TEST BANK
h/
Communication in Nursing 10th Edition
h/ h/ h/ h/
Julia Balzer Riley
h/ h/
, Table of Contents h/ h/
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chap
h/ h/ h/ h/ h/ h/ h/ h/
ter 2: The Client-
h/ h/ h/
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
h/ h/ h/ h/ h/ h/ h/ h/
h/ Together
Chapter 4: Understanding Each Other: Communication and Culture
h/ h/ h/ h/ h/ h/ h/ h/
Chapter 5: Demonstrating Warmth h/ h/ h/
Chapter 6: Showing Respect Ch h/ h/ h/ h/
apter 7: Being Genuine Chapterh/ h/ h/ h/ h/
8: Being Empathetic Chapter 9:
h/ h/ h/ h/ h/
Using Self- h/
Disclosure Chapter 10: Being sp h/ h/ h/ h/
ecific Chapter 11: Asking Questi
h/ h/ h/ h/
ons Chapter 12: Expressing Opini
h/ h/ h/ h/
ons Chapter 13: Using Humor
h/ h/ h/ h/
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapte
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
r 15: Requesting Support
h/ h/ h/
Chapter 16: Overcoming Evaluation Anxiety C h/ h/ h/ h/ h/
hapter 17: Working with Feedback Chapte h/ h/ h/ h/ h/
r 18: Using Relaxation technique
h/ h/ h/ h/
Chapter 19: Incorporating Imagery in Professional Practice and Self-
h/ h/ h/ h/ h/ h/ h/ h/
Care Chapter 20 Incorporating Positive Self-Talk
h/ h/ h/ h/ h/
Chapter 21: Learning to Work Together in Groups
h/ h/ h/ h/ h/ h/ h/
Chapter 22: The Changing World of Electronic Communication
h/ h/ h/ h/ h/ h/ h/ h/
Chapter 23: Learning Confrontation skills h/ h/ h/ h/
Chapter 24: Refusing Unreasonable Requests h/ h/ h/ h/
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 29: Communicating at the End-of- h/ h/ h/ h/ h/
Life Chapter 30: Continuing the Commitment
h/ h/ h/ h/ h/
,Balzer Riley: Communication in Nursing, 10th Edition
h/ h/ h/ h/ h/
h/
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
h/ h/ h/ h/ h/ h/ h/
Test Bank Multipl h/ h/
e Choice
h/
1. Which statement describes the affective aspect of learning effect
h / h / h / h / h / h / h / h /
ive communication strategies?
h/ h/
a. “The nurse should use clear, direct statements using objective words.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
b. “The nurse uses body language that is congruent with the verbal message.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
c. “The nurse believes that positive communication strategies build confidence.”
h/ h/ h/ h/ h/ h/ h/ h/
d. “The nurse practices assertive and responsible communication strategies.”
h/ h/ h/ h/ h/ h/ h/
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabil
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ity).Learning basic communication skills involves the cognitive domain; building confide
h/ h/ h/ h/ h/ h/ h/ h/ h/
nce through a belief in the value and impact of positive communication is the affective do
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
main; and putting skills into action is the psychomotor domain.DIF: Comprehension REF
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosoci
h/ h/ h/ h/ h/ h/ h/ h / h/ h/
al Integrity
h/
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h
/ the staff nurse is assertive and based on rational beliefs?
h/ h/ h/ h/ h/ h/ h/ h/ h/
a. “I don’t want you upset, so I will work extra.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
b. “Why do I always have to cover extra shifts?”
h/ h/ h/ h/ h/ h/ h/ h/
c. “I am not able to work an extra shift.”
h/ h/ h/ h/ h/ h/ h/ h/
d. “If you can’t find anyone else, I will do it.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irr
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Proces
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
s: Communication and Documentation MSC: Safe and Effective Care Environment: Man
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
agement of Care h/ h/
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may resul
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
t in a frustrated response from the nurse manager?
h/ h/ h/ h/ h/ h/ h/ h/
a. “I want to decide the shifts for all of the other staff nurses.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
b. “Do whatever you want. It doesn’t really matter to me.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
d. “You will never be able to give me what I really want to work.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ANS:B
A statement that allows others to make decisions for a person is an example of a nonasser
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
tive style of communication; the response of others to a nonassertive statement may inclu
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
de disrespect, guilt, anger, or frustration. Statements that make choices for others or that
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
are accusations are examples of aggressive styles of communication; the response of othe
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
rs to an aggressive statement may include hurt, defensiveness, or humiliation. A statemen
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
t that allows making one’s own decisions is an example of assertive style of communicati
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
on; the response of others to an assertive statement may include mutual respect.DIF: Anal
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe a
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
nd Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/
4. The nurse is providing care to a patient who was admitted with heart failure. The
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
patient has not been following the prescribed diet or taking the prescribed medication
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
s. Which type of communication approach is most important for the nurse to use with
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h
this patient to facilitate a change in self-care behavior?
/ h/ h/ h/ h/ h/ h/ h/ h/
a. Authoritative, honest, and outright communication h/ h/ h/ h/
b. Assertive, responsible, and caring communication h/ h/ h/ h/
c. Aggressive, sympathetic, and realistic communication h/ h/ h/ h/
d. Positive, expert, and focused communication h/ h/ h/ h/
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
h/ h/ h/ h/ h/ h/ h/ h/ h / h/
ommunication and Documentation MSC: Psychosocial Integrity h/ h/ h/ h/ h/
5. Which are examples of a nurse who is communicating responsibly? (Select
h/ h/ h / h / h/ h/ h/ h/ h / h/
h / all that apply)
h/ h/
a. The nurse uses profanity to respond to a client who is intoxicated and verball
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
y abusive. h/
b. The nurse helps a client talk to family members about discontinuing
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
chemotherapy.
h/
Communication in Nursing 10th Edition
h/ h/ h/ h/
Julia Balzer Riley
h/ h/
, Table of Contents h/ h/
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chap
h/ h/ h/ h/ h/ h/ h/ h/
ter 2: The Client-
h/ h/ h/
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
h/ h/ h/ h/ h/ h/ h/ h/
h/ Together
Chapter 4: Understanding Each Other: Communication and Culture
h/ h/ h/ h/ h/ h/ h/ h/
Chapter 5: Demonstrating Warmth h/ h/ h/
Chapter 6: Showing Respect Ch h/ h/ h/ h/
apter 7: Being Genuine Chapterh/ h/ h/ h/ h/
8: Being Empathetic Chapter 9:
h/ h/ h/ h/ h/
Using Self- h/
Disclosure Chapter 10: Being sp h/ h/ h/ h/
ecific Chapter 11: Asking Questi
h/ h/ h/ h/
ons Chapter 12: Expressing Opini
h/ h/ h/ h/
ons Chapter 13: Using Humor
h/ h/ h/ h/
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapte
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
r 15: Requesting Support
h/ h/ h/
Chapter 16: Overcoming Evaluation Anxiety C h/ h/ h/ h/ h/
hapter 17: Working with Feedback Chapte h/ h/ h/ h/ h/
r 18: Using Relaxation technique
h/ h/ h/ h/
Chapter 19: Incorporating Imagery in Professional Practice and Self-
h/ h/ h/ h/ h/ h/ h/ h/
Care Chapter 20 Incorporating Positive Self-Talk
h/ h/ h/ h/ h/
Chapter 21: Learning to Work Together in Groups
h/ h/ h/ h/ h/ h/ h/
Chapter 22: The Changing World of Electronic Communication
h/ h/ h/ h/ h/ h/ h/ h/
Chapter 23: Learning Confrontation skills h/ h/ h/ h/
Chapter 24: Refusing Unreasonable Requests h/ h/ h/ h/
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
h/ h/ h/ h/ h/ h/ h/ h/ h/
Chapter 29: Communicating at the End-of- h/ h/ h/ h/ h/
Life Chapter 30: Continuing the Commitment
h/ h/ h/ h/ h/
,Balzer Riley: Communication in Nursing, 10th Edition
h/ h/ h/ h/ h/
h/
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
h/ h/ h/ h/ h/ h/ h/
Test Bank Multipl h/ h/
e Choice
h/
1. Which statement describes the affective aspect of learning effect
h / h / h / h / h / h / h / h /
ive communication strategies?
h/ h/
a. “The nurse should use clear, direct statements using objective words.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
b. “The nurse uses body language that is congruent with the verbal message.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
c. “The nurse believes that positive communication strategies build confidence.”
h/ h/ h/ h/ h/ h/ h/ h/
d. “The nurse practices assertive and responsible communication strategies.”
h/ h/ h/ h/ h/ h/ h/
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabil
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ity).Learning basic communication skills involves the cognitive domain; building confide
h/ h/ h/ h/ h/ h/ h/ h/ h/
nce through a belief in the value and impact of positive communication is the affective do
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
main; and putting skills into action is the psychomotor domain.DIF: Comprehension REF
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosoci
h/ h/ h/ h/ h/ h/ h/ h / h/ h/
al Integrity
h/
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h
/ the staff nurse is assertive and based on rational beliefs?
h/ h/ h/ h/ h/ h/ h/ h/ h/
a. “I don’t want you upset, so I will work extra.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
b. “Why do I always have to cover extra shifts?”
h/ h/ h/ h/ h/ h/ h/ h/
c. “I am not able to work an extra shift.”
h/ h/ h/ h/ h/ h/ h/ h/
d. “If you can’t find anyone else, I will do it.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irr
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Proces
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
s: Communication and Documentation MSC: Safe and Effective Care Environment: Man
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
agement of Care h/ h/
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may resul
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
t in a frustrated response from the nurse manager?
h/ h/ h/ h/ h/ h/ h/ h/
a. “I want to decide the shifts for all of the other staff nurses.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
b. “Do whatever you want. It doesn’t really matter to me.”
h/ h/ h/ h/ h/ h/ h/ h/ h/
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
d. “You will never be able to give me what I really want to work.”
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ANS:B
A statement that allows others to make decisions for a person is an example of a nonasser
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
tive style of communication; the response of others to a nonassertive statement may inclu
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
de disrespect, guilt, anger, or frustration. Statements that make choices for others or that
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
are accusations are examples of aggressive styles of communication; the response of othe
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
rs to an aggressive statement may include hurt, defensiveness, or humiliation. A statemen
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
t that allows making one’s own decisions is an example of assertive style of communicati
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
on; the response of others to an assertive statement may include mutual respect.DIF: Anal
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe a
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
nd Effective Care Environment: Management of Care
h/ h/ h/ h/ h/ h/
4. The nurse is providing care to a patient who was admitted with heart failure. The
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
patient has not been following the prescribed diet or taking the prescribed medication
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
s. Which type of communication approach is most important for the nurse to use with
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h
this patient to facilitate a change in self-care behavior?
/ h/ h/ h/ h/ h/ h/ h/ h/
a. Authoritative, honest, and outright communication h/ h/ h/ h/
b. Assertive, responsible, and caring communication h/ h/ h/ h/
c. Aggressive, sympathetic, and realistic communication h/ h/ h/ h/
d. Positive, expert, and focused communication h/ h/ h/ h/
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
h/ h/ h/ h/ h/ h/ h/ h/ h / h/
ommunication and Documentation MSC: Psychosocial Integrity h/ h/ h/ h/ h/
5. Which are examples of a nurse who is communicating responsibly? (Select
h/ h/ h / h / h/ h/ h/ h/ h / h/
h / all that apply)
h/ h/
a. The nurse uses profanity to respond to a client who is intoxicated and verball
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
y abusive. h/
b. The nurse helps a client talk to family members about discontinuing
h/ h/ h/ h/ h/ h/ h/ h/ h/ h/ h/
chemotherapy.
