TEST BANK Communication in Nursing
= = = =
8th Edition Julia Balzer Riley
= = = = ==
Table of Contents
= =
,Chapter=1:=Responsible,=Assertive,=Caring=Communication=in=Nursing=
Chapter= 2:=The=Client-Nurse=Relationship:=A=Helping=Relationship=
Chapter=3:=Solving= Problems=Together
Chapter=4:=Understanding=Each=Other:=Communication=and=Cultur
e= Chapter=5:=Demonstrating=Warmth
Chapter=6:=Showing=Respect= Chapt
er=7:=Being=Genuine=
Chapter= 8:=Being=Empathetic=Cha
pter=9:= Using=Self-
Disclosure=Chapter=10:= Being=specif
ic=
Chapter=11:=Asking= Questions=Chap
ter=12:=Expressing= Opinions=Chapte
r=13:=Using=Humor
Chapter=14:=Embracing=the=Spiritual=Journey=of=Health=Caring,=Meaning=Making
Chapter=15:= Requesting=Support
=
Chapter=16:=Overcoming=Evaluation=Anxiety= Cha
pter=17:=Working=with=Feedback=
Chapter= 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=Communicatio
n= Chapter=23:=Learning=Confrontation=skills
Chapter=24:=Refusing=Unreasonable=Requests
Chapter= 25:=Communicating= Assertively=and= Responsibly=with=Distressed= Clients= and= Colleagues= C
hapter= 26:= Communicating= Assertively= and=Responsibly= with= Aggressive= Clients=and= Colleagues= Chapt
er=27:=Communicating=Assertively=and=Responsibly=with=Unpopular=Clients
Chapter==28:==Communicating= at= the==End-of-
Life= Chapter=29:=Continuing=the=Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
= = = = = = =
Multiple=Choice
1. The= nurse= plans= to= delegate= a= client’s= personal= hygiene= to= a= nursing= assistant.
= Which=statement=if=made=by=the=nurse=to=the=nursing=assistant=is=assertive?
a. “Would=you=mind=helping=the=client=with=a=bath=when=you=have=time?=If=not,=I=will=skip
my=lunch=and=do=it=myself.”
b. “You=never=get=your=work=done=and=are=always=on=the=phone.=You=need=to=help=the
client=right=now=with=a=bath,=or=I=will=write=you=up.”
c. “The=client=needs=help=with=bathing.=I=want=you=to=assist=the=client=now,=and=you=can
go=to=lunch=when=you=are=finished.”
d. “I=have=important=work=to=complete=this=morning.=You=will=assist=the=client=with=a
bath.=Do=not=take=a=break=until=you=have=finished.”
ANS:C
An= assertive= statement= is= clear,= direct,= and= respectful;= the= nurse= should= use= assertive= rights,
= avoid= irrational= beliefs,= and= use= the= Describe= Express= Specify= Consequence= script= to= formulat
e= an= assertive= response.= Describe:= “The= client= needs= help=with= bathing.”= Express= and= Specify:
= “I= want= you= to= assist= the= client= now.= ”Consequence:= “You= can= go= to= lunch= when= you= are=finis
hed.= ”The=other=statements=are=nonassertive=or=aggressive:=“Would=you=mind=helping=the=clien
t=with= a= bath= when= you= have= time?= If= not,= I= will= skip= my= lunch= and= do= it= myself.”= is= nona
ssertive,= hesitant,= and= apologetic.= “You= never= get= your= work= done= and= are= always= on= the= p
hone.= You= need= to= help= the= client= right= now= with= a= bath,= or= I= will= write= you= up.”= is= aggressi
ve,= blaming,= and=negative.= “I=have=important=work=to=complete= this=morning.=You=will=assist= t
he= client=with= a= bath.= Do= not= take= a= break= until= you= have= finished.”= is= aggressive,= sarcastic,
= uncaring,= and= superior.=DIF:=Analysis=REF:=p.=6=TOP:=Integrated=Process:=Communication=and
=Documentation= MSC:=Safe=and=Effective=Care=Environment:=Management=of=Care
2. A=hospital=nurse=is=concerned=about=the=demands=of=providing=safe=care=to=clients=who= ar
e= seriously= ill.=The= nurse=manager=should= suggest=which= intervention= to= effectively= help= t
he=nurse=balance=the=demanding=work=in=the=hospital=setting?
a. Delegate=more=tasks=to=the=unlicensed=nursing=personnel=on=the=unit.
b. Request=a=transfer=to=another=nursing=care=unit=with=patients=who=are=stable.
c. Write=down=stories=in=a=journal=about=how=caring=makes=a=difference=for=patients.
d. Use=an=assertive=communication=style=for=every=patient–nurse=interaction.
ANS:C
Caring=is=the=moral=ideal=that= guides=nurses=through=the=caregiving=process.=Although=there=is
= satisfaction= in= being= technologically= competent,= that= satisfaction= is= not= as= lasting= as= the= satis
faction= derived= from= meaningful= moments= of= connection= with= clients,= family,= and= colleague
s.=DIF:=Application=REF:=p.=13=TOP:=Integrated=Process:=Caring=MSC:=Safe
and=Effective=Care=Environment:=Management=of=Care
, 3. Which=nonverbal= action(s)=would=be=consistent= with= an=assertive=style=of= co
mmunication?=(Select=all=that=apply)
a. Relaxed=posture
b. Established=eye=contact
c. Hands=placed=on=hips
d. Distant,=soft=voice
e. Mask-like=facial=expression
ANS:A,=B
Assertive= styles= of= communication= that= are= nonverbal= include= a= relaxed= stance= and= eyes= that
= are= warm,= in= contact,= and= frank.= Aggressive= styles= of= communication= that= are= nonverba
l= include= expressionless,= cold,= narrowed,= or= staring= eyes= and= hands= placed= on= hips.= A= wea
k,= distant,= soft= voice= is= a= nonassertive= style= of= nonverbal= communication.= DIF:= Comprehensi
on= REF:= pp.= 11-
12=TOP:= Integrated=Process:= Communication= and=Documentation= MSC:= Psychosocial=Integrity
4. Which= statement= describes= the= affective= aspect= of= learning= effective= co
mmunication=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),=affective
= aspects=(feelings,= values,=and=attitudes),=and= psychomotor==aspects==(physical= capability).Lear
ning= 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=putti
ng=skills=into=action=is=the=psychomotor=domain.DIF:=Comprehension=REF:=p.= 13=TOP:=Integrat
ed=Process:=Communication=and== Documentation=MSC:=Psychosocial=Integrity
5. The=nurse=manager=asks=the=staff=nurse=to=work=an=extra=shift.=Which=response=by=the= sta
ff=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
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= Process
:= Communication=and=Documentation=MSC:=Safe=and=Effective=Care=Environment:=Manageme
= = = =
8th Edition Julia Balzer Riley
= = = = ==
Table of Contents
= =
,Chapter=1:=Responsible,=Assertive,=Caring=Communication=in=Nursing=
Chapter= 2:=The=Client-Nurse=Relationship:=A=Helping=Relationship=
Chapter=3:=Solving= Problems=Together
Chapter=4:=Understanding=Each=Other:=Communication=and=Cultur
e= Chapter=5:=Demonstrating=Warmth
Chapter=6:=Showing=Respect= Chapt
er=7:=Being=Genuine=
Chapter= 8:=Being=Empathetic=Cha
pter=9:= Using=Self-
Disclosure=Chapter=10:= Being=specif
ic=
Chapter=11:=Asking= Questions=Chap
ter=12:=Expressing= Opinions=Chapte
r=13:=Using=Humor
Chapter=14:=Embracing=the=Spiritual=Journey=of=Health=Caring,=Meaning=Making
Chapter=15:= Requesting=Support
=
Chapter=16:=Overcoming=Evaluation=Anxiety= Cha
pter=17:=Working=with=Feedback=
Chapter= 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=Communicatio
n= Chapter=23:=Learning=Confrontation=skills
Chapter=24:=Refusing=Unreasonable=Requests
Chapter= 25:=Communicating= Assertively=and= Responsibly=with=Distressed= Clients= and= Colleagues= C
hapter= 26:= Communicating= Assertively= and=Responsibly= with= Aggressive= Clients=and= Colleagues= Chapt
er=27:=Communicating=Assertively=and=Responsibly=with=Unpopular=Clients
Chapter==28:==Communicating= at= the==End-of-
Life= Chapter=29:=Continuing=the=Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
= = = = = = =
Multiple=Choice
1. The= nurse= plans= to= delegate= a= client’s= personal= hygiene= to= a= nursing= assistant.
= Which=statement=if=made=by=the=nurse=to=the=nursing=assistant=is=assertive?
a. “Would=you=mind=helping=the=client=with=a=bath=when=you=have=time?=If=not,=I=will=skip
my=lunch=and=do=it=myself.”
b. “You=never=get=your=work=done=and=are=always=on=the=phone.=You=need=to=help=the
client=right=now=with=a=bath,=or=I=will=write=you=up.”
c. “The=client=needs=help=with=bathing.=I=want=you=to=assist=the=client=now,=and=you=can
go=to=lunch=when=you=are=finished.”
d. “I=have=important=work=to=complete=this=morning.=You=will=assist=the=client=with=a
bath.=Do=not=take=a=break=until=you=have=finished.”
ANS:C
An= assertive= statement= is= clear,= direct,= and= respectful;= the= nurse= should= use= assertive= rights,
= avoid= irrational= beliefs,= and= use= the= Describe= Express= Specify= Consequence= script= to= formulat
e= an= assertive= response.= Describe:= “The= client= needs= help=with= bathing.”= Express= and= Specify:
= “I= want= you= to= assist= the= client= now.= ”Consequence:= “You= can= go= to= lunch= when= you= are=finis
hed.= ”The=other=statements=are=nonassertive=or=aggressive:=“Would=you=mind=helping=the=clien
t=with= a= bath= when= you= have= time?= If= not,= I= will= skip= my= lunch= and= do= it= myself.”= is= nona
ssertive,= hesitant,= and= apologetic.= “You= never= get= your= work= done= and= are= always= on= the= p
hone.= You= need= to= help= the= client= right= now= with= a= bath,= or= I= will= write= you= up.”= is= aggressi
ve,= blaming,= and=negative.= “I=have=important=work=to=complete= this=morning.=You=will=assist= t
he= client=with= a= bath.= Do= not= take= a= break= until= you= have= finished.”= is= aggressive,= sarcastic,
= uncaring,= and= superior.=DIF:=Analysis=REF:=p.=6=TOP:=Integrated=Process:=Communication=and
=Documentation= MSC:=Safe=and=Effective=Care=Environment:=Management=of=Care
2. A=hospital=nurse=is=concerned=about=the=demands=of=providing=safe=care=to=clients=who= ar
e= seriously= ill.=The= nurse=manager=should= suggest=which= intervention= to= effectively= help= t
he=nurse=balance=the=demanding=work=in=the=hospital=setting?
a. Delegate=more=tasks=to=the=unlicensed=nursing=personnel=on=the=unit.
b. Request=a=transfer=to=another=nursing=care=unit=with=patients=who=are=stable.
c. Write=down=stories=in=a=journal=about=how=caring=makes=a=difference=for=patients.
d. Use=an=assertive=communication=style=for=every=patient–nurse=interaction.
ANS:C
Caring=is=the=moral=ideal=that= guides=nurses=through=the=caregiving=process.=Although=there=is
= satisfaction= in= being= technologically= competent,= that= satisfaction= is= not= as= lasting= as= the= satis
faction= derived= from= meaningful= moments= of= connection= with= clients,= family,= and= colleague
s.=DIF:=Application=REF:=p.=13=TOP:=Integrated=Process:=Caring=MSC:=Safe
and=Effective=Care=Environment:=Management=of=Care
, 3. Which=nonverbal= action(s)=would=be=consistent= with= an=assertive=style=of= co
mmunication?=(Select=all=that=apply)
a. Relaxed=posture
b. Established=eye=contact
c. Hands=placed=on=hips
d. Distant,=soft=voice
e. Mask-like=facial=expression
ANS:A,=B
Assertive= styles= of= communication= that= are= nonverbal= include= a= relaxed= stance= and= eyes= that
= are= warm,= in= contact,= and= frank.= Aggressive= styles= of= communication= that= are= nonverba
l= include= expressionless,= cold,= narrowed,= or= staring= eyes= and= hands= placed= on= hips.= A= wea
k,= distant,= soft= voice= is= a= nonassertive= style= of= nonverbal= communication.= DIF:= Comprehensi
on= REF:= pp.= 11-
12=TOP:= Integrated=Process:= Communication= and=Documentation= MSC:= Psychosocial=Integrity
4. Which= statement= describes= the= affective= aspect= of= learning= effective= co
mmunication=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),=affective
= aspects=(feelings,= values,=and=attitudes),=and= psychomotor==aspects==(physical= capability).Lear
ning= 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=putti
ng=skills=into=action=is=the=psychomotor=domain.DIF:=Comprehension=REF:=p.= 13=TOP:=Integrat
ed=Process:=Communication=and== Documentation=MSC:=Psychosocial=Integrity
5. The=nurse=manager=asks=the=staff=nurse=to=work=an=extra=shift.=Which=response=by=the= sta
ff=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
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= Process
:= Communication=and=Documentation=MSC:=Safe=and=Effective=Care=Environment:=Manageme
