8th EditionJuliaBalzerRiley
All Chapters 1-30
, TableofContent r5 r5
Chapter1:Responsible,Assertive,CaringsCommunicationinNursing Chapt r5 r5 r5 r5 r5 r5 r5 r5
er 2: The Client-
r 5 r5 r5
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems r5 r5 r5 r5 r5 r5 r5 r 5 r5
Together
Chapter4:UnderstandingEachOther:Communication andCultu r5 r5 r5 r5 r5 r5 r5
re Chapter 5:Demonstrating Warmth
r 5 r5 r5 r5
Chapter 6: Showing Respect Cha r5 r5 r5 r 5
pter 7: Being Genuine Chapter 8:B r5 r5 r5 r5 r 5 r5
eing Empathetic Chapter9: Using r5 r5 r5 r 5 r5
Self-
Disclosure Chapter 10: Beingspeci r5 r5 r 5 r5
ficChapter 11: Asking Questions C
r5 r5 r5 r 5 r5
hapter12:Expressing Opinions Ch r5 r5 r 5 r5
apter 13:Using Humor r5 r5 r5
Chapter14:EmbracingtheSpiritualJourneyof HealthCaring,MeaningMaking Chapter 15 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
: Requesting Support
r 5 r5
Chapter16:OvercomingEvaluationAnxiety C r5 r5 r5 r5 r 5
hapter17: Working withFeedback Chapter r5 r5 r5 r5 r5 r
518:Using Relaxation technique
r5 r5 r5
Chapter19:IncorporatingImageryinProfessionalPracticeandSelf- r5 r5 r5 r5 r5 r5 r5 r5
Care Chapter 20 Incorporating Positive Self-Talk r 5 r5 r5 r5 r5
Chapter21: LearningtoWork Together inGroups r5 r 5 r5 r5 r5 r5 r5
Chapter22:TheChangingWorldofElectronicCommunicati r5 r5 r5 r5 r5 r5 r5
on Chapter23:Learning Confrontation skills
r 5 r5 r5 r5 r5
Chapter24:RefusingUnreasonableRequests r5 r5 r5 r5
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleag r 5 r5 r 5 r5 r 5 r5 r5 r 5 r 5 r5
ues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleag
r 5 r 5 r 5 r 5 r5 r5 r5 r 5 r 5 r5 r 5
ues Chapter 27:Communicating Assertively and Responsibly with Unpopular Clients
r 5 r5 r5 r5 r5 r5 r5 r5 r5
Chapter 29: Communicating at the End-of- r5 r5 r5r5 r 5 r 5 r5 r5
Life Chapter 30:Continuing theCommitment
r 5 r5 r5 r5 r5
,Chapter1:R esponsible, Assertive,CaringCommunicationinNursing r5 r5 r5 r5 r5 r5 r5
MultipleChoice r5
1. The nurse plans to delegate a client’s personal hygiene to a nursing assist
r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
ant. Whichstatement if madeby thenurse tothe nursingassistant is assertive?
r 5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
a. “Wouldyoumindhelpingtheclient withabath whenyouhavetime?Ifnot,I will skip r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
my lunch and do it myself.” r5 r5 r5 r5 r5
b. “Younevergetyour workdoneandarealwayson thephone.Youneedtohelpthe r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
client right now with abath,or I will write you up.” r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
c. “Thec lient needshelp withbathing.I want youtoassisttheclient now,andyou can r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
go to lunch when you are finished.” r5 r5 r5 r5 r5 r5
d. “Ihaveimportant worktocompletethismorning.Youwill assist theclient witha
r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
bath.Do not take abreak until you have finished.” r5 r5 r5 r5 r5 r5 r5 r5 r5
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive righ
r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
ts, avoid irrational beliefs, and use the Describe Express Specify Consequence script to for
r 5 r5 r 5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
mulate an assertive response. Describe: “The client needs help with bathing.” Express and
r 5 r 5 r 5 r 5 r5 r 5 r5 r5 r5 r5 r 5 r 5 r5
Specify: “I want you to assist the client now. ”Consequence: “You can go to lunch when you
r5 r 5 r5 r5 r5 r5 r5 r5 r 5 r5 r5 r5 r5 r5 r5 r5 r5
are finished. ”Theotherstatementsarenonassertive oraggressive: “Would you mind helping t
r5 r 5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
he client with a bath when you have time? If not, I will skip my lunch and do it myself.
r5 r5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
” is nonassertive, hesitant, and apologetic. “You never get your work done and are alwa
r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
ys on the phone. You need to help the client right now with a bath, or I will write you u
r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
p.” is aggressive, blaming, and negative. “I have important work to complete this morning.
r 5 r 5 r 5 r 5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
You will assist the client with a bath. Do not take a break until you have finished.” is ag
r5 r5 r5 r5 r5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
gressive, sarcastic, uncaring, and superior. DIF:Analysis REF:p. 6 TOP:IntegratedProcess: r 5 r 5 r 5 r 5 r5 r5 r5 r5 r5 r5 r5 r5 r5
Communication andDocumentation MSC:Safe andEffectiveCareEnvironment:Manageme r5 r5 r 5 r5 r5 r5 r5 r5 r5
ntof Care
r5 r5
2. A hospital nurse is concerned about the demands of providing safe care to clients who ar
r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r 5
e seriously ill. The nurse manager should suggest which intervention to effectively help
r5 r5 r5 r 5 r5 r5 r 5 r5 r5 r5 r5 r5 r
thenursebalancethe demanding work in thehospital setting?
5 r5 r5 r5 r5 r5 r5 r5 r5 r5
a. Delegatemoretaskstotheunlicensed nursingpersonnel ontheunit. r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
b. Requestatransfertoanothernursingcareunit with patientswhoarestable. r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
c. Writedownstories in ajournal about howcaringmakesadifferenceforpatients. r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
d. Useanassertivecommunication styleforeverypatient–nurseinteraction.r5 r5 r5 r5 r5 r5 r5 r5
ANS:C
, Caring is the moral ideal that guides nurses through the caregiving process. Although there is
r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
r satisfaction in being technologically competent, that satisfaction is not as lasting as the s
5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r 5
atisfaction derived from meaningful moments of connection with clients, family, and c r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
olleagues.DIF: Application REF: p. 13 TOP:IntegratedProcess:Caring MSC:Safe r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
andEffectiveCareEnvironment:Managementof Care
r5 r5 r5 r5 r5 r5
3. Which nonverbal action(s)wouldbeconsistent with an assertivestyleof c r5 r 5 r5 r5 r5 r 5 r 5 r5 r5 r5 r 5
ommunication?(Selectallthat apply) r5 r5 r5 r5
a. Relaxedposture r5
b. Establishedeyecontact r5 r5
c. Handsplacedonhips r5 r5 r5
d. Distant,softvoice r5 r5
e. Mask-likefacialexpression r5 r5
ANS:A,B r5
Assertive styles of communication that are nonverbal include a relaxed stance and eyes t r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
hat are warm, in contact, and frank. Aggressive styles of communication that are
r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r5 r 5 r 5 r 5
nonverbal include expressionless, cold, narrowed, or staring eyes and hands placed o r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
n hips. A weak, distant, soft voice is a nonassertive style of nonverbal communication.
r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r
5DIF: Comprehension REF: pp. 11- r 5 r 5 r 5 r 5
12 TOP: Integrated Process: Communication and Documentation MSC: PsychosocialInteg
r5 r 5 r5 r 5 r5 r5 r5 r 5 r5
rity
4. Which statement describes the affective aspect of learning effective r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
communicationstrategies? r 5 r5
a. “Thenurseshoulduseclear,directstatementsusingobjectivewords.” r5 r5 r5 r5 r5 r5 r5 r5 r5
b. “Thenurseusesbody languagethat iscongruent withtheverbal message.” r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
c. “Thenursebelievesthat positivecommunicationstrategiesbuildconfidence.” r5 r5 r5 r5 r5 r5 r5 r5
d. “Thenursepracticesassertiveandresponsiblecommunicationstrategies.” r5 r5 r5 r5 r5 r5 r5
ANS:C
Learning involvesthreedomains:the cognitive aspects(understandingandmeaning),affectiv r5 r5 r5 r5 r5 r5 r5 r5 r5 r5
e aspects (feelings, values, and attitudes), and psychomotor aspects (physical capability).
r 5 r5 r5 r5 r5 r5 r5 r5r 5 r5r5 r 5
Learning basic communication skills involves the cognitive domain; building confidenc r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5 r 5
e through a belief in the value and impact of positive communication is the affective domai
r5 r5 r5 r5 r5 r 5 r 5 r5 r5 r5 r5 r5 r5 r5 r 5
n; and putting skills into action is the psychomotordomain.DIF: Comprehension REF: p. 13T
r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r 5 r5
OP:IntegratedProcess:Communication and Documentation MSC:PsychosocialIntegrity
r5 r5 r5 r5 r5r 5 r5 r5 r5
5. Thenursemanagerasksthestaff nursetowork an extrashift. Which responseby the staff
r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r5 r 5 r5
nurse is assertive andbasedon rational beliefs? r5 r5 r5 r5 r5 r5 r5
a. “Idon’t wantyou upset, soI will workextra.” r5 r5 r5 r5 r5 r5 r5 r5 r5