TEST BANK
l !
CommunicationinNursing10th Edition
l! l! l! ll!
JuliaBalzerRiley
l! l!
, TableofContents l! l!
Chapter1: Responsible, Assertive, Caring Communication in
l! l! l! l! l! l!
NursingChapter 2: The Client-Nurse Relationship: A Helping
l! l! l! l! l! l! l! l!
l! Relationship Chapter 3: Solving Problems Together l! l! l! l! l!
Chapter4: Understanding Each Other: Communicationand CultureChapter
l! l! l! l! l! l! l! l!
l! 5: Demonstrating Warmth
l! l!
Chapter 6: Showing Respect l! l! l!
l! Chapter 7: Being Genuine l! l! l!
l! Chapter 8: Being Empathetic l! l! l!
l! Chapter9: UsingSelf- l! l! l!
DisclosureChapter 10: Being l! l! l!
l! specific Chapter 11: Asking l! l! l!
l! Questions Chapter12: l! l!
ExpressingOpinionsChapter 13:
l! l! l! l!
l! Using Humor l!
Chapter14:Embracing the Spiritual Journey of Health Caring, Meaning MakingChapter
l! l! l! l! l! l! l! l! l! l! l!
l! 15: Requesting Support
l! l!
Chapter 16: Overcoming Evaluation
l! l! l!
AnxietyChapter 17: Working with
l! l! l! l! l!
l! Feedback Chapter 18: UsingRelaxation l! l! l! l!
l! technique
Chapter19: Incorporating Imagery in Professional Practice and Self-
l! l! l! l! l! l! l! l!
CareChapter 20 Incorporating Positive Self-Talk
l! l! l! l! l!
Chapter21: Learning to Work Together in Groups
l! l ! l! l! l! l! l!
Chapter22: TheChangingWorld of Electronic
l! l! l! l! l! l!
CommunicationChapter23: LearningConfrontationskills
l! l! l! l! l! l!
Chapter 24: Refusing Unreasonable Requests
l! l! l! l!
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and
l! l! l! l! l! l! l! l! l!
l! Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
l! l! l! l! l! l! l! l! l! l!
ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular Clients
l! l! l! l! l! l! l! l! l! l!
Chapter 29: Communicating at the End-of- l! l! l! l! l!
LifeChapter 30: Continuing the Commitment
l! l! l! l! l!
,BalzerRiley: Communication in Nursing, 10th Edition
l! l! l! l! l!
l!
Chapter1: Responsible,Assertive, Caring Communication in Nursing
l! l! l! l! l! l! l!
Test Bank l!
l! Multiple Choice l!
1. Which statement describes the affective aspect of learning l ! l ! l ! l ! l ! l ! l !
l ! effectivecommunication strategies? l! l!
a. ―The nurse should use clear, direct statements using objective words.‖
l! l! l! l! l! l! l! l! l!
b. ―The nurse uses body language that is congruent with the verbal message.‖
l! l! l! l! l! l! l! l! l! l! l!
c. ―Thenurse believes that positive communication strategies build confidence.‖
l! l! l! l! l! l! l! l!
d. ―Thenurse practices assertive and responsible communication strategies.‖
l! l! l! l! l! l! l!
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
l! l! l! l! l! l! l! l! l!
affective aspects (feelings, values, and attitudes), and psychomotor aspects
l! l ! l ! l ! l ! l ! l ! l ! l !
(physicalcapability).Learning basic communication skills involves the cognitive domain;
l ! l! l! l! l! l! l! l! l!
building confidence through a belief in the value and impact of positive communication is
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
the affective domain; and putting skills into action is the psychomotor domain.DIF:
l! l! l! l! l! l! l! l! l! l! l! l!
Comprehension REF: p. 13 TOP: Integrated Process:
l! Communication and l! l! l! l! l! l! l ! l !
Documentation MSC: Psychosocial Integrity
l! l! l! l!
2. The nurse manager asks the staff nurse to work an extra shift. Which response
l! l! l! l! l! l! l! l! l! l! l! l! l!
bythe staff nurse is assertive and based on rational beliefs?
l! l! l! l! l! l! l! l! l! l! l!
a. ―I don’t want you upset, so I will work extra.‖
l! l! l! l! l! l! l! l! l!
b. ―Why do I always have to cover extra shifts?‖
l! l! l! l! l! l! l! l!
c. ―I am not able to work an extra shift.‖
l! l! l! l! l! l! l! l!
d. ―If you can’t find anyone else, I will do it.‖
l! l! l! l! l! l! l! l! l!
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
l! l! l! l! l! l! l! l! l! l! l! l! l!
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
l! l! l! l! l! l! l! l! l! l! l! l! l!
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
l! l! l! l! l! l! l! l! l! l! l! l!
Process: Communication and Documentation MSC: Safe and Effective Care
l! l! l! l! l! l! l! l! l!
Environment: Management of Care
l! l! l! l!
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts.
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
Which statement, if made by the staff nurse, is nonassertive and may result in
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
afrustrated response from the nurse manager?
l! l! l! l! l! l! l!
a. ―Iwant to decide the shifts for all of the other staff nurses.‖
l! l! l! l! l! l! l! l! l! l! l! l!
b. ―Do whatever you want. It doesn’t really matter to me.‖
l! l! l! l! l! l! l! l! l!
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
l! l! l! l! l! l! l! l! l! l!
d. ―You will never be able to give me what I really want to work.‖
l! l! l! l! l! l! l! l! l! l! l! l! l!
ANS:B
A statement that allows others to make decisions for a person is an example of
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
a nonassertive style of communication; the response of others to a nonassertive statement
l! l! l! l! l! l! l! l! l! l! l! l! l!
may include disrespect, guilt, anger, or frustration. Statements that make choices for
l! l! l! l! l! l! l! l! l! l! l! l!
others or that are accusations are examples of aggressive styles of communication; the
l! l! l! l! l! l! l! l! l! l! l! l! l!
response of others to an aggressive statement may include hurt, defensiveness, or
l! l! l! l! l! l! l! l! l! l! l! l!
humiliation. A statement that allows making one’s own decisions is an example
l! l! l! l! l! l! l! l! l! l! l! l!
of assertive style of communication; the response of others to an assertive statement may
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process:
l! l! l! l! l! l! l! l! l! l!
Communication and Documentation MSC: Safe and Effective Care Environment:
l! l! l! l! l! l! l! l! l!
Management of Care
l! l! l!
4. The nurse is providing care to a patient who was admitted with heart failure. The
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
l! patient has not been following the prescribed diet or taking the prescribed
l! l! l! l! l! l! l! l! l! l! l!
l! medications. Which type of communication approach is most important for the nurse l! l! l! l! l! l! l! l! l! l! l!
l! to use with this patient to facilitate a change in self-care behavior?
l! l! l! l! l! l! l! l! l! l! l!
a. Authoritative, honest, and outright communication l! l! l! l!
b. Assertive, responsible, and caring communication l! l! l! l!
c. Aggressive, sympathetic, and realistic communication l! l! l! l!
d. Positive, expert, and focused communication l! l! l! l!
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate l! l! l! l! l! l! l! l! l!
a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
l! l! l! l! l! l! l! l! l! l !
Process: Communication and Documentation MSC: Psychosocial Integrity
l! l! l! l! l! l! l!
5. Which are examples of a nurse who is communicating responsibly? l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! (Select allthat apply) l ! l! l!
a. The nurse uses profanity to respond to a client who is intoxicated and
l! l! l ! l ! l ! l ! l ! l! l ! l ! l ! l !
verballyabusive. l ! l!
b. The nurse helps a client talk to family members about
l! l! l! l! l! l! l! l! l!
discontinuingchemotherapy.
l! l!
l !
CommunicationinNursing10th Edition
l! l! l! ll!
JuliaBalzerRiley
l! l!
, TableofContents l! l!
Chapter1: Responsible, Assertive, Caring Communication in
l! l! l! l! l! l!
NursingChapter 2: The Client-Nurse Relationship: A Helping
l! l! l! l! l! l! l! l!
l! Relationship Chapter 3: Solving Problems Together l! l! l! l! l!
Chapter4: Understanding Each Other: Communicationand CultureChapter
l! l! l! l! l! l! l! l!
l! 5: Demonstrating Warmth
l! l!
Chapter 6: Showing Respect l! l! l!
l! Chapter 7: Being Genuine l! l! l!
l! Chapter 8: Being Empathetic l! l! l!
l! Chapter9: UsingSelf- l! l! l!
DisclosureChapter 10: Being l! l! l!
l! specific Chapter 11: Asking l! l! l!
l! Questions Chapter12: l! l!
ExpressingOpinionsChapter 13:
l! l! l! l!
l! Using Humor l!
Chapter14:Embracing the Spiritual Journey of Health Caring, Meaning MakingChapter
l! l! l! l! l! l! l! l! l! l! l!
l! 15: Requesting Support
l! l!
Chapter 16: Overcoming Evaluation
l! l! l!
AnxietyChapter 17: Working with
l! l! l! l! l!
l! Feedback Chapter 18: UsingRelaxation l! l! l! l!
l! technique
Chapter19: Incorporating Imagery in Professional Practice and Self-
l! l! l! l! l! l! l! l!
CareChapter 20 Incorporating Positive Self-Talk
l! l! l! l! l!
Chapter21: Learning to Work Together in Groups
l! l ! l! l! l! l! l!
Chapter22: TheChangingWorld of Electronic
l! l! l! l! l! l!
CommunicationChapter23: LearningConfrontationskills
l! l! l! l! l! l!
Chapter 24: Refusing Unreasonable Requests
l! l! l! l!
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and
l! l! l! l! l! l! l! l! l!
l! Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
l! l! l! l! l! l! l! l! l! l!
ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular Clients
l! l! l! l! l! l! l! l! l! l!
Chapter 29: Communicating at the End-of- l! l! l! l! l!
LifeChapter 30: Continuing the Commitment
l! l! l! l! l!
,BalzerRiley: Communication in Nursing, 10th Edition
l! l! l! l! l!
l!
Chapter1: Responsible,Assertive, Caring Communication in Nursing
l! l! l! l! l! l! l!
Test Bank l!
l! Multiple Choice l!
1. Which statement describes the affective aspect of learning l ! l ! l ! l ! l ! l ! l !
l ! effectivecommunication strategies? l! l!
a. ―The nurse should use clear, direct statements using objective words.‖
l! l! l! l! l! l! l! l! l!
b. ―The nurse uses body language that is congruent with the verbal message.‖
l! l! l! l! l! l! l! l! l! l! l!
c. ―Thenurse believes that positive communication strategies build confidence.‖
l! l! l! l! l! l! l! l!
d. ―Thenurse practices assertive and responsible communication strategies.‖
l! l! l! l! l! l! l!
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
l! l! l! l! l! l! l! l! l!
affective aspects (feelings, values, and attitudes), and psychomotor aspects
l! l ! l ! l ! l ! l ! l ! l ! l !
(physicalcapability).Learning basic communication skills involves the cognitive domain;
l ! l! l! l! l! l! l! l! l!
building confidence through a belief in the value and impact of positive communication is
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
the affective domain; and putting skills into action is the psychomotor domain.DIF:
l! l! l! l! l! l! l! l! l! l! l! l!
Comprehension REF: p. 13 TOP: Integrated Process:
l! Communication and l! l! l! l! l! l! l ! l !
Documentation MSC: Psychosocial Integrity
l! l! l! l!
2. The nurse manager asks the staff nurse to work an extra shift. Which response
l! l! l! l! l! l! l! l! l! l! l! l! l!
bythe staff nurse is assertive and based on rational beliefs?
l! l! l! l! l! l! l! l! l! l! l!
a. ―I don’t want you upset, so I will work extra.‖
l! l! l! l! l! l! l! l! l!
b. ―Why do I always have to cover extra shifts?‖
l! l! l! l! l! l! l! l!
c. ―I am not able to work an extra shift.‖
l! l! l! l! l! l! l! l!
d. ―If you can’t find anyone else, I will do it.‖
l! l! l! l! l! l! l! l! l!
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
l! l! l! l! l! l! l! l! l! l! l! l! l!
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
l! l! l! l! l! l! l! l! l! l! l! l! l!
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
l! l! l! l! l! l! l! l! l! l! l! l!
Process: Communication and Documentation MSC: Safe and Effective Care
l! l! l! l! l! l! l! l! l!
Environment: Management of Care
l! l! l! l!
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts.
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
Which statement, if made by the staff nurse, is nonassertive and may result in
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
afrustrated response from the nurse manager?
l! l! l! l! l! l! l!
a. ―Iwant to decide the shifts for all of the other staff nurses.‖
l! l! l! l! l! l! l! l! l! l! l! l!
b. ―Do whatever you want. It doesn’t really matter to me.‖
l! l! l! l! l! l! l! l! l!
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
l! l! l! l! l! l! l! l! l! l!
d. ―You will never be able to give me what I really want to work.‖
l! l! l! l! l! l! l! l! l! l! l! l! l!
ANS:B
A statement that allows others to make decisions for a person is an example of
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
a nonassertive style of communication; the response of others to a nonassertive statement
l! l! l! l! l! l! l! l! l! l! l! l! l!
may include disrespect, guilt, anger, or frustration. Statements that make choices for
l! l! l! l! l! l! l! l! l! l! l! l!
others or that are accusations are examples of aggressive styles of communication; the
l! l! l! l! l! l! l! l! l! l! l! l! l!
response of others to an aggressive statement may include hurt, defensiveness, or
l! l! l! l! l! l! l! l! l! l! l! l!
humiliation. A statement that allows making one’s own decisions is an example
l! l! l! l! l! l! l! l! l! l! l! l!
of assertive style of communication; the response of others to an assertive statement may
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process:
l! l! l! l! l! l! l! l! l! l!
Communication and Documentation MSC: Safe and Effective Care Environment:
l! l! l! l! l! l! l! l! l!
Management of Care
l! l! l!
4. The nurse is providing care to a patient who was admitted with heart failure. The
l! l! l! l! l! l! l! l! l! l! l! l! l! l!
l! patient has not been following the prescribed diet or taking the prescribed
l! l! l! l! l! l! l! l! l! l! l!
l! medications. Which type of communication approach is most important for the nurse l! l! l! l! l! l! l! l! l! l! l!
l! to use with this patient to facilitate a change in self-care behavior?
l! l! l! l! l! l! l! l! l! l! l!
a. Authoritative, honest, and outright communication l! l! l! l!
b. Assertive, responsible, and caring communication l! l! l! l!
c. Aggressive, sympathetic, and realistic communication l! l! l! l!
d. Positive, expert, and focused communication l! l! l! l!
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate l! l! l! l! l! l! l! l! l!
a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
l! l! l! l! l! l! l! l! l! l !
Process: Communication and Documentation MSC: Psychosocial Integrity
l! l! l! l! l! l! l!
5. Which are examples of a nurse who is communicating responsibly? l ! l ! l ! l ! l ! l ! l ! l ! l !
l ! (Select allthat apply) l ! l! l!
a. The nurse uses profanity to respond to a client who is intoxicated and
l! l! l ! l ! l ! l ! l ! l! l ! l ! l ! l !
verballyabusive. l ! l!
b. The nurse helps a client talk to family members about
l! l! l! l! l! l! l! l! l!
discontinuingchemotherapy.
l! l!
