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Test bank for communication in nursing 10th
editionby Julia balzer riley

, Table‖of‖Contents
Chapter‖1:‖Responsible,‖Assertive,‖Caring‖Communication‖in‖Nursing―Cha
pter‖2:‖The‖Client-
Nurse‖Relationship:‖A‖Helping‖Relationship―Chapter‖3:‖Solving‖Problems
‖Together

Chapter‖4:‖Understanding‖Each‖Other:‖Communication‖and‖Cultur
e―Chapter‖5:‖Demonstrating‖Warmth
Chapter‖6:‖Showing‖Respect―Ch
apter‖7:‖Being‖Genuine―Chapter‖
8:‖Being‖Empathetic―Chapter‖9:‖
Using‖Self-
Disclosure―Chapter‖10:‖Being‖sp
ecific―Chapter‖11:‖Asking‖Questi
ons―Chapter‖12:‖Expressing‖Opini
ons―Chapter‖13:‖Using‖Humor
Chapter‖14:‖Embracing‖the‖Spiritual‖Journey‖of‖Health‖Caring,‖Meaning‖Making―Chapt
er‖15:‖Requesting‖Support
Chapter‖16:‖Overcoming‖Evaluation‖Anxiety―C
hapter‖17:‖Working‖with‖Feedback‖Chapte
r‖18:‖Using‖Relaxation‖technique
Chapter‖19:‖Incorporating‖Imagery‖in‖Professional‖Practice‖and‖Self-
Care―Chapter‖20‖Incorporating‖Positive‖Self-Talk
Chapter‖21:‖ Learning‖to‖Work‖Together‖in‖Groups
Chapter‖22:‖The‖Changing‖World‖of‖Electronic‖Communicatio
n―Chapter‖23:‖Learning‖Confrontation‖skills
Chapter‖24:‖Refusing‖Unreasonable‖Requests
Chapter‖25:‖Communicating‖Assertively‖and‖Responsibly‖with‖Distressed‖Clients‖and‖Colleague
s―Chapter‖26:‖Communicating‖Assertively‖and‖Responsibly‖with‖Aggressive‖Clients‖and‖Colleagu
es―Chapter‖27:‖Communicating‖Assertively‖and‖Responsibly‖with‖Unpopular‖Clients
Chapter‖29:‖Communicating‖at‖the‖End-of-
Life―Chapter‖30:‖Continuing‖the‖Commitment

,Balzer‖Riley:‖Communication‖in‖Nursing,‖10th‖Edition
Chapter”1:”Responsible,”Assertive,”Caring”Communication”in”Nursing
Test”Bank”Multipl

e”Choice


1. Which‖ statement‖ describes‖ the‖ affective‖ aspect‖ of‖ learning‖ effective
‖communication‖strategies?



a. ―The‖nurse‖should‖use‖clear,‖direct‖statements‖using‖objective‖words.‖
b. ―The‖nurse‖uses‖body‖language‖that‖is‖congruent‖with‖the‖verbal‖message.‖
c. ―The‖nurse‖believes‖that‖positive‖communication‖strategies‖build‖confidence.‖
d. ―The‖nurse‖practices‖assertive‖and‖responsible‖communication‖strategies.‖

ANS:C
Learning‖involves‖three‖domains:‖the‖cognitive‖aspects‖(understanding‖and‖meaning),‖aff
ective‖aspects‖(feelings,‖values,‖and‖attitudes),‖and‖psychomotor‖aspects‖(physical‖capabil
ity).Learning‖basic‖communication‖skills‖involves‖the‖cognitive‖domain;‖building‖confide
nce‖through‖a‖belief‖in‖the‖value‖and‖impact‖of‖positive‖communication‖is‖the‖affective‖do
main;‖and‖putting‖skills‖into‖action‖is‖the‖psychomotor‖domain.DIF:‖Comprehension‖REF
:‖p.‖13‖TOP:‖Integrated‖Process:‖Communication‖and‖ Documentation‖MSC:‖Psychosocia
l‖Integrity


2. The‖nurse‖manager‖asks‖the‖staff‖nurse‖to‖work‖an‖extra‖shift.‖Which‖response‖by
‖the‖staff‖nurse‖is‖assertive‖and‖based‖on‖rational‖beliefs?



a. ―I‖don’t‖want‖you‖upset,‖so‖I‖will‖work‖extra.‖
b. ―Why‖do‖I‖always‖have‖to‖cover‖extra‖shifts?‖
c. ―I‖am‖not‖able‖to‖work‖an‖extra‖shift.‖
d. ―If‖you‖can’t‖find‖anyone‖else,‖I‖will‖do‖it.‖

ANS:C
The‖staff‖nurse‖may‖turn‖down‖even‖a‖reasonable‖request;‖an‖assertive‖response‖avoids‖irr
ational‖beliefs.‖Irrational‖beliefs‖occur‖as‖a‖result‖of‖being‖anxious‖about‖assertiveness‖or‖
focusing‖on‖possible‖negative‖outcomes.DIF:‖Analysis‖REF:‖p.‖8‖TOP:‖Integrated‖Proces
s:‖Communication‖and‖Documentation‖MSC:‖Safe‖and‖Effective‖Care‖Environment:‖Man
agement‖of‖Care

, 3. 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‖resul
t‖in‖a‖frustrated‖response‖from‖the‖nurse‖manager?

a. ―I‖want‖to‖decide‖the‖shifts‖for‖all‖of‖the‖other‖staff‖nurses.‖
b. ―Do‖whatever‖you‖want.‖It‖doesn’t‖really‖matter‖to‖me.‖
c. ―Thank‖you‖for‖offering‖me‖a‖choice.‖I‖prefer‖12-hour‖shifts.‖
d. ―You‖will‖never‖be‖able‖to‖give‖me‖what‖I‖really‖want‖to‖work.‖

ANS:B
A‖statement‖that‖allows‖others‖to‖make‖decisions‖for‖a‖person‖is‖an‖example‖of‖a‖nonasser
tive‖style‖of‖communication;‖the‖response‖of‖others‖to‖a‖nonassertive‖statement‖may‖inclu
de‖disrespect,‖guilt,‖anger,‖or‖frustration.‖Statements‖that‖make‖choices‖for‖others‖or‖that‖
are‖accusations‖are‖examples‖of‖aggressive‖styles‖of‖communication;‖the‖response‖of‖othe
rs‖to‖an‖aggressive‖statement‖may‖include‖hurt,‖defensiveness,‖or‖humiliation.‖A‖statemen
t‖that‖allows‖making‖one’s‖own‖decisions‖is‖an‖example‖of‖assertive‖style‖of‖communicati
on;‖the‖response‖of‖others‖to‖an‖assertive‖statement‖may‖include‖mutual‖respect.DIF:‖Anal
ysis‖REF:‖p.‖7‖TOP:‖Integrated‖Process:‖Communication‖and‖Documentation‖MSC:‖Safe‖
and‖Effective‖Care‖Environment:‖Management‖of‖Care


4. The‖nurse‖is‖providing‖care‖to‖a‖patient‖who‖was‖admitted‖with‖heart‖failure.‖The‖
patient‖has‖not‖been‖following‖the‖prescribed‖diet‖or‖taking‖the‖prescribed‖medication
s.‖Which‖type‖of‖communication‖approach‖is‖most‖important‖for‖the‖nurse‖to‖use‖with
‖this‖patient‖to‖facilitate‖a‖change‖in‖self-care‖behavior?



a. Authoritative,‖honest,‖and‖outright‖communication
b. Assertive,‖responsible,‖and‖caring‖communication
c. Aggressive,‖sympathetic,‖and‖realistic‖communication
d. Positive,‖expert,‖and‖focused‖communication

ANS:B
Communication‖must‖be‖technically‖responsible,‖assertive,‖and‖caring‖to‖facilitate‖a‖chan
ge‖in‖behavior.DIF:‖Knowledge/Comprehension‖REF:‖p.‖13‖TOP:‖Integrated‖ Process:‖Co
mmunication‖and‖Documentation‖MSC:‖Psychosocial‖Integrity


5. Which‖ are‖ examples‖ of‖ a‖ nurse‖ who‖ is‖ communicating‖ responsibly?‖ (Select‖ all
‖that‖apply)



a. The‖nurse‖uses‖ profanity‖ to‖ respond‖ to‖ a‖client‖ who‖is‖ intoxicated‖ and‖ verbally‖
abusive.
b. The‖nurse‖helps‖a‖client‖talk‖to‖family‖members‖about‖discontinuing
‖chemotherapy.

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