TESTBANK
7
CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible, Assertive, CaringCommunication in l 77 7 77
77 Nursing Chapter 2: The Client-Nurse Relationship: A Helping
l! 77 77 77 77 77 77
77 Relationship Chapter 3: Solving Problems Together 77 77 77 77 77
77 Chapter4:UnderstandingEachOther:CommunicationandCultureChapter
7 7 5: Demonstrating Warmth
77 77
Chapter 6: Showing Respect 77 77 77
77 Chapter 7: Being Genuine 77 77 77
77 Chapter 8: Being Empathetic 77 77 77
77 Chapter9:UsingSelf-
77 DisclosureChapter 10: Being 77 77
77 specific Chapter 11: Asking 77 77 77
77 Questions Chapter12: 77
Expressing OpinionsChapter 13: l! 7 7
UsingHumor 7
Chapter14:Embracing theSpiritualJourneyofHealthCaring,MeaningMaking Chapter 15: l 7 7 7 7 l! 77
77 Requesting Support 77
Chapter16:OvercomingEvaluation 7
77 AnxietyChapter 17: Working with 77 77 77
77 FeedbackChapter18:Using Relaxation 7 7 7 l!
77 technique
Chapter19:IncorporatingImageryinProfessionalPracticeandSelf- 7 7 7 7 7 7
77 Care Chapter 20 Incorporating Positive Self-Talk
l! 77 77 77 77
Chapter21: 7 7 Learning toWork Togetherin Groups l 77 7 77 7 77
77 Chapter22:TheChanging WorldofElectronic l!
77 Communication Chapter23:Learning Confrontation skills l! l! l!
77 Chapter24:RefusingUnreasonableRequests 7 7
Chapter 7 7 25: 7 7 Communicating 7 7 Assertively 7 7 and 7 7 Responsibly 7 7 with 7 7 Distressed
7 7 Clients 7 7 and ColleaguesChapter26:CommunicatingAssertivelyandResponsiblywithAggressive
7 7 7 7 7 7 7 7 7
Clientsand ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular
77 7 77 77 77 77 77 77 77 77
77 Clients Chapter 29: Communicating at the End-of-
77 7 7 7 7 7 7 7 7 7 7
LifeChapter30: ContinuingtheCommitment 7 77 7 7
,BalzerRiley:CommunicationinNursing,10thEdition 7 7
Chapter1:Responsible,Assertive,Caring CommunicationinNursing 7 7
Test Bank 77
77 MultipleChoice
1. Which statement describes the affective 7 7 7 7 7 7 7 7 7 7 aspect 7 7 of
7 7 learning effectivecommunication strategies? 77 l! 77
a. ―Thenurseshoulduseclear,directstatementsusingobjectivewords.‖ 7 7 7 7 7 7 7
b. ―Thenurseuses bodylanguagethatiscongruent with theverbal message.‖ 77 7 77 77 77 77 77
c. ―Thenursebelievesthatpositivecommunicationstrategiesbuildconfidence.‖ 7 7 7 7 7
d. ―Thenursepractices assertiveandresponsiblecommunicationstrategies.‖ 77 7
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
77 77 77 77 77 77 77 77 77
affective aspects (feelings, values, and attitudes), and psychomotor aspects
77 77 77 77 77 77 77 77 77
(physicalcapability).Learning basic communication skills involves the cognitive domain;
77 77 77 77 77 77 77 77
building confidence through a belief in the value and impact of positive communication is the
77 77 77 77 77 77 77 77 77 7 77 77 77 77 77
affective domain; and putting skills into action is the psychomotor domain.DIF:
77 77 77 77 77 77 77 77 77 77 77
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
77 77 77 77 77 77 77 7 7 7 7 77
MSC: Psychosocial Integrity
77 77 77
2. Thenursemanagerasksthestaffnursetoworkan extrashift.Whichresponse bythe
7 7 7 7 7 7 7 7 7 77 7 7 7 77
77 staff nurse is assertive and based on rational beliefs?
77 77 77 77 77 77 77 77
a. ―I don’t want you upset, so I will work extra.‖
l! 77 77 77 77 77 l 77 77
b. ―Whydo Ialwayshavetocoverextrashifts?‖ 77 7 7 7 7 7
c. ―I am notableto workan extrashift.‖
l 77 7 7 77 7 77 7
d. ―Ifyoucan’tfindanyoneelse,Iwilldoit.‖
7 7 7 7 7 77 7 7
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
77 77 77 77 77 77 77 77 77 77 77 77 77
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
77 77 77 77 77 77 77 77 77 77 77 77 77 77
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
77 77 77 77 77 77 77 77 77 77 77 77
Communication and Documentation MSC: Safe and Effective Care Environment:
77 77 77 77 77 77 77 77 77
Management of Care
77 77 77
, 3. Anursemanageroffersa staffnurseachoicebetween working8-or12-hourshifts. Which
7 7 7 7 77 7 7 7 7 77 7 7 7 7 77
77 statement, if made by the staff nurse, is nonassertive and may result in afrustrated response
77 77 77 77 77 77 77 77 77 77 77 77 77 77
77 from the nurse manager? 77 77 77
a. ―I want to decide theshifts forall of theotherstaff nurses.‖
l! 77 77 77 7 77 7 77 77 7 7 77
b. ―Dowhateveryouwant. Itdoesn’treallymatterto me.‖ 7 77 77 7 77 7 77
c. ―Thankyou foroffering meachoice. Iprefer12-hourshifts.‖ 7 77 77 77 7 7
d. ―Youwillneverbeabletogivemewhat Ireallywanttowork.‖ 7 7 7 7 7 7 77 7 7 7
ANS:B
A statement that allows others to make decisions for a person is an example of anonassertive
77 77 77 77 77 77 77 77 77 77 77 77 77 77 77
style of communication; the response of others to a nonassertive statement may include
77 77 77 77 77 77 77 77 77 77 77 77 77
disrespect, guilt, anger, or frustration. Statements that make choices for others or that are
77 77 77 77 77 77 77 77 77 77 77 77 77 77
accusations are examples of aggressive styles of communication; the response of others to an
77 77 77 77 77 77 77 77 77 77 77 77 77 77
aggressive statement may include hurt, defensiveness, or humiliation. A statement that
77 77 77 77 77 77 77 77 77 77 77
allows making one’s own decisions is an example ofassertive style of communication; the
77 77 77 77 77 77 77 77 77 77 77 77 77
response of others to an assertive statement may include mutual respect.DIF: Analysis REF:
77 77 77 77 77 77 77 77 77 77 77 77 77
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
77 77 77 77 77 7 7 77 77 77 77 77 77
Care Environment: Management of Care
77 77 77 77 77
4. The nurse is providing care to a patient who was admitted with heart failure. The
77 77 77 77 77 77 77 77 77 77 77 77 77 77
77 patient has not been following the prescribed diet or taking the prescribed medications.
77 77 77 77 77 77 77 77 77 77 77 77
77 Which type of communication approach is most important for the nurse to use with this
77 77 77 77 77 77 77 77 77 77 77 77 77 77
77 patient to facilitate a change in self-care behavior?
77 77 77 77 77 77 77
a. Authoritative,honest,andoutrightcommunication 7 77
b. Assertive,responsible,and caring communication 7 l l
c. Aggressive,sympathetic,andrealisticcommunication 7
d. Positive,expert,andfocusedcommunication 7
ANS:B
Communication must be technically responsible, assertive, and caring to 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
7facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
7 77 77 77 77 77 77 77 77 77
7Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
7 77 77 77 77 77 77 77
5. Which are examples of a nurse 7 7 7 7 7 7 7 7 7 7 7 7 who 7 7 is 7 7 communicating
7 7 responsibly? (Select allthat apply) 77 7 7 77
a. The nurse uses profanity to respond to a client who is 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
intoxicated and verballyabusive.
7 7 7 7 77
b. Thenursehelpsaclienttalktofamilymembersabout 7 7 7 7 7 7 7 7 7
discontinuingchemotherapy.
77
7
CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible, Assertive, CaringCommunication in l 77 7 77
77 Nursing Chapter 2: The Client-Nurse Relationship: A Helping
l! 77 77 77 77 77 77
77 Relationship Chapter 3: Solving Problems Together 77 77 77 77 77
77 Chapter4:UnderstandingEachOther:CommunicationandCultureChapter
7 7 5: Demonstrating Warmth
77 77
Chapter 6: Showing Respect 77 77 77
77 Chapter 7: Being Genuine 77 77 77
77 Chapter 8: Being Empathetic 77 77 77
77 Chapter9:UsingSelf-
77 DisclosureChapter 10: Being 77 77
77 specific Chapter 11: Asking 77 77 77
77 Questions Chapter12: 77
Expressing OpinionsChapter 13: l! 7 7
UsingHumor 7
Chapter14:Embracing theSpiritualJourneyofHealthCaring,MeaningMaking Chapter 15: l 7 7 7 7 l! 77
77 Requesting Support 77
Chapter16:OvercomingEvaluation 7
77 AnxietyChapter 17: Working with 77 77 77
77 FeedbackChapter18:Using Relaxation 7 7 7 l!
77 technique
Chapter19:IncorporatingImageryinProfessionalPracticeandSelf- 7 7 7 7 7 7
77 Care Chapter 20 Incorporating Positive Self-Talk
l! 77 77 77 77
Chapter21: 7 7 Learning toWork Togetherin Groups l 77 7 77 7 77
77 Chapter22:TheChanging WorldofElectronic l!
77 Communication Chapter23:Learning Confrontation skills l! l! l!
77 Chapter24:RefusingUnreasonableRequests 7 7
Chapter 7 7 25: 7 7 Communicating 7 7 Assertively 7 7 and 7 7 Responsibly 7 7 with 7 7 Distressed
7 7 Clients 7 7 and ColleaguesChapter26:CommunicatingAssertivelyandResponsiblywithAggressive
7 7 7 7 7 7 7 7 7
Clientsand ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular
77 7 77 77 77 77 77 77 77 77
77 Clients Chapter 29: Communicating at the End-of-
77 7 7 7 7 7 7 7 7 7 7
LifeChapter30: ContinuingtheCommitment 7 77 7 7
,BalzerRiley:CommunicationinNursing,10thEdition 7 7
Chapter1:Responsible,Assertive,Caring CommunicationinNursing 7 7
Test Bank 77
77 MultipleChoice
1. Which statement describes the affective 7 7 7 7 7 7 7 7 7 7 aspect 7 7 of
7 7 learning effectivecommunication strategies? 77 l! 77
a. ―Thenurseshoulduseclear,directstatementsusingobjectivewords.‖ 7 7 7 7 7 7 7
b. ―Thenurseuses bodylanguagethatiscongruent with theverbal message.‖ 77 7 77 77 77 77 77
c. ―Thenursebelievesthatpositivecommunicationstrategiesbuildconfidence.‖ 7 7 7 7 7
d. ―Thenursepractices assertiveandresponsiblecommunicationstrategies.‖ 77 7
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
77 77 77 77 77 77 77 77 77
affective aspects (feelings, values, and attitudes), and psychomotor aspects
77 77 77 77 77 77 77 77 77
(physicalcapability).Learning basic communication skills involves the cognitive domain;
77 77 77 77 77 77 77 77
building confidence through a belief in the value and impact of positive communication is the
77 77 77 77 77 77 77 77 77 7 77 77 77 77 77
affective domain; and putting skills into action is the psychomotor domain.DIF:
77 77 77 77 77 77 77 77 77 77 77
Comprehension REF: p. 13 TOP: Integrated Process: Communication and Documentation
77 77 77 77 77 77 77 7 7 7 7 77
MSC: Psychosocial Integrity
77 77 77
2. Thenursemanagerasksthestaffnursetoworkan extrashift.Whichresponse bythe
7 7 7 7 7 7 7 7 7 77 7 7 7 77
77 staff nurse is assertive and based on rational beliefs?
77 77 77 77 77 77 77 77
a. ―I don’t want you upset, so I will work extra.‖
l! 77 77 77 77 77 l 77 77
b. ―Whydo Ialwayshavetocoverextrashifts?‖ 77 7 7 7 7 7
c. ―I am notableto workan extrashift.‖
l 77 7 7 77 7 77 7
d. ―Ifyoucan’tfindanyoneelse,Iwilldoit.‖
7 7 7 7 7 77 7 7
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
77 77 77 77 77 77 77 77 77 77 77 77 77
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or
77 77 77 77 77 77 77 77 77 77 77 77 77 77
focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
77 77 77 77 77 77 77 77 77 77 77 77
Communication and Documentation MSC: Safe and Effective Care Environment:
77 77 77 77 77 77 77 77 77
Management of Care
77 77 77
, 3. Anursemanageroffersa staffnurseachoicebetween working8-or12-hourshifts. Which
7 7 7 7 77 7 7 7 7 77 7 7 7 7 77
77 statement, if made by the staff nurse, is nonassertive and may result in afrustrated response
77 77 77 77 77 77 77 77 77 77 77 77 77 77
77 from the nurse manager? 77 77 77
a. ―I want to decide theshifts forall of theotherstaff nurses.‖
l! 77 77 77 7 77 7 77 77 7 7 77
b. ―Dowhateveryouwant. Itdoesn’treallymatterto me.‖ 7 77 77 7 77 7 77
c. ―Thankyou foroffering meachoice. Iprefer12-hourshifts.‖ 7 77 77 77 7 7
d. ―Youwillneverbeabletogivemewhat Ireallywanttowork.‖ 7 7 7 7 7 7 77 7 7 7
ANS:B
A statement that allows others to make decisions for a person is an example of anonassertive
77 77 77 77 77 77 77 77 77 77 77 77 77 77 77
style of communication; the response of others to a nonassertive statement may include
77 77 77 77 77 77 77 77 77 77 77 77 77
disrespect, guilt, anger, or frustration. Statements that make choices for others or that are
77 77 77 77 77 77 77 77 77 77 77 77 77 77
accusations are examples of aggressive styles of communication; the response of others to an
77 77 77 77 77 77 77 77 77 77 77 77 77 77
aggressive statement may include hurt, defensiveness, or humiliation. A statement that
77 77 77 77 77 77 77 77 77 77 77
allows making one’s own decisions is an example ofassertive style of communication; the
77 77 77 77 77 77 77 77 77 77 77 77 77
response of others to an assertive statement may include mutual respect.DIF: Analysis REF:
77 77 77 77 77 77 77 77 77 77 77 77 77
p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
77 77 77 77 77 7 7 77 77 77 77 77 77
Care Environment: Management of Care
77 77 77 77 77
4. The nurse is providing care to a patient who was admitted with heart failure. The
77 77 77 77 77 77 77 77 77 77 77 77 77 77
77 patient has not been following the prescribed diet or taking the prescribed medications.
77 77 77 77 77 77 77 77 77 77 77 77
77 Which type of communication approach is most important for the nurse to use with this
77 77 77 77 77 77 77 77 77 77 77 77 77 77
77 patient to facilitate a change in self-care behavior?
77 77 77 77 77 77 77
a. Authoritative,honest,andoutrightcommunication 7 77
b. Assertive,responsible,and caring communication 7 l l
c. Aggressive,sympathetic,andrealisticcommunication 7
d. Positive,expert,andfocusedcommunication 7
ANS:B
Communication must be technically responsible, assertive, and caring to 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
7facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
7 77 77 77 77 77 77 77 77 77
7Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
7 77 77 77 77 77 77 77
5. Which are examples of a nurse 7 7 7 7 7 7 7 7 7 7 7 7 who 7 7 is 7 7 communicating
7 7 responsibly? (Select allthat apply) 77 7 7 77
a. The nurse uses profanity to respond to a client who is 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7 7
intoxicated and verballyabusive.
7 7 7 7 77
b. Thenursehelpsaclienttalktofamilymembersabout 7 7 7 7 7 7 7 7 7
discontinuingchemotherapy.
77
