TEST BANK
nn
Communication in Nursing 10th Edition
nn nn nn nn
Julia Balzer Riley
nn nn
, Table of Contents nn nn
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
nn nn nn nn nn nn nn
nn Chapter 2: The Client-Nurse Relationship: A Helping Relationship
nn nn nn nn nn nn nn
nn Chapter 3: Solving Problems Together
nn nn nn nn
Chapter 4: Understanding Each Other: Communication and
nn nn nn nn nn nn
Culture Chapter 5: Demonstrating Warmth
nn nn nn nn nn
Chapter 6: Showing Respect
nn nn nn
nn Chapter 7: Being Genuine
nn nn nn
nn Chapter 8: Being Empathetic
nn nn nn
nn Chapter 9: Using Self-
nn nn nn
Disclosure Chapter 10: Being nn nn nn
nn specific Chapter 11: Asking
nn nn nn
nn Questions Chapter 12: nn nn
Expressing Opinions Chapter
nn nn nn
nn 13: Using Humor
nn nn
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
nn nn nn nn nn nn nn nn nn nn
nn Chapter 15: Requesting Support
nn nn nn
Chapter 16: Overcoming Evaluation Anxiety
nn nn nn nn
nn Chapter 17: Working with Feedback
nn nn nn nn
nn Chapter 18: Using Relaxation technique
nn nn nn nn
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
nn nn nn nn nn nn nn nn
nn Chapter 20 Incorporating Positive Self-Talk
nn nn nn nn
Chapter 21: Learning to Work Together in Groups
nn n n nn nn nn nn nn
Chapter 22: The Changing World of Electronic
nn nn nn nn nn nn
Communication Chapter 23: Learning Confrontation skills
nn nn nn nn nn nn
Chapter 24: Refusing Unreasonable Requests
nn nn nn nn
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and
nn nn nn nn nn nn nn nn nn
nn Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive
nn nn nn nn nn nn nn nn
nn Clients and Colleagues Chapter 27: Communicating Assertively and Responsibly with
nn nn nn nn nn nn nn nn nn
nn Unpopular Clients nn
Chapter 29: Communicating at the End-of-
nn nn nn nn nn
Life nnChapter nn 30: nn Continuing nn the
nn Commitment
,Balzer Riley: Communication in Nursing, 10th Edition
nn nn nn nn nn
nn
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
nn nn nn nn nn nn nn
Test Bank nn
nn Multiple Choice nn
1. Which statement describes the affective aspect of learning
n n n n n n n n n n n n n n
n n effective communication strategies? nn nn
a. “The nurse nn should use clear, direct statements using objective words.”
nn nn nn nn nn nn nn nn
b. “The nurse nn uses body language that is congruent with the verbal message.”
nn nn nn nn nn nn nn nn nn nn
c. “The nurse nn believes that positive communication strategies build confidence.”
nn nn nn nn nn nn nn
d. “The nurse nn practices assertive and responsible communication strategies.”
nn nn nn nn nn nn
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
nn nn nn nn nn nn nn nn nn
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
nn nn nn nn nn nn nn nn nn nn
capability).Learning basic communication skills involves the cognitive domain;
nn nn nn nn nn nn nn nn
building confidence through a belief in the value and impact of positive
nn nn nn nn nn nn nn nn nn nn nn nn
communication is the affective domain; and putting skills into action is the
nn nn nn nn nn nn nn nn nn nn nn nn
psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrated Process:
nn nn nn nn nn nn nn nn nn
Communication and Documentation MSC: Psychosocial Integrity
nn nn n n nn nn nn
2. The nurse manager asks the staff nurse to work an extra shift. Which
nn nn nn nn nn nn nn nn nn nn nn nn
response by the staff nurse is assertive and based on rational beliefs?
nn nn nn nn nn nn nn nn nn nn nn nn
a. “I don’t want you upset, so I will work extra.”
nn nn nn nn nn nn nn nn nn
b. “Why do I always have to cover extra shifts?”
nn nn nn nn nn nn nn nn
c. “I am not able to work an extra shift.”
nn nn nn nn nn nn nn nn
d. “If you can’t find anyone else, I will do it.”
nn nn nn nn nn nn nn nn nn
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response
nn nn nn nn nn nn nn nn nn nn nn nn
avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about
nn nn nn nn nn nn nn nn nn nn nn nn nn
assertiveness or focusing on possible negative outcomes.DIF: Analysis REF: p. 8
nn nn nn nn nn nn nn nn nn nn nn
TOP: Integrated Process: Communication and Documentation MSC: Safe and
nn nn nn nn nn nn nn nn nn
Effective Care Environment: Management of Care
nn nn nn nn nn nn
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
nn nn nn nn nn nn nn nn nn nn nn nn nn
nn shifts. Which statement, if made by the staff nurse, is nonassertive and may
nn nn nn nn nn nn nn nn nn nn nn nn
nn result in a frustrated response from the nurse manager?
nn nn nn nn nn nn nn nn
a. “I want to decide the shifts for all of the other staff nurses.”
nn nn nn nn nn nn nn nn nn nn nn nn
b. “Do whatever you want. It doesn’t really matter to me.”
nn nn nn nn nn nn nn nn nn
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
nn nn nn nn nn nn nn nn nn nn
d. “You will never be able to give me what I really want to work.”
nn nn nn nn nn nn nn nn nn nn nn nn nn
ANS:B
A statement that allows others to make decisions for a person is an example of a
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
nonassertive style of communication; the response of others to a nonassertive
nn nn nn nn nn nn nn nn nn nn nn
statement may include disrespect, guilt, anger, or frustration. Statements that make
nn nn nn nn nn nn nn nn nn nn nn
choices for others or that are accusations are examples of aggressive styles of
nn nn nn nn nn nn nn nn nn nn nn nn nn
communication; the response of others to an aggressive statement may include hurt,
nn nn nn nn nn nn nn nn nn nn nn nn
defensiveness, or humiliation. A statement that allows making one’s own decisions
nn nn nn nn nn nn nn nn nn nn nn
is an example of assertive style of communication; the response of others to an
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
assertive statement may include mutual respect.DIF: Analysis REF: p. 7 TOP:
nn nn nn nn nn nn nn nn nn nn nn
Integrated Process: Communication and Documentation MSC: Safe and Effective
nn nn nn nn nn nn nn nn nn
Care Environment: Management of Care
nn nn nn nn nn
4. The nurse is providing care to a patient who was admitted with heart failure.
nn nn nn nn nn nn nn nn nn nn nn nn nn
nn The patient has not been following the prescribed diet or taking the prescribed
nn nn nn nn nn nn nn nn nn nn nn nn
nn medications. Which type of communication approach is most important for the
nn nn nn nn nn nn nn nn nn nn
nn nurse to use with this patient to facilitate a change in self-care behavior?
nn nn nn nn nn nn nn nn nn nn nn nn
a. Authoritative, honest, and outright communication nn nn nn nn
b. Assertive, responsible, and caring communication nn nn nn nn
c. Aggressive, sympathetic, and realistic communication nn nn nn nn
d. Positive, expert, and focused communication nn nn nn nn
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a
nn nn nn nn nn nn nn nn nn nn
change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
nn nn nn nn nn nn nn nn nn
Process: Communication and Documentation MSC: Psychosocial Integrity
n n nn nn nn nn nn nn
5. Which are examples of a nurse who is communicating responsibly?
nn nn n n n n nn nn nn n n n n
nn (Select all that apply) n n nn nn
a. The nurse uses profanity to respond to a client who is intoxicated and
nn nn nn nn nn nn nn nn nn nn nn nn
verbally abusive.
nn nn
b. The nurse helps a client talk to family members about
nn nn nn nn nn nn nn nn nn
discontinuing chemotherapy.
nn nn
nn
Communication in Nursing 10th Edition
nn nn nn nn
Julia Balzer Riley
nn nn
, Table of Contents nn nn
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
nn nn nn nn nn nn nn
nn Chapter 2: The Client-Nurse Relationship: A Helping Relationship
nn nn nn nn nn nn nn
nn Chapter 3: Solving Problems Together
nn nn nn nn
Chapter 4: Understanding Each Other: Communication and
nn nn nn nn nn nn
Culture Chapter 5: Demonstrating Warmth
nn nn nn nn nn
Chapter 6: Showing Respect
nn nn nn
nn Chapter 7: Being Genuine
nn nn nn
nn Chapter 8: Being Empathetic
nn nn nn
nn Chapter 9: Using Self-
nn nn nn
Disclosure Chapter 10: Being nn nn nn
nn specific Chapter 11: Asking
nn nn nn
nn Questions Chapter 12: nn nn
Expressing Opinions Chapter
nn nn nn
nn 13: Using Humor
nn nn
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
nn nn nn nn nn nn nn nn nn nn
nn Chapter 15: Requesting Support
nn nn nn
Chapter 16: Overcoming Evaluation Anxiety
nn nn nn nn
nn Chapter 17: Working with Feedback
nn nn nn nn
nn Chapter 18: Using Relaxation technique
nn nn nn nn
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
nn nn nn nn nn nn nn nn
nn Chapter 20 Incorporating Positive Self-Talk
nn nn nn nn
Chapter 21: Learning to Work Together in Groups
nn n n nn nn nn nn nn
Chapter 22: The Changing World of Electronic
nn nn nn nn nn nn
Communication Chapter 23: Learning Confrontation skills
nn nn nn nn nn nn
Chapter 24: Refusing Unreasonable Requests
nn nn nn nn
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and
nn nn nn nn nn nn nn nn nn
nn Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive
nn nn nn nn nn nn nn nn
nn Clients and Colleagues Chapter 27: Communicating Assertively and Responsibly with
nn nn nn nn nn nn nn nn nn
nn Unpopular Clients nn
Chapter 29: Communicating at the End-of-
nn nn nn nn nn
Life nnChapter nn 30: nn Continuing nn the
nn Commitment
,Balzer Riley: Communication in Nursing, 10th Edition
nn nn nn nn nn
nn
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
nn nn nn nn nn nn nn
Test Bank nn
nn Multiple Choice nn
1. Which statement describes the affective aspect of learning
n n n n n n n n n n n n n n
n n effective communication strategies? nn nn
a. “The nurse nn should use clear, direct statements using objective words.”
nn nn nn nn nn nn nn nn
b. “The nurse nn uses body language that is congruent with the verbal message.”
nn nn nn nn nn nn nn nn nn nn
c. “The nurse nn believes that positive communication strategies build confidence.”
nn nn nn nn nn nn nn
d. “The nurse nn practices assertive and responsible communication strategies.”
nn nn nn nn nn nn
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
nn nn nn nn nn nn nn nn nn
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
nn nn nn nn nn nn nn nn nn nn
capability).Learning basic communication skills involves the cognitive domain;
nn nn nn nn nn nn nn nn
building confidence through a belief in the value and impact of positive
nn nn nn nn nn nn nn nn nn nn nn nn
communication is the affective domain; and putting skills into action is the
nn nn nn nn nn nn nn nn nn nn nn nn
psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrated Process:
nn nn nn nn nn nn nn nn nn
Communication and Documentation MSC: Psychosocial Integrity
nn nn n n nn nn nn
2. The nurse manager asks the staff nurse to work an extra shift. Which
nn nn nn nn nn nn nn nn nn nn nn nn
response by the staff nurse is assertive and based on rational beliefs?
nn nn nn nn nn nn nn nn nn nn nn nn
a. “I don’t want you upset, so I will work extra.”
nn nn nn nn nn nn nn nn nn
b. “Why do I always have to cover extra shifts?”
nn nn nn nn nn nn nn nn
c. “I am not able to work an extra shift.”
nn nn nn nn nn nn nn nn
d. “If you can’t find anyone else, I will do it.”
nn nn nn nn nn nn nn nn nn
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response
nn nn nn nn nn nn nn nn nn nn nn nn
avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about
nn nn nn nn nn nn nn nn nn nn nn nn nn
assertiveness or focusing on possible negative outcomes.DIF: Analysis REF: p. 8
nn nn nn nn nn nn nn nn nn nn nn
TOP: Integrated Process: Communication and Documentation MSC: Safe and
nn nn nn nn nn nn nn nn nn
Effective Care Environment: Management of Care
nn nn nn nn nn nn
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
nn nn nn nn nn nn nn nn nn nn nn nn nn
nn shifts. Which statement, if made by the staff nurse, is nonassertive and may
nn nn nn nn nn nn nn nn nn nn nn nn
nn result in a frustrated response from the nurse manager?
nn nn nn nn nn nn nn nn
a. “I want to decide the shifts for all of the other staff nurses.”
nn nn nn nn nn nn nn nn nn nn nn nn
b. “Do whatever you want. It doesn’t really matter to me.”
nn nn nn nn nn nn nn nn nn
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
nn nn nn nn nn nn nn nn nn nn
d. “You will never be able to give me what I really want to work.”
nn nn nn nn nn nn nn nn nn nn nn nn nn
ANS:B
A statement that allows others to make decisions for a person is an example of a
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
nonassertive style of communication; the response of others to a nonassertive
nn nn nn nn nn nn nn nn nn nn nn
statement may include disrespect, guilt, anger, or frustration. Statements that make
nn nn nn nn nn nn nn nn nn nn nn
choices for others or that are accusations are examples of aggressive styles of
nn nn nn nn nn nn nn nn nn nn nn nn nn
communication; the response of others to an aggressive statement may include hurt,
nn nn nn nn nn nn nn nn nn nn nn nn
defensiveness, or humiliation. A statement that allows making one’s own decisions
nn nn nn nn nn nn nn nn nn nn nn
is an example of assertive style of communication; the response of others to an
nn nn nn nn nn nn nn nn nn nn nn nn nn nn
assertive statement may include mutual respect.DIF: Analysis REF: p. 7 TOP:
nn nn nn nn nn nn nn nn nn nn nn
Integrated Process: Communication and Documentation MSC: Safe and Effective
nn nn nn nn nn nn nn nn nn
Care Environment: Management of Care
nn nn nn nn nn
4. The nurse is providing care to a patient who was admitted with heart failure.
nn nn nn nn nn nn nn nn nn nn nn nn nn
nn The patient has not been following the prescribed diet or taking the prescribed
nn nn nn nn nn nn nn nn nn nn nn nn
nn medications. Which type of communication approach is most important for the
nn nn nn nn nn nn nn nn nn nn
nn nurse to use with this patient to facilitate a change in self-care behavior?
nn nn nn nn nn nn nn nn nn nn nn nn
a. Authoritative, honest, and outright communication nn nn nn nn
b. Assertive, responsible, and caring communication nn nn nn nn
c. Aggressive, sympathetic, and realistic communication nn nn nn nn
d. Positive, expert, and focused communication nn nn nn nn
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a
nn nn nn nn nn nn nn nn nn nn
change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
nn nn nn nn nn nn nn nn nn
Process: Communication and Documentation MSC: Psychosocial Integrity
n n nn nn nn nn nn nn
5. Which are examples of a nurse who is communicating responsibly?
nn nn n n n n nn nn nn n n n n
nn (Select all that apply) n n nn nn
a. The nurse uses profanity to respond to a client who is intoxicated and
nn nn nn nn nn nn nn nn nn nn nn nn
verbally abusive.
nn nn
b. The nurse helps a client talk to family members about
nn nn nn nn nn nn nn nn nn
discontinuing chemotherapy.
nn nn