Test Bank – Communication in Nursing, 10th
Edition (Julia Balzer Riley) | Verified Questions & Answers
(2025 Edition)
, Table of Contents
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chap
ter 2: The Client-
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
Together
Chapter 4: Understanding Each Other: Communicationand Culture
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Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect Ch
apter 7: Being Genuine Chapter
8: Being Empathetic Chapter 9:
Using Self-
Disclosure Chapter 10: Being sp
ecific Chapter 11: Asking Questi gi
ons Chapter 12: Expressing Opini
ons Chapter 13: Using Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapte
gi
r 15: Requesting Support
Chapter 16: Overcoming Evaluation Anxiety C
gi gi
hapter 17: Working with Feedback Chapte
r 18: Using Relaxation technique
Chapter 19: Incorporating Imagery in Professional Practice and Self- gi
Care Chapter 20 Incorporating Positive Self-Talk
Chapter 21: Learning to Work Together in Groups
gi
Chapter 22: The Changing World of Electronic Communication
Chapter 23: Learning Confrontation skills
Chapter 24: Refusing Unreasonable Requests
gi
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
Chapter 29: Communicating at the End-of-
Life Chapter 30: Continuing the Commitment
,BalzerRiley: Communication in Nursing, 10th Edition gi
Chapter1:Responsible, Assertive,Caring Communicationin Nursing
Test Bank Multipl
e Choice
1. Which statement describes the affective aspect of learning effect
ive communication strategies?
a. ―The nurse should use clear, direct statements using objective words.‖
b. ―The nurse uses body language that is congruent with the verbal message.‖
c. ―The nurse believes that positive communication strategies build confidence.‖
d. ―The nurse practices assertive and responsible communication strategies.‖
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabil
ity).Learning basic communication skills involves the cognitive domain; building confide
nce through a belief in the value and impact of positive communication is the affective do
main; and putting skills into action is the psychomotor domain.DIF: Comprehension REF
: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosoci
al Integrity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
the staff nurse is assertive and based on rational beliefs?
a. ―I don’t want you upset, so I will work extra.‖
gi
b. ―Why do I always have to cover extra shifts?‖
gi
c. ―I am not able to work an extra shift.‖
gi
d. ―If you can’t find anyone else, I will do it.‖
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irr
ational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Proces
s: Communication and Documentation MSC: Safe and Effective Care Environment: Man
agement of Care
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may resul
t in a frustrated response from the nurse manager?
gi
a. ―I want to decide the shifts for all of the other staff nurses.‖
b. ―Do whatever you want. It doesn’t really matter to me.‖
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
gi
d. ―You will never be able to give me what I really want to work.‖
gi gi
ANS:B
A statement that allows others to make decisions for a person is an example of a nonasser
tive style of communication; the response of others to a nonassertive statement may inclu
de disrespect, guilt, anger, or frustration. Statements that make choices for others or that
gi
are accusations are examples of aggressive styles of communication; the response of othe
rs to an aggressive statement may include hurt, defensiveness, or humiliation. A statemen
t that allows making one’s own decisions is an example of assertive style of communicati
gi
on; the response of others to an assertive statement may include mutual respect.DIF: Anal
ysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe a
nd Effective Care Environment: Management of Care
4. The nurse is providing care to a patient who was admitted with heart failure. The
patient has not been following the prescribed diet or taking the prescribed medication
s. Which type of communication approach is most important for the nurse to use with
this patient to facilitate a change in self-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsible, and caring communication
c. Aggressive, sympathetic, and realistic communication
d. Positive, expert, and focused communication
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
ommunication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select
all that apply)
a. The nurse uses profanity to respond to a client who is intoxicated and verball
y abusive.
b. The nurse helps a client talk to family members about discontinuing
chemotherapy.
Edition (Julia Balzer Riley) | Verified Questions & Answers
(2025 Edition)
, Table of Contents
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chap
ter 2: The Client-
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
Together
Chapter 4: Understanding Each Other: Communicationand Culture
gi
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect Ch
apter 7: Being Genuine Chapter
8: Being Empathetic Chapter 9:
Using Self-
Disclosure Chapter 10: Being sp
ecific Chapter 11: Asking Questi gi
ons Chapter 12: Expressing Opini
ons Chapter 13: Using Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapte
gi
r 15: Requesting Support
Chapter 16: Overcoming Evaluation Anxiety C
gi gi
hapter 17: Working with Feedback Chapte
r 18: Using Relaxation technique
Chapter 19: Incorporating Imagery in Professional Practice and Self- gi
Care Chapter 20 Incorporating Positive Self-Talk
Chapter 21: Learning to Work Together in Groups
gi
Chapter 22: The Changing World of Electronic Communication
Chapter 23: Learning Confrontation skills
Chapter 24: Refusing Unreasonable Requests
gi
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
Chapter 29: Communicating at the End-of-
Life Chapter 30: Continuing the Commitment
,BalzerRiley: Communication in Nursing, 10th Edition gi
Chapter1:Responsible, Assertive,Caring Communicationin Nursing
Test Bank Multipl
e Choice
1. Which statement describes the affective aspect of learning effect
ive communication strategies?
a. ―The nurse should use clear, direct statements using objective words.‖
b. ―The nurse uses body language that is congruent with the verbal message.‖
c. ―The nurse believes that positive communication strategies build confidence.‖
d. ―The nurse practices assertive and responsible communication strategies.‖
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), aff
ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabil
ity).Learning basic communication skills involves the cognitive domain; building confide
nce through a belief in the value and impact of positive communication is the affective do
main; and putting skills into action is the psychomotor domain.DIF: Comprehension REF
: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosoci
al Integrity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
the staff nurse is assertive and based on rational beliefs?
a. ―I don’t want you upset, so I will work extra.‖
gi
b. ―Why do I always have to cover extra shifts?‖
gi
c. ―I am not able to work an extra shift.‖
gi
d. ―If you can’t find anyone else, I will do it.‖
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irr
ational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Proces
s: Communication and Documentation MSC: Safe and Effective Care Environment: Man
agement of Care
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may resul
t in a frustrated response from the nurse manager?
gi
a. ―I want to decide the shifts for all of the other staff nurses.‖
b. ―Do whatever you want. It doesn’t really matter to me.‖
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
gi
d. ―You will never be able to give me what I really want to work.‖
gi gi
ANS:B
A statement that allows others to make decisions for a person is an example of a nonasser
tive style of communication; the response of others to a nonassertive statement may inclu
de disrespect, guilt, anger, or frustration. Statements that make choices for others or that
gi
are accusations are examples of aggressive styles of communication; the response of othe
rs to an aggressive statement may include hurt, defensiveness, or humiliation. A statemen
t that allows making one’s own decisions is an example of assertive style of communicati
gi
on; the response of others to an assertive statement may include mutual respect.DIF: Anal
ysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe a
nd Effective Care Environment: Management of Care
4. The nurse is providing care to a patient who was admitted with heart failure. The
patient has not been following the prescribed diet or taking the prescribed medication
s. Which type of communication approach is most important for the nurse to use with
this patient to facilitate a change in self-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsible, and caring communication
c. Aggressive, sympathetic, and realistic communication
d. Positive, expert, and focused communication
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
ommunication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select
all that apply)
a. The nurse uses profanity to respond to a client who is intoxicated and verball
y abusive.
b. The nurse helps a client talk to family members about discontinuing
chemotherapy.
