z
Communication in Nursing 10th Edition
z z z z
Julia Balzer Riley
z z
, Table of Contents
z z
Chapterz1:zResponsible,zAssertive,zCaringzCommunicationzinzNursingzCha
pterz2:zThezClient-
NursezRelationship:zAzHelpingzRelationshipzChapterz3:zSolvingzProblemsz
Together
Chapterz4:zUnderstandingzEachzOther:zCommunicationzandzCulture
Chapterz5:zDemonstratingzWarmth
z
Chapterz6:zShowingzRespectzCha
pterz7:zBeingzGenuinezChapterz8:
BeingzEmpatheticzChapterz9:zUsi
z
ngzSelf-
DisclosurezChapterz10:zBeingzspe
cificzChapterz11:zAskingzQuestio
nszChapterz12:zExpressingzOpinio
nszChapterz13:zUsingzHumor
Chapterz14:zEmbracingzthezSpiritualzJourneyzofzHealthzCaring,zMeaningzMakingzChapte
rz15:zRequestingzSupport
Chapterz16:zOvercomingzEvaluationzAnxietyzC
hapterz17:zWorkingzwithzFeedbackzChapter
18:zUsingzRelaxationztechnique
z
Chapterz19:zIncorporatingzImageryzinzProfessionalzPracticezandzSelf-
CarezChapterz20zIncorporatingzPositivezSelf-Talk
Chapterz21:z LearningztozWorkzTogetherzinzGroups
Chapterz22:zThezChangingzWorldzofzElectroniczCommunication
Chapterz23:zLearningzConfrontationzskills
z
Chapterz24:zRefusingzUnreasonablezRequests
Chapterz25:zCommunicatingzAssertivelyzandzResponsiblyzwithzDistressedzClientszandzColleaguesz
Chapterz26:zCommunicatingzAssertivelyzandzResponsiblyzwithzAggressivezClientszandzColleaguesz
Chapterz27:zCommunicatingzAssertivelyzandzResponsiblyzwithzUnpopularzClients
Chapterz29:zCommunicatingzatzthezEnd-of-
LifezChapterz30:zContinuingzthezCommitment
,BalzerzRiley:zCommunicationzinzNursing,z10thzEdition
Chapterz1:zResponsible,zAssertive,zCaringzCommunicationzinzNursing
TestzBankzMultipl
ezChoice
1. Whichz statementz describesz thez affectivez aspectz ofz learningz effectivez
communicationzstrategies?
a. “Theznursezshouldzusezclear,zdirectzstatementszusingzobjectivezwords.”
b. “Theznursezuseszbodyzlanguagezthatziszcongruentzwithzthezverbalzmessage.”
c. “Theznursezbelieveszthatzpositivezcommunicationzstrategieszbuildzconfidence.”
d. “Theznursezpracticeszassertivezandzresponsiblezcommunicationzstrategies.”
ANS:C
Learningzinvolveszthreezdomains:zthezcognitivezaspectsz(understandingzandzmeaning),zaffe
ctivezaspectsz(feelings,zvalues,zandzattitudes),zandzpsychomotorzaspectsz(physicalzcapabilit
y).Learningzbasiczcommunicationzskillszinvolveszthezcognitivezdomain;zbuildingzconfidenc
ezthroughzazbeliefzinzthezvaluezandzimpactzofzpositivezcommunicationziszthezaffectivezdomai
n;zandzputtingzskillszintozactionziszthezpsychomotorzdomain.DIF:zComprehensionzREF:zp.z1
3zTOP:zIntegratedzProcess:zCommunicationzandz DocumentationzMSC:zPsychosocialzInte
grity
2. Theznursezmanagerzaskszthezstaffznurseztozworkzanzextrazshift.zWhichzresponsezbyzt
hezstaffznurseziszassertivezandzbasedzonzrationalzbeliefs?
a. “Izdon’tzwantzyouzupset,zsozIzwillzworkzextra.”
b. “WhyzdozIzalwayszhaveztozcoverzextrazshifts?”
c. “Izamznotzableztozworkzanzextrazshift.”
d. “Ifzyouzcan’tzfindzanyonezelse,zIzwillzdozit.”
ANS:C
Thezstaffznursezmayzturnzdownzevenzazreasonablezrequest;zanzassertivezresponsezavoidszirra
tionalzbeliefs.zIrrationalzbeliefszoccurzaszazresultzofzbeingzanxiouszaboutzassertivenesszorzfo
cusingzonzpossibleznegativezoutcomes.DIF:zAnalysiszREF:zp.z8zTOP:zIntegratedzProcess:zC
ommunicationzandzDocumentationzMSC:zSafezandzEffectivezCarezEnvironment:zManage
mentzofzCare
, 3. Aznursezmanagerzofferszazstaffznursezazchoicezbetweenzworkingz8-zorz12-
hourzshifts.zWhichzstatement,zifzmadezbyzthezstaffznurse,zisznonassertivezandzmayzresultz
inzazfrustratedzresponsezfromztheznursezmanager?
a. “Izwantztozdecidezthezshiftszforzallzofzthezotherzstaffznurses.”
b. “Dozwhateverzyouzwant.zItzdoesn’tzreallyzmatterztozme.”
c. “Thankzyouzforzofferingzmezazchoice.zIzpreferz12-hourzshifts.”
d. “YouzwillzneverzbezableztozgivezmezwhatzIzreallyzwantztozwork.”
ANS:B
Azstatementzthatzallowszothersztozmakezdecisionszforzazpersonziszanzexamplezofzaznonasserti
vezstylezofzcommunication;zthezresponsezofzothersztozaznonassertivezstatementzmayzincludez
disrespect,zguilt,zanger,zorzfrustration.zStatementszthatzmakezchoiceszforzotherszorzthatzareza
ccusationszarezexampleszofzaggressivezstyleszofzcommunication;zthezresponsezofzothersztoza
nzaggressivezstatementzmayzincludezhurt,zdefensiveness,zorzhumiliation.zAzstatementzthatzal
lowszmakingzone’szownzdecisionsziszanzexamplezofzassertivezstylezofzcommunication;zthezr
esponsezofzothersztozanzassertivezstatementzmayzincludezmutualzrespect.DIF:zAnalysiszREF
:zp.z7zTOP:zIntegratedzProcess:zCommunicationzandzDocumentationzMSC:zSafezandzEffecti
vezCarezEnvironment:zManagementzofzCare
4. Theznurseziszprovidingzcareztozazpatientzwhozwaszadmittedzwithzheartzfailure.zThezp
atientzhasznotzbeenzfollowingzthezprescribedzdietzorztakingzthezprescribedzmedications.z
Whichztypezofzcommunicationzapproachziszmostzimportantzforztheznurseztozusezwithzthi
szpatientztozfacilitatezazchangezinzself-carezbehavior?
a. Authoritative,zhonest,zandzoutrightzcommunication
b. Assertive,zresponsible,zandzcaringzcommunication
c. Aggressive,zsympathetic,zandzrealisticzcommunication
d. Positive,zexpert,zandzfocusedzcommunication
ANS:B
Communicationzmustzbeztechnicallyzresponsible,zassertive,zandzcaringztozfacilitatezazchang
ezinzbehavior.DIF:zKnowledge/ComprehensionzREF:zp.z13zTOP:zIntegratedz Process:zCom
municationzandzDocumentationzMSC:zPsychosocialzIntegrity
5. Whichz arez examplesz ofz az nursez whoz isz communicatingz responsibly?z (Selectz allzt
hatzapply)
a. Theznursezusesz profanityz toz respondz toz azclientz whozisz intoxicatedz andz verballyza
busive.
b. Theznursezhelpszazclientztalkztozfamilyzmemberszaboutzdiscontinuingz
chemotherapy.