COMMUNICATION IN NURSING 8TH
EDITION
JULIA BALZER RILEY
, Table of Contents WQ WQ
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
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pter 2: The Client-
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Nurse Relationship: A Helping Relationship Chapter 3: Solving Problem
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s Together
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Chapter 4: Understanding Each Other: Communication and Culture
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Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect Ch WQ WQ WQ WQ
apter 7: Being Genuine Chapter
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8: Being Empathetic Chapter 9:
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Using Self- WQ
Disclosure Chapter 10: Being sp WQ WQ WQ WQ
ecific Chapter 11: Asking Questi
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ons Chapter 12: Expressing Opini
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ons Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapt
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er 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety C
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hapter 17: Working with Feedback Chapte
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r 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 Communication
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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 Colleagues
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WQ Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagu
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es 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 Commitmen
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t
,Balzer Riley: Communication in Nursing, 8th Edition
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank Multipl WQ WQ
e Choice
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1. The nurse plans to delegate a client’s personal hygiene to a nursing assi
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stant. Which statement if made by the nurse to the nursing assistant is assertive?
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a. “Would you mind helping the client with a bath when you have time? If not, I will
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skip my lunch and do it myself.”
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b. “You never get your work done and are always on the phone. You need to help the
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client right now with a bath, or I will write you up.”
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c. “The client needs help with bathing. I want you to assist the client now, and you
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can go to lunch when you are finished.”
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d. “I have important work to complete this morning. You will assist the client with a
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bath. Do not take a break until you have finished.”
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ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive right
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s, avoid irrational beliefs, and use the Describe Express Specify Consequence script to fo
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rmulate an assertive response.Describe: “The client needs help with bathing.” Express an
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d Specify: “I want you to assist the client now.”Consequence: “You can go to lunch whe
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n you are finished.”The other statements are nonassertive or aggressive:“Would you mind
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helping the client with a bath when you have time? If not, I will skip my lunch and do it
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myself.” is nonassertive, hesitant, and apologetic.“You never get your work done and ar
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e always on the phone. You need to help the client right now with a bath, or I will write
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you up.” is aggressive, blaming, and negative.“I have important work to complete this m
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orning. You will assist the client with a bath. Do not take a break until you have finished
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.” is aggressive, sarcastic, uncaring, and superior.DIF: Analysis REF: p. 6 TOP: Integrate
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d Process: Communication and Documentation MSC: Safe and Effective Care Environm
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ent: Management of Care
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2. A hospital nurse is concerned about the demands of providing safe care to clients
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who are seriously ill. The nurse manager should suggest which intervention to effecti
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vely help the nurse balance the demanding work in the hospital setting?
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a. Delegate more tasks to the unlicensed nursing personnel on the unit.
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b. Request a transfer to another nursing care unit with patients who are stable.
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c. Write down stories in a journal about how caring makes a difference for patients.
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d. Use an assertive communication style for every patient–nurse interaction.
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ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although the
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re is satisfaction in being technologically competent, that satisfaction is not as lasting as
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the satisfaction derived from meaningful moments of connection with clients, family, an
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d colleagues.DIF: Application REF: p. 13 TOP: Integrated Process: CaringMSC: Safe
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