TESTBANK
CommunicationinNursing10thEdition
Julia Balzer Riley
, TableofContents
Chapter491:49Responsible,49Assertive,49Caring49Communication49in49Nursin
g49Chap49ter492:49The49Client-
Nurse49Relationship:49A49Helping49Relationship49Chapter493:49Solving49
Problems49Together
Chapter494:49Understanding49Each49Other:49Communicationand49Cult
ure49Chapter495:49Demonstrating49Warmth
Chapter496:49Showing49Respect
49Ch49apter497:49Being49Genuin
e49Chapter498:49Being49Empath
etic49Chapter499:
Using49Self-
Disclosure49Chapter4910:49Being
49sp49ecific49Chapter4911:49Aski
ng49Questi49ons49Chapter4912:49
Expressing49Opini49ons49Chapter
4913:49Using49Humor
Chapter4914:49Embracing49the49Spiritual49Journey49of49Health49Caring,49Meaning49Mak
ing49Chapte49r4915:49Requesting49Support
Chapter4916:49Overcoming49Evaluation Anxiet
gi
y49C49hapter4917:49Working49with49Feedb
ack49Chapte49r4918:49Using49Relaxation49tec
hnique
Chapter4919:49Incorporating49Imagery49in49Professional49Practice49and
49Self-49Care49Chapter492049Incorporating49Positive49Self-Talk
Chapter4921:4 9 Learning49to49Work49Together49in49Groups
Chapter4922:49The49ChangingWorld49of49Electronic49Communication4
9Chapter4923:49Learning49Confrontation49skills
Chapter4924:49Refusing Unreasonable49Requests
gi
Chapter4925:49Communicating49Assertively49and49Responsibly49with49Distressed49Clients49and49
Colleagues49Chapter4926:49Communicating49Assertively49and49Responsibly49with49Aggressive49
Clients49and49Colleagues49Chapter4927:49Communicating49Assertively49and49Responsibly49with
49Unpopular49Clients
Chapter4929:49Communicating49at49the49End-
of-
49Life49Chapter4930:49Continuing49the49Com
mitment
,BalzerRiley:49Communication49in49Nursing,4910th49Edition
Chapter1:Responsible,49Assertive,Caring49Communicationin49Nursing
Test49Bank49Multi
pl49e49Choice
1. Which4 9 statement4 9 describes4 9 the4 9 affective4 9 aspect4 9 of4 9 learn
ing4 9 effect49ive49communication49strategies?
a. ―The49nurse49should49use49clear,49direct49statements49using49objective49words.‖
b. ―The49nurse49uses49body49language49that49is49congruent49with49the49verbal49message.‖
c. ―The49nurse49believes49that49positive49communication49strategies49build49confidence.‖
d. ―The49nurse49practices49 assertive49and49responsible49communication49strategies.‖
ANS:C
Learning49involves49three49domains:49the49cognitive49aspects49(understanding49and49mea
ning),49aff49ective49aspects49(feelings,49values,49and49attitudes),49and49psychomotor49aspe
cts49(physical49capabil49ity).Learning49basic49communication49skills49involves49the49cogn
itive49domain;49building49confide49nce49through49a49belief49in49the49value49and49impact49o
f49positive49communication49is49the49affective49do49main;49and49putting49skills49into49acti
on49is49the49psychomotor49domain.DIF:49Comprehension49REF
:49p.491349TOP:49Integrated49Process:49Communication49and4 9 Documentation49MSC:49P
sychosoci49al49Integrity
2. The49nurse49manager49asks49the49staff49nurse49to49work49an49extra49shift.49Which4
9response49by49the49staff49nurse49is49assertive49and49based49on49rational49beliefs?
a. ―I49don’t49want49you49upset,49so49I49will49work49extra.‖
b. ―Why49do49I49always49have49to49cover49extra49shifts?‖
c. ―I49am49not49able49to49work49an49extra49shift.‖
d. ―If49you49can’t49find49anyone49else,49I49will49do49it.‖
ANS:C
The49staff49nurse49may49turn49down49even49a49reasonable49request;49an49assertive49respon
se49avoids49irr49ational49beliefs.49Irrational49beliefs49occur49as49a49result49of49being49anxi
ous49about49assertiveness49or49focusing49on49possible49negative49outcomes.DIF:49Analys
is49REF:49p.49849TOP:49Integrated49Proces49s:49Communication49and49Documentation49M
SC:49Safe49and49Effective49Care49Environment:49Man49agement49of49Care
, 3. A49nurse49manager49offers49a49staff49nurse49a49choice49between49working498-49or4912-
hour49shifts.49Which49statement,49if49made49by49the49staff49nurse,49is49nonassertive49an
d49may49resul49t49in49a49frustrated49response49from49the49nurse49manager?
a. ―I49want49to49decide49the49shifts49for49all49of49the49other49staff49nurses.‖
b. ―Do49whatever49you49want.49It49doesn’t49really49matter49to49me.‖
c. ―Thank49you49for49offering49me49a49choice.49I prefer4912-hour49shifts.‖
gi
d. ―You49will49never49be49able49to49give49me49what49I really49want49to49work.‖
gi
ANS:B
A49statement49that49allows49others49to49make49decisions49for49a49person49is49an49example4
9of49a49nonasser49tive49style49of49communication;49the49response49of49others49to49a49nona
ssertive49statement49may49inclu49de49disrespect,49guilt,49anger,49or49frustration.49Stateme
nts49that49make49choices49for49others49or49that49are49accusations49are49examples49of49aggr
essive49styles49of49communication;49the49response49of49othe49rs49to49an49aggressive49state
ment49may49include49hurt,49defensiveness,49or49humiliation.49A49statemen49t49that49allows
49making49one’s49own49decisions49is49an49example49of49assertive49style49of49communicati
49on;49the49response49of49others49to49an49assertive49statement49may49include49mutual49resp
ect.DIF:49Anal49ysis49REF:49p.49749TOP:49Integrated49Process:49Communication49and49Doc
umentation49MSC:49Safe49a49nd49Effective49Care49Environment:49Management49of49Care
4. The49nurse49is49providing49care49to49a49patient49who49was49admitted49with49heart
49failure.49The49patient49has49not49been49following49the49prescribed49diet49or49taking4
9the49prescribed49 medication
s.49Which49type49of49communication49approach49is49most49important49for49the49nurse4
9to49use49with49this49patient49to49facilitate49a49change49in49self-care49behavior?
a. Authoritative,49honest,49and49outright49communication
b. Assertive,49responsible,49and49caring49communication
c. Aggressive,49sympathetic,49and49realistic49communication
d. Positive,49expert,49and49focused49communication
ANS:B
Communication49must49be49technically49responsible,49assertive,49and49caring49to49facilita
te49a49chan49ge49in49behavior.DIF:49Knowledge/Comprehension49REF:49p.491349TOP:49I
ntegrated4 9 Process:49C49ommunication49and49Documentation49MSC:49Psychosocial49Int
egrity
5. Which4 9 are4 9 examples4 9 of4 9 a4 9 nurse4 9 who4 9 is4 9 communicating4 9 respons
ibly?4 9 (Select49all49that49apply)
a. The49nurse49uses4 9 profanity4 9 to4 9 respond4 9 to4 9 a49client4 9 who49is4 9 intoxicate
d4 9 and4 9 verball49y49abusive.
b. The49nurse49helps49a49client49talk49to49family49members49about49disc
ontinuing49chemotherapy.
CommunicationinNursing10thEdition
Julia Balzer Riley
, TableofContents
Chapter491:49Responsible,49Assertive,49Caring49Communication49in49Nursin
g49Chap49ter492:49The49Client-
Nurse49Relationship:49A49Helping49Relationship49Chapter493:49Solving49
Problems49Together
Chapter494:49Understanding49Each49Other:49Communicationand49Cult
ure49Chapter495:49Demonstrating49Warmth
Chapter496:49Showing49Respect
49Ch49apter497:49Being49Genuin
e49Chapter498:49Being49Empath
etic49Chapter499:
Using49Self-
Disclosure49Chapter4910:49Being
49sp49ecific49Chapter4911:49Aski
ng49Questi49ons49Chapter4912:49
Expressing49Opini49ons49Chapter
4913:49Using49Humor
Chapter4914:49Embracing49the49Spiritual49Journey49of49Health49Caring,49Meaning49Mak
ing49Chapte49r4915:49Requesting49Support
Chapter4916:49Overcoming49Evaluation Anxiet
gi
y49C49hapter4917:49Working49with49Feedb
ack49Chapte49r4918:49Using49Relaxation49tec
hnique
Chapter4919:49Incorporating49Imagery49in49Professional49Practice49and
49Self-49Care49Chapter492049Incorporating49Positive49Self-Talk
Chapter4921:4 9 Learning49to49Work49Together49in49Groups
Chapter4922:49The49ChangingWorld49of49Electronic49Communication4
9Chapter4923:49Learning49Confrontation49skills
Chapter4924:49Refusing Unreasonable49Requests
gi
Chapter4925:49Communicating49Assertively49and49Responsibly49with49Distressed49Clients49and49
Colleagues49Chapter4926:49Communicating49Assertively49and49Responsibly49with49Aggressive49
Clients49and49Colleagues49Chapter4927:49Communicating49Assertively49and49Responsibly49with
49Unpopular49Clients
Chapter4929:49Communicating49at49the49End-
of-
49Life49Chapter4930:49Continuing49the49Com
mitment
,BalzerRiley:49Communication49in49Nursing,4910th49Edition
Chapter1:Responsible,49Assertive,Caring49Communicationin49Nursing
Test49Bank49Multi
pl49e49Choice
1. Which4 9 statement4 9 describes4 9 the4 9 affective4 9 aspect4 9 of4 9 learn
ing4 9 effect49ive49communication49strategies?
a. ―The49nurse49should49use49clear,49direct49statements49using49objective49words.‖
b. ―The49nurse49uses49body49language49that49is49congruent49with49the49verbal49message.‖
c. ―The49nurse49believes49that49positive49communication49strategies49build49confidence.‖
d. ―The49nurse49practices49 assertive49and49responsible49communication49strategies.‖
ANS:C
Learning49involves49three49domains:49the49cognitive49aspects49(understanding49and49mea
ning),49aff49ective49aspects49(feelings,49values,49and49attitudes),49and49psychomotor49aspe
cts49(physical49capabil49ity).Learning49basic49communication49skills49involves49the49cogn
itive49domain;49building49confide49nce49through49a49belief49in49the49value49and49impact49o
f49positive49communication49is49the49affective49do49main;49and49putting49skills49into49acti
on49is49the49psychomotor49domain.DIF:49Comprehension49REF
:49p.491349TOP:49Integrated49Process:49Communication49and4 9 Documentation49MSC:49P
sychosoci49al49Integrity
2. The49nurse49manager49asks49the49staff49nurse49to49work49an49extra49shift.49Which4
9response49by49the49staff49nurse49is49assertive49and49based49on49rational49beliefs?
a. ―I49don’t49want49you49upset,49so49I49will49work49extra.‖
b. ―Why49do49I49always49have49to49cover49extra49shifts?‖
c. ―I49am49not49able49to49work49an49extra49shift.‖
d. ―If49you49can’t49find49anyone49else,49I49will49do49it.‖
ANS:C
The49staff49nurse49may49turn49down49even49a49reasonable49request;49an49assertive49respon
se49avoids49irr49ational49beliefs.49Irrational49beliefs49occur49as49a49result49of49being49anxi
ous49about49assertiveness49or49focusing49on49possible49negative49outcomes.DIF:49Analys
is49REF:49p.49849TOP:49Integrated49Proces49s:49Communication49and49Documentation49M
SC:49Safe49and49Effective49Care49Environment:49Man49agement49of49Care
, 3. A49nurse49manager49offers49a49staff49nurse49a49choice49between49working498-49or4912-
hour49shifts.49Which49statement,49if49made49by49the49staff49nurse,49is49nonassertive49an
d49may49resul49t49in49a49frustrated49response49from49the49nurse49manager?
a. ―I49want49to49decide49the49shifts49for49all49of49the49other49staff49nurses.‖
b. ―Do49whatever49you49want.49It49doesn’t49really49matter49to49me.‖
c. ―Thank49you49for49offering49me49a49choice.49I prefer4912-hour49shifts.‖
gi
d. ―You49will49never49be49able49to49give49me49what49I really49want49to49work.‖
gi
ANS:B
A49statement49that49allows49others49to49make49decisions49for49a49person49is49an49example4
9of49a49nonasser49tive49style49of49communication;49the49response49of49others49to49a49nona
ssertive49statement49may49inclu49de49disrespect,49guilt,49anger,49or49frustration.49Stateme
nts49that49make49choices49for49others49or49that49are49accusations49are49examples49of49aggr
essive49styles49of49communication;49the49response49of49othe49rs49to49an49aggressive49state
ment49may49include49hurt,49defensiveness,49or49humiliation.49A49statemen49t49that49allows
49making49one’s49own49decisions49is49an49example49of49assertive49style49of49communicati
49on;49the49response49of49others49to49an49assertive49statement49may49include49mutual49resp
ect.DIF:49Anal49ysis49REF:49p.49749TOP:49Integrated49Process:49Communication49and49Doc
umentation49MSC:49Safe49a49nd49Effective49Care49Environment:49Management49of49Care
4. The49nurse49is49providing49care49to49a49patient49who49was49admitted49with49heart
49failure.49The49patient49has49not49been49following49the49prescribed49diet49or49taking4
9the49prescribed49 medication
s.49Which49type49of49communication49approach49is49most49important49for49the49nurse4
9to49use49with49this49patient49to49facilitate49a49change49in49self-care49behavior?
a. Authoritative,49honest,49and49outright49communication
b. Assertive,49responsible,49and49caring49communication
c. Aggressive,49sympathetic,49and49realistic49communication
d. Positive,49expert,49and49focused49communication
ANS:B
Communication49must49be49technically49responsible,49assertive,49and49caring49to49facilita
te49a49chan49ge49in49behavior.DIF:49Knowledge/Comprehension49REF:49p.491349TOP:49I
ntegrated4 9 Process:49C49ommunication49and49Documentation49MSC:49Psychosocial49Int
egrity
5. Which4 9 are4 9 examples4 9 of4 9 a4 9 nurse4 9 who4 9 is4 9 communicating4 9 respons
ibly?4 9 (Select49all49that49apply)
a. The49nurse49uses4 9 profanity4 9 to4 9 respond4 9 to4 9 a49client4 9 who49is4 9 intoxicate
d4 9 and4 9 verball49y49abusive.
b. The49nurse49helps49a49client49talk49to49family49members49about49disc
ontinuing49chemotherapy.
