Complete Test Bank pl pl
Communication in Nursing 10th Edition
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by Julia Balzer Riley
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Expert Verified Q&As| A+
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Page | 1
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, Table of Contents pl pl
pl Chapter 1: Responsible, Assertive, Caring Communication in
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Nursing Chapter 2: The Client-Nurse Relationship: A Helping
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pl Relationship Chapter 3: Solving Problems Together
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Chapter 4: Understanding Each Other: Communication and Culture
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pl Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect
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pl Chapter 7: Being Genuine
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pl Chapter 8: Being Empathetic
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pl Chapter 9: Using Self-Disclosure
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pl Chapter 10: Being specific
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pl Chapter 11: Asking Questions
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pl Chapter 12: Expressing Opinions
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pl Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning
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Making Chapter 15: Requesting Support
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Chapter 16: Overcoming Evaluation
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Anxiety Chapter 17: Working with
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pl Feedback Chapter 18: Using Relaxation
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pl technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
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pl 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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pl 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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Page | 2
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,Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
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Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 28: Managing Team Conflict Assertively and Responsibly
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pl Chapter 29: Communicating at the End-of-Life
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Chapter 30: Continuing the Commitment
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Multiple Choice
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1. Which statement describes the affective aspect of learning effective 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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ANSWER: C pl
Learning involves three domains: the cognitive aspects (understanding and meaning), affective aspects
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(feelings, values, and attitudes), and psychomotor aspects (physical capability).Learning basic
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communication skills involves the cognitive domain; building confidence through a belief in the
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value and impact of positive communication is the affective domain; and putting skills into action is
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the psychomotor domain. DIF: Comprehension REF: p. 13 TOP: Integrated Process: Communication
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and Documentation MSC: Psychosocial Integrity
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2. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff
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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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ANSWER: C pl
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, The staff nurse may turn down even a reasonable request; an assertive response avoids irrational
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beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on
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possible negative outcomes. DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and
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Documentation MSC: Safe and Effective Care Environment: Management of Care
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3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which
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statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from
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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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ANSWER: B pl
A statement that allows others to make decisions for a person is an example of a nonassertive style
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of communication; the response of others to a nonassertive statement may include disrespect, guilt,
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anger, or frustration. Statements that make choices for others or that are accusations are examples of
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aggressive styles of communication; the response of others to an aggressive statement may include
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hurt, defensiveness, or humiliation. A statement that allows making one’s own decisions is an
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example of assertive style of communication; the response of others to an assertive statement may
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
include mutual respect. DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and
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Documentation 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. The patient has not
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been following the prescribed diet or taking the prescribed medications. Which type of
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communication approach is most important for the nurse to use with this patient to facilitate a
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change in self-care behavior?
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a. Authoritative, honest, and outright communication pl pl pl pl
b. Assertive, responsible, and caring communication pl pl pl pl
c. Aggressive, sympathetic, and realistic communication pl pl pl pl
d. Positive, expert, and focused communication pl pl pl pl
pl ANSWER: B pl
Communication must be technically responsible, assertive, and caring to facilitate a change in
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behavior. DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and
pl pl pl pl pl pl pl pl pl pl pl
Documentation MSC: Psychosocial Integrity
pl pl pl pl
Page | 4 pl pl
Communication in Nursing 10th Edition
pl pl pl pl pl
by Julia Balzer Riley
pl pl pl
Expert Verified Q&As| A+
pl pl pl
Page | 1
pl pl
, Table of Contents pl pl
pl Chapter 1: Responsible, Assertive, Caring Communication in
pl pl pl pl pl pl
Nursing Chapter 2: The Client-Nurse Relationship: A Helping
pl pl pl pl pl pl pl pl
pl Relationship Chapter 3: Solving Problems Together
pl pl pl pl pl
Chapter 4: Understanding Each Other: Communication and Culture
pl pl pl pl pl pl pl
pl Chapter 5: Demonstrating Warmth
pl pl pl
Chapter 6: Showing Respect
pl pl pl
pl Chapter 7: Being Genuine
pl pl pl
pl Chapter 8: Being Empathetic
pl pl pl
pl Chapter 9: Using Self-Disclosure
pl pl pl
pl Chapter 10: Being specific
pl pl pl
pl Chapter 11: Asking Questions
pl pl pl
pl Chapter 12: Expressing Opinions
pl pl pl
pl Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning
pl pl pl pl pl pl pl pl pl
Making Chapter 15: Requesting Support
pl pl pl pl pl
Chapter 16: Overcoming Evaluation
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Anxiety Chapter 17: Working with
pl pl pl pl pl
pl Feedback Chapter 18: Using Relaxation
p l pl pl pl
pl technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
pl pl pl pl pl pl pl pl
pl Chapter 20 Incorporating Positive Self-Talk
pl pl pl pl
Chapter 21: Learning to Work Together in Groups
pl pl pl pl pl pl pl
Chapter 22: The Changing World of Electronic Communication
pl pl pl pl pl pl pl
pl Chapter 23: Learning Confrontation skills
pl pl pl pl
Chapter 24: Refusing Unreasonable Requests
pl pl pl pl
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
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Page | 2
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,Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
pl pl pl pl pl pl pl pl pl pl
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 28: Managing Team Conflict Assertively and Responsibly
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pl Chapter 29: Communicating at the End-of-Life
pl pl pl pl pl
Chapter 30: Continuing the Commitment
pl pl pl pl
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
pl pl pl pl pl pl pl
Multiple Choice
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1. Which statement describes the affective aspect of learning effective communication strategies?
pl pl pl pl pl pl pl pl pl pl
a. ―The nurse should use clear, direct statements using objective words.‖
pl pl pl pl pl pl pl pl pl
b. ―The nurse uses body language that is congruent with the verbal message.‖
pl pl pl pl pl pl pl pl pl pl pl
c. ―The nurse believes that positive communication strategies build confidence.‖
pl pl pl pl pl pl pl pl
d. ―The nurse practices assertive and responsible communication strategies.‖
pl pl pl pl pl pl pl
ANSWER: C pl
Learning involves three domains: the cognitive aspects (understanding and meaning), affective aspects
pl pl pl pl pl pl pl pl pl pl pl
(feelings, values, and attitudes), and psychomotor aspects (physical capability).Learning basic
pl pl pl pl pl pl pl pl pl pl
communication skills involves the cognitive domain; building confidence through a belief in the
pl pl pl pl pl pl pl pl pl pl pl pl pl
value and impact of positive communication is the affective domain; and putting skills into action is
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
the psychomotor domain. DIF: Comprehension REF: p. 13 TOP: Integrated Process: Communication
pl pl pl pl pl pl pl pl pl pl pl pl
and Documentation MSC: Psychosocial Integrity
pl pl pl pl pl
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
nurse is assertive and based on rational beliefs?
pl pl pl pl pl pl pl pl
a. ―I don’t want you upset, so I will work extra.‖
pl pl pl pl pl pl pl pl pl
b. ―Why do I always have to cover extra shifts?‖
pl pl pl pl pl pl pl pl
c. ―I am not able to work an extra shift.‖
pl pl pl pl pl pl pl pl
d. ―If you can’t find anyone else, I will do it.‖
pl pl pl pl pl pl pl pl pl
ANSWER: C pl
Page | 3 pl pl
, The staff nurse may turn down even a reasonable request; an assertive response avoids irrational
pl pl pl pl pl pl pl pl pl pl pl pl pl pl
beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
possible negative outcomes. DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and
pl pl pl pl pl pl pl pl pl pl pl pl pl
Documentation MSC: Safe and Effective Care Environment: Management of Care
pl pl pl pl pl pl pl pl pl pl
3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
statement, if made by the staff nurse, is nonassertive and may result in a frustrated response from
pl p l pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
the nurse manager?
pl pl pl
a. ―I want to decide the shifts for all of the other staff nurses.‖
pl pl pl pl pl pl pl pl pl pl pl pl
b. ―Do whatever you want. It doesn’t really matter to me.‖
pl pl pl pl pl pl pl pl pl
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
pl pl pl pl pl pl pl pl pl pl
d. ―You will never be able to give me what I really want to work.‖
pl pl pl pl pl pl pl pl pl pl pl pl pl
ANSWER: B pl
A statement that allows others to make decisions for a person is an example of a nonassertive style
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
of communication; the response of others to a nonassertive statement may include disrespect, guilt,
pl pl pl pl pl pl pl pl pl pl pl pl pl pl
anger, or frustration. Statements that make choices for others or that are accusations are examples of
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
aggressive styles of communication; the response of others to an aggressive statement may include
pl pl pl pl pl pl pl pl pl pl pl pl pl pl
hurt, defensiveness, or humiliation. A statement that allows making one’s own decisions is an
pl pl pl pl pl pl pl pl pl pl pl pl pl pl
example of assertive style of communication; the response of others to an assertive statement may
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
include mutual respect. DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and
pl pl pl pl pl pl pl pl pl pl pl pl pl
Documentation MSC: Safe and Effective Care Environment: Management of Care
pl pl pl pl pl pl pl pl pl pl
4. The nurse is providing care to a patient who was admitted with heart failure. The patient has not
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
been following the prescribed diet or taking the prescribed medications. Which type of
pl pl pl pl pl pl pl pl pl pl pl pl pl
communication approach is most important for the nurse to use with this patient to facilitate a
pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl pl
change in self-care behavior?
pl pl pl pl
a. Authoritative, honest, and outright communication pl pl pl pl
b. Assertive, responsible, and caring communication pl pl pl pl
c. Aggressive, sympathetic, and realistic communication pl pl pl pl
d. Positive, expert, and focused communication pl pl pl pl
pl ANSWER: B pl
Communication must be technically responsible, assertive, and caring to facilitate a change in
pl pl pl pl pl pl pl pl pl pl pl pl
behavior. DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and
pl pl pl pl pl pl pl pl pl pl pl
Documentation MSC: Psychosocial Integrity
pl pl pl pl
Page | 4 pl pl
