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 mj mj
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Ch
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apter 2: The Client- mj mj mj
Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
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ms Togethermj
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 mj mj mj mj
apter 7: Being Genuine Chapter
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8: Being Empathetic Chapter 9
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: Using Self-
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Disclosure Chapter 10: Being s mj mj mj mj
pecific Chapter 11: Asking Que
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stions Chapter 12: Expressing O
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pinions Chapter 13: Using Hum mj mj mj mj
or
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Cha
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pter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback Chamj mj mj mj mj
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 Colleagu
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es Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colle
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agues 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 Commitme
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nt
,Balzer Riley: Communication in Nursing, 10th Edition
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mj
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank Multipmj mj
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), a
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ffective aspects (feelings, values, and attitudes), and psychomotor aspects (physical cap
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ability).Learning basic communication skills involves the cognitive domain; building c
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onfidence through a belief in the value and impact of positive communication is the af
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fective domain; and putting skills into action is the psychomotor domain.DIF: Compre
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hension REF: p. 13 TOP: Integrated Process: Communication and Documentation M
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SC: Psychosocial Integrity
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2. The nurse manager asks the staff nurse to work an extra shift. Which response
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j 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 assertiven
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ess or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrate
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d Process: Communication and Documentation MSC: Safe and Effective Care Environ
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ment: 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 r
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esult 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 nona
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ssertive style of communication; the response of others to a nonassertive statement ma
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y include disrespect, guilt, anger, or frustration. Statements that make choices for other
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s or that are accusations are examples of aggressive styles of communication; the resp
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onse of others to an aggressive statement may include hurt, defensiveness, or humiliati
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on. A statement that allows making one’s own decisions is an example of assertive sty
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le of communication; the response of others to an assertive statement may include mut
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ual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Doc
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umentation 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. T
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he patient has not been following the prescribed diet or taking the prescribed medi
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cations. Which type of communication approach is most important for the nurse to
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use with this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication mj mj mj mj
b. Assertive, responsible, and caring communication
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c. Aggressive, sympathetic, and realistic communication mj mj mj mj
d. Positive, expert, and focused communication
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ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a ch
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ange in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Proces
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s: Communication and Documentation MSC: Psychosocial Integrity
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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 ver
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bally abusive. mj
b. The nurse helps a client talk to family members about discontinui
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ng chemotherapy. mj
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Communication in Nursing 10th Edition
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Julia Balzer Riley
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, Table of Contents mj mj
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Ch
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apter 2: The Client- mj mj mj
Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
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ms Togethermj
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 mj mj mj mj
apter 7: Being Genuine Chapter
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8: Being Empathetic Chapter 9
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: Using Self-
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Disclosure Chapter 10: Being s mj mj mj mj
pecific Chapter 11: Asking Que
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stions Chapter 12: Expressing O
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pinions Chapter 13: Using Hum mj mj mj mj
or
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Cha
mj mj mj mj mj mj mj mj mj mj mj
pter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback Chamj mj mj mj mj
pter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
mj mj mj mj mj mj mj mj
Care Chapter 20 Incorporating Positive Self-Talk
mj mj mj mj mj
Chapter 21: Learning to Work Together in Groups
mj mj mj mj mj mj mj
Chapter 22: The Changing World of Electronic Communicatio
mj mj mj mj mj mj mj
n Chapter 23: Learning Confrontation skills
mj mj mj mj mj
Chapter 24: Refusing Unreasonable Requests
mj mj mj mj
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagu
mj mj mj mj mj mj mj mj mj mj
es Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colle
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agues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
mj mj mj mj mj
Life Chapter 30: Continuing the Commitme
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nt
,Balzer Riley: Communication in Nursing, 10th Edition
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mj
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
mj mj mj mj mj mj mj
Test Bank Multipmj mj
le Choice
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1. Which statement describes the affective aspect of learning effe
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ctive communication strategies?
mj mj
a. ―The nurse should use clear, direct statements using objective words.‖
mj mj mj mj mj mj mj mj mj
b. ―The nurse uses body language that is congruent with the verbal message.‖
mj mj mj mj mj mj mj mj mj mj mj
c. ―The nurse believes that positive communication strategies build confidence.‖
mj mj mj mj mj mj mj mj
d. ―The nurse practices assertive and responsible communication strategies.‖
mj mj mj mj mj mj mj
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), a
mj mj mj mj mj mj mj mj mj mj
ffective aspects (feelings, values, and attitudes), and psychomotor aspects (physical cap
mj mj mj mj mj mj mj mj mj mj
ability).Learning basic communication skills involves the cognitive domain; building c
mj mj mj mj mj mj mj mj mj
onfidence through a belief in the value and impact of positive communication is the af
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
fective domain; and putting skills into action is the psychomotor domain.DIF: Compre
mj mj mj mj mj mj mj mj mj mj mj
hension REF: p. 13 TOP: Integrated Process: Communication and Documentation M
mj mj mj mj mj mj mj mj m j mj
SC: Psychosocial Integrity
mj mj
2. The nurse manager asks the staff nurse to work an extra shift. Which response
mj mj mj mj mj mj mj mj mj mj mj mj mj m
j by the staff nurse is assertive and based on rational beliefs?
mj mj mj mj mj mj mj mj mj mj
a. ―I don’t want you upset, so I will work extra.‖
mj mj mj mj mj mj mj mj mj
b. ―Why do I always have to cover extra shifts?‖
mj mj mj mj mj mj mj mj
c. ―I am not able to work an extra shift.‖
mj mj mj mj mj mj mj mj
d. ―If you can’t find anyone else, I will do it.‖
mj mj mj mj mj mj mj mj mj
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
mj mj mj mj mj mj mj mj mj mj mj mj mj
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiven
mj mj mj mj mj mj mj mj mj mj mj mj mj
ess or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrate
mj mj mj mj mj mj mj mj mj mj mj mj
d Process: Communication and Documentation MSC: Safe and Effective Care Environ
mj mj mj mj mj mj mj mj mj mj
ment: Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
mj mj mj mj mj mj mj mj mj mj mj mj mj
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may r
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
esult in a frustrated response from the nurse manager?
mj mj mj mj mj mj mj mj
a. ―I want to decide the shifts for all of the other staff nurses.‖
mj mj mj mj mj mj mj mj mj mj mj mj
b. ―Do whatever you want. It doesn’t really matter to me.‖
mj mj mj mj mj mj mj mj mj
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
mj mj mj mj mj mj mj mj mj mj
d. ―You will never be able to give me what I really want to work.‖
mj mj mj mj mj mj mj mj mj mj mj mj mj
ANS:B
A statement that allows others to make decisions for a person is an example of a nona
mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj mj
ssertive style of communication; the response of others to a nonassertive statement ma
mj mj mj mj mj mj mj mj mj mj mj mj
y include disrespect, guilt, anger, or frustration. Statements that make choices for other
mj mj mj mj mj mj mj mj mj mj mj mj
s or that are accusations are examples of aggressive styles of communication; the resp
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onse of others to an aggressive statement may include hurt, defensiveness, or humiliati
mj mj mj mj mj mj mj mj mj mj mj mj
on. A statement that allows making one’s own decisions is an example of assertive sty
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
le of communication; the response of others to an assertive statement may include mut
mj mj mj mj mj mj mj mj mj mj mj mj mj
ual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Doc
mj mj mj mj mj mj mj mj mj mj mj
umentation MSC: Safe and Effective Care Environment: Management of Care
mj mj mj mj mj mj mj mj mj
4. The nurse is providing care to a patient who was admitted with heart failure. T
mj mj mj mj mj mj mj mj mj mj mj mj mj mj
he patient has not been following the prescribed diet or taking the prescribed medi
mj mj mj mj mj mj mj mj mj mj mj mj mj
cations. Which type of communication approach is most important for the nurse to
mj mj mj mj mj mj mj mj mj mj mj mj m
use with this patient to facilitate a change in self-care behavior?
j mj mj mj mj mj mj mj mj mj mj
a. Authoritative, honest, and outright communication mj mj mj mj
b. Assertive, responsible, and caring communication
mj mj mj mj
c. Aggressive, sympathetic, and realistic communication mj mj mj mj
d. Positive, expert, and focused communication
mj mj mj mj
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a ch
mj mj mj mj mj mj mj mj mj mj mj
ange in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Proces
mj mj mj mj mj mj mj mj m j
s: Communication and Documentation MSC: Psychosocial Integrity
mj mj mj mj mj mj
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 ver
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bally abusive. mj
b. The nurse helps a client talk to family members about discontinui
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ng chemotherapy. mj
