TEST BANK
f
CommunicationinNursing10thEdition
f f f f
JuliaBalzer Riley
f f
, Table of Contents f f
Chapter1:Responsible, Assertive,Caring Communication in Nursing
f f f f f f f
Chapter 2: The Client-Nurse Relationship: A Helping Relationship Chapter
f f f f f f f f f
3: Solving Problems Together
f f f f
Chapter4:Understanding EachOther:Communication andCulture
f f f f f f f
Chapter 5: Demonstrating Warmth
f f f f
Chapter 6: Showing Respect
f f f
Chapter 7: Being Genuine
f f f f
Chapter 8: Being Empathetic
f f f f
Chapter 9: Using Self-Disclosure
f f f f
Chapter 10: Being specific
f f f f
Chapter 11: Asking Questions
f f f f
Chapter12: Expressing Opinions
f f f f
Chapter 13: Using Humor
f f f f
Chapter14: Embracing theSpiritual Journey of Health Caring, Meaning Making Chapter
f f f f f f f f f f f
15: Requesting Support
f f f
Chapter16:Overcoming Evaluation Anxiety
f f f f
Chapter 17: Working with Feedback
f f f f f
Chapter 18: Using Relaxation technique
f f f f f
Chapter19: Incorporating Imagery in P rofessional P racticeandSelf-Care
f f f f f f f f
Chapter 20 Incorporating Positive Self-Talk
f f f f f
Chapter21: Learning toWork Together in Groups
f f f f f f f
Chapter22: TheChanging World of Electronic Communication
f f f f f f f
Chapter 23: Learning Confrontation skills
f f f f f
Chapter24: Refusing Unreasonable Requests
f f f f
Chapter 25: Communicating Assertively and Responsibly with D istressed Clients and Colleagues
f f f f f f f f f f
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
f f f f f f f f f f f
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
f f f f f f f f f
Chapter 29: Communicating at the End-of-Life
f f f f f
Chapter 30: Continuing the Commitment
f f f f f
,Balzer Riley: Communication in Nursing, 10th Edition
f f f f f
f
Chapter1:Responsible,Assertive,CaringCommunicationinNursing
f f f f f f f
Test Bank f
Multiple Choice
f f
1. Which statement describes the affective aspect of learning f f f f f f f
f effective communication strategies? f f
a. “The nurse f should use clear, direct statements using objective words.”
f f f f f f f f
b. “The nurse f uses body language that is congruent with the verbal message.”
f f f f f f f f f f
c. “The nurse f believes that positive communication strategies build confidence.”
f f f f f f f
d. “The nurse f practices assertive and responsible communication strategies.”
f f f f f f
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
f f f f f f f f f
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
f f f f f f f f f f
capability).Learning basic communication skills involves the cognitive domain; building
f f f f f f f f f
confidence through a belief in the value and impact of positive communication is the
f f f f f f f f f f f f f f
affective domain; and putting skills into action is the psychomotor domain.DIF:
f f f f f f f f f f f
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
f f f f f f f f f f
MSC: Psychosocial Integrity
f f f
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the
f f f f f f f f f f f f f f f
staff nurse is assertive and based on rational beliefs?
f f f f f f f f f
a. “I don’t want you upset, so I will work extra.”
f f f f f f f f f
b. “Why do I always have to cover extra shifts?”f f f f f f f f
c. “I am not able to work an extra shift.”
f f f f f f f f
d. “If you can’t find anyone else, I will do it.”
f f f f f f f f f
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
f f f f f f f f f f f f f
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
f f f f f f f f f f f f f f
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
f f f f f f f f f f f f
Communication and Documentation MSC: Safe and Effective Care Environment:
f f f f f f f f f
Management of Care
f f f
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12- hour shifts.
f f f f f f f f f f f f f f
Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated
f f f f f f f f f f f f f f f f
response from the nurse manager?
f f f f f
a. “I want to decide the shifts for all of the other staff nurses.”
f f f f f f f f f f f f
b. “Do whatever you want. It doesn’t really matter to me.”
f f f f f f f f f
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
f f f f f f f f f f
d. “You will never be able to give me what I really want to work.”
f f f f f f f f f f f f f
ANS:B
A statement that allows others to make decisions for a person is an example of a nonassertive
f f f f f f f f f f f f f f f f
style of communication; the response of others to a nonassertive statement may include
f f f f f f f f f f f f f
disrespect, guilt, anger, or frustration. Statements that make choices for others or that are
f f f f f f f f f f f f f f
accusations are examples of aggressive styles of communication; the response of others to an
f f f f f f f f f f f f f f
aggressive statement may include hurt, defensiveness, or humiliation. A statement that
f f f f f f f f f f f
allows making one’s own decisions is an example of assertive style of communication; the
f f f f f f f f f f f f f f
response of others to an assertive statement may include mutual respect.DIF: Analysis REF:
f f f f f f f f f f f f f
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
f f f f f f f f f f f f
Care Environment: Management of Care
f f f f f
4. The nurse is providing care to a patient who was admitted with heart failure. The
f f f f f f f f f f f f f f
patient has not been following the prescribed diet or taking the prescribed medications.
f f f f f f f f f f f f f
Which type of communication approach is most important for the nurse to use with this
f f f f f f f f f f f f f f f
patient to facilitate a change in self-care behavior?
f f f f f f f f
a. Authoritative, honest, and outright communication f f f f
b. Assertive, responsible, and caring communication f f f f
c. Aggressive, sympathetic, and realistic communication f f f f
d. Positive, expert, and focused communication f f f f
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a change f f f f f f f f f f f
in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
f f f f f f f f f
Communication and Documentation MSC: Psychosocial Integrity
f f f f f f
5. Which are examples of a nurse who is communicating responsibly? (Select
f f f f f f f f f f
f all that apply)
f f
a. The nurse uses profanity to respond to a client who is intoxicated and verbally
f f f f f f f f f f f f f
abusive. f
b. The nurse helps a client talk to family members about discontinuing
f f f f f f f f f f
chemotherapy. f
f
CommunicationinNursing10thEdition
f f f f
JuliaBalzer Riley
f f
, Table of Contents f f
Chapter1:Responsible, Assertive,Caring Communication in Nursing
f f f f f f f
Chapter 2: The Client-Nurse Relationship: A Helping Relationship Chapter
f f f f f f f f f
3: Solving Problems Together
f f f f
Chapter4:Understanding EachOther:Communication andCulture
f f f f f f f
Chapter 5: Demonstrating Warmth
f f f f
Chapter 6: Showing Respect
f f f
Chapter 7: Being Genuine
f f f f
Chapter 8: Being Empathetic
f f f f
Chapter 9: Using Self-Disclosure
f f f f
Chapter 10: Being specific
f f f f
Chapter 11: Asking Questions
f f f f
Chapter12: Expressing Opinions
f f f f
Chapter 13: Using Humor
f f f f
Chapter14: Embracing theSpiritual Journey of Health Caring, Meaning Making Chapter
f f f f f f f f f f f
15: Requesting Support
f f f
Chapter16:Overcoming Evaluation Anxiety
f f f f
Chapter 17: Working with Feedback
f f f f f
Chapter 18: Using Relaxation technique
f f f f f
Chapter19: Incorporating Imagery in P rofessional P racticeandSelf-Care
f f f f f f f f
Chapter 20 Incorporating Positive Self-Talk
f f f f f
Chapter21: Learning toWork Together in Groups
f f f f f f f
Chapter22: TheChanging World of Electronic Communication
f f f f f f f
Chapter 23: Learning Confrontation skills
f f f f f
Chapter24: Refusing Unreasonable Requests
f f f f
Chapter 25: Communicating Assertively and Responsibly with D istressed Clients and Colleagues
f f f f f f f f f f
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
f f f f f f f f f f f
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
f f f f f f f f f
Chapter 29: Communicating at the End-of-Life
f f f f f
Chapter 30: Continuing the Commitment
f f f f f
,Balzer Riley: Communication in Nursing, 10th Edition
f f f f f
f
Chapter1:Responsible,Assertive,CaringCommunicationinNursing
f f f f f f f
Test Bank f
Multiple Choice
f f
1. Which statement describes the affective aspect of learning f f f f f f f
f effective communication strategies? f f
a. “The nurse f should use clear, direct statements using objective words.”
f f f f f f f f
b. “The nurse f uses body language that is congruent with the verbal message.”
f f f f f f f f f f
c. “The nurse f believes that positive communication strategies build confidence.”
f f f f f f f
d. “The nurse f practices assertive and responsible communication strategies.”
f f f f f f
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
f f f f f f f f f
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
f f f f f f f f f f
capability).Learning basic communication skills involves the cognitive domain; building
f f f f f f f f f
confidence through a belief in the value and impact of positive communication is the
f f f f f f f f f f f f f f
affective domain; and putting skills into action is the psychomotor domain.DIF:
f f f f f f f f f f f
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
f f f f f f f f f f
MSC: Psychosocial Integrity
f f f
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the
f f f f f f f f f f f f f f f
staff nurse is assertive and based on rational beliefs?
f f f f f f f f f
a. “I don’t want you upset, so I will work extra.”
f f f f f f f f f
b. “Why do I always have to cover extra shifts?”f f f f f f f f
c. “I am not able to work an extra shift.”
f f f f f f f f
d. “If you can’t find anyone else, I will do it.”
f f f f f f f f f
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
f f f f f f f f f f f f f
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
f f f f f f f f f f f f f f
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
f f f f f f f f f f f f
Communication and Documentation MSC: Safe and Effective Care Environment:
f f f f f f f f f
Management of Care
f f f
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12- hour shifts.
f f f f f f f f f f f f f f
Which statement, if made by the staff nurse, is nonassertive and may result in a frustrated
f f f f f f f f f f f f f f f f
response from the nurse manager?
f f f f f
a. “I want to decide the shifts for all of the other staff nurses.”
f f f f f f f f f f f f
b. “Do whatever you want. It doesn’t really matter to me.”
f f f f f f f f f
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
f f f f f f f f f f
d. “You will never be able to give me what I really want to work.”
f f f f f f f f f f f f f
ANS:B
A statement that allows others to make decisions for a person is an example of a nonassertive
f f f f f f f f f f f f f f f f
style of communication; the response of others to a nonassertive statement may include
f f f f f f f f f f f f f
disrespect, guilt, anger, or frustration. Statements that make choices for others or that are
f f f f f f f f f f f f f f
accusations are examples of aggressive styles of communication; the response of others to an
f f f f f f f f f f f f f f
aggressive statement may include hurt, defensiveness, or humiliation. A statement that
f f f f f f f f f f f
allows making one’s own decisions is an example of assertive style of communication; the
f f f f f f f f f f f f f f
response of others to an assertive statement may include mutual respect.DIF: Analysis REF:
f f f f f f f f f f f f f
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
f f f f f f f f f f f f
Care Environment: Management of Care
f f f f f
4. The nurse is providing care to a patient who was admitted with heart failure. The
f f f f f f f f f f f f f f
patient has not been following the prescribed diet or taking the prescribed medications.
f f f f f f f f f f f f f
Which type of communication approach is most important for the nurse to use with this
f f f f f f f f f f f f f f f
patient to facilitate a change in self-care behavior?
f f f f f f f f
a. Authoritative, honest, and outright communication f f f f
b. Assertive, responsible, and caring communication f f f f
c. Aggressive, sympathetic, and realistic communication f f f f
d. Positive, expert, and focused communication f f f f
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a change f f f f f f f f f f f
in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
f f f f f f f f f
Communication and Documentation MSC: Psychosocial Integrity
f f f f f f
5. Which are examples of a nurse who is communicating responsibly? (Select
f f f f f f f f f f
f all that apply)
f f
a. The nurse uses profanity to respond to a client who is intoxicated and verbally
f f f f f f f f f f f f f
abusive. f
b. The nurse helps a client talk to family members about discontinuing
f f f f f f f f f f
chemotherapy. f
