TEST BANK Communication in Nursing
fd fd fd fd
8th Edition Julia Balzer Riley
fd fd fd fd fdfd
All Chapters 1-30
fd fd
, Table of Contents fd fd
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapter
fd fd fd fd fd fd fd fd f d
2: The Client-
fd fd
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems To
fd fd fd fd fd fd fd f d fd
gether
Chapter 4: Understanding Each Other: Communication and Culture
fd fd fd fd fd fd fd f d
Chapter 5: Demonstrating Warmth fd fd fd
Chapter 6: Showing Respect Chapt fd fd fd f d
er 7: Being Genuine Chapter 8: Bei
fd fd fd fd f d fd
ng Empathetic Chapter 9: Using Sel
fd fd fd fd fd
f-
Disclosure Chapter 10: Being specif fd fd f d fd
ic Chapter 11: Asking Questions Ch
fd fd fd fd fd
apter 12: Expressing Opinions Chap
fd fd fd fd
ter 13: Using Humor
fd fd fd
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter 15:
fd fd fd fd fd fd fd fd fd fd fd fd f d
Requesting Support fd
Chapter 16: Overcoming Evaluation Anxiety Cha
fd fd fd fd fd
pter 17: Working with Feedback Chapter 18:
fd fd fd fd fd f d fd
Using Relaxation technique fd fd
Chapter 19: Incorporating Imagery in Professional Practice and Self-
fd fd fd fd fd fd fd fd
Care Chapter 20 Incorporating Positive Self-Talk
f d fd fd fd fd
Chapter 21: Learning to Work Together in Groups
fd f d fd fd fd fd fd
Chapter 22: The Changing World of Electronic Communication
fd fd fd fd fd fd fd f d
Chapter 23: Learning Confrontation skills
fd fd fd fd
Chapter 24: Refusing Unreasonable Requests
fd fd fd fd
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
f d fd f d fd f d fd fd f d f d fd f
dChapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues Ch
fd fd fd fd fd fd fd fd fd fd f d
apter 27: Communicating Assertively and Responsibly with Unpopular Clients
fd fd fd fd fd fd fd fd
Chapter 29: Communicating at the End-of-
fdfd fdfd f d f d fdfd
Life Chapter 30: Continuing the Commitment
fd fd fd fd fd
,Chapter1:Responsible,Assertive,CaringCommunicationinNursingfd fd fd fd fd fd fd
MultipleChoice fd
1. The nurse plans to delegate a client’s personal hygiene to a nursing assista
f d f d f d f d f d f d f d f d f d f d f d f d
nt. Which statement if made by the nurse to the nursing assistant is assertive?
f d fd fd fd fd fd fd fd fd fd fd fd fd
a. “Would you mind helping the client with a bath when you have time? If not, I will skip fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
my lunch and do it myself.” fd fd fd fd fd
b. “You never get your work done and are always on the phone. You need to help the
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
client right now with a bath, or I will write you up.” fd fd fd fd fd fd fd fd fd fd fd
c. “The client needs help with bathing. I want you to assist the client now, and you can
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
go to lunch when you are finished.” fd fd fd fd fd fd
d. “I have important work to complete this morning. You will assist the client with a
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
bath. Do not take a break until you have finished.” fd fd fd fd fd fd fd fd fd
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive right
f d f d f d f d f d f d f d fd f d f d fd f d f d
s, avoid irrational beliefs, and use the Describe Express Specify Consequence script to formul
f d fd fd fd fd fd fd fd fd fd fd fd fd
ate an assertive response. Describe: “The client needs help with bathing.” Express and Speci
f d fd fd fd fd fd fd fd fd fd fd fd fd
fy: “I want you to assist the client now. ”Consequence: “You can go to lunch when you are fin
fd f d fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ished. ”The other statements are nonassertive or aggressive: “Would you mind helping the client
f d fd fd fd fd fd fd fd fd fd fd fd fd
with a bath when you have time? If not, I will skip my lunch and do it myself.” is no
fd f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
nassertive, hesitant, and apologetic. “You never get your work done and are always on t
f d f d f d f d f d f d f d f d f d f d f d f d f d f d
he phone. You need to help the client right now with a bath, or I will write you up.” is ag
f d f d f d fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
gressive, blaming, and negative. “I have important work to complete this morning. You will a
fd f d fd fd fd fd fd fd fd fd fd fd fd fd
ssist the client with a bath. Do not take a break until you have finished.” is aggressive, s
fd fd fd f d f d f d f d f d f d f d f d f d f d f d f d f d f d
arcastic, uncaring, and superior. DIF: Analysis REF: p. 6 TOP: Integrated Process: Communicat
f d f d f d fd fd fd fd fd fd fd fd fd
ion and Documentation MSC: Safe and Effective Care Environment: Management of Care
fd fd f d fd fd fd fd fd fd fd fd
2. A hospital nurse is concerned about the demands of providing safe care to clients who are
fd fd fd fd fd fd fd fd fd fd fd fd fd fd f d f
seriously ill. The nurse manager should suggest which intervention to effectively help th
d fd fd fd fd fd fd fd fd fd fd fd f d
e nurse balance the demanding work in the hospital setting?
fd fd fd fd fd fd fd fd fd
a. Delegate more tasks to the unlicensed nursing personnel on the unit. fd fd fd fd fd fd fd fd fd fd
b. Request a transfer to another nursing care unit with patients who are stable.
fd fd fd fd fd fd fd fd fd fd fd fd
c. Writedown stories in a journal about how caring makes a difference for patients.
fd fd fd fd fd fd fd fd fd fd fd fd fd
d. Use an assertive communication style for every patient–nurse interaction.
fd fd fd fd fd fd fd fd
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there is
fd fd fd fd fd fd fd fd fd fd fd fd fd fd f
dsatisfaction in being technologically competent, that satisfaction is not as lasting as the satisf
fd fd fd fd fd fd fd fd fd fd fd fd f d
action derived from meaningful moments of connection with clients, family, and colleagu
f d f d f d f d fd f d f d f d f d f d f d
es. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
fd fd fd fd fd fd fd fd fd fd fd
and Effective Care Environment: Management of Care
fd fd fd fd fd fd
3. Which nonverbal action(s) would be consistent with an assertive style of co
fd f d fd fd fd f d fd fd fd fd f d
mmunication? (Select all that apply) fd fd fd fd
a. Relaxed posture fd
b. Established eye contact fd fd
c. Hands placed on hips fd fd fd
d. Distant, soft voice fd fd
e. Mask-like facial expression fd fd
ANS:A, B fd
Assertive styles of communication that are nonverbal include a relaxed stance and eyes that
fd fd fd fd fd fd fd fd fd fd fd fd fd
f are warm, in contact, and frank. Aggressive styles of communication that are non
d f d f d f d f d f d f d f d f d fd f d f d f d
verbal include expressionless, cold, narrowed, or staring eyes and hands placed on hips
f d f d f d f d f d f d f d f d f d f d f d f d
. A weak, distant, soft voice is a nonassertive style of nonverbal communication. DIF: Co
f d f d f d fd f d f d f d f d f d f d f d f d f d fd
mprehension REF: pp. 11- f d fd fd
12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
fd fd fd fd fd fd fd f d fd
4. Which statement describes the affective aspect of learning effective c
f d f d f d f d f d f d f d f d f d
ommunication strategies? fd
a. “The nurse should use clear, direct statements using objective words.”
fd fd fd fd fd fd fd fd fd
b. “The nurse uses body language that is congruent with the verbal message.”
fd fd fd fd fd fd fd fd fd fd fd
c. “The nurse believes that positive communication strategies build confidence.”
fd fd fd fd fd fd fd fd
d. “The nurse practices assertive and responsible communication strategies.”
fd fd fd fd fd fd fd
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affective
fd fd fd fd fd fd fd fd fd fd f d
aspects (feelings, values, and attitudes), and psychomotor aspects (physical capability).Learni
fd fd fd fd fd fd fdfd fdfd f d
ng basic communication skills involves the cognitive domain; building confidence through
f d f d f d fd fd f d f d f d f d fd f
a belief in the value and impact of positive communication is the affective domain; and putti
d fd fd fd fd fd fd fd fd fd fd fd fd f d fd fd
ng skills into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrate
fd fd fd fd fd fd fd fd fd fd f d fd fd
d Process: Communication and Documentation MSC: Psychosocial Integrity
fd fd fd fdf d fd fd fd
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff n
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd f d fd
urse is assertive and based on rational beliefs?
fd fd fd fd fd fd fd
a. “I don’t want you upset, so I will work extra.”
fd fd fd fd fd fd fd fd fd
fd fd fd fd
8th Edition Julia Balzer Riley
fd fd fd fd fdfd
All Chapters 1-30
fd fd
, Table of Contents fd fd
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapter
fd fd fd fd fd fd fd fd f d
2: The Client-
fd fd
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems To
fd fd fd fd fd fd fd f d fd
gether
Chapter 4: Understanding Each Other: Communication and Culture
fd fd fd fd fd fd fd f d
Chapter 5: Demonstrating Warmth fd fd fd
Chapter 6: Showing Respect Chapt fd fd fd f d
er 7: Being Genuine Chapter 8: Bei
fd fd fd fd f d fd
ng Empathetic Chapter 9: Using Sel
fd fd fd fd fd
f-
Disclosure Chapter 10: Being specif fd fd f d fd
ic Chapter 11: Asking Questions Ch
fd fd fd fd fd
apter 12: Expressing Opinions Chap
fd fd fd fd
ter 13: Using Humor
fd fd fd
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter 15:
fd fd fd fd fd fd fd fd fd fd fd fd f d
Requesting Support fd
Chapter 16: Overcoming Evaluation Anxiety Cha
fd fd fd fd fd
pter 17: Working with Feedback Chapter 18:
fd fd fd fd fd f d fd
Using Relaxation technique fd fd
Chapter 19: Incorporating Imagery in Professional Practice and Self-
fd fd fd fd fd fd fd fd
Care Chapter 20 Incorporating Positive Self-Talk
f d fd fd fd fd
Chapter 21: Learning to Work Together in Groups
fd f d fd fd fd fd fd
Chapter 22: The Changing World of Electronic Communication
fd fd fd fd fd fd fd f d
Chapter 23: Learning Confrontation skills
fd fd fd fd
Chapter 24: Refusing Unreasonable Requests
fd fd fd fd
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
f d fd f d fd f d fd fd f d f d fd f
dChapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues Ch
fd fd fd fd fd fd fd fd fd fd f d
apter 27: Communicating Assertively and Responsibly with Unpopular Clients
fd fd fd fd fd fd fd fd
Chapter 29: Communicating at the End-of-
fdfd fdfd f d f d fdfd
Life Chapter 30: Continuing the Commitment
fd fd fd fd fd
,Chapter1:Responsible,Assertive,CaringCommunicationinNursingfd fd fd fd fd fd fd
MultipleChoice fd
1. The nurse plans to delegate a client’s personal hygiene to a nursing assista
f d f d f d f d f d f d f d f d f d f d f d f d
nt. Which statement if made by the nurse to the nursing assistant is assertive?
f d fd fd fd fd fd fd fd fd fd fd fd fd
a. “Would you mind helping the client with a bath when you have time? If not, I will skip fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
my lunch and do it myself.” fd fd fd fd fd
b. “You never get your work done and are always on the phone. You need to help the
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
client right now with a bath, or I will write you up.” fd fd fd fd fd fd fd fd fd fd fd
c. “The client needs help with bathing. I want you to assist the client now, and you can
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
go to lunch when you are finished.” fd fd fd fd fd fd
d. “I have important work to complete this morning. You will assist the client with a
fd fd fd fd fd fd fd fd fd fd fd fd fd fd
bath. Do not take a break until you have finished.” fd fd fd fd fd fd fd fd fd
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive right
f d f d f d f d f d f d f d fd f d f d fd f d f d
s, avoid irrational beliefs, and use the Describe Express Specify Consequence script to formul
f d fd fd fd fd fd fd fd fd fd fd fd fd
ate an assertive response. Describe: “The client needs help with bathing.” Express and Speci
f d fd fd fd fd fd fd fd fd fd fd fd fd
fy: “I want you to assist the client now. ”Consequence: “You can go to lunch when you are fin
fd f d fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
ished. ”The other statements are nonassertive or aggressive: “Would you mind helping the client
f d fd fd fd fd fd fd fd fd fd fd fd fd
with a bath when you have time? If not, I will skip my lunch and do it myself.” is no
fd f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f d
nassertive, hesitant, and apologetic. “You never get your work done and are always on t
f d f d f d f d f d f d f d f d f d f d f d f d f d f d
he phone. You need to help the client right now with a bath, or I will write you up.” is ag
f d f d f d fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd
gressive, blaming, and negative. “I have important work to complete this morning. You will a
fd f d fd fd fd fd fd fd fd fd fd fd fd fd
ssist the client with a bath. Do not take a break until you have finished.” is aggressive, s
fd fd fd f d f d f d f d f d f d f d f d f d f d f d f d f d f d
arcastic, uncaring, and superior. DIF: Analysis REF: p. 6 TOP: Integrated Process: Communicat
f d f d f d fd fd fd fd fd fd fd fd fd
ion and Documentation MSC: Safe and Effective Care Environment: Management of Care
fd fd f d fd fd fd fd fd fd fd fd
2. A hospital nurse is concerned about the demands of providing safe care to clients who are
fd fd fd fd fd fd fd fd fd fd fd fd fd fd f d f
seriously ill. The nurse manager should suggest which intervention to effectively help th
d fd fd fd fd fd fd fd fd fd fd fd f d
e nurse balance the demanding work in the hospital setting?
fd fd fd fd fd fd fd fd fd
a. Delegate more tasks to the unlicensed nursing personnel on the unit. fd fd fd fd fd fd fd fd fd fd
b. Request a transfer to another nursing care unit with patients who are stable.
fd fd fd fd fd fd fd fd fd fd fd fd
c. Writedown stories in a journal about how caring makes a difference for patients.
fd fd fd fd fd fd fd fd fd fd fd fd fd
d. Use an assertive communication style for every patient–nurse interaction.
fd fd fd fd fd fd fd fd
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there is
fd fd fd fd fd fd fd fd fd fd fd fd fd fd f
dsatisfaction in being technologically competent, that satisfaction is not as lasting as the satisf
fd fd fd fd fd fd fd fd fd fd fd fd f d
action derived from meaningful moments of connection with clients, family, and colleagu
f d f d f d f d fd f d f d f d f d f d f d
es. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
fd fd fd fd fd fd fd fd fd fd fd
and Effective Care Environment: Management of Care
fd fd fd fd fd fd
3. Which nonverbal action(s) would be consistent with an assertive style of co
fd f d fd fd fd f d fd fd fd fd f d
mmunication? (Select all that apply) fd fd fd fd
a. Relaxed posture fd
b. Established eye contact fd fd
c. Hands placed on hips fd fd fd
d. Distant, soft voice fd fd
e. Mask-like facial expression fd fd
ANS:A, B fd
Assertive styles of communication that are nonverbal include a relaxed stance and eyes that
fd fd fd fd fd fd fd fd fd fd fd fd fd
f are warm, in contact, and frank. Aggressive styles of communication that are non
d f d f d f d f d f d f d f d f d fd f d f d f d
verbal include expressionless, cold, narrowed, or staring eyes and hands placed on hips
f d f d f d f d f d f d f d f d f d f d f d f d
. A weak, distant, soft voice is a nonassertive style of nonverbal communication. DIF: Co
f d f d f d fd f d f d f d f d f d f d f d f d f d fd
mprehension REF: pp. 11- f d fd fd
12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
fd fd fd fd fd fd fd f d fd
4. Which statement describes the affective aspect of learning effective c
f d f d f d f d f d f d f d f d f d
ommunication strategies? fd
a. “The nurse should use clear, direct statements using objective words.”
fd fd fd fd fd fd fd fd fd
b. “The nurse uses body language that is congruent with the verbal message.”
fd fd fd fd fd fd fd fd fd fd fd
c. “The nurse believes that positive communication strategies build confidence.”
fd fd fd fd fd fd fd fd
d. “The nurse practices assertive and responsible communication strategies.”
fd fd fd fd fd fd fd
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affective
fd fd fd fd fd fd fd fd fd fd f d
aspects (feelings, values, and attitudes), and psychomotor aspects (physical capability).Learni
fd fd fd fd fd fd fdfd fdfd f d
ng basic communication skills involves the cognitive domain; building confidence through
f d f d f d fd fd f d f d f d f d fd f
a belief in the value and impact of positive communication is the affective domain; and putti
d fd fd fd fd fd fd fd fd fd fd fd fd f d fd fd
ng skills into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrate
fd fd fd fd fd fd fd fd fd fd f d fd fd
d Process: Communication and Documentation MSC: Psychosocial Integrity
fd fd fd fdf d fd fd fd
5. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff n
fd fd fd fd fd fd fd fd fd fd fd fd fd fd fd f d fd
urse is assertive and based on rational beliefs?
fd fd fd fd fd fd fd
a. “I don’t want you upset, so I will work extra.”
fd fd fd fd fd fd fd fd fd
