Test Bank for Balzer
Riley: Communication
in Nursing, 8th Edition
TEST BANK
GRADED A+
, Balzer Riley: Communication in
Nursing, 8th Edition
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. Which statement describes the affective aspect of learning effective communication
strategies?
a. a. “The nurse should use clear, direct statements using objective words.”
b. b. “The nurse uses body language that is congruent with the verbal message.”
c. c. “The nurse believes that positive communication strategies build
confidence.”
d. d. “The nurse practices assertive and responsible communication strategies.”
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the
staff nurse is assertive and based on rational beliefs?
a. a. “I don’t want you upset, so I will work extra.”
b. b. “Why do I always have to cover extra shifts?”
c. c. “I am not able to work an extra shift.”
d. d. “If you can’t find anyone else, I will do it.”
1. 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
shifts. Which statement, if made by the staff nurse, is nonassertive and may resu lt in
a frustrated response from the nurse manager?
a. a. “I want to decide the shifts for all of the other staff nurses.”
b. b. “Do whatever you want. It doesn’t really matter to me.”
c. c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
d. d. “You will never be able to give me what I really want to work.”
1. 4. The nurse is providing care 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-care behavior?
a. a. Authoritative, honest, and outright communication
b. b. Assertive, responsible, and caring communication
c. c. Aggressive, sympathetic, and realistic communication
, d. d. Positive, expert, and focused communication
1. 5. Which are examples of a nurse who is communicating responsibly? (Select all
that apply)
a. a. The nurse uses profanity to respond to a client who is intoxicated and
verbally abusive.
b. b. The nurse helps a client talk to family members about discontinuing
chemotherapy.
c. c. The nurse uses interpersonal strategies to help a client develop methods of
coping.
d. d. The nurse provides a client’s health information to a close relative who is
visiting.
e. e. The nurse listens carefully to the client’s concern about inadequate pain
relief.
1. 6. According to Swanson’s theory, there are five caring processes, one of which is
“being with.” Which of the responses by the nurse portrays an understanding of the
concept of “being with” a client?
a. a. The nurse charting in the room to spend more time with the client
b. b. The nurse wearing locator badge so you can quickly respond any time
patient would call front desk and ask to page you
c. c. The nurse requesting one-on-one nurse staffing
d. d. The nurse being emotionally present to the client
1. 7. According to Swanson’s theory, there are five caring processes, one of which is
“knowing.” What are the other four?
a. a. Communication, assertiveness, responsibility, and caring
b. b. Maintaining belief, being with, doing for, and enabling
c. c. Understanding, action, information, and comfort
d. d. Maintaining belief, being with, enabling, and supporting
1. 8. The charge nurse informs a staff nurse that it is her turn to float to another unit.
Which response by the staff nurse is aggressive?
a. a. “I had such a bad experience last time. Please send another nurse instead
of me.”
b. b. “I will miss working with you today, but I understand that it is my turn to
float.”
c. c. “I will not survive on the other unit. The staff are always too busy to help
, me.”
d. d. “I will float, but you’ll be sorry. You cannot handle emergencies without
me.”
1. 9.f x Af x clientf x hasf x highf x bloodf x pressuref x andf x needsf x tof x learnf x aboutf x af x lo
w-
sodiumf x diet.fxWhichfxquestionfxiffxaskedfxbyfxthefxclientfxwouldfxbefxanfxindirectfxre
questfxforfxinformation?
a. “HowfxshouldfxIfxpreparefxfoodfxwithoutfxaddingfxsalt?”
b. “WhatfxwillfxIfxdofxtofxmakefxfoodfxtastefxbetter?”
c. “Whatfxdietfxchangesfxarefxneededfxtofxcontrolfxmyfxbloodfxpressure?”
d. “WhatfxfoodsfxshouldfxIfxavoidfxthatfxarefxhighfxinfxsodium?”
1. 10.fxThef x nursef x plansf x tof x delegatef x af x client’sf x personalf x hygienef x tof x af x nurs
ingf x assistant.fxWhichfxstatementfxiffxmadefxbyfxthefxnursefxtofxthefxnursingfxassistantf
xisfxassertive?
a. a.
“Wouldfxyoufxmindfxhelpingfxthefxclientfxwithfxafxbathfxwhenfxyoufxhavefxti
me?fxIff x not,fxIfxwillfxskipfxmyfxlunchfxandfxdofxitfxmyself.”
b. b.
“Youfxneverfxgetfxyourfxworkfxdonefxandfxarefxalwaysfxonfxthefxphone.fxYo
ufxneedfxtofxhelpfxthefxclientfxrightfxnowfxwithfxafxbath,fxorfxIfxwillfxwritefxyoufxup.
”
c. c.
“Thefxclientf x needsfxhelpfxwithfxbathing.fxIfxwantfxyoufxtofxassistfxthefxclie
ntfxnow,f x andfxyoufxcanfxgofxtofxlunchfxwhenfxyoufxarefxfinished.”
d. d.
“Ifxhavefximportantfxworkfxtofxcompletefxthisfxmorning.fxYoufxwillfxassistfxth
efxclientfxwithfxafxbath.fxDofxnotfxtakefxafxbreakfxuntilfxyoufxhavefxfinished.”
11. Afxhospitalfxnursefxisfxconcernedfxaboutfxthefxdemandsfxoffxprovidingfxsafefxcarefxt
ofxclientsfxwhofxarefxseriouslyfxill.fxThefxnursefxmanagerfxshouldfxsuggestfxwhichfxinterven
tionfxtofxeffectivelyfxhelpfxthefxnursefxbalancefxthefxdemandingfxworkfxinfxthefxhospitalfxset
ting?
a. a.f x Delegatefxmorefxtasksfxtofxthefxunlicensedfxnursingfxpersonnelfxonfxthefxunit.
b. b.f x Requestfxafxtransferfxtofxanotherfxnursingfxcarefxunitfxwithfxpatientsfxwhofxarefxstable.
c. Writefxdownfxstoriesfxinfxafxjournalfxaboutfxhowfxcaringfxmakesfxafxdifferencefxforfxpati
ents.
c. d.f x f x Usefxanfxassertivefxcommunicationfxstylefxforfxeveryfxpatient–nursefxinteraction.
12. Whichf x nonverbalfxaction(s)f x wouldf x bef x consistentf x withfxanfxassertivef x
stylef x offxcommunication?fx(Selectfxallfxthatfxapply)
a. a. Relaxedfxposture
b. b. Establishedfxeyefxcontact
Riley: Communication
in Nursing, 8th Edition
TEST BANK
GRADED A+
, Balzer Riley: Communication in
Nursing, 8th Edition
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Test Bank
Multiple Choice
1. Which statement describes the affective aspect of learning effective communication
strategies?
a. a. “The nurse should use clear, direct statements using objective words.”
b. b. “The nurse uses body language that is congruent with the verbal message.”
c. c. “The nurse believes that positive communication strategies build
confidence.”
d. d. “The nurse practices assertive and responsible communication strategies.”
2. The nurse manager asks the staff nurse to work an extra shift. Which response by the
staff nurse is assertive and based on rational beliefs?
a. a. “I don’t want you upset, so I will work extra.”
b. b. “Why do I always have to cover extra shifts?”
c. c. “I am not able to work an extra shift.”
d. d. “If you can’t find anyone else, I will do it.”
1. 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
shifts. Which statement, if made by the staff nurse, is nonassertive and may resu lt in
a frustrated response from the nurse manager?
a. a. “I want to decide the shifts for all of the other staff nurses.”
b. b. “Do whatever you want. It doesn’t really matter to me.”
c. c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
d. d. “You will never be able to give me what I really want to work.”
1. 4. The nurse is providing care 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-care behavior?
a. a. Authoritative, honest, and outright communication
b. b. Assertive, responsible, and caring communication
c. c. Aggressive, sympathetic, and realistic communication
, d. d. Positive, expert, and focused communication
1. 5. Which are examples of a nurse who is communicating responsibly? (Select all
that apply)
a. a. The nurse uses profanity to respond to a client who is intoxicated and
verbally abusive.
b. b. The nurse helps a client talk to family members about discontinuing
chemotherapy.
c. c. The nurse uses interpersonal strategies to help a client develop methods of
coping.
d. d. The nurse provides a client’s health information to a close relative who is
visiting.
e. e. The nurse listens carefully to the client’s concern about inadequate pain
relief.
1. 6. According to Swanson’s theory, there are five caring processes, one of which is
“being with.” Which of the responses by the nurse portrays an understanding of the
concept of “being with” a client?
a. a. The nurse charting in the room to spend more time with the client
b. b. The nurse wearing locator badge so you can quickly respond any time
patient would call front desk and ask to page you
c. c. The nurse requesting one-on-one nurse staffing
d. d. The nurse being emotionally present to the client
1. 7. According to Swanson’s theory, there are five caring processes, one of which is
“knowing.” What are the other four?
a. a. Communication, assertiveness, responsibility, and caring
b. b. Maintaining belief, being with, doing for, and enabling
c. c. Understanding, action, information, and comfort
d. d. Maintaining belief, being with, enabling, and supporting
1. 8. The charge nurse informs a staff nurse that it is her turn to float to another unit.
Which response by the staff nurse is aggressive?
a. a. “I had such a bad experience last time. Please send another nurse instead
of me.”
b. b. “I will miss working with you today, but I understand that it is my turn to
float.”
c. c. “I will not survive on the other unit. The staff are always too busy to help
, me.”
d. d. “I will float, but you’ll be sorry. You cannot handle emergencies without
me.”
1. 9.f x Af x clientf x hasf x highf x bloodf x pressuref x andf x needsf x tof x learnf x aboutf x af x lo
w-
sodiumf x diet.fxWhichfxquestionfxiffxaskedfxbyfxthefxclientfxwouldfxbefxanfxindirectfxre
questfxforfxinformation?
a. “HowfxshouldfxIfxpreparefxfoodfxwithoutfxaddingfxsalt?”
b. “WhatfxwillfxIfxdofxtofxmakefxfoodfxtastefxbetter?”
c. “Whatfxdietfxchangesfxarefxneededfxtofxcontrolfxmyfxbloodfxpressure?”
d. “WhatfxfoodsfxshouldfxIfxavoidfxthatfxarefxhighfxinfxsodium?”
1. 10.fxThef x nursef x plansf x tof x delegatef x af x client’sf x personalf x hygienef x tof x af x nurs
ingf x assistant.fxWhichfxstatementfxiffxmadefxbyfxthefxnursefxtofxthefxnursingfxassistantf
xisfxassertive?
a. a.
“Wouldfxyoufxmindfxhelpingfxthefxclientfxwithfxafxbathfxwhenfxyoufxhavefxti
me?fxIff x not,fxIfxwillfxskipfxmyfxlunchfxandfxdofxitfxmyself.”
b. b.
“Youfxneverfxgetfxyourfxworkfxdonefxandfxarefxalwaysfxonfxthefxphone.fxYo
ufxneedfxtofxhelpfxthefxclientfxrightfxnowfxwithfxafxbath,fxorfxIfxwillfxwritefxyoufxup.
”
c. c.
“Thefxclientf x needsfxhelpfxwithfxbathing.fxIfxwantfxyoufxtofxassistfxthefxclie
ntfxnow,f x andfxyoufxcanfxgofxtofxlunchfxwhenfxyoufxarefxfinished.”
d. d.
“Ifxhavefximportantfxworkfxtofxcompletefxthisfxmorning.fxYoufxwillfxassistfxth
efxclientfxwithfxafxbath.fxDofxnotfxtakefxafxbreakfxuntilfxyoufxhavefxfinished.”
11. Afxhospitalfxnursefxisfxconcernedfxaboutfxthefxdemandsfxoffxprovidingfxsafefxcarefxt
ofxclientsfxwhofxarefxseriouslyfxill.fxThefxnursefxmanagerfxshouldfxsuggestfxwhichfxinterven
tionfxtofxeffectivelyfxhelpfxthefxnursefxbalancefxthefxdemandingfxworkfxinfxthefxhospitalfxset
ting?
a. a.f x Delegatefxmorefxtasksfxtofxthefxunlicensedfxnursingfxpersonnelfxonfxthefxunit.
b. b.f x Requestfxafxtransferfxtofxanotherfxnursingfxcarefxunitfxwithfxpatientsfxwhofxarefxstable.
c. Writefxdownfxstoriesfxinfxafxjournalfxaboutfxhowfxcaringfxmakesfxafxdifferencefxforfxpati
ents.
c. d.f x f x Usefxanfxassertivefxcommunicationfxstylefxforfxeveryfxpatient–nursefxinteraction.
12. Whichf x nonverbalfxaction(s)f x wouldf x bef x consistentf x withfxanfxassertivef x
stylef x offxcommunication?fx(Selectfxallfxthatfxapply)
a. a. Relaxedfxposture
b. b. Establishedfxeyefxcontact
