TEST BANK
ss
CommunicationinNursing10thEdition
s
JuliaBalzerRiley
, TableofContents
Chapter1: Responsible, Assertive, Caring Communication in
ss ss ss ss ss
ss Nursing Chapter 2: The Client-Nurse Relationship: A Helping
zz ss ss ss ss ss ss
ss Relationship Chapter 3: Solving Problems Together ss ss ss ss ss
Chapter4: Understanding Each Other: Communicationand Culture Chapter
ss ss ss ss ss zz
ss 5: Demonstrating Warmth
ss ss
Chapter 6: Showing Respect ss ss ss
ss Chapter 7: Being Genuine ss ss ss
ss Chapter 8: Being Empathetic ss ss ss
ss Chapter9:Using Self- s zz
DisclosureChapter 10: Being ss ss
ss specific Chapter 11: Asking ss ss ss
ss Questions Chapter12: ss
ExpressingOpinions Chapter 13: zz ss
Using Humor ss
Chapter14:Embracingthe Spiritual Journey of Health Caring, Meaning Making Chapter 15: s ss ss ss ss ss ss ss zz ss
ss Requesting Support ss
Chapter 16: Overcoming Evaluation
ss ss ss
ss AnxietyChapter 17: Working with ss ss ss
ss Feedback Chapter 18: UsingRelaxation ss ss ss
ss technique
Chapter19: Incorporating Imagery in Professional Practice and Self-
ss ss ss ss ss ss ss
ss Care Chapter 20 Incorporating Positive Self-Talk
zz ss ss ss ss
Chapter21: s s Learning to Work Together in Groups ss ss ss ss ss
ss Chapter22:TheChangingWorld of Electronic ss ss
ss Communication Chapter23:LearningConfrontationskills zz s
ss Chapter 24: Refusing Unreasonable Requests
ss ss ss ss
Chapter s s 25: s s Communicating s s Assertively s s and s s Responsibly s s with s s Distressed
s s Clients s s and ColleaguesChapter 26: Communicating Assertively and Responsibly with
s s ss ss ss ss ss ss
Aggressive Clients and Colleagues Chapter 27: Communicating Assertively and Responsibly with
ss ss s ss zz ss ss ss ss ss ss
ss Unpopular Clients Chapter 29: Communicating at the End-of-
ss ss s s s s s s s s s s
LifeChapter 30: Continuing the Commitment ss ss ss ss
,BalzerRiley: Communication inNursing,10thEdition ss ss s s
s
Chapter1:Responsible,Assertive,Caring Communication inNursing s s ss ss s
Test Bank ss
ss MultipleChoice s
1. Which statement describes the affective s s s s s s s s s s aspect s s of
s s learning effectivecommunication strategies? s s ss
a. ―Thenurse should use clear, direct statements using objective words.‖
s ss ss ss ss ss ss ss ss
b. ―Thenurse uses body language that is congruent with theverbal message.‖
s ss ss ss ss ss ss ss ss s ss
c. ―Thenursebelieves that positive communication strategies build confidence.‖ s ss ss ss ss ss ss
d. ―Thenursepractices assertive and responsible communication strategies.‖ s ss ss ss ss ss
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
ss ss ss ss ss ss ss ss ss
affective
ss aspects (feelings, values, and
s attitudes),
s and
s s s s s s s s s s s s s s s s s s s s s s
s spsychomotor aspects
s s (physical capability).Learning basic communication ss s s ss s s s s
skills involves the cognitive domain; building confidence through a belief in the
s s s s s s ss ss ss ss ss ss ss ss ss
value and impact of positive communication is the affective domain; and putting skills
ss ss ss ss ss ss ss ss ss ss ss ss ss
into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrated
ss ss ss ss ss ss ss ss ss ss ss ss
Process: Communication and Documentation MSC: Psychosocial Integrity
ss ss s s ss ss ss ss
2. The nurse manager asks the staff nurse to work an extra shift. Which response
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss bythe staff nurse is assertive and based on rational beliefs?
ss ss ss ss ss ss ss ss ss
a. ―I don’t want you upset, so I will work extra.‖
zz ss ss ss ss ss zz ss ss
b. ―Whydo Ialways have to cover extra shifts?‖ s ss s ss ss ss ss ss
c. ―I am not able to work an extra shift.‖
zz ss ss ss ss ss ss ss
d. ―If you can’t find anyone else, Iwill do it.‖
ss ss ss ss ss ss s ss ss
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
ss ss ss ss ss ss ss ss ss ss ss ss ss
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
ss ss ss ss ss ss ss ss ss ss ss ss ss
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
ss ss ss ss ss ss ss ss ss ss ss ss
Process: Communication and Documentation MSC: Safe and Effective Care
ss ss ss ss ss ss ss ss ss
Environment: Management of Care
ss ss ss ss
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss shifts. Which statement, if made by the staff nurse, is nonassertive and may result in
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss afrustrated response from the nurse manager?
z ss ss ss ss ss
a. ―I want to decide the shifts for all of the other staff nurses.‖
zz ss ss ss ss ss ss ss ss ss ss ss
b. ―Do whatever you want. It doesn’t really matterto me.‖
s ss ss ss ss ss ss s ss
c. ―Thank you for offering me a choice. Iprefer 12-hour shifts.‖ ss ss ss ss ss ss ss s ss ss
d. ―You will never be able to giveme what Ireally want to work.‖
ss ss ss ss ss ss s ss ss s ss ss ss
ANS:B
A statement that allows others to make decisions for a person
s s s s s s s s s s s s s s s s s s s s
s is an example of a nonassertive style of communication; the response of
s s s s s s s ss ss s s s s s s s s s s s s
others to a nonassertive statement may include disrespect, guilt, anger, or
s s s s s s s s ss ss ss ss ss ss ss
frustration. Statements that make choices for others or that are accusations are examples
ss ss ss ss ss ss ss ss ss ss ss ss ss
of aggressive styles of communication; the response of others to an aggressive statement
ss ss ss ss ss ss ss ss ss ss ss ss ss
may include hurt, defensiveness, or humiliation. A statement that allows making
ss ss ss ss s s s s s s s s s s s s s s
one’s own decisions is an example ofassertive style of communication; the response
s s s s s s s s ss ss ss ss ss ss ss ss
of others to an assertive statement may include mutual respect.DIF: Analysis REF: p. 7
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
ss ss ss ss ss ss ss ss ss ss
Care Environment: Management of Care
ss ss ss ss ss
4. The nurse is providing care to a patient who was admitted with heart failure. The
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss patient has not been following the prescribed diet or taking the prescribed
ss ss ss ss ss ss ss ss ss ss ss
ss medications. Which type of communication approach is most important s s s s s s s s s s s s s s s s
s s for the nurse to use with this patient to facilitate a change in self-care behavior?
s s ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Authoritative, honest, and outright communication ss ss ss ss
b. Assertive,responsible, andcaring communication s s s s
c. Aggressive,sympathetic, and realistic communication s ss ss ss
d. Positive,expert, and focused communication s ss ss ss
ANS:B
Communication must be technically responsible, assertive, and caring s s s s s s s s s s s s s s
s to facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
s s s ss ss ss ss ss ss ss ss ss
s Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
s ss ss ss ss ss ss ss
5. Which are examples of a nurse s s s s s s s s s s s s who s s is s s communicating
s s responsibly? (Select all t hat apply) s s s s z ss
a. The nurse uses profanity to respond to a s s s s s s s s s s s s s s s s client s s who s s is
intoxicated and verballyabusive. s s s s ss
b. The nurse helps a client talk to family members about ss ss ss ss ss ss ss ss ss
discontinuingchemotherapy. ss z
ss
CommunicationinNursing10thEdition
s
JuliaBalzerRiley
, TableofContents
Chapter1: Responsible, Assertive, Caring Communication in
ss ss ss ss ss
ss Nursing Chapter 2: The Client-Nurse Relationship: A Helping
zz ss ss ss ss ss ss
ss Relationship Chapter 3: Solving Problems Together ss ss ss ss ss
Chapter4: Understanding Each Other: Communicationand Culture Chapter
ss ss ss ss ss zz
ss 5: Demonstrating Warmth
ss ss
Chapter 6: Showing Respect ss ss ss
ss Chapter 7: Being Genuine ss ss ss
ss Chapter 8: Being Empathetic ss ss ss
ss Chapter9:Using Self- s zz
DisclosureChapter 10: Being ss ss
ss specific Chapter 11: Asking ss ss ss
ss Questions Chapter12: ss
ExpressingOpinions Chapter 13: zz ss
Using Humor ss
Chapter14:Embracingthe Spiritual Journey of Health Caring, Meaning Making Chapter 15: s ss ss ss ss ss ss ss zz ss
ss Requesting Support ss
Chapter 16: Overcoming Evaluation
ss ss ss
ss AnxietyChapter 17: Working with ss ss ss
ss Feedback Chapter 18: UsingRelaxation ss ss ss
ss technique
Chapter19: Incorporating Imagery in Professional Practice and Self-
ss ss ss ss ss ss ss
ss Care Chapter 20 Incorporating Positive Self-Talk
zz ss ss ss ss
Chapter21: s s Learning to Work Together in Groups ss ss ss ss ss
ss Chapter22:TheChangingWorld of Electronic ss ss
ss Communication Chapter23:LearningConfrontationskills zz s
ss Chapter 24: Refusing Unreasonable Requests
ss ss ss ss
Chapter s s 25: s s Communicating s s Assertively s s and s s Responsibly s s with s s Distressed
s s Clients s s and ColleaguesChapter 26: Communicating Assertively and Responsibly with
s s ss ss ss ss ss ss
Aggressive Clients and Colleagues Chapter 27: Communicating Assertively and Responsibly with
ss ss s ss zz ss ss ss ss ss ss
ss Unpopular Clients Chapter 29: Communicating at the End-of-
ss ss s s s s s s s s s s
LifeChapter 30: Continuing the Commitment ss ss ss ss
,BalzerRiley: Communication inNursing,10thEdition ss ss s s
s
Chapter1:Responsible,Assertive,Caring Communication inNursing s s ss ss s
Test Bank ss
ss MultipleChoice s
1. Which statement describes the affective s s s s s s s s s s aspect s s of
s s learning effectivecommunication strategies? s s ss
a. ―Thenurse should use clear, direct statements using objective words.‖
s ss ss ss ss ss ss ss ss
b. ―Thenurse uses body language that is congruent with theverbal message.‖
s ss ss ss ss ss ss ss ss s ss
c. ―Thenursebelieves that positive communication strategies build confidence.‖ s ss ss ss ss ss ss
d. ―Thenursepractices assertive and responsible communication strategies.‖ s ss ss ss ss ss
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
ss ss ss ss ss ss ss ss ss
affective
ss aspects (feelings, values, and
s attitudes),
s and
s s s s s s s s s s s s s s s s s s s s s s
s spsychomotor aspects
s s (physical capability).Learning basic communication ss s s ss s s s s
skills involves the cognitive domain; building confidence through a belief in the
s s s s s s ss ss ss ss ss ss ss ss ss
value and impact of positive communication is the affective domain; and putting skills
ss ss ss ss ss ss ss ss ss ss ss ss ss
into action is the psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrated
ss ss ss ss ss ss ss ss ss ss ss ss
Process: Communication and Documentation MSC: Psychosocial Integrity
ss ss s s ss ss ss ss
2. The nurse manager asks the staff nurse to work an extra shift. Which response
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss bythe staff nurse is assertive and based on rational beliefs?
ss ss ss ss ss ss ss ss ss
a. ―I don’t want you upset, so I will work extra.‖
zz ss ss ss ss ss zz ss ss
b. ―Whydo Ialways have to cover extra shifts?‖ s ss s ss ss ss ss ss
c. ―I am not able to work an extra shift.‖
zz ss ss ss ss ss ss ss
d. ―If you can’t find anyone else, Iwill do it.‖
ss ss ss ss ss ss s ss ss
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
ss ss ss ss ss ss ss ss ss ss ss ss ss
irrational beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
ss ss ss ss ss ss ss ss ss ss ss ss ss
or focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
ss ss ss ss ss ss ss ss ss ss ss ss
Process: Communication and Documentation MSC: Safe and Effective Care
ss ss ss ss ss ss ss ss ss
Environment: Management of Care
ss ss ss ss
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
ss ss ss ss ss ss ss ss ss ss ss ss ss
ss shifts. Which statement, if made by the staff nurse, is nonassertive and may result in
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss afrustrated response from the nurse manager?
z ss ss ss ss ss
a. ―I want to decide the shifts for all of the other staff nurses.‖
zz ss ss ss ss ss ss ss ss ss ss ss
b. ―Do whatever you want. It doesn’t really matterto me.‖
s ss ss ss ss ss ss s ss
c. ―Thank you for offering me a choice. Iprefer 12-hour shifts.‖ ss ss ss ss ss ss ss s ss ss
d. ―You will never be able to giveme what Ireally want to work.‖
ss ss ss ss ss ss s ss ss s ss ss ss
ANS:B
A statement that allows others to make decisions for a person
s s s s s s s s s s s s s s s s s s s s
s is an example of a nonassertive style of communication; the response of
s s s s s s s ss ss s s s s s s s s s s s s
others to a nonassertive statement may include disrespect, guilt, anger, or
s s s s s s s s ss ss ss ss ss ss ss
frustration. Statements that make choices for others or that are accusations are examples
ss ss ss ss ss ss ss ss ss ss ss ss ss
of aggressive styles of communication; the response of others to an aggressive statement
ss ss ss ss ss ss ss ss ss ss ss ss ss
may include hurt, defensiveness, or humiliation. A statement that allows making
ss ss ss ss s s s s s s s s s s s s s s
one’s own decisions is an example ofassertive style of communication; the response
s s s s s s s s ss ss ss ss ss ss ss ss
of others to an assertive statement may include mutual respect.DIF: Analysis REF: p. 7
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective
ss ss ss ss ss ss ss ss ss ss
Care Environment: Management of Care
ss ss ss ss ss
4. The nurse is providing care to a patient who was admitted with heart failure. The
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ss patient has not been following the prescribed diet or taking the prescribed
ss ss ss ss ss ss ss ss ss ss ss
ss medications. Which type of communication approach is most important s s s s s s s s s s s s s s s s
s s for the nurse to use with this patient to facilitate a change in self-care behavior?
s s ss ss ss ss ss ss ss ss ss ss ss ss ss
a. Authoritative, honest, and outright communication ss ss ss ss
b. Assertive,responsible, andcaring communication s s s s
c. Aggressive,sympathetic, and realistic communication s ss ss ss
d. Positive,expert, and focused communication s ss ss ss
ANS:B
Communication must be technically responsible, assertive, and caring s s s s s s s s s s s s s s
s to facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
s s s ss ss ss ss ss ss ss ss ss
s Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
s ss ss ss ss ss ss ss
5. Which are examples of a nurse s s s s s s s s s s s s who s s is s s communicating
s s responsibly? (Select all t hat apply) s s s s z ss
a. The nurse uses profanity to respond to a s s s s s s s s s s s s s s s s client s s who s s is
intoxicated and verballyabusive. s s s s ss
b. The nurse helps a client talk to family members about ss ss ss ss ss ss ss ss ss
discontinuingchemotherapy. ss z