TEST BANK
c2
Communication in Nursing 10th Edition
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Julia Balzer Riley
c2 c2
, Table of Contents c2 c2
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
c2 c2 c2 c2 c2 c2 c2 c2
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 c2 c2 c2 c2
apter 7: Being Genuine Chapter
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2 8: Being Empathetic Chapter 9:
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Using Self- c2
Disclosure Chapter 10: Being sp c2 c2 c2 c2
ecific Chapter 11: Asking Quest
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ions Chapter 12: Expressing Opi
c2 c2 c2 c2
nions Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chap
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback Cha c2 c2 c2 c2 c2
pter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
c2 c2 c2 c2 c2 c2 c2 c2
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
c2 c2 c2 c2 c2 c2 c2
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
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
c2 c2 c2 c2 c2
Life Chapter 30: Continuing the Commitmen
c2 c2 c2 c2 c2
t
,Balzer Riley: Communication in Nursing, 10th Edition
c2 c2 c2 c2 c2
c2
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
c2 c2 c2 c2 c2 c2 c2
Test Bank Multip c2 c2
le Choice
c2
1. Which statement describes the affective aspect of learning effe
c 2 c 2 c 2 c 2 c 2 c 2 c 2 c 2
ctive communication strategies?
c2 c2
a. ―The nurse should use clear, direct statements using objective words.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
b. ―The nurse uses body language that is congruent with the verbal message.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
c. ―The nurse believes that positive communication strategies build confidence.‖
c2 c2 c2 c2 c2 c2 c2 c2
d. ―The nurse practices assertive and responsible communication strategies.‖
c2 c2 c2 c2 c2 c2 c2
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), af
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
fective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capa
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
bility).Learning basic communication skills involves the cognitive domain; building con
c2 c2 c2 c2 c2 c2 c2 c2 c2
fidence through a belief in the value and impact of positive communication is the affect
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ive domain; and putting skills into action is the psychomotor domain.DIF: Comprehensi
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
on REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Ps
c2 c2 c2 c2 c2 c2 c2 c2 c 2 c2 c2
ychosocial Integrity c2
2. The nurse manager asks the staff nurse to work an extra shift. Which response
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
by the staff nurse is assertive and based on rational beliefs?
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
a. ―I don’t want you upset, so I will work extra.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
b. ―Why do I always have to cover extra shifts?‖
c2 c2 c2 c2 c2 c2 c2 c2
c. ―I am not able to work an extra shift.‖
c2 c2 c2 c2 c2 c2 c2 c2
d. ―If you can’t find anyone else, I will do it.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertivenes
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
s or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
Process: Communication and Documentation MSC: Safe and Effective Care Environme
c2 c2 c2 c2 c2 c2 c2 c2 c2
nt: Management of Care
c2 c2 c2
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may res
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ult in a frustrated response from the nurse manager?
c2 c2 c2 c2 c2 c2 c2 c2
a. ―I want to decide the shifts for all of the other staff nurses.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
b. ―Do whatever you want. It doesn’t really matter to me.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
d. ―You will never be able to give me what I really want to work.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ANS:B
A statement that allows others to make decisions for a person is an example of a nonas
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
sertive style of communication; the response of others to a nonassertive statement may i
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
nclude disrespect, guilt, anger, or frustration. Statements that make choices for others or
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
that are accusations are examples of aggressive styles of communication; the response
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
of others to an aggressive statement may include hurt, defensiveness, or humiliation. A
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
statement that allows making one’s own decisions is an example of assertive style of co
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
mmunication; the response of others to an assertive statement may include mutual respe
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
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
c2 c2 c2 c2 c2 c2 c2 c2 c2
4. The nurse is providing care to a patient who was admitted with heart failure. Th
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
e patient has not been following the prescribed diet or taking the prescribed medicat
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ions. Which type of communication approach is most important for the nurse to use
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c
2with this patient to facilitate a change in self-care behavior?
c2 c2 c2 c2 c2 c2 c2 c2 c2
a. Authoritative, honest, and outright communication c2 c2 c2 c2
b. Assertive, responsible, and caring communication
c2 c2 c2 c2
c. Aggressive, sympathetic, and realistic communication
c2 c2 c2 c2
d. Positive, expert, and focused communication
c2 c2 c2 c2
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a cha
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
c2 c2 c2 c2 c2 c2 c2 c2 c 2 c2
Communication and Documentation MSC: Psychosocial Integrity c2 c2 c2 c2 c2
5. Which are examples of a nurse who is communicating responsibly? (Sele
c2 c2 c 2 c 2 c2 c2 c2 c2 c2 c2
ct all that apply)
c2 c2 c2
a. The nurse uses profanity to respond to a client who is intoxicated and verb
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ally abusive. c2
b. The nurse helps a client talk to family members about discontinuin
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
g chemotherapy. c2
c2
Communication in Nursing 10th Edition
c2 c2 c2 c2
Julia Balzer Riley
c2 c2
, Table of Contents c2 c2
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Cha
c2 c2 c2 c2 c2 c2 c2 c2
pter 2: The Client-
c2 c2 c2
Nurse Relationship: A Helping Relationship Chapter 3: Solving Proble
c2 c2 c2 c2 c2 c2 c2 c2
ms Together
c2
Chapter 4: Understanding Each Other: Communication and Cultur
c2 c2 c2 c2 c2 c2 c2
e Chapter 5: Demonstrating Warmth
c2 c2 c2 c2
Chapter 6: Showing Respect Ch c2 c2 c2 c2
apter 7: Being Genuine Chapter
c2 c2 c2 c2 c
2 8: Being Empathetic Chapter 9:
c2 c2 c2 c2 c2
Using Self- c2
Disclosure Chapter 10: Being sp c2 c2 c2 c2
ecific Chapter 11: Asking Quest
c2 c2 c2 c2
ions Chapter 12: Expressing Opi
c2 c2 c2 c2
nions Chapter 13: Using Humor
c2 c2 c2 c2
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chap
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ter 15: Requesting Support
c2 c2 c2
Chapter 16: Overcoming Evaluation Anxiety
c2 c2 c2 c2 c2
Chapter 17: Working with Feedback Cha c2 c2 c2 c2 c2
pter 18: Using Relaxation technique
c2 c2 c2 c2
Chapter 19: Incorporating Imagery in Professional Practice and Self-
c2 c2 c2 c2 c2 c2 c2 c2
Care Chapter 20 Incorporating Positive Self-Talk
c2 c2 c2 c2 c2
Chapter 21: Learning to Work Together in Groups
c2 c2 c2 c2 c2 c2 c2
Chapter 22: The Changing World of Electronic Communicatio
c2 c2 c2 c2 c2 c2 c2
n Chapter 23: Learning Confrontation skills
c2 c2 c2 c2 c2
Chapter 24: Refusing Unreasonable Requests
c2 c2 c2 c2
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleague
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
s Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ues Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
c2 c2 c2 c2 c2 c2 c2 c2 c2
Chapter 29: Communicating at the End-of-
c2 c2 c2 c2 c2
Life Chapter 30: Continuing the Commitmen
c2 c2 c2 c2 c2
t
,Balzer Riley: Communication in Nursing, 10th Edition
c2 c2 c2 c2 c2
c2
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
c2 c2 c2 c2 c2 c2 c2
Test Bank Multip c2 c2
le Choice
c2
1. Which statement describes the affective aspect of learning effe
c 2 c 2 c 2 c 2 c 2 c 2 c 2 c 2
ctive communication strategies?
c2 c2
a. ―The nurse should use clear, direct statements using objective words.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
b. ―The nurse uses body language that is congruent with the verbal message.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
c. ―The nurse believes that positive communication strategies build confidence.‖
c2 c2 c2 c2 c2 c2 c2 c2
d. ―The nurse practices assertive and responsible communication strategies.‖
c2 c2 c2 c2 c2 c2 c2
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), af
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
fective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capa
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
bility).Learning basic communication skills involves the cognitive domain; building con
c2 c2 c2 c2 c2 c2 c2 c2 c2
fidence through a belief in the value and impact of positive communication is the affect
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ive domain; and putting skills into action is the psychomotor domain.DIF: Comprehensi
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
on REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Ps
c2 c2 c2 c2 c2 c2 c2 c2 c 2 c2 c2
ychosocial Integrity c2
2. The nurse manager asks the staff nurse to work an extra shift. Which response
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
by the staff nurse is assertive and based on rational beliefs?
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
a. ―I don’t want you upset, so I will work extra.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
b. ―Why do I always have to cover extra shifts?‖
c2 c2 c2 c2 c2 c2 c2 c2
c. ―I am not able to work an extra shift.‖
c2 c2 c2 c2 c2 c2 c2 c2
d. ―If you can’t find anyone else, I will do it.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertivenes
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
s or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
Process: Communication and Documentation MSC: Safe and Effective Care Environme
c2 c2 c2 c2 c2 c2 c2 c2 c2
nt: Management of Care
c2 c2 c2
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may res
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ult in a frustrated response from the nurse manager?
c2 c2 c2 c2 c2 c2 c2 c2
a. ―I want to decide the shifts for all of the other staff nurses.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
b. ―Do whatever you want. It doesn’t really matter to me.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
d. ―You will never be able to give me what I really want to work.‖
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ANS:B
A statement that allows others to make decisions for a person is an example of a nonas
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
sertive style of communication; the response of others to a nonassertive statement may i
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
nclude disrespect, guilt, anger, or frustration. Statements that make choices for others or
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
that are accusations are examples of aggressive styles of communication; the response
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
of others to an aggressive statement may include hurt, defensiveness, or humiliation. A
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
statement that allows making one’s own decisions is an example of assertive style of co
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
mmunication; the response of others to an assertive statement may include mutual respe
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ct.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentatio
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
n MSC: Safe and Effective Care Environment: Management of Care
c2 c2 c2 c2 c2 c2 c2 c2 c2
4. The nurse is providing care to a patient who was admitted with heart failure. Th
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
e patient has not been following the prescribed diet or taking the prescribed medicat
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ions. Which type of communication approach is most important for the nurse to use
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c
2with this patient to facilitate a change in self-care behavior?
c2 c2 c2 c2 c2 c2 c2 c2 c2
a. Authoritative, honest, and outright communication c2 c2 c2 c2
b. Assertive, responsible, and caring communication
c2 c2 c2 c2
c. Aggressive, sympathetic, and realistic communication
c2 c2 c2 c2
d. Positive, expert, and focused communication
c2 c2 c2 c2
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a cha
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
nge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
c2 c2 c2 c2 c2 c2 c2 c2 c 2 c2
Communication and Documentation MSC: Psychosocial Integrity c2 c2 c2 c2 c2
5. Which are examples of a nurse who is communicating responsibly? (Sele
c2 c2 c 2 c 2 c2 c2 c2 c2 c2 c2
ct all that apply)
c2 c2 c2
a. The nurse uses profanity to respond to a client who is intoxicated and verb
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
ally abusive. c2
b. The nurse helps a client talk to family members about discontinuin
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2
g chemotherapy. c2