, Table of Contents z z
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapt
z z z z z z z z
er 2: The Client-
z z z
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems T
z z z z z z z z z
ogether
Chapter 4: Understanding Each Other: Communication and Culture
z z z z z z z z
Chapter 5: Demonstrating Warmth z z z
Chapter 6: Showing Respect Cha z z z z
pter 7: Being Genuine Chapter 8:
z z z z z z
Being Empathetic Chapter 9: Usin
z z z z
g Self-
z
Disclosure Chapter 10: Being spe z z z z
cific Chapter 11: Asking Question
z z z z
s Chapter 12: Expressing Opinions
z z z z
Chapter 13: Using Humor
z z z z
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
z z z z z z z z z z z z
15: Requesting Support
z z
Chapter 16: Overcoming Evaluation Anxiety Ch
z z z z z
apter 17: Working with Feedback Chapter 1
z z z z z z
8: Using Relaxation technique
z z z
Chapter 19: Incorporating Imagery in Professional Practice and Self-
z z z z z z z z
Care Chapter 20 Incorporating Positive Self-Talk
z z z z z
Chapter 21: Learning to Work Together in Groups
z z z z z z z
Chapter 22: The Changing World of Electronic Communication
z z z z z z z z
Chapter 23: Learning Confrontation skills
z z z z
Chapter 24: Refusing Unreasonable Requests
z z z z
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues C
z z z z z z z z z z z
hapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues Cha
z z z z z z z z z z z
pter 27: Communicating Assertively and Responsibly with Unpopular Clients
z z z z z z z z
Chapter 29: Communicating at the End-of-
z z z z z
Life Chapter 30: Continuing the Commitment
z z z z z
,Balzer Riley: Communication in Nursing, 10th Edition
z z z z z
z
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
z z z z z z z
Test Bank Multipl z z
e Choice
z
1. Which statement describes the affective aspect of learning effective c
z z z z z z z z z
ommunication strategies? z
a. ―The nurse should use clear, direct statements using objective words.‖
z z z z z z z z z
b. ―The nurse uses body language that is congruent with the verbal message.‖
z z z z z z z z z z z
c. ―The nurse believes that positive communication strategies build confidence.‖
z z z z z z z z
d. ―The nurse practices assertive and responsible communication strategies.‖
z z z z z z z
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affecti
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ve aspects (feelings, values, and attitudes), and psychomotor aspects (physical capability).L
z z z z z z z z z z
earning basic communication skills involves the cognitive domain; building confidence thro
z z z z z z z z z z
ugh a belief in the value and impact of positive communication is the affective domain; and p
z z z z z z z z z z z z z z z z
utting skills into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: In
z z z z z z z z z z z z z
tegrated Process: Communication and Documentation MSC: Psychosocial Integrity
z z z z z z z
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the
z z z z z z z z z z z z z z z z
staff nurse is assertive and based on rational beliefs?
z z z z z z z z
a. ―I don’t want you upset, so I will work extra.‖
z z z z z z z z z
b. ―Why do I always have to cover extra shifts?‖
z z z z z z z z
c. ―I am not able to work an extra shift.‖
z z z z z z z z
d. ―If you can’t find anyone else, I will do it.‖
z z z z z z z z z
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irratio
z z z z z z z z z z z z z z
nal beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusin
z z z z z z z z z z z z z z
g on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process: Commu
z z z z z z z z z z z z
nication and Documentation MSC: Safe and Effective Care Environment: Management of C
z z z z z z z z z z z
are
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
z z z z z z z z z z z z z
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in
z z z z z z z z z z z z z z z z
a frustrated response from the nurse manager?
z z z z z z
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.‖
z z z z z z z z z
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
z z z z z z z z z z
d. ―You will never be able to give me what I really want to work.‖
z z z z z z z z z z z z z
ANS:B
A statement that allows others to make decisions for a person is an example of a nonassertive
z z z z z z z z z z z z z z z z z
style of communication; the response of others to a nonassertive statement may include disre
z z z z z z z z z z z z z
spect, guilt, anger, or frustration. Statements that make choices for others or that are accusati
z z z z z z z z z z z z z z
ons are examples of aggressive styles of communication; the response of others to an aggress
z z z z z z z z z z z z z z
ive statement may include hurt, defensiveness, or humiliation. A statement that allows makin
z z z z z z z z z z z z
g one’s own decisions is an example of assertive style of communication; the response of oth
z z z z z z z z z z z z z z z
ers to an assertive statement may include mutual respect.DIF: Analysis REF: p. 7 TOP: Integr
z z z z z z z z z z z z z z
ated Process: Communication and Documentation MSC: Safe and Effective Care Environm
z z z z z z z z z z
ent: Management of Care
z z z
4. The nurse is providing care to a patient who was admitted with heart failure. The pati
z z z z z z z z z z z z z z z
ent has not been following the prescribed diet or taking the prescribed medications. Whic
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h type of communication approach is most important for the nurse to use with this patient
z z z z z z z z z z z z z z z z
to facilitate a change in self-care behavior?
z z z z z z
a. Authoritative, honest, and outright communication z z z z
b. Assertive, responsible, and caring communication z z z z
c. Aggressive, sympathetic, and realistic communication z z z z
d. Positive, expert, and focused communication z z z z
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a change iz z z z z z z z z z z z
n behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Commun
z z z z z z z z z
ication and Documentation MSC: Psychosocial Integrity
z z z z z
5. Which are examples of a nurse who is communicating responsibly? (Select all th
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at apply) z
a. The nurse uses profanity to respond to a client who is intoxicated and verbally abu
z z z z z z z z z z z z z z
sive.
b. The nurse helps a client talk to family members about discontinuing ch
z z z z z z z z z z z
emotherapy.
Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chapt
z z z z z z z z
er 2: The Client-
z z z
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems T
z z z z z z z z z
ogether
Chapter 4: Understanding Each Other: Communication and Culture
z z z z z z z z
Chapter 5: Demonstrating Warmth z z z
Chapter 6: Showing Respect Cha z z z z
pter 7: Being Genuine Chapter 8:
z z z z z z
Being Empathetic Chapter 9: Usin
z z z z
g Self-
z
Disclosure Chapter 10: Being spe z z z z
cific Chapter 11: Asking Question
z z z z
s Chapter 12: Expressing Opinions
z z z z
Chapter 13: Using Humor
z z z z
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter
z z z z z z z z z z z z
15: Requesting Support
z z
Chapter 16: Overcoming Evaluation Anxiety Ch
z z z z z
apter 17: Working with Feedback Chapter 1
z z z z z z
8: Using Relaxation technique
z z z
Chapter 19: Incorporating Imagery in Professional Practice and Self-
z z z z z z z z
Care Chapter 20 Incorporating Positive Self-Talk
z z z z z
Chapter 21: Learning to Work Together in Groups
z z z z z z z
Chapter 22: The Changing World of Electronic Communication
z z z z z z z z
Chapter 23: Learning Confrontation skills
z z z z
Chapter 24: Refusing Unreasonable Requests
z z z z
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues C
z z z z z z z z z z z
hapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues Cha
z z z z z z z z z z z
pter 27: Communicating Assertively and Responsibly with Unpopular Clients
z z z z z z z z
Chapter 29: Communicating at the End-of-
z z z z z
Life Chapter 30: Continuing the Commitment
z z z z z
,Balzer Riley: Communication in Nursing, 10th Edition
z z z z z
z
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
z z z z z z z
Test Bank Multipl z z
e Choice
z
1. Which statement describes the affective aspect of learning effective c
z z z z z z z z z
ommunication strategies? z
a. ―The nurse should use clear, direct statements using objective words.‖
z z z z z z z z z
b. ―The nurse uses body language that is congruent with the verbal message.‖
z z z z z z z z z z z
c. ―The nurse believes that positive communication strategies build confidence.‖
z z z z z z z z
d. ―The nurse practices assertive and responsible communication strategies.‖
z z z z z z z
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning), affecti
z z z z z z z z z z
ve aspects (feelings, values, and attitudes), and psychomotor aspects (physical capability).L
z z z z z z z z z z
earning basic communication skills involves the cognitive domain; building confidence thro
z z z z z z z z z z
ugh a belief in the value and impact of positive communication is the affective domain; and p
z z z z z z z z z z z z z z z z
utting skills into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: In
z z z z z z z z z z z z z
tegrated Process: Communication and Documentation MSC: Psychosocial Integrity
z z z z z z z
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the
z z z z z z z z z z z z z z z z
staff nurse is assertive and based on rational beliefs?
z z z z z z z z
a. ―I don’t want you upset, so I will work extra.‖
z z z z z z z z z
b. ―Why do I always have to cover extra shifts?‖
z z z z z z z z
c. ―I am not able to work an extra shift.‖
z z z z z z z z
d. ―If you can’t find anyone else, I will do it.‖
z z z z z z z z z
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids irratio
z z z z z z z z z z z z z z
nal beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusin
z z z z z z z z z z z z z z
g on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process: Commu
z z z z z z z z z z z z
nication and Documentation MSC: Safe and Effective Care Environment: Management of C
z z z z z z z z z z z
are
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
z z z z z z z z z z z z z
hour shifts. Which statement, if made by the staff nurse, is nonassertive and may result in
z z z z z z z z z z z z z z z z
a frustrated response from the nurse manager?
z z z z z z
a. ―I want to decide the shifts for all of the other staff nurses.‖
z z z z z z z z z z z z
b. ―Do whatever you want. It doesn’t really matter to me.‖
z z z z z z z z z
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
z z z z z z z z z z
d. ―You will never be able to give me what I really want to work.‖
z z z z z z z z z z z z z
ANS:B
A statement that allows others to make decisions for a person is an example of a nonassertive
z z z z z z z z z z z z z z z z z
style of communication; the response of others to a nonassertive statement may include disre
z z z z z z z z z z z z z
spect, guilt, anger, or frustration. Statements that make choices for others or that are accusati
z z z z z z z z z z z z z z
ons are examples of aggressive styles of communication; the response of others to an aggress
z z z z z z z z z z z z z z
ive statement may include hurt, defensiveness, or humiliation. A statement that allows makin
z z z z z z z z z z z z
g one’s own decisions is an example of assertive style of communication; the response of oth
z z z z z z z z z z z z z z z
ers to an assertive statement may include mutual respect.DIF: Analysis REF: p. 7 TOP: Integr
z z z z z z z z z z z z z z
ated Process: Communication and Documentation MSC: Safe and Effective Care Environm
z z z z z z z z z z
ent: Management of Care
z z z
4. The nurse is providing care to a patient who was admitted with heart failure. The pati
z z z z z z z z z z z z z z z
ent has not been following the prescribed diet or taking the prescribed medications. Whic
z z z z z z z z z z z z z
h type of communication approach is most important for the nurse to use with this patient
z z z z z z z z z z z z z z z z
to facilitate a change in self-care behavior?
z z z z z z
a. Authoritative, honest, and outright communication z z z z
b. Assertive, responsible, and caring communication z z z z
c. Aggressive, sympathetic, and realistic communication z z z z
d. Positive, expert, and focused communication z z z z
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a change iz z z z z z z z z z z z
n behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Commun
z z z z z z z z z
ication and Documentation MSC: Psychosocial Integrity
z z z z z
5. Which are examples of a nurse who is communicating responsibly? (Select all th
z z z z z z z z z z z z
at apply) z
a. The nurse uses profanity to respond to a client who is intoxicated and verbally abu
z z z z z z z z z z z z z z
sive.
b. The nurse helps a client talk to family members about discontinuing ch
z z z z z z z z z z z
emotherapy.
