TEST BANK
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Communication in Nursing 10th Edition
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Julia Balzer Riley
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, Table of Contents zk zk
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
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pter 2: The Client-
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Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
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ms Together
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Chapter 4: Understanding Each Other: Communication and Cultur
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e Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect Ch zk zk zk zk
apter 7: Being Genuine Chapter
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k 8: Being Empathetic Chapter 9:
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Using Self- zk
Disclosure Chapter 10: Being sp zk zk zk zk
ecific Chapter 11: Asking Quest
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ions Chapter 12: Expressing Opi
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nions Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chap
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ter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback Cha zk zk zk zk zk
pter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
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Care Chapter 20 Incorporating Positive Self-Talk
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Chapter 21: Learning to Work Together in Groups
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Chapter 22: The Changing World of Electronic Communicatio
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n Chapter 23: Learning Confrontation skills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleague
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s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
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ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
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Life Chapter 30: Continuing the Commitmen
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t
,Balzer Riley: Communication in Nursing, 10th Edition
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank Multip zk zk
le Choice
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1. Which statement describes the affective aspect of learning effe
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ctive communication strategies?
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a. ―The nurse should use clear, direct statements using objective words.‖
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b. ―The nurse uses body language that is congruent with the verbal message.‖
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c. ―The nurse believes that positive communication strategies build confidence.‖
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d. ―The nurse practices assertive and responsible communication strategies.‖
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ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), af
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fective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capa
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bility).Learning basic communication skills involves the cognitive domain; building con
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fidence through a belief in the value and impact of positive communication is the affect
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ive domain; and putting skills into action is the psychomotor domain.DIF: Comprehensi
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on REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Ps
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ychosocial Integrity zk
2. The nurse manager asks the staff nurse to work an extra shift. Which response
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by the staff nurse is assertive and based on rational beliefs?
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a. ―I don’t want you upset, so I will work extra.‖
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b. ―Why do I always have to cover extra shifts?‖
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c. ―I am not able to work an extra shift.‖
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d. ―If you can’t find anyone else, I will do it.‖
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ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
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irrational beliefs. Irrational beliefs occur as a result of being anxious about assertivenes
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s or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
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Process: Communication and Documentation MSC: Safe and Effective Care Environme
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nt: Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
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hour shifts. Which statement, if made by the staff nurse, is nonassertive and may res
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ult in a frustrated response from the nurse manager?
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a. ―I want to decide the shifts for all of the other staff nurses.‖
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b. ―Do whatever you want. It doesn’t really matter to me.‖
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c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
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d. ―You will never be able to give me what I really want to work.‖
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ANS:B
A statement that allows others to make decisions for a person is an example of a nonas
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sertive style of communication; the response of others to a nonassertive statement may i
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nclude disrespect, guilt, anger, or frustration. Statements that make choices for others or
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that are accusations are examples of aggressive styles of communication; the response
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of others to an aggressive statement may include hurt, defensiveness, or humiliation. A
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statement that allows making one’s own decisions is an example of assertive style of co
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mmunication; the response of others to an assertive statement may include mutual respe
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ct.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentatio
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n MSC: Safe and Effective Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. Th
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e patient has not been following the prescribed diet or taking the prescribed medicat
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ions. Which type of communication approach is most important for the nurse to use
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kwith this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication zk zk zk zk
b. Assertive, responsible, and caring communication
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c. Aggressive, sympathetic, and realistic communication
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d. Positive, expert, and focused communication
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ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a cha
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nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
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Communication and Documentation MSC: Psychosocial Integrity zk zk zk zk zk
5. Which are examples of a nurse who is communicating responsibly? (Sele
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ct all that apply)
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a. The nurse uses profanity to respond to a client who is intoxicated and verb
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ally abusive. zk
b. The nurse helps a client talk to family members about discontinuin
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g chemotherapy. zk
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Communication in Nursing 10th Edition
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Julia Balzer Riley
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, Table of Contents zk zk
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
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pter 2: The Client-
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Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
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ms Together
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Chapter 4: Understanding Each Other: Communication and Cultur
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e Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect Ch zk zk zk zk
apter 7: Being Genuine Chapter
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k 8: Being Empathetic Chapter 9:
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Using Self- zk
Disclosure Chapter 10: Being sp zk zk zk zk
ecific Chapter 11: Asking Quest
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ions Chapter 12: Expressing Opi
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nions Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chap
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ter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback Cha zk zk zk zk zk
pter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
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Care Chapter 20 Incorporating Positive Self-Talk
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Chapter 21: Learning to Work Together in Groups
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Chapter 22: The Changing World of Electronic Communicatio
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n Chapter 23: Learning Confrontation skills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleague
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s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
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ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
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Life Chapter 30: Continuing the Commitmen
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t
,Balzer Riley: Communication in Nursing, 10th Edition
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank Multip zk zk
le Choice
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1. Which statement describes the affective aspect of learning effe
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ctive communication strategies?
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a. ―The nurse should use clear, direct statements using objective words.‖
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b. ―The nurse uses body language that is congruent with the verbal message.‖
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c. ―The nurse believes that positive communication strategies build confidence.‖
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d. ―The nurse practices assertive and responsible communication strategies.‖
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ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), af
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fective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capa
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bility).Learning basic communication skills involves the cognitive domain; building con
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fidence through a belief in the value and impact of positive communication is the affect
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ive domain; and putting skills into action is the psychomotor domain.DIF: Comprehensi
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on REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Ps
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ychosocial Integrity zk
2. The nurse manager asks the staff nurse to work an extra shift. Which response
zk zk zk zk zk zk zk zk zk zk zk zk zk zk
by the staff nurse is assertive and based on rational beliefs?
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a. ―I don’t want you upset, so I will work extra.‖
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b. ―Why do I always have to cover extra shifts?‖
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c. ―I am not able to work an extra shift.‖
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d. ―If you can’t find anyone else, I will do it.‖
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ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
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irrational beliefs. Irrational beliefs occur as a result of being anxious about assertivenes
zk zk zk zk zk zk zk zk zk zk zk zk
s or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
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Process: Communication and Documentation MSC: Safe and Effective Care Environme
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nt: Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
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hour shifts. Which statement, if made by the staff nurse, is nonassertive and may res
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ult in a frustrated response from the nurse manager?
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a. ―I want to decide the shifts for all of the other staff nurses.‖
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b. ―Do whatever you want. It doesn’t really matter to me.‖
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c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
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d. ―You will never be able to give me what I really want to work.‖
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ANS:B
A statement that allows others to make decisions for a person is an example of a nonas
zk zk zk zk zk zk zk zk zk zk zk zk zk zk zk zk
sertive style of communication; the response of others to a nonassertive statement may i
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nclude disrespect, guilt, anger, or frustration. Statements that make choices for others or
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that are accusations are examples of aggressive styles of communication; the response
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of others to an aggressive statement may include hurt, defensiveness, or humiliation. A
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statement that allows making one’s own decisions is an example of assertive style of co
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mmunication; the response of others to an assertive statement may include mutual respe
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ct.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentatio
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n MSC: Safe and Effective Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. Th
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e patient has not been following the prescribed diet or taking the prescribed medicat
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ions. Which type of communication approach is most important for the nurse to use
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kwith this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication zk zk zk zk
b. Assertive, responsible, and caring communication
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c. Aggressive, sympathetic, and realistic communication
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d. Positive, expert, and focused communication
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ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a cha
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nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
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Communication and Documentation MSC: Psychosocial Integrity zk zk zk zk zk
5. Which are examples of a nurse who is communicating responsibly? (Sele
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ct all that apply)
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a. The nurse uses profanity to respond to a client who is intoxicated and verb
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ally abusive. zk
b. The nurse helps a client talk to family members about discontinuin
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g chemotherapy. zk
