Communication in Nursing 10th Edition
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by Julia Balzer Riley
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Expert Verified Q&As| A+
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, Table of Contents b b
b Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Chapter 2: The Client-Nurse Relationship: A Helping Relationship
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Chapter 3: Solving Problems Together
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Chapter 4: Understanding Each Other: Communication and Culture
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Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect
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Chapter 7: Being Genuine
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Chapter 8: Being Empathetic
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Chapter 9: Using Self-Disclosure
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Chapter 10: Being specific
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Chapter 11: Asking Questions
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Chapter 12: Expressing Opinions
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Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
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Chapter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback
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b Chapter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
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Chapter 20 Incorporating Positive Self-Talk
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Chapter 21: Learning to Work Together in Groups
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Chapter 22: The Changing World of Electronic Communication
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Chapter 23: Learning Confrontation skills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
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,Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
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Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 28: Managing Team Conflict Assertively and Responsibly
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Chapter 29: Communicating at the End-of-Life
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Chapter 30: Continuing the Commitment
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Multiple Choice
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1. Which statement describes the affective aspect of learning effective communication strategies?
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a. ―The nurse should use clear, direct statements using objective words.‖
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b. ―The nurse uses body language that is congruent with the verbal message.‖
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c. ―The nurse believes that positive communication strategies build confidence.‖
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d. ―The nurse practices assertive and responsible communication strategies.‖
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ANSWER: C b
Learning involves three domains: the cognitive aspects (understanding and meaning), affective aspects
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(feelings, values, and attitudes), and psychomotor aspects (physical capability).Learning basic
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communication skills involves the cognitive domain; building confidence through a belief in the value
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and impact of positive communication is the affective domain; and putting skills into action is the
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psychomotor domain. DIF: Comprehension REF: p. 13 TOP: Integrated Process: Communication and
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Documentation MSC: Psychosocial Integrity
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2. The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is
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assertive and based on rational beliefs?
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a. ―I don’t want you upset, so I will work extra.‖
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b. ―Why do I always have to cover extra shifts?‖
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c. ―I am not able to work an extra shift.‖
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d. ―If you can’t find anyone else, I will do it.‖
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ANSWER: C b
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, The staff nurse may turn down even a reasonable request; an assertive response avoids irrational beliefs.
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Irrational beliefs occur as a result of being anxious about assertiveness or focusing on possible negative
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outcomes. DIF: Analysis REF: p. 8 TOP: Integrated Process: Communication and Documentation MSC:
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Safe and Effective Care Environment: Management of Care
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3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts. Which statement,
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bif made by the staff nurse, is nonassertive and may result in a frustrated response from the nurse
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manager?
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a. ―I want to decide the shifts for all of the other staff nurses.‖
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b. ―Do whatever you want. It doesn’t really matter to me.‖
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c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
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d. ―You will never be able to give me what I really want to work.‖
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ANSWER: B b
A statement that allows others to make decisions for a person is an example of a nonassertive style of
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communication; the response of others to a nonassertive statement may include disrespect, guilt, anger,
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or frustration. Statements that make choices for others or that are accusations are examples of
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aggressive styles of communication; the response of others to an aggressive statement may include hurt,
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defensiveness, or humiliation. A statement that allows making one’s own decisions is an example of
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assertive style of communication; the response of others to an assertive statement may include mutual
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respect. DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC:
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Safe and Effective Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. The patient has not
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been following the prescribed diet or taking the prescribed medications. Which type of
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communication approach is most important for the nurse to use with this patient to facilitate a change
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in self-care behavior?
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a. Authoritative, honest, and outright communication b b b b
b. Assertive, responsible, and caring communication b b b b
c. Aggressive, sympathetic, and realistic communication b b b b
d. Positive, expert, and focused communication b b b b
ANSWER: B
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Communication must be technically responsible, assertive, and caring to facilitate a change in behavior.
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DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: Communication and
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Documentation MSC: Psychosocial Integrity
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