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 rx rx
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 Problem
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s Together
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Chapter 4: Understanding Each Other: Communication and Culture
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Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect Ch rx rx rx rx
apter 7: Being Genuine Chapter
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8: Being Empathetic Chapter 9:
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Using Self- rx
Disclosure Chapter 10: Being sp rx rx rx rx
ecific Chapter 11: Asking Questi
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ons Chapter 12: Expressing Opini
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ons Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapt
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er 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety C
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hapter 17: Working with Feedback Chapte
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r 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 Communication
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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 Colleagues
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Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleague
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s 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 Multiprx rx
le Choice
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1. Which statement describes the affective aspect of learning effec
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tive 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), aff
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ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabi
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lity).Learning basic communication skills involves the cognitive domain; building confid
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ence through a belief in the value and impact of positive communication is the affective
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domain; and putting skills into action is the psychomotor domain.DIF: Comprehension R
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EF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychos
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ocial Integrity rx
2. The nurse manager asks the staff nurse to work an extra shift. Which response b
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y 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 ir
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rational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness o
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r focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Proc
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ess: Communication and Documentation MSC: Safe and Effective Care Environment: M
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anagement of Care rx rx
, 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 resu
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lt 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 nonasse
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rtive style of communication; the response of others to a nonassertive statement may incl
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ude disrespect, guilt, anger, or frustration. Statements that make choices for others or tha
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t are accusations are examples of aggressive styles of communication; the response of ot
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hers to an aggressive statement may include hurt, defensiveness, or humiliation. A state
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ment that allows making one’s own decisions is an example of assertive style of commu
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nication; the response of others to an assertive statement may include mutual respect.DIF
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: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC:
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xSafe 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. The
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xpatient has not been following the prescribed diet or taking the prescribed medicatio
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ns. Which type of communication approach is most important for the nurse to use wi
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th this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication rx rx rx rx
b. Assertive, responsible, and caring communication rx rx rx rx
c. Aggressive, sympathetic, and realistic communication rx rx rx rx
d. Positive, expert, and focused communication rx rx rx rx
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
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ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
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ommunication and Documentation MSC: Psychosocial Integrity rx rx rx rx rx
5. Which are examples of a nurse who is communicating responsibly? (Select
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rx all that apply)rx rx
a. The nurse uses profanity to respond to a client who is intoxicated and verbal
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ly abusive. rx
b. The nurse helps a client talk to family members about discontinuing
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chemotherapy. rx
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Communication in Nursing 10th Edition
rx rx rx rx
Julia Balzer Riley
rx rx
, Table of Contents rx rx
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
rx rx rx rx rx rx rx rx
pter 2: The Client-
rx rx rx
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problem
rx rx rx rx rx rx rx rx
s Together
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Chapter 4: Understanding Each Other: Communication and Culture
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Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect Ch rx rx rx rx
apter 7: Being Genuine Chapter
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8: Being Empathetic Chapter 9:
rx rx rx rx rx
Using Self- rx
Disclosure Chapter 10: Being sp rx rx rx rx
ecific Chapter 11: Asking Questi
rx rx rx rx
ons Chapter 12: Expressing Opini
rx rx rx rx
ons Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapt
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er 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety C
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hapter 17: Working with Feedback Chapte
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r 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
rx rx rx rx rx rx rx rx
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 Communication
rx rx rx rx rx rx rx r
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 Colleagues
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Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleague
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s 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
rx rx rx rx rx
rx
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
rx rx rx rx rx rx rx
Test Bank Multiprx rx
le Choice
rx
1. Which statement describes the affective aspect of learning effec
r x r x r x r x r x r x r x r x
tive communication strategies?
rx rx
a. ―The nurse should use clear, direct statements using objective words.‖
rx rx rx rx rx rx rx rx rx
b. ―The nurse uses body language that is congruent with the verbal message.‖
rx rx rx rx rx rx rx rx rx rx rx
c. ―The nurse believes that positive communication strategies build confidence.‖
rx rx rx rx rx rx rx rx
d. ―The nurse practices assertive and responsible communication strategies.‖
rx rx rx rx rx rx rx
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
rx rx rx rx rx rx rx rx rx rx
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabi
rx rx rx rx rx rx rx rx rx rx
lity).Learning basic communication skills involves the cognitive domain; building confid
rx rx rx rx rx rx rx rx rx
ence through a belief in the value and impact of positive communication is the affective
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
domain; and putting skills into action is the psychomotor domain.DIF: Comprehension R
rx rx rx rx rx rx rx rx rx rx rx
EF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychos
rx rx rx rx rx rx rx r x rx rx
ocial Integrity rx
2. The nurse manager asks the staff nurse to work an extra shift. Which response b
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y the staff nurse is assertive and based on rational beliefs?
rx rx rx rx rx rx rx rx rx rx
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?‖
rx rx rx rx rx rx rx rx
c. ―I am not able to work an extra shift.‖
rx rx rx rx rx rx rx rx
d. ―If you can’t find anyone else, I will do it.‖
rx rx rx rx rx rx rx rx rx
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids ir
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
rational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness o
rx rx rx rx rx rx rx rx rx rx rx rx rx
r focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Proc
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ess: Communication and Documentation MSC: Safe and Effective Care Environment: M
rx rx rx rx rx rx rx rx rx rx
anagement of Care rx rx
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
rx rx rx rx rx rx rx rx rx rx rx rx rx
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may resu
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
lt in a frustrated response from the nurse manager?
rx rx rx rx rx rx rx rx
a. ―I want to decide the shifts for all of the other staff nurses.‖
rx rx rx rx rx rx rx rx rx rx rx rx
b. ―Do whatever you want. It doesn’t really matter to me.‖
rx rx rx rx rx rx rx rx rx
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 nonasse
rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx rx
rtive style of communication; the response of others to a nonassertive statement may incl
rx rx rx rx rx rx rx rx rx rx rx rx rx
ude disrespect, guilt, anger, or frustration. Statements that make choices for others or tha
rx rx rx rx rx rx rx rx rx rx rx rx rx
t are accusations are examples of aggressive styles of communication; the response of ot
rx rx rx rx rx rx rx rx rx rx rx rx rx
hers to an aggressive statement may include hurt, defensiveness, or humiliation. A state
rx rx rx rx rx rx rx rx rx rx rx rx
ment that allows making one’s own decisions is an example of assertive style of commu
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
nication; the response of others to an assertive statement may include mutual respect.DIF
rx rx rx rx rx rx rx rx rx rx rx rx
: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC:
rx rx rx rx rx rx rx rx rx rx rx r
xSafe 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. The
rx rx rx rx rx rx rx rx rx rx rx rx rx rx r
xpatient has not been following the prescribed diet or taking the prescribed medicatio
rx rx rx rx rx rx rx rx rx rx rx rx
ns. Which type of communication approach is most important for the nurse to use wi
rx rx rx rx rx rx rx rx rx rx rx rx rx rx
th this patient to facilitate a change in self-care behavior?
rx rx rx rx rx rx rx rx rx
a. Authoritative, honest, and outright communication rx rx rx rx
b. Assertive, responsible, and caring communication rx rx rx rx
c. Aggressive, sympathetic, and realistic communication rx rx rx rx
d. Positive, expert, and focused communication rx rx rx rx
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
rx rx rx rx rx rx rx rx rx rx rx
ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
rx rx rx rx rx rx rx rx r x rx
ommunication and Documentation MSC: Psychosocial Integrity rx rx rx rx rx
5. Which are examples of a nurse who is communicating responsibly? (Select
rx rx r x r x rx rx rx r x r x rx
rx all that apply)rx rx
a. The nurse uses profanity to respond to a client who is intoxicated and verbal
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ly abusive. rx
b. The nurse helps a client talk to family members about discontinuing
rx rx rx rx rx rx rx rx rx rx
chemotherapy. rx
