Test Bank for Communication in Nursing, 8th Edition, Julia Balzer Riley, ISBN: 9780323354103
1. Which statement describes the affective aspect of learning effective communication 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).Learning 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 putting skills into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity 2. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff 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: Management of Care
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