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CommunicationinNursing10thEdition
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JuliaBalzerRiley
, TableofContents
Chapter1: Responsible, Assertive, Caring Communication in
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gg Nursing Chapter 2: The Client-Nurse Relationship: A Helping
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gg Relationship Chapter 3: Solving Problems Together gg gg gg gg gg
Chapter4: Understanding Each Other: Communicationand
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Culture Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respectgg gg gg
gg Chapter 7: Being Genuine gg gg gg
gg Chapter 8: Being Empathetic
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gg Chapter9: Using Self- gg zz
DisclosureChapter gg 10:
ggBeing gg specific ggChapter
gg 11: gg Asking gg Questions
gg Chapter12:
ExpressingOpinions Chapter 13: zz gg
Using Humor gg
Chapter14:Embracing the Spiritual Journey of Health Caring, Meaning Making Chapter gg gg gg gg gg gg gg gg zz
gg 15: Requesting Support
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Chapter 16: Overcoming Evaluation
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gg AnxietyChapter 17: Working with gg gg gg
gg Feedback Chapter 18: gg gg
gg UsingRelaxation technique gg
Chapter19: Incorporating Imagery in Professional Practice and Self-
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gg Care Chapter 20 Incorporating Positive Self-Talk
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Chapter21: g g Learning to Work Together in Groups gg gg gg gg gg
gg Chapter22:TheChangingWorld of Electronic gg gg
gg Communication Chapter 23:LearningConfrontationskills zz g
gg Chapter 24: Refusing Unreasonable Requests
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Chapter g g 25: g g Communicating g g Assertively g g and g g Responsibly g g with g g Distressed
g g Clients g g and g g ColleaguesChapter 26: Communicating Assertively and Responsibly with gg gg gg gg gg gg
gg Aggressive Clients and Colleagues Chapter 27: Communicating Assertively and Responsibly
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gg with Unpopular Clients Chapter 29: Communicating at the End-of-
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LifeChapter 30: Continuing the Commitment gg gg gg gg
,BalzerRiley: Communication in Nursing, 10th Edition
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Chapter1: Responsible,Assertive, Caring Communication in Nursing
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Test Bank gg
gg Multiple
Choice
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1. Which statement describes the affective
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g g of learning effectivecommunication 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. ―Thenurse believes that positive communication strategies build confidence.‖
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d. ―Thenurse practices assertive and responsible communication strategies.‖
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ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
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affective
gg aspects (feelings,
g g values, g and g attitudes), g g g g g g g g g g g g g g g g g g
g and g psychomotor aspects
g g (physical capability).Learning
g g basic gg g g gg g g
communication skills involves the cognitive domain; building confidence
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through a belief in the value and impact of positive communication is the affective
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domain; and putting skills into action is the psychomotor domain.DIF:
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Comprehension REF: p. 13 TOP: Integrated Process: Communication
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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
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gg response bythe staff nurse is 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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ANS:C
The staff nurse may turn down even a reasonable request; an assertive response
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avoids irrational beliefs. Irrational beliefs occur as a result of being anxious about
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assertiveness or focusing on possible negative outcomes.DIF: Analysis REF: p. 8
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TOP: Integrated Process: Communication and Documentation MSC: Safe and
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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
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gg shifts. Which statement, if made by the staff nurse, is nonassertive and may
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gg result in a frustrated response from the nurse 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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ANS:B
A statement that allows others to make decisions for a person
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g gis an example of a nonassertive style of communication; the response
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of others to a nonassertive statement may include disrespect, guilt, anger, or
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frustration. Statements that make choices for others or that are accusations are
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examples of aggressive styles of communication; the response of others to an
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aggressive statement may include hurt, defensiveness, or humiliation. A
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statement that allows making one’s own decisions is an example ofassertive
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style of communication; the response of others to an assertive statement may
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include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process:
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Communication and Documentation MSC: Safe and Effective Care Environment:
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Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure.
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The patient has not been following the prescribed diet or taking the prescribed
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medications.
gg Which type of communication approach is most g g g g g g g g g g g g g g
important for the nurse to use with this patient to facilitate a change in self-
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care behavior? gg
a. Authoritative, honest, and outright communication gg gg gg gg
b. Assertive, responsible, and caring communication gg gg gg gg
c. Aggressive, sympathetic, and realistic communication gg gg gg gg
d. Positive, expert, and focused communication gg gg gg gg
ANS:B
Communication must be technically responsible, assertive, and g g g g g g g g g g g g
g caring
g to facilitate a change in behavior.DIF: Knowledge/Comprehension
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REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC:
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Psychosocial Integrity
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5. Which are examples of a nurse who is g g g g g g g g g g g g g g
g g communicating responsibly? (Select all that apply) g g g g g g z gg
a. The nurse uses profanity to respond to
g g g g g g g g g g g g g g a g g client g g who
is intoxicated and verballyabusive.
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b. The nurse helps a client talk to family members
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about discontinuingchemotherapy.
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