TEST BANK Communication in Nursing
bk bk bk bk
8th Edition Julia Balzer Riley
bk bk bk bk bk
All Chapters 1-30
bk bk bk
, Table of Contents bk bk
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
bk bk bk bk bk bk bk
bk Chapter 2: The Client-Nurse Relationship: A Helping Relationship
b k bk bk bk bk bk bk
bk Chapter 3: Solving Problems Together
bk bk b k bk
Chapter 4: Understanding Each Other: Communication and
bk bk bk bk bk bk
Culture Chapter 5: Demonstrating Warmth
bk b k bk bk bk
Chapter 6: Showing Respect
bk bk bk
b k Chapter 7: Being Genuine bk bk bk
bk Chapter 8: Being Empathetic
b k bk bk
bk Chapter 9: Using Self-Disclosure
bk bk bk
bk Chapter 10: Being specific
bk bk bk
Chapter 11: Asking Questions
bk bk bk bk
bk Chapter 12: Expressing Opinions
bk bk bk
bk Chapter 13: Using Humor bk bk bk
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
bk bk bk bk bk bk bk bk bk bk bk
15:
bk Requesting Support
b k bk
Chapter 16: Overcoming Evaluation Anxiety
bk bk bk bk
bk Chapter 17: Working with Feedback
bk bk bk bk
Chapter 18: Using Relaxation technique
bk b k bk bk bk
Chapter 19: Incorporating Imagery in Professional Practice and Self-
bk bk bk bk bk bk bk bk
Care b k Chapter 20 Incorporating Positive Self-Talk
bk bk bk bk
Chapter 21: Learning to Work Together in Groups
bk bk bk bk bk bk bk
Chapter 22: The Changing World of Electronic
bk bk bk bk bk bk
Communication Chapter 23: Learning Confrontation
bk b k bk bk bk
bk skills
Chapter 24: Refusing Unreasonable Requests
bk bk bk bk
Chapter 25: Communicating Assertively and
b k bk b k bk b k Responsibly with Distressed bk bk b k Clients b k and
bk Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients
b k bk bk bk bk bk bk bk bk
bk and Colleagues Chapter 27: Communicating Assertively and Responsibly with Unpopular
bk b k bk bk bk bk bk bk bk
bk Clients
Chapter 29: Communicating at the End-
bk bk bk bk b k b k bk bk
of-Life Chapter 30: Continuing the
bk bk bk bk
bk Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
bk bk bk bk bk bk bk
Multiple Choice bk
1. The nurse plans to delegate a client’s personal hygiene to a
b k b k bk b k b k b k b k b k bk b k
nursing assistant. Which statement if made by the nurse to the nursing
b k b k b k bk bk bk bk bk bk bk bk bk
assistant is assertive?
bk bk bk
a. “Would you mind helping the client with a bath when you have time? If not, I will skip
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
my lunch and do it myself.”
bk bk bk bk bk
b. “You never get your work done and are always on the phone. You need to help the
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
client right now with a bath, or I will write you up.”
bk bk bk bk bk bk bk bk bk bk bk
c. “The client needs help with bathing. I want you to assist the client now, and you can
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
go to lunch when you are finished.”
bk bk bk bk bk bk
d. “I have important work to complete this morning. You will assist the client with a
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
bath. Do not take a break until you have finished.”
bk bk bk bk bk bk bk bk bk
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use
bk bk bk bk bk bk bk bk bk bk bk
bkassertive rights, avoid irrational beliefs, and use the Describe Express Specify
bk b k bk bk bk bk bk bk bk bk
Consequence script to formulate
bk an assertive response. Describe: “The client needs
bk bk bk b k bk bk bk bk bk bk
help with bathing.” Express and Specify: “I
bk bk bk want you to assist the client now. bk bk bk bk b k bk bk bk bk bk bk
”Consequence: “You can go to lunch when you are finished. ”The other statements
bk bk bk bk bk bk bk bk bk bk b k bk bk
are nonassertive or aggressive: “Would you mind helping the client with a bath when
bk bk bk bk bk bk bk bk bk bk bk b k bk b k
bkyou have time? If not, I will skip my lunch and do it myself.” is
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
nonassertive, hesitant, and apologetic. “You never get your work done and are
bk b k bk bk bk bk bk bk bk bk bk bk
bkalways on the phone. You need to help the client right now with a bath, or I
bk bk bk bk b k bk bk bk bk bk bk bk bk bk bk bk
will write you up.” is aggressive, blaming, and negative. “I have important work
bk bk bk bk bk bk bk b k bk bk bk bk bk
to complete this morning. You will assist the client with a bath. Do not take a
bk bk bk bk bk bk bk bk bk bk b k bk bk bk bk b k
bkbreak until you have finished.” is aggressive, sarcastic, uncaring, and superior.
bk bk bk b k b k bk bk bk bk b k
DIF: Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation
bk bk bk bk bk bk bk bk bk bk bk
b kMSC: Safe and Effective Care Environment: Management of Care
bk bk bk bk bk bk bk bk
2. A hospital nurse is concerned about the demands of providing safe care to clients
bk bk bk bk bk bk bk bk bk bk bk bk bk
who are seriously ill. The nurse manager should suggest which intervention to
bk b k bk bk bk bk bk bk bk bk bk bk
effectively help the nurse balance the demanding work in the hospital setting?
bk bk b k bk bk bk bk bk bk bk bk bk
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
bk bk bk bk bk bk bk bk bk bk
b. Request a transfer to another nursing care unit with patients who are stable.
bk bk bk bk bk bk bk bk bk bk bk bk
c. Write down stories in a journal about how caring makes a difference for patients.
bk bk bk bk bk bk bk bk bk bk bk bk bk
d. Use an assertive communication style for every patient–nurse interaction.
bk bk bk bk bk bk bk bk
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although
bk bk bk bk bk bk bk bk bk bk bk bk
there is
bk satisfaction in being technologically competent, that satisfaction is not as
bk b k bk bk bk bk bk bk bk bk bk
lasting as the satisfaction derived from meaningful moments of connection with
bk bk bk b k bk bk bk bk bk bk bk
bkclients, family, and colleagues. DIF: Application REF: p. 13 TOP: Integrated Process:
bk bk b k bk bk bk bk bk bk bk bk
Caring MSC: Safe
bk bk bk
and Effective Care Environment: Management of Care
bk bk bk bk bk bk
3. Which nonverbal action(s) would be consistent with an assertive style of
bk bk bk bk bk bk bk bk bk bk
communication? (Select all that apply)
b k bk bk bk bk
a. Relaxed posture bk
b. Established eye contact bk bk
c. Hands placed on hips bk bk bk
d. Distant, soft voice bk bk
e. Mask-like facial expression bk bk
ANS:A, B bk
Assertive styles of communication that are nonverbal include a relaxed stance and
bk bk bk bk bk bk bk bk bk bk bk
eyes that
bk are warm, in
bk contact, and frank. Aggressive
b k styles of b k b k b k b k b k b k b k b k
communication that are nonverbal include expressionless, cold, narrowed, or
bk b k b k b k b k b k b k bk b k
staring eyes and hands placed on hips. A weak, distant, soft voice is a
b k b k bk b k b k b k b k b k b k b k bk bk bk bk
nonassertive style of nonverbal communication. DIF: Comprehension REF: pp. 11-
bk bk bk bk bk b k bk b k bk bk
12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial
bk bk bk bk bk bk bk b k
Integrity
bk
4. Which statement describes the affective aspect of learning
bk b k bk bk bk b k bk
effective communication strategies?
bk b k bk
a. “The nurse should use clear, direct statements using objective words.”
bk bk bk bk bk bk bk bk bk
b. “The nurse uses body language that is congruent with the verbal message.”
bk bk bk bk bk bk bk bk bk bk bk
c. “The nurse believes that positive communication strategies build confidence.”
bk bk bk bk bk bk bk bk
d. “The nurse practices assertive and responsible communication strategies.”
bk bk bk bk bk bk bk
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
bk bk bk bk bk bk bk bk bk
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
bk b k bk bk bk bk bk bk bk bk bk bk
capability).Learning basic communication skills involves the cognitive domain;
b k bk bk bk bk bk bk bk
building
bk confidence through a belief in the value and impact of positive
b k bk bk bk bk bk bk bk bk bk bk
communication is the affective
bk domain; and putting skills into action is the
bk bk bk b k bk bk bk bk bk bk bk
psychomotor domain.DIF: Comprehension REF: p.
bk bk 13 TOP: Integrated Process: bk bk bk b k bk bk bk
Communication and Documentation MSC: Psychosocial Integrity
bk bk bk b k bk bk bk
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
staff nurse is assertive and based on rational beliefs?
b k bk bk bk bk bk bk bk bk
a. “I don’t want you upset, so I will work extra.”
bk bk bk bk bk bk bk bk bk
bk bk bk bk
8th Edition Julia Balzer Riley
bk bk bk bk bk
All Chapters 1-30
bk bk bk
, Table of Contents bk bk
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
bk bk bk bk bk bk bk
bk Chapter 2: The Client-Nurse Relationship: A Helping Relationship
b k bk bk bk bk bk bk
bk Chapter 3: Solving Problems Together
bk bk b k bk
Chapter 4: Understanding Each Other: Communication and
bk bk bk bk bk bk
Culture Chapter 5: Demonstrating Warmth
bk b k bk bk bk
Chapter 6: Showing Respect
bk bk bk
b k Chapter 7: Being Genuine bk bk bk
bk Chapter 8: Being Empathetic
b k bk bk
bk Chapter 9: Using Self-Disclosure
bk bk bk
bk Chapter 10: Being specific
bk bk bk
Chapter 11: Asking Questions
bk bk bk bk
bk Chapter 12: Expressing Opinions
bk bk bk
bk Chapter 13: Using Humor bk bk bk
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
bk bk bk bk bk bk bk bk bk bk bk
15:
bk Requesting Support
b k bk
Chapter 16: Overcoming Evaluation Anxiety
bk bk bk bk
bk Chapter 17: Working with Feedback
bk bk bk bk
Chapter 18: Using Relaxation technique
bk b k bk bk bk
Chapter 19: Incorporating Imagery in Professional Practice and Self-
bk bk bk bk bk bk bk bk
Care b k Chapter 20 Incorporating Positive Self-Talk
bk bk bk bk
Chapter 21: Learning to Work Together in Groups
bk bk bk bk bk bk bk
Chapter 22: The Changing World of Electronic
bk bk bk bk bk bk
Communication Chapter 23: Learning Confrontation
bk b k bk bk bk
bk skills
Chapter 24: Refusing Unreasonable Requests
bk bk bk bk
Chapter 25: Communicating Assertively and
b k bk b k bk b k Responsibly with Distressed bk bk b k Clients b k and
bk Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients
b k bk bk bk bk bk bk bk bk
bk and Colleagues Chapter 27: Communicating Assertively and Responsibly with Unpopular
bk b k bk bk bk bk bk bk bk
bk Clients
Chapter 29: Communicating at the End-
bk bk bk bk b k b k bk bk
of-Life Chapter 30: Continuing the
bk bk bk bk
bk Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
bk bk bk bk bk bk bk
Multiple Choice bk
1. The nurse plans to delegate a client’s personal hygiene to a
b k b k bk b k b k b k b k b k bk b k
nursing assistant. Which statement if made by the nurse to the nursing
b k b k b k bk bk bk bk bk bk bk bk bk
assistant is assertive?
bk bk bk
a. “Would you mind helping the client with a bath when you have time? If not, I will skip
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
my lunch and do it myself.”
bk bk bk bk bk
b. “You never get your work done and are always on the phone. You need to help the
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
client right now with a bath, or I will write you up.”
bk bk bk bk bk bk bk bk bk bk bk
c. “The client needs help with bathing. I want you to assist the client now, and you can
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
go to lunch when you are finished.”
bk bk bk bk bk bk
d. “I have important work to complete this morning. You will assist the client with a
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
bath. Do not take a break until you have finished.”
bk bk bk bk bk bk bk bk bk
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use
bk bk bk bk bk bk bk bk bk bk bk
bkassertive rights, avoid irrational beliefs, and use the Describe Express Specify
bk b k bk bk bk bk bk bk bk bk
Consequence script to formulate
bk an assertive response. Describe: “The client needs
bk bk bk b k bk bk bk bk bk bk
help with bathing.” Express and Specify: “I
bk bk bk want you to assist the client now. bk bk bk bk b k bk bk bk bk bk bk
”Consequence: “You can go to lunch when you are finished. ”The other statements
bk bk bk bk bk bk bk bk bk bk b k bk bk
are nonassertive or aggressive: “Would you mind helping the client with a bath when
bk bk bk bk bk bk bk bk bk bk bk b k bk b k
bkyou have time? If not, I will skip my lunch and do it myself.” is
bk bk bk bk bk bk bk bk bk bk bk bk bk bk
nonassertive, hesitant, and apologetic. “You never get your work done and are
bk b k bk bk bk bk bk bk bk bk bk bk
bkalways on the phone. You need to help the client right now with a bath, or I
bk bk bk bk b k bk bk bk bk bk bk bk bk bk bk bk
will write you up.” is aggressive, blaming, and negative. “I have important work
bk bk bk bk bk bk bk b k bk bk bk bk bk
to complete this morning. You will assist the client with a bath. Do not take a
bk bk bk bk bk bk bk bk bk bk b k bk bk bk bk b k
bkbreak until you have finished.” is aggressive, sarcastic, uncaring, and superior.
bk bk bk b k b k bk bk bk bk b k
DIF: Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation
bk bk bk bk bk bk bk bk bk bk bk
b kMSC: Safe and Effective Care Environment: Management of Care
bk bk bk bk bk bk bk bk
2. A hospital nurse is concerned about the demands of providing safe care to clients
bk bk bk bk bk bk bk bk bk bk bk bk bk
who are seriously ill. The nurse manager should suggest which intervention to
bk b k bk bk bk bk bk bk bk bk bk bk
effectively help the nurse balance the demanding work in the hospital setting?
bk bk b k bk bk bk bk bk bk bk bk bk
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
bk bk bk bk bk bk bk bk bk bk
b. Request a transfer to another nursing care unit with patients who are stable.
bk bk bk bk bk bk bk bk bk bk bk bk
c. Write down stories in a journal about how caring makes a difference for patients.
bk bk bk bk bk bk bk bk bk bk bk bk bk
d. Use an assertive communication style for every patient–nurse interaction.
bk bk bk bk bk bk bk bk
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although
bk bk bk bk bk bk bk bk bk bk bk bk
there is
bk satisfaction in being technologically competent, that satisfaction is not as
bk b k bk bk bk bk bk bk bk bk bk
lasting as the satisfaction derived from meaningful moments of connection with
bk bk bk b k bk bk bk bk bk bk bk
bkclients, family, and colleagues. DIF: Application REF: p. 13 TOP: Integrated Process:
bk bk b k bk bk bk bk bk bk bk bk
Caring MSC: Safe
bk bk bk
and Effective Care Environment: Management of Care
bk bk bk bk bk bk
3. Which nonverbal action(s) would be consistent with an assertive style of
bk bk bk bk bk bk bk bk bk bk
communication? (Select all that apply)
b k bk bk bk bk
a. Relaxed posture bk
b. Established eye contact bk bk
c. Hands placed on hips bk bk bk
d. Distant, soft voice bk bk
e. Mask-like facial expression bk bk
ANS:A, B bk
Assertive styles of communication that are nonverbal include a relaxed stance and
bk bk bk bk bk bk bk bk bk bk bk
eyes that
bk are warm, in
bk contact, and frank. Aggressive
b k styles of b k b k b k b k b k b k b k b k
communication that are nonverbal include expressionless, cold, narrowed, or
bk b k b k b k b k b k b k bk b k
staring eyes and hands placed on hips. A weak, distant, soft voice is a
b k b k bk b k b k b k b k b k b k b k bk bk bk bk
nonassertive style of nonverbal communication. DIF: Comprehension REF: pp. 11-
bk bk bk bk bk b k bk b k bk bk
12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial
bk bk bk bk bk bk bk b k
Integrity
bk
4. Which statement describes the affective aspect of learning
bk b k bk bk bk b k bk
effective communication strategies?
bk b k bk
a. “The nurse should use clear, direct statements using objective words.”
bk bk bk bk bk bk bk bk bk
b. “The nurse uses body language that is congruent with the verbal message.”
bk bk bk bk bk bk bk bk bk bk bk
c. “The nurse believes that positive communication strategies build confidence.”
bk bk bk bk bk bk bk bk
d. “The nurse practices assertive and responsible communication strategies.”
bk bk bk bk bk bk bk
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
bk bk bk bk bk bk bk bk bk
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
bk b k bk bk bk bk bk bk bk bk bk bk
capability).Learning basic communication skills involves the cognitive domain;
b k bk bk bk bk bk bk bk
building
bk confidence through a belief in the value and impact of positive
b k bk bk bk bk bk bk bk bk bk bk
communication is the affective
bk domain; and putting skills into action is the
bk bk bk b k bk bk bk bk bk bk bk
psychomotor domain.DIF: Comprehension REF: p.
bk bk 13 TOP: Integrated Process: bk bk bk b k bk bk bk
Communication and Documentation MSC: Psychosocial Integrity
bk bk bk b k bk bk bk
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the
bk bk bk bk bk bk bk bk bk bk bk bk bk bk bk
staff nurse is assertive and based on rational beliefs?
b k bk bk bk bk bk bk bk bk
a. “I don’t want you upset, so I will work extra.”
bk bk bk bk bk bk bk bk bk
