Test Bank for Communication in
Nursing – 8th Edition by Julia Balzer
Riley | All Chapters 1–30
, TabIe of Contents
Chapter 1: ResponsibIe, Assertive, Caring Communication in Nursing
Chapter 2: The CIient-Nurse ReIationship: A HeIping ReIationship
Chapter 3: SoIving ProbIems Together
Chapter 4: Understanding Each Other: Communication and
CuIture Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect
Chapter 7: Being Genuine
Chapter 8: Being Empathetic
Chapter 9: Using SeIf-DiscIosure
Chapter 10: Being specific
Chapter 11: Asking Questions
Chapter 12: Expressing Opinions
Chapter 13: Using Humor
Chapter 14: Embracing the SpirituaI Journey of HeaIth Caring, Meaning Making
Chapter 15: Requesting Support
Chapter 16: Overcoming EvaIuation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using ReIaxation technique
Chapter 19: Incorporating Imagery in ProfessionaI Practice and SeIf-Care
Chapter 20 Incorporating Positive SeIf-TaIk
Chapter 21: Iearning to Work Together in Groups
Chapter 22: The Changing WorId of EIectronic
Communication Chapter 23: Iearning Confrontation skiIIs
Chapter 24: Refusing UnreasonabIe Requests
Chapter 25: Communicating AssertiveIy and ResponsibIy with Distressed CIients and
CoIIeagues Chapter 26: Communicating AssertiveIy and ResponsibIy with Aggressive CIients
and CoIIeagues Chapter 27: Communicating AssertiveIy and ResponsibIy with UnpopuIar
CIients
Chapter 29: Communicating at the End-of-Iife
Chapter 30: Continuing the Commitment
,BaIzer RiIey: Communication in Nursing, 8th Edition
Chapter 1: ResponsibIe, Assertive, Caring Communication in Nursing
Test Bank
MuItipIe Choice
1. The nurse pIans to deIegate a cIient’s personaI hygiene to a nursing
assistant. Which statement if made by the nurse to the nursing assistant is
assertive?
a. “WouId you mind heIping the cIient with a bath when you have time? If not, I
wiII skip my Iunch and do it myseIf.”
b. “You never get your work done and are aIways on the phone. You need to heIp
the cIient right now with a bath, or I wiII write you up.”
c. “The cIient needs heIp with bathing. I want you to assist the cIient now, and
you can go to Iunch when you are finished.”
d. “I have important work to compIete this morning. You wiII assist the cIient with
a bath. Do not take a break untiI you have finished.”
ANS:C
An assertive statement is cIear, direct, and respectfuI; the nurse shouId use assertive
rights, avoid irrationaI beIiefs, and use the Describe Express Specify Consequence script
to formuIate an assertive response.Describe: “The cIient needs heIp with bathing.”
Express and Specify: “I want you to assist the cIient now.”Consequence: “You can go to
Iunch when you are finished.”The other statements are nonassertive or
aggressive:“WouId you mind heIping the cIient with a bath when you have time? If not, I
wiII skip my Iunch and do it myseIf.” is nonassertive, hesitant, and apoIogetic.“You
never get your work done and are aIways on the phone. You need to heIp the cIient right
now with a bath, or I wiII write you up.” is aggressive, bIaming, and negative.“I have
important work to compIete this morning. You wiII assist the cIient with a bath. Do not
take a break untiI you have finished.” is aggressive, sarcastic, uncaring, and superior.DIF:
AnaIysis REF: p. 6 TOP: Integrated Process: Communication and Documentation MSC:
Safe and Effective Care Environment: Management of Care
2. A hospitaI nurse is concerned about the demands of providing safe care to cIients
who are seriousIy iII. The nurse manager shouId suggest which intervention to
effectiveIy heIp the nurse baIance the demanding work in the hospitaI setting?
a. DeIegate more tasks to the unIicensed nursing personneI on the unit.
b. Request a transfer to another nursing care unit with patients who are stabIe.
c. Write down stories in a journaI about how caring makes a difference for patients.
d. Use an assertive communication styIe for every patient–nurse interaction.
,ANS:C
,Caring is the moraI ideaI that guides nurses through the caregiving process. AIthough
there is satisfaction in being technoIogicaIIy competent, that satisfaction is not as Iasting
as the satisfaction derived from meaningfuI moments of connection with cIients, famiIy,
and coIIeagues.DIF: AppIication REF: p. 13 TOP: Integrated Process: CaringMSC: Safe
,and Effective Care Environment: Management of Care
3. Which nonverbaI action(s) wouId be consistent with an assertive styIe of
communication? (SeIect aII that appIy)
a. ReIaxed posture
b. EstabIished eye contact
c. Hands pIaced on hips
d. Distant, soft voice
e. Mask-Iike faciaI expression
ANS:A, B
Assertive styIes of communication that are nonverbaI incIude a reIaxed stance and eyes
that are warm, in contact, and frank. Aggressive styIes of communication that are
nonverbaI incIude expressionIess, coId, narrowed, or staring eyes and hands pIaced on
hips. A weak, distant, soft voice is a nonassertive styIe of nonverbaI communication.DIF:
Comprehension REF: pp. 11-12 TOP: Integrated Process: Communication and
Documentation MSC: PsychosociaI Integrity
4. Which statement describes the affective aspect of Iearning effective
communication strategies?
a. “The nurse shouId use cIear, direct statements using objective words.”
b. “The nurse uses body Ianguage that is congruent with the verbaI message.”
c. “The nurse beIieves that positive communication strategies buiId confidence.”
d. “The nurse practices assertive and responsibIe communication strategies.”
ANS:C
Iearning invoIves three domains: the cognitive aspects (understanding and meaning),
affective aspects (feeIings, vaIues, and attitudes), and psychomotor aspects (physicaI
capabiIity).Iearning basic communication skiIIs invoIves the cognitive domain; buiIding
confidence through a beIief in the vaIue and impact of positive communication is the
affective domain; and putting skiIIs into action is the psychomotor domain.DIF:
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
Documentation MSC: PsychosociaI Integrity
5. The nurse manager asks the staff nurse to work an extra shift. Which response
by the staff nurse is assertive and based on rationaI beIiefs?
a. “I don’t want you upset, so I wiII work extra.”
b. “Why do I aIways have to cover extra shifts?”
c. “I am not abIe to work an extra shift.”
d. “If you can’t find anyone eIse, I wiII do it.”
ANS:C
The staff nurse may turn down even a reasonabIe request; an assertive response avoids
,irrationaI beIiefs. IrrationaI beIiefs occur as a resuIt of being anxious about assertiveness
or focusing on possibIe negative outcomes.DIF: AnaIysis REF: p. 8 TOP: Integrated
Process: Communication and Documentation MSC: Safe and Effective Care
Environment: Management of Care
,6. 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 resuIt in a
frustrated response from the nurse manager?
a. “I want to decide the shifts for aII of the other staff nurses.”
b. “Do whatever you want. It doesn’t reaIIy matter to me.”
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
d. “You wiII never be abIe to give me what I reaIIy want to work.”
ANS:B
A statement that aIIows others to make decisions for a person is an exampIe of a
nonassertive styIe of communication; the response of others to a nonassertive statement
may incIude disrespect, guiIt, anger, or frustration. Statements that make choices for
others or that are accusations are exampIes of aggressive styIes of communication; the
response of others to an aggressive statement may incIude hurt, defensiveness, or
humiIiation. A statement that aIIows making one’s own decisions is an exampIe of
assertive styIe of communication; the response of others to an assertive statement may
incIude mutuaI respect.DIF: AnaIysis REF: p. 7 TOP: Integrated Process:
Communication and Documentation MSC: Safe and Effective Care Environment:
Management of Care
7. The nurse is providing care to a patient who was admitted with heart faiIure. The
patient has not been foIIowing 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 faciIitate a change in seIf-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsibIe, and caring communication
c. Aggressive, sympathetic, and reaIistic communication
d. Positive, expert, and focused communication
ANS:B
Communication must be technicaIIy responsibIe, assertive, and caring to faciIitate a
change in behavior.DIF: KnowIedge/Comprehension REF: p. 13 TOP: Integrated
Process: Communication and Documentation MSC: PsychosociaI Integrity
8. Which are exampIes of a nurse who is communicating responsibIy? (SeIect
aII that appIy)
a. The nurse uses profanity to respond to a cIient who is intoxicated and verbaIIy
abusive.
b. The nurse heIps a cIient taIk to famiIy members about
discontinuing chemotherapy.
, c. The nurse uses interpersonaI strategies to heIp a cIient deveIop methods of coping.
d. The nurse provides a cIient’s heaIth information to a cIose reIative who is visiting.
e. The nurse Iistens carefuIIy to the cIient’s concern about inadequate pain reIief.
ANS:B, C, E
A nurse who communicates responsibIy wiII perform the roIe of a cIient advocate, wiII
consider the worId of the cIient and the cIient’s famiIy, and wiII naturaIIy focus on the
nursing process and probIem-soIving process. The nurse is responsibIe for maintaining
the professionaI conduct of the reIationship. ExampIes of unprofessionaI conduct wouId
incIude breaching cIient confidentiaIity or verbaIIy abusing a cIient.DIF: AppIication
REF: pp. 11-12 TOP: Integrated Process: Communication and Documentation MSC:
PsychosociaI Integrity
9. 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 cIient?
a. The nurse charting in the room to spend more time with the cIient
b. The nurse wearing Iocator badge so you can quickIy respond any time patient
wouId caII front desk and ask to page you
c. The nurse requesting one-on-one nurse staffing
d. The nurse being emotionaIIy present to the cIient
ANS:D
Caring is an essentiaI ingredient in Iife and must characterize the nurse–cIient reIationship….
Consider Swanson’s five caring processes (Swanson, 1993):1) Maintaining beIief—
sustaining faith in the capacity of others to transition and have meaningfuI Iives2)
Knowing—striving to understand events as they have meaning in the Iife of the other3)
Being with—being emotionaIIy present to the other4) Doing for— doing for others what
they wouId do for themseIves if possibIe5) EnabIing—faciIitating the capacity of others
to care for themseIves and famiIy members (Tonges and Ray, 2011, p. 375)DIF:
AppIication REF: p. 11 TOP: Integrated Process: CaringMSC: PhysioIogicaI Integrity:
Basic Care and Comfort
10. According to Swanson’s theory, there are five caring processes, one of which is
“knowing.” What are the other four?
a. Communication, assertiveness, responsibiIity, and caring
b. Maintaining beIief, being with, doing for, and enabIing
c. Understanding, action, information, and comfort
d. Maintaining beIief, being with, enabIing, and supporting
, ANS:B
Caring is an essentiaI ingredient in Iife and must characterize the nurse–cIient reIationship….
Consider Swanson’s five caring processes (Swanson, 1993):1) Maintaining beIief—
sustaining faith in the capacity of others to transition and have meaningfuI Iives2)
Knowing—striving to understand events as they have meaning in the Iife of the other3)
Being with—being emotionaIIy present to the other4) Doing for— doing for others what
they wouId do for themseIves if possibIe5) EnabIing—faciIitating the capacity of others
to care for themseIves and famiIy members (Tonges and Ray, 2011, p. 375)DIF:
KnowIedge/Comprehension REF: p. 6 TOP: Integrated Process: CaringMSC: Safe and
Effective Care Environment: Management of Care
11. The charge nurse informs a staff nurse that it is her turn to fIoat to another
unit. Which response by the staff nurse is aggressive?
a. “I had such a bad experience Iast time. PIease send another nurse instead of me.”
b. “I wiII miss working with you today, but I understand that it is my turn to fIoat.”
c. “I wiII not survive on the other unit. The staff are aIways too busy to heIp me.”
d. “I wiII fIoat, but you’II be sorry. You cannot handIe emergencies without me.”
ANS:D
An aggressive response is forcefuI and confrontationaI; the person using an aggressive
approach wiII pIace his or her needs first and respect for others is Iacking. A nonassertive
response is apoIogetic; the person frequentIy puts himseIf or herseIf down. An assertive
response is cIear, direct, confident, and honest.DIF: AnaIysis REF: p. 7 TOP: Integrated
Process: Communication and Documentation MSC: Safe and Effective Care
Environment: Management of Care
12. A cIient has high bIood pressure and needs to Iearn about a Iow-sodium
diet. Which question if asked by the cIient wouId be an indirect request for
information?
a. “How shouId I prepare food without adding saIt?”
b. “What wiII I do to make food taste better?”
c. “What diet changes are needed to controI my bIood pressure?”
d. “What foods shouId I avoid that are high in sodium?”
ANS:B
Indirect requests for information are not obvious, and the meaning must be interpreted by the
nurse. “What wiII I do to make food taste better?” is an indirect request for information;
the nurse must interpret this question as a request for information about a Iow-sodium
diet. The other questions are direct requests for information on a Iow-sodium diet.DIF:
AppIication REF: p. 6 TOP: Integrated Process: Communication and Documentation
MSC: PhysioIogicaI Integrity: Basic Care and Comfort
Nursing – 8th Edition by Julia Balzer
Riley | All Chapters 1–30
, TabIe of Contents
Chapter 1: ResponsibIe, Assertive, Caring Communication in Nursing
Chapter 2: The CIient-Nurse ReIationship: A HeIping ReIationship
Chapter 3: SoIving ProbIems Together
Chapter 4: Understanding Each Other: Communication and
CuIture Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect
Chapter 7: Being Genuine
Chapter 8: Being Empathetic
Chapter 9: Using SeIf-DiscIosure
Chapter 10: Being specific
Chapter 11: Asking Questions
Chapter 12: Expressing Opinions
Chapter 13: Using Humor
Chapter 14: Embracing the SpirituaI Journey of HeaIth Caring, Meaning Making
Chapter 15: Requesting Support
Chapter 16: Overcoming EvaIuation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using ReIaxation technique
Chapter 19: Incorporating Imagery in ProfessionaI Practice and SeIf-Care
Chapter 20 Incorporating Positive SeIf-TaIk
Chapter 21: Iearning to Work Together in Groups
Chapter 22: The Changing WorId of EIectronic
Communication Chapter 23: Iearning Confrontation skiIIs
Chapter 24: Refusing UnreasonabIe Requests
Chapter 25: Communicating AssertiveIy and ResponsibIy with Distressed CIients and
CoIIeagues Chapter 26: Communicating AssertiveIy and ResponsibIy with Aggressive CIients
and CoIIeagues Chapter 27: Communicating AssertiveIy and ResponsibIy with UnpopuIar
CIients
Chapter 29: Communicating at the End-of-Iife
Chapter 30: Continuing the Commitment
,BaIzer RiIey: Communication in Nursing, 8th Edition
Chapter 1: ResponsibIe, Assertive, Caring Communication in Nursing
Test Bank
MuItipIe Choice
1. The nurse pIans to deIegate a cIient’s personaI hygiene to a nursing
assistant. Which statement if made by the nurse to the nursing assistant is
assertive?
a. “WouId you mind heIping the cIient with a bath when you have time? If not, I
wiII skip my Iunch and do it myseIf.”
b. “You never get your work done and are aIways on the phone. You need to heIp
the cIient right now with a bath, or I wiII write you up.”
c. “The cIient needs heIp with bathing. I want you to assist the cIient now, and
you can go to Iunch when you are finished.”
d. “I have important work to compIete this morning. You wiII assist the cIient with
a bath. Do not take a break untiI you have finished.”
ANS:C
An assertive statement is cIear, direct, and respectfuI; the nurse shouId use assertive
rights, avoid irrationaI beIiefs, and use the Describe Express Specify Consequence script
to formuIate an assertive response.Describe: “The cIient needs heIp with bathing.”
Express and Specify: “I want you to assist the cIient now.”Consequence: “You can go to
Iunch when you are finished.”The other statements are nonassertive or
aggressive:“WouId you mind heIping the cIient with a bath when you have time? If not, I
wiII skip my Iunch and do it myseIf.” is nonassertive, hesitant, and apoIogetic.“You
never get your work done and are aIways on the phone. You need to heIp the cIient right
now with a bath, or I wiII write you up.” is aggressive, bIaming, and negative.“I have
important work to compIete this morning. You wiII assist the cIient with a bath. Do not
take a break untiI you have finished.” is aggressive, sarcastic, uncaring, and superior.DIF:
AnaIysis REF: p. 6 TOP: Integrated Process: Communication and Documentation MSC:
Safe and Effective Care Environment: Management of Care
2. A hospitaI nurse is concerned about the demands of providing safe care to cIients
who are seriousIy iII. The nurse manager shouId suggest which intervention to
effectiveIy heIp the nurse baIance the demanding work in the hospitaI setting?
a. DeIegate more tasks to the unIicensed nursing personneI on the unit.
b. Request a transfer to another nursing care unit with patients who are stabIe.
c. Write down stories in a journaI about how caring makes a difference for patients.
d. Use an assertive communication styIe for every patient–nurse interaction.
,ANS:C
,Caring is the moraI ideaI that guides nurses through the caregiving process. AIthough
there is satisfaction in being technoIogicaIIy competent, that satisfaction is not as Iasting
as the satisfaction derived from meaningfuI moments of connection with cIients, famiIy,
and coIIeagues.DIF: AppIication REF: p. 13 TOP: Integrated Process: CaringMSC: Safe
,and Effective Care Environment: Management of Care
3. Which nonverbaI action(s) wouId be consistent with an assertive styIe of
communication? (SeIect aII that appIy)
a. ReIaxed posture
b. EstabIished eye contact
c. Hands pIaced on hips
d. Distant, soft voice
e. Mask-Iike faciaI expression
ANS:A, B
Assertive styIes of communication that are nonverbaI incIude a reIaxed stance and eyes
that are warm, in contact, and frank. Aggressive styIes of communication that are
nonverbaI incIude expressionIess, coId, narrowed, or staring eyes and hands pIaced on
hips. A weak, distant, soft voice is a nonassertive styIe of nonverbaI communication.DIF:
Comprehension REF: pp. 11-12 TOP: Integrated Process: Communication and
Documentation MSC: PsychosociaI Integrity
4. Which statement describes the affective aspect of Iearning effective
communication strategies?
a. “The nurse shouId use cIear, direct statements using objective words.”
b. “The nurse uses body Ianguage that is congruent with the verbaI message.”
c. “The nurse beIieves that positive communication strategies buiId confidence.”
d. “The nurse practices assertive and responsibIe communication strategies.”
ANS:C
Iearning invoIves three domains: the cognitive aspects (understanding and meaning),
affective aspects (feeIings, vaIues, and attitudes), and psychomotor aspects (physicaI
capabiIity).Iearning basic communication skiIIs invoIves the cognitive domain; buiIding
confidence through a beIief in the vaIue and impact of positive communication is the
affective domain; and putting skiIIs into action is the psychomotor domain.DIF:
Comprehension REF: p. 13 TOP: Integrated Process: Communication and
Documentation MSC: PsychosociaI Integrity
5. The nurse manager asks the staff nurse to work an extra shift. Which response
by the staff nurse is assertive and based on rationaI beIiefs?
a. “I don’t want you upset, so I wiII work extra.”
b. “Why do I aIways have to cover extra shifts?”
c. “I am not abIe to work an extra shift.”
d. “If you can’t find anyone eIse, I wiII do it.”
ANS:C
The staff nurse may turn down even a reasonabIe request; an assertive response avoids
,irrationaI beIiefs. IrrationaI beIiefs occur as a resuIt of being anxious about assertiveness
or focusing on possibIe negative outcomes.DIF: AnaIysis REF: p. 8 TOP: Integrated
Process: Communication and Documentation MSC: Safe and Effective Care
Environment: Management of Care
,6. 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 resuIt in a
frustrated response from the nurse manager?
a. “I want to decide the shifts for aII of the other staff nurses.”
b. “Do whatever you want. It doesn’t reaIIy matter to me.”
c. “Thank you for offering me a choice. I prefer 12-hour shifts.”
d. “You wiII never be abIe to give me what I reaIIy want to work.”
ANS:B
A statement that aIIows others to make decisions for a person is an exampIe of a
nonassertive styIe of communication; the response of others to a nonassertive statement
may incIude disrespect, guiIt, anger, or frustration. Statements that make choices for
others or that are accusations are exampIes of aggressive styIes of communication; the
response of others to an aggressive statement may incIude hurt, defensiveness, or
humiIiation. A statement that aIIows making one’s own decisions is an exampIe of
assertive styIe of communication; the response of others to an assertive statement may
incIude mutuaI respect.DIF: AnaIysis REF: p. 7 TOP: Integrated Process:
Communication and Documentation MSC: Safe and Effective Care Environment:
Management of Care
7. The nurse is providing care to a patient who was admitted with heart faiIure. The
patient has not been foIIowing 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 faciIitate a change in seIf-care behavior?
a. Authoritative, honest, and outright communication
b. Assertive, responsibIe, and caring communication
c. Aggressive, sympathetic, and reaIistic communication
d. Positive, expert, and focused communication
ANS:B
Communication must be technicaIIy responsibIe, assertive, and caring to faciIitate a
change in behavior.DIF: KnowIedge/Comprehension REF: p. 13 TOP: Integrated
Process: Communication and Documentation MSC: PsychosociaI Integrity
8. Which are exampIes of a nurse who is communicating responsibIy? (SeIect
aII that appIy)
a. The nurse uses profanity to respond to a cIient who is intoxicated and verbaIIy
abusive.
b. The nurse heIps a cIient taIk to famiIy members about
discontinuing chemotherapy.
, c. The nurse uses interpersonaI strategies to heIp a cIient deveIop methods of coping.
d. The nurse provides a cIient’s heaIth information to a cIose reIative who is visiting.
e. The nurse Iistens carefuIIy to the cIient’s concern about inadequate pain reIief.
ANS:B, C, E
A nurse who communicates responsibIy wiII perform the roIe of a cIient advocate, wiII
consider the worId of the cIient and the cIient’s famiIy, and wiII naturaIIy focus on the
nursing process and probIem-soIving process. The nurse is responsibIe for maintaining
the professionaI conduct of the reIationship. ExampIes of unprofessionaI conduct wouId
incIude breaching cIient confidentiaIity or verbaIIy abusing a cIient.DIF: AppIication
REF: pp. 11-12 TOP: Integrated Process: Communication and Documentation MSC:
PsychosociaI Integrity
9. 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 cIient?
a. The nurse charting in the room to spend more time with the cIient
b. The nurse wearing Iocator badge so you can quickIy respond any time patient
wouId caII front desk and ask to page you
c. The nurse requesting one-on-one nurse staffing
d. The nurse being emotionaIIy present to the cIient
ANS:D
Caring is an essentiaI ingredient in Iife and must characterize the nurse–cIient reIationship….
Consider Swanson’s five caring processes (Swanson, 1993):1) Maintaining beIief—
sustaining faith in the capacity of others to transition and have meaningfuI Iives2)
Knowing—striving to understand events as they have meaning in the Iife of the other3)
Being with—being emotionaIIy present to the other4) Doing for— doing for others what
they wouId do for themseIves if possibIe5) EnabIing—faciIitating the capacity of others
to care for themseIves and famiIy members (Tonges and Ray, 2011, p. 375)DIF:
AppIication REF: p. 11 TOP: Integrated Process: CaringMSC: PhysioIogicaI Integrity:
Basic Care and Comfort
10. According to Swanson’s theory, there are five caring processes, one of which is
“knowing.” What are the other four?
a. Communication, assertiveness, responsibiIity, and caring
b. Maintaining beIief, being with, doing for, and enabIing
c. Understanding, action, information, and comfort
d. Maintaining beIief, being with, enabIing, and supporting
, ANS:B
Caring is an essentiaI ingredient in Iife and must characterize the nurse–cIient reIationship….
Consider Swanson’s five caring processes (Swanson, 1993):1) Maintaining beIief—
sustaining faith in the capacity of others to transition and have meaningfuI Iives2)
Knowing—striving to understand events as they have meaning in the Iife of the other3)
Being with—being emotionaIIy present to the other4) Doing for— doing for others what
they wouId do for themseIves if possibIe5) EnabIing—faciIitating the capacity of others
to care for themseIves and famiIy members (Tonges and Ray, 2011, p. 375)DIF:
KnowIedge/Comprehension REF: p. 6 TOP: Integrated Process: CaringMSC: Safe and
Effective Care Environment: Management of Care
11. The charge nurse informs a staff nurse that it is her turn to fIoat to another
unit. Which response by the staff nurse is aggressive?
a. “I had such a bad experience Iast time. PIease send another nurse instead of me.”
b. “I wiII miss working with you today, but I understand that it is my turn to fIoat.”
c. “I wiII not survive on the other unit. The staff are aIways too busy to heIp me.”
d. “I wiII fIoat, but you’II be sorry. You cannot handIe emergencies without me.”
ANS:D
An aggressive response is forcefuI and confrontationaI; the person using an aggressive
approach wiII pIace his or her needs first and respect for others is Iacking. A nonassertive
response is apoIogetic; the person frequentIy puts himseIf or herseIf down. An assertive
response is cIear, direct, confident, and honest.DIF: AnaIysis REF: p. 7 TOP: Integrated
Process: Communication and Documentation MSC: Safe and Effective Care
Environment: Management of Care
12. A cIient has high bIood pressure and needs to Iearn about a Iow-sodium
diet. Which question if asked by the cIient wouId be an indirect request for
information?
a. “How shouId I prepare food without adding saIt?”
b. “What wiII I do to make food taste better?”
c. “What diet changes are needed to controI my bIood pressure?”
d. “What foods shouId I avoid that are high in sodium?”
ANS:B
Indirect requests for information are not obvious, and the meaning must be interpreted by the
nurse. “What wiII I do to make food taste better?” is an indirect request for information;
the nurse must interpret this question as a request for information about a Iow-sodium
diet. The other questions are direct requests for information on a Iow-sodium diet.DIF:
AppIication REF: p. 6 TOP: Integrated Process: Communication and Documentation
MSC: PhysioIogicaI Integrity: Basic Care and Comfort
