New Release TEST BANK- COMMUNICATION IN NURSING 9TH EDITION BY JULIA BALZER RILEY/ CHAPTERS 1-30-NEWEST VERSION. ORIGINAL AND AUTHENTIC

Question 1 ofl2 A client has high blood pressure and needs to learn about a low-sodium diet. Which question if asked by the client would be an indirect request for information? "What foods should I avoid that are high in sodium*" Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better*" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort “How should I prepare food without adding salt*" Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better?" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort "What diet changes are needed to control my blood pressure*” Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better?" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort "What will I do to make food taste better? “ Indirect requests for information are not obvious, and the meaning must be interpreted by the nurse. “What will I do to make food taste better*" is an indirect request for information; the nurse must interpret this question as a request for information about a low-sodium diet. The other questions are direct requests for information on a low-sodium diet. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Physiological Integrity: Basic Care and Comfort Question 2 of l2 The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement if mode by the nurse to the nursing assistant is assertive? “You never get your work done and are always on the phone. You need to help the client right now with a bath, or I will write you up." An assertive statement is clear, direct, and respectful; the nurse should use assertive rights, avoid irrational beliefs, and use the Describe Express Specify Consequence script to formulate an assertive response. Describe: “The client needs help with batting. Express and Specify: “I want you to assist the client now." Consequence: "You can go to lunch when you are/finished.” The other statements are nonassertive or aggressive: “Would you mind helping the client with a bath when you have timed 1/not, I will skip my lunch and do it myself/." is nonassertive, hesitant, and apologetic. “You never get your work done and are always on the phone. You need to help the client right now with a bath, or I will write you up." is aggressive, blaming, and negative. “1have important work to complete this morning. You will assist the client with a bath. Do not take a break until you have finished." is aggressive, sarcastic, uncaring, and superior. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “Would you mind helping the client with a bath when you have time* If not, I will skip my lunch and do it myself." An assertive statement is clear, direct, and respectful; the nurse should use assertive rights, avoid irrational beliefs, and use the Describe Express Specify Consequence script to formulate an assertive response. Describe: “The client needs help with bathing." Express and Specify: “I want you to assist the client now." Consequence: "You can go to lunch when you are finished." The other statements are nonassertive or aggressive: "Would you mind helping the client with a bath when you have timed 7/not, I will skip my lunch and do it myself/." is nonassertive, hesitant, and apologetic. “You never get your work done and are always on the phone. You need to help the client right now with a bath, or 7 will write you up.” is aggressive, blaming, and negative. “I have important work to complete this morning. You will assist the client with a bath. Do not take a break until you have finished." is aggressive, sarcastic, uncaring, and superior. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “The client needs help with bathing, I want you to assist the client now, and you can go to lunch when you are finished." An assertive statement is clear, direct, and respectful; the nurse should use assertive rights, avoid irrational beliefs, and use the Describe Express Specify Consequence script to formulate an assertive response. Describe: "The client needs help with bathing." Express and Specify: “I want you to assist the client now." Consequence: “You can go to lunch when you are finished." The other statements are nonassertive or aggressive: "Would you mind he/ping the client with a bath when you have time* //not, / will skip my lunch and do it myself/." is nonassertive, hesitant, and apologetic. "You never get your work done and are always on the phone. You need to help the client right now with a bath, or! will write you up." is aggressive, blaming, and negative. “I have important work to complete this morning. You will assist the client with a bath. Do not take a break until you have finished." is aggressive, sarcastic, uncaring, and superior. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “I have important work to complete this morning. You will assist the client with a both. Do not take a break until you have finished.” An assertive statement is clear, direct, and respectful; the nurse should use assertive rights, avoid irrational beliefs, and use the Describe Express Specify Consequence script to formulate an assertive response. Describe: “The client needs help with doing.” Express and Specify: “I want you to assist the client now." Consequence: "You can go to lunch when you are/finished.” The other statements are nonassertive or aggressive: “Would you mind helping the client with a bath when you have timed 1/not, I will skip my lunch and do it myself." is nonassertive, hesitant, and apologetic. “You never get your work done and are always on the phone. You need to help the client right now with a bath, or I will write you up." is aggressive, blaming, and negative. “1have important work to complete this morning. You will assist the client with a bath. Do not take a break until you have finished." is aggressive, sarcastic, uncaring, and superior. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe ond Effective Core Environment: Management of Care Question 3 ofl2 The nurse manager asks the staff nurse to work on extra shift. Which response by the staff nurse is assertive and based on rational beliefs? "Why do I always have to cover extra shifts?" The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative outcomes. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “I don't want you upset, so I will work extra.” The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative outcomes. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “If you can't find anyone else, I will do it." The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative outcomes. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “I am not able to work an extra shift." The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative outcomes. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care Question 4 of l2 The charge nurse informs a staff nurse that 1t is her turn to float to another unit. Which response by the staff nurse is aggressive? “I will not survive on the other unit. The staff are always too busy to help me.” An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “I had such a bad experience last time. Please send another nurse instead of me.” An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “I will miss working with you today, but I understand that it is my turn to float." An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “I will float, but you'll be sorry. You cannot handle emergencies without me.” An aggressive response is forceful and confrontational; the person using an aggressive approach will place his or her needs first and respect for others is lacking. A nonassertive response is apologetic; the person frequently puts himself or herself down. An assertive response is clear, direct, confident, and honest. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care Question 5 of 12 A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement, if mode by the staff nurse, is nonassertive and may result in a frustrated response from the nurse manager? “I want to decide the shifts for all of the other staff nurses.” A statement that allows others to make decisions for a person is an example of a nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “Thank you for offering me a choice. I prefer 12-hour shifts.” A statement thot allows others to make decisions for a person is an example of a nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care “You will never be able to give me what I really wont to work.” A statement that allows others to make decisions for a person is an example of a nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect. DIF: Analysis TOP Integrated Process Communication and Documentation ivies: date ono I-erective care environment: management of care “Do whatever you won’t. It doesn't really matter to me." A statement that allows others to make decisions for a person is an example of a nonassertive style of communication; the response of others to a nonassertive statement may include disrespect, guilt, anger, or frustration. Statements that make choices for others or that are accusations are examples of aggressive styles of communication; the response of others to an aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows making one's own decisions is an example of assertive style of communication; the response of others to an assertive statement may include mutual respect. DIF: Analysis TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care Question 6 of l2 The nurse is providing core to a patient who was admitted with heart failure. The patient has not been following the prescribed diet or taking the prescribed medications. Which type of communication approach is most important for the nurse to use with this patient to facilitate a change in self- core behavior? Assertive, responsible, and caring communication Communication must be technically responsible, assertive, and caring to facilitate a change in behavior. DIF: Knowledge/Comprehension TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity Positive, expert, and focused communication Communication must be technically responsible, assertive, and caring to facilitate a change in behavior.