TESTBNK FOR COMMUNICATION IN NURSING 10TH
EDITION BY JULIA BALZER/ALL CHAPTERS 1-30
, Table of Contents
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Chapter 2: The Client-Registered nurse Relationship: A Helping
Relationship Chapter 3: Solving Problems Together
Chapter 4: Understanding Each Other: Communication and Culture
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect
Chapter 7: Being Genuine
Chapter 8: Being Empathetic
Chapter 9: Using Self-Disclosure
Chapter 10: Being specific
Chapter 11: Asking Questions
Chapter 12: Expressing Opinions
Chapter 13: Using Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
Chapter 15: Requesting Support
Chapter 16: Overcoming Evaluation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using Relaxation technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
Chapter 20 Incorporating Positive Self-Talk
Chapter 21: Learning to Work Together in Groups
Chapter 22: The Changing World of Electronic Communication
Chapter 23: Learning Confrontation skills
Chapter 24: Refusing Unreasonable Requests
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
Chapter 29: Communicating at the End-of-Life
Chapter 30: Continuing the Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. Which statement describes the affective aspect of learning effective
communication strategies?
a. “The registered nurse should use clear, direct statements using objective words.”
b. “The registered nurse uses body language that is congruent with the verbal message.”
c. “The registered nurse believes that positive communication strategies build
confidence.”
d. “The registered nurse practices assertive and responsible communication strategies.”
CORRECT CHOICE:-C
Rationale:->>>>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 TOPIC: Integrated Process: Communication
and Documentation MSC: Psychosocial Integrity
2. The registered nurse manager asks the staff registered nurse to work an extra
shift. Which response bythe staff registered 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.”
CORRECT CHOICE:-C
Rationale:->>>>The staff registered 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 TOPIC: Integrated Process: Communication and Documentation MSC: Safe
and Effective Care Environment: Management of Care
, 3. A registered nurse manager offers a staff registered nurse a choice between
working 8- or 12-hour shifts. Which statement, if made by the staff registered nurse,
is nonassertive and may result in a frustrated response from the registered nurse
manager?
a. “I want to decide the shifts for all of the other staff registered nurses.”
b. “Do whatever you want. It doesn’t really matter to me.”
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
d. “You will never be able to give me what I really want to work.”
CORRECT CHOICE:-B
Rationale:->>>>A statement that allows others to make decisions for a person is an
example of a nonassertive style of communication; the response of others to a
nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that
make choices for others or that are accusations are examples of aggressive styles of
communication; the response of others to an aggressive statement may include hurt,
defensiveness, or humiliation. A statement that allows making one’s own decisions is an
example of assertive style of communication; the response of others to an assertive
statement may include mutual respect.DIF: Analysis REF: p. 7 TOPIC: Integrated
Process: Communicationand Documentation MSC: Safe and Effective Care Environment:
Management of Care
4. The registered nurse is providing care to a client who was admitted with heart
failure. The client has not been following the prescribed diet or taking the prescribed
medications. Which type of communication approach is most important for the
registered nurse to use with this client to facilitate a change in self-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsible, and caring communication
c. Aggressive, sympathetic, and realistic communication
d. Positive, expert, and focused communication
CORRECT CHOICE:-B
Rationale:->>>>Communication must be technically responsible, assertive, and caring to
facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOPIC:
Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a registered nurse who is communicating responsibly?
(Select allthat apply)
a. The registered nurse uses profanity to respond to a client who is intoxicated
and verballyabusive.
b. The registered nurse helps a client talk to family members about
discontinuingchemotherapy.
EDITION BY JULIA BALZER/ALL CHAPTERS 1-30
, Table of Contents
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Chapter 2: The Client-Registered nurse Relationship: A Helping
Relationship Chapter 3: Solving Problems Together
Chapter 4: Understanding Each Other: Communication and Culture
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect
Chapter 7: Being Genuine
Chapter 8: Being Empathetic
Chapter 9: Using Self-Disclosure
Chapter 10: Being specific
Chapter 11: Asking Questions
Chapter 12: Expressing Opinions
Chapter 13: Using Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
Chapter 15: Requesting Support
Chapter 16: Overcoming Evaluation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using Relaxation technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
Chapter 20 Incorporating Positive Self-Talk
Chapter 21: Learning to Work Together in Groups
Chapter 22: The Changing World of Electronic Communication
Chapter 23: Learning Confrontation skills
Chapter 24: Refusing Unreasonable Requests
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
Chapter 29: Communicating at the End-of-Life
Chapter 30: Continuing the Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. Which statement describes the affective aspect of learning effective
communication strategies?
a. “The registered nurse should use clear, direct statements using objective words.”
b. “The registered nurse uses body language that is congruent with the verbal message.”
c. “The registered nurse believes that positive communication strategies build
confidence.”
d. “The registered nurse practices assertive and responsible communication strategies.”
CORRECT CHOICE:-C
Rationale:->>>>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 TOPIC: Integrated Process: Communication
and Documentation MSC: Psychosocial Integrity
2. The registered nurse manager asks the staff registered nurse to work an extra
shift. Which response bythe staff registered 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.”
CORRECT CHOICE:-C
Rationale:->>>>The staff registered 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 TOPIC: Integrated Process: Communication and Documentation MSC: Safe
and Effective Care Environment: Management of Care
, 3. A registered nurse manager offers a staff registered nurse a choice between
working 8- or 12-hour shifts. Which statement, if made by the staff registered nurse,
is nonassertive and may result in a frustrated response from the registered nurse
manager?
a. “I want to decide the shifts for all of the other staff registered nurses.”
b. “Do whatever you want. It doesn’t really matter to me.”
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
d. “You will never be able to give me what I really want to work.”
CORRECT CHOICE:-B
Rationale:->>>>A statement that allows others to make decisions for a person is an
example of a nonassertive style of communication; the response of others to a
nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that
make choices for others or that are accusations are examples of aggressive styles of
communication; the response of others to an aggressive statement may include hurt,
defensiveness, or humiliation. A statement that allows making one’s own decisions is an
example of assertive style of communication; the response of others to an assertive
statement may include mutual respect.DIF: Analysis REF: p. 7 TOPIC: Integrated
Process: Communicationand Documentation MSC: Safe and Effective Care Environment:
Management of Care
4. The registered nurse is providing care to a client who was admitted with heart
failure. The client has not been following the prescribed diet or taking the prescribed
medications. Which type of communication approach is most important for the
registered nurse to use with this client to facilitate a change in self-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsible, and caring communication
c. Aggressive, sympathetic, and realistic communication
d. Positive, expert, and focused communication
CORRECT CHOICE:-B
Rationale:->>>>Communication must be technically responsible, assertive, and caring to
facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOPIC:
Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a registered nurse who is communicating responsibly?
(Select allthat apply)
a. The registered nurse uses profanity to respond to a client who is intoxicated
and verballyabusive.
b. The registered nurse helps a client talk to family members about
discontinuingchemotherapy.
