115
Chapter 28: Managing Team Conflict Assertively and Responsibly ..................................................... 119
Chapter 29: Communicating at the End-of-Life .................................................................................... 122
Chapter 30: Continuing the Commitment .............................................................................................. 126
Page 2 of 144
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Multiple Choice
1. Which statement describes the affective aspect of learning effective 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.”
CORRECT ANSWER:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
capability).Learning basic communication skills involves the cognitive domain; building
confidence through a belief in the value and impact of positive communication is the
affective domain; and putting skills into action is the psychomotor domain.DIF:
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
Documentation MSC: Psychosocial Integrity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by 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.”
CORRECT ANSWER:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
irrational 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
Page 3 of 144
, Process: 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 result 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.”
CORRECT ANSWER:B
A statement that allows others to make decisions for a person is an example of a
nonassertive style of communication; the response of others to a nonassertive statement
may include disrespect, guilt, anger, or frustration. Statements that make choices for
others or that are accusations are examples of aggressive styles of communication; the
response of others to an aggressive statement may include hurt, defensiveness, or
humiliation. A statement that allows making one’s own decisions is an example of
assertive style of communication; 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. The
patient has not been following the prescribed diet or taking the prescribed
medications. 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
Page 4 of 144
