TEST BANK
3
Communication in Nursing 10th Edition
3 3 3 3
Julia Balzer Riley
3 3
, Table of Contents
3 3
Chapter31:3Responsible,3Assertive,3Caring3Communication3in3Nursing3Cha
pter32:3The3Client-
Nurse3Relationship:3A3Helping3Relationship3Chapter33:3Solving3Problems
3Together
Chapter34:3Understanding3Each3Other:3Communication3and3Cultur
e3Chapter35:3Demonstrating3Warmth
Chapter36:3Showing3Respect3Cha
pter37:3Being3Genuine3Chapter38
:3Being3Empathetic3Chapter39:3U
sing3Self-
Disclosure3Chapter310:3Being3sp
ecific3Chapter311:3Asking3Questi
ons3Chapter312:3Expressing3Opini
ons3Chapter313:3Using3Humor
Chapter314:3Embracing3the3Spiritual3Journey3of3Health3Caring,3Meaning3Making3Chapt
er315:3Requesting3Support
Chapter316:3Overcoming3Evaluation3Anxiety3C
hapter317:3Working3with3Feedback3Chapte
r318:3Using3Relaxation3technique
Chapter319:3Incorporating3Imagery3in3Professional3Practice3and3Self-
Care3Chapter3203Incorporating3Positive3Self-Talk
Chapter321:3 Learning3to3Work3Together3in3Groups
Chapter322:3The3Changing3World3of3Electronic3Communicatio
n3Chapter323:3Learning3Confrontation3skills
Chapter324:3Refusing3Unreasonable3Requests
Chapter325:3Communicating3Assertively3and3Responsibly3with3Distressed3Clients3and3Colleague
s3Chapter326:3Communicating3Assertively3and3Responsibly3with3Aggressive3Clients3and3Colleagu
es3Chapter327:3Communicating3Assertively3and3Responsibly3with3Unpopular3Clients
Chapter329:3Communicating3at3the3End-of-
Life3Chapter330:3Continuing3the3Commitment
,Balzer3Riley:3Communication3in3Nursing,310th3Edition
Chapter31:3Responsible,3Assertive,3Caring3Communication3in3Nursing
Test3Bank3Multipl
e3Choice
1. Which3 statement3 describes3 the3 affective3 aspect3 of3 learning3 effective
3communication3strategies?
a. “The3nurse3should3use3clear,3direct3statements3using3objective3words.”
b. “The3nurse3uses3body3language3that3is3congruent3with3the3verbal3message.”
c. “The3nurse3believes3that3positive3communication3strategies3build3confidence.”
d. “The3nurse3practices3assertive3and3responsible3communication3strategies.”
ANS:C
Learning3involves3three3domains:3the3cognitive3aspects3(understanding3and3meaning),3affe
ctive3aspects3(feelings,3values,3and3attitudes),3and3psychomotor3aspects3(physical3capabilit
y).Learning3basic3communication3skills3involves3the3cognitive3domain;3building3confiden
ce3through3a3belief3in3the3value3and3impact3of3positive3communication3is3the3affective3do
main;3and3putting3skills3into3action3is3the3psychomotor3domain.DIF:3Comprehension3REF
:3p.3133TOP:3Integrated3Process:3Communication3and3 Documentation3MSC:3Psychosocia
l3Integrity
2. The3nurse3manager3asks3the3staff3nurse3to3work3an3extra3shift.3Which3response3by
3the3staff3nurse3is3assertive3and3based3on3rational3beliefs?
a. “I3don’t3want3you3upset,3so3I3will3work3extra.”
b. “Why3do3I3always3have3to3cover3extra3shifts?”
c. “I3am3not3able3to3work3an3extra3shift.”
d. “If3you3can’t3find3anyone3else,3I3will3do3it.”
ANS:C
The3staff3nurse3may3turn3down3even3a3reasonable3request;3an3assertive3response3avoids3irr
ational3beliefs.3Irrational3beliefs3occur3as3a3result3of3being3anxious3about3assertiveness3or3f
ocusing3on3possible3negative3outcomes.DIF:3Analysis3REF:3p.383TOP:3Integrated3Process:
3Communication3and3Documentation3MSC:3Safe3and3Effective3Care3Environment:3Manag
ement3of3Care
, 3. A3nurse3manager3offers3a3staff3nurse3a3choice3between3working38-3or312-
hour3shifts.3Which3statement,3if3made3by3the3staff3nurse,3is3nonassertive3and3may3resul
t3in3a3frustrated3response3from3the3nurse3manager?
a. “I3want3to3decide3the3shifts3for3all3of3the3other3staff3nurses.”
b. “Do3whatever3you3want.3It3doesn’t3really3matter3to3me.”
c. “Thank3you3for3offering3me3a3choice.3I3prefer312-hour3shifts.”
d. “You3will3never3be3able3to3give3me3what3I3really3want3to3work.”
ANS:B
A3statement3that3allows3others3to3make3decisions3for3a3person3is3an3example3of3a3nonasser
tive3style3of3communication;3the3response3of3others3to3a3nonassertive3statement3may3inclu
de3disrespect,3guilt,3anger,3or3frustration.3Statements3that3make3choices3for3others3or3that3a
re3accusations3are3examples3of3aggressive3styles3of3communication;3the3response3of3others
3to3an3aggressive3statement3may3include3hurt,3defensiveness,3or3humiliation.3A3statement3t
hat3allows3making3one’s3own3decisions3is3an3example3of3assertive3style3of3communication
;3the3response3of3others3to3an3assertive3statement3may3include3mutual3respect.DIF:3Analysi
s3REF:3p.373TOP:3Integrated3Process:3Communication3and3Documentation3MSC:3Safe3and
3Effective3Care3Environment:3Management3of3Care
4. The3nurse3is3providing3care3to3a3patient3who3was3admitted3with3heart3failure.3The3
patient3has3not3been3following3the3prescribed3diet3or3taking3the3prescribed3medication
s.3Which3type3of3communication3approach3is3most3important3for3the3nurse3to3use3with3
this3patient3to3facilitate3a3change3in3self-care3behavior?
a. Authoritative,3honest,3and3outright3communication
b. Assertive,3responsible,3and3caring3communication
c. Aggressive,3sympathetic,3and3realistic3communication
d. Positive,3expert,3and3focused3communication
ANS:B
Communication3must3be3technically3responsible,3assertive,3and3caring3to3facilitate3a3chan
ge3in3behavior.DIF:3Knowledge/Comprehension3REF:3p.3133TOP:3Integrated3 Process:3Co
mmunication3and3Documentation3MSC:3Psychosocial3Integrity
5. Which3 are3 examples3 of3 a3 nurse3 who3 is3 communicating3 responsibly?3 (Select3 all
3that3apply)
a. The3nurse3uses3 profanity3 to3 respond3 to3 a3client3 who3is3 intoxicated3 and3 verbally3
abusive.
b. The3nurse3helps3a3client3talk3to3family3members3about3discontinuing
3chemotherapy.
3
Communication in Nursing 10th Edition
3 3 3 3
Julia Balzer Riley
3 3
, Table of Contents
3 3
Chapter31:3Responsible,3Assertive,3Caring3Communication3in3Nursing3Cha
pter32:3The3Client-
Nurse3Relationship:3A3Helping3Relationship3Chapter33:3Solving3Problems
3Together
Chapter34:3Understanding3Each3Other:3Communication3and3Cultur
e3Chapter35:3Demonstrating3Warmth
Chapter36:3Showing3Respect3Cha
pter37:3Being3Genuine3Chapter38
:3Being3Empathetic3Chapter39:3U
sing3Self-
Disclosure3Chapter310:3Being3sp
ecific3Chapter311:3Asking3Questi
ons3Chapter312:3Expressing3Opini
ons3Chapter313:3Using3Humor
Chapter314:3Embracing3the3Spiritual3Journey3of3Health3Caring,3Meaning3Making3Chapt
er315:3Requesting3Support
Chapter316:3Overcoming3Evaluation3Anxiety3C
hapter317:3Working3with3Feedback3Chapte
r318:3Using3Relaxation3technique
Chapter319:3Incorporating3Imagery3in3Professional3Practice3and3Self-
Care3Chapter3203Incorporating3Positive3Self-Talk
Chapter321:3 Learning3to3Work3Together3in3Groups
Chapter322:3The3Changing3World3of3Electronic3Communicatio
n3Chapter323:3Learning3Confrontation3skills
Chapter324:3Refusing3Unreasonable3Requests
Chapter325:3Communicating3Assertively3and3Responsibly3with3Distressed3Clients3and3Colleague
s3Chapter326:3Communicating3Assertively3and3Responsibly3with3Aggressive3Clients3and3Colleagu
es3Chapter327:3Communicating3Assertively3and3Responsibly3with3Unpopular3Clients
Chapter329:3Communicating3at3the3End-of-
Life3Chapter330:3Continuing3the3Commitment
,Balzer3Riley:3Communication3in3Nursing,310th3Edition
Chapter31:3Responsible,3Assertive,3Caring3Communication3in3Nursing
Test3Bank3Multipl
e3Choice
1. Which3 statement3 describes3 the3 affective3 aspect3 of3 learning3 effective
3communication3strategies?
a. “The3nurse3should3use3clear,3direct3statements3using3objective3words.”
b. “The3nurse3uses3body3language3that3is3congruent3with3the3verbal3message.”
c. “The3nurse3believes3that3positive3communication3strategies3build3confidence.”
d. “The3nurse3practices3assertive3and3responsible3communication3strategies.”
ANS:C
Learning3involves3three3domains:3the3cognitive3aspects3(understanding3and3meaning),3affe
ctive3aspects3(feelings,3values,3and3attitudes),3and3psychomotor3aspects3(physical3capabilit
y).Learning3basic3communication3skills3involves3the3cognitive3domain;3building3confiden
ce3through3a3belief3in3the3value3and3impact3of3positive3communication3is3the3affective3do
main;3and3putting3skills3into3action3is3the3psychomotor3domain.DIF:3Comprehension3REF
:3p.3133TOP:3Integrated3Process:3Communication3and3 Documentation3MSC:3Psychosocia
l3Integrity
2. The3nurse3manager3asks3the3staff3nurse3to3work3an3extra3shift.3Which3response3by
3the3staff3nurse3is3assertive3and3based3on3rational3beliefs?
a. “I3don’t3want3you3upset,3so3I3will3work3extra.”
b. “Why3do3I3always3have3to3cover3extra3shifts?”
c. “I3am3not3able3to3work3an3extra3shift.”
d. “If3you3can’t3find3anyone3else,3I3will3do3it.”
ANS:C
The3staff3nurse3may3turn3down3even3a3reasonable3request;3an3assertive3response3avoids3irr
ational3beliefs.3Irrational3beliefs3occur3as3a3result3of3being3anxious3about3assertiveness3or3f
ocusing3on3possible3negative3outcomes.DIF:3Analysis3REF:3p.383TOP:3Integrated3Process:
3Communication3and3Documentation3MSC:3Safe3and3Effective3Care3Environment:3Manag
ement3of3Care
, 3. A3nurse3manager3offers3a3staff3nurse3a3choice3between3working38-3or312-
hour3shifts.3Which3statement,3if3made3by3the3staff3nurse,3is3nonassertive3and3may3resul
t3in3a3frustrated3response3from3the3nurse3manager?
a. “I3want3to3decide3the3shifts3for3all3of3the3other3staff3nurses.”
b. “Do3whatever3you3want.3It3doesn’t3really3matter3to3me.”
c. “Thank3you3for3offering3me3a3choice.3I3prefer312-hour3shifts.”
d. “You3will3never3be3able3to3give3me3what3I3really3want3to3work.”
ANS:B
A3statement3that3allows3others3to3make3decisions3for3a3person3is3an3example3of3a3nonasser
tive3style3of3communication;3the3response3of3others3to3a3nonassertive3statement3may3inclu
de3disrespect,3guilt,3anger,3or3frustration.3Statements3that3make3choices3for3others3or3that3a
re3accusations3are3examples3of3aggressive3styles3of3communication;3the3response3of3others
3to3an3aggressive3statement3may3include3hurt,3defensiveness,3or3humiliation.3A3statement3t
hat3allows3making3one’s3own3decisions3is3an3example3of3assertive3style3of3communication
;3the3response3of3others3to3an3assertive3statement3may3include3mutual3respect.DIF:3Analysi
s3REF:3p.373TOP:3Integrated3Process:3Communication3and3Documentation3MSC:3Safe3and
3Effective3Care3Environment:3Management3of3Care
4. The3nurse3is3providing3care3to3a3patient3who3was3admitted3with3heart3failure.3The3
patient3has3not3been3following3the3prescribed3diet3or3taking3the3prescribed3medication
s.3Which3type3of3communication3approach3is3most3important3for3the3nurse3to3use3with3
this3patient3to3facilitate3a3change3in3self-care3behavior?
a. Authoritative,3honest,3and3outright3communication
b. Assertive,3responsible,3and3caring3communication
c. Aggressive,3sympathetic,3and3realistic3communication
d. Positive,3expert,3and3focused3communication
ANS:B
Communication3must3be3technically3responsible,3assertive,3and3caring3to3facilitate3a3chan
ge3in3behavior.DIF:3Knowledge/Comprehension3REF:3p.3133TOP:3Integrated3 Process:3Co
mmunication3and3Documentation3MSC:3Psychosocial3Integrity
5. Which3 are3 examples3 of3 a3 nurse3 who3 is3 communicating3 responsibly?3 (Select3 all
3that3apply)
a. The3nurse3uses3 profanity3 to3 respond3 to3 a3client3 who3is3 intoxicated3 and3 verbally3
abusive.
b. The3nurse3helps3a3client3talk3to3family3members3about3discontinuing
3chemotherapy.