TEST BANK
4
Communication in Nursing 10th Edition
4 4 4 4
Julia Balzer Riley
4 4
, Table of Contents
4 4
Chapter41:4Responsible,4Assertive,4Caring4Communication4in4Nursing4Ch
apter42:4The4Client-
Nurse4Relationship:4Aielping4Relationship4Chapter43:4Solving4Problems4
Together
Chapter44:4Understanding4Each4Other:4Communication4and4Culture4Chapte
r45:4Demonstrating4Warmth
Chapter46:4Showing4Respect4Ch
apter47:4Being4Genuine4Chapter
48:4Being4Empathetic4Chapter49:
Using4Self-
4
Disclosure4Chapter410:4Being4sp
ecific4Chapter411:4Asking4Quest
ions4Chapter412:4Expressing4Opi
nions4Chapter413:4Usingiumor
Chapter414:4Embracing4the4Spiritual4Journey4ofiealth4Caring,4Meaning4Making4Chapter4
15:4Requesting4Support
Chapter416:4Overcoming4Evaluation4Anxiety4C
hapter417:4Working4with4Feedback4Chapte
r418:4Using4Relaxation4technique
Chapter419:4Incorporating4Imagery4in4Professional4Practice4and4Self-
Care4Chapter4204Incorporating4Positive4Self-Talk
Chapter421:4 Learning4to4Work4Together4in4Groups
Chapter422:4The4Changing4World4of4Electronic4Communication4Chapt
er423:4Learning4Confrontation4skills
Chapter424:4Refusing4Unreasonable4Requests
Chapter425:4Communicating4Assertively4and4Responsibly4with4Distressed4Clients4and4Colleague
s4Chapter426:4Communicating4Assertively4and4Responsibly4with4Aggressive4Clients4and4Colleagu
es4Chapter427:4Communicating4Assertively4and4Responsibly4with4Unpopular4Clients
Chapter429:4Communicating4at4the4End-of-
Life4Chapter430:4Continuing4the4Commitment
,Balzer4Riley:4Communication4in4Nursing,410th4Edition
Chapter41:4Responsible,4Assertive,4Caring4Communication4in4Nursing
Test4Bank4Multipl
e4Choice
1. Which4 statement4 describes4 the4 affective4 aspect4 of4 learning4 effective4
communication4strategies?
a. “The4nurse4should4use4clear,4direct4statements4using4objective4words.”
b. “The4nurse4uses4body4language4that4is4congruent4with4the4verbal4message.”
c. “The4nurse4believes4that4positive4communication4strategies4build4confidence.”
d. “The4nurse4practices4assertive4and4responsible4communication4strategies.”
ANS:C
Learning4involves4three4domains:4the4cognitive4aspects4(understanding4and4meaning),4affe
ctive4aspects4(feelings,4values,4and4attitudes),4and4psychomotor4aspects4(physical4capabilit
y).Learning4basic4communication4skills4involves4the4cognitive4domain;4building4confiden
ce4through4a4belief4in4the4value4and4impact4of4positive4communication4is4the4affective4do
main;4and4putting4skills4into4action4is4the4psychomotor4domain.DIF:4Comprehension4REF
:4p.4134TOP:4Integrated4Process:4 Communication4 and4Documentation4MSC:4Psychosocia
l4Integrity
2. The4nurse4manager4asks4the4staff4nurse4to4work4an4extra4shift.4Which4response4by4
the4staff4nurse4is4assertive4and4based4on4rational4beliefs?
a. “I4don’t4want4you4upset,4so4I4will4work4extra.”
b. “Why4do4I4alwaysiave4to4cover4extra4shifts?”
c. “I4am4not4able4to4work4an4extra4shift.”
d. “If4you4can’t4find4anyone4else,4I4will4do4it.”
ANS:C
The4staff4nurse4may4turn4down4even4a4reasonable4request;4an4assertive4response4avoids4irr
ational4beliefs.4Irrational4beliefs4occur4as4a4result4of4being4anxious4about4assertiveness4or4f
ocusing4on4possible4negative4outcomes.DIF:4Analysis4REF:4p.484TOP:4Integrated4Process:
4Communication4and4Documentation4MSC:4Safe4and4Effective4Care4Environment:4Manag
ement4of4Care
, 3. A4nurse4manager4offers4a4staff4nurse4a4choice4between4working48-4or412-
hour4shifts.4Which4statement,4if4made4by4the4staff4nurse,4is4nonassertive4and4may4resul
t4in4a4frustrated4response4from4the4nurse4manager?
a. “I4want4to4decide4the4shifts4for4all4of4the4other4staff4nurses.”
b. “Do4whatever4you4want.4It4doesn’t4really4matter4to4me.”
c. “Thank4you4for4offering4me4a4choice.4I4prefer412-hour4shifts.”
d. “You4will4never4be4able4to4give4me4what4I4really4want4to4work.”
ANS:B
A4statement4that4allows4others4to4make4decisions4for4a4person4is4an4example4of4a4nonasser
tive4style4of4communication;4the4response4of4others4to4a4nonassertive4statement4may4inclu
de4disrespect,4guilt,4anger,4or4frustration.4Statements4that4make4choices4for4others4or4that4a
re4accusations4are4examples4of4aggressive4styles4of4communication;4the4response4of4others
4to4an4aggressive4statement4may4includeiurt,4defensiveness,4oriumiliation.4A4statement4tha
t4allows4making4one’s4own4decisions4is4an4example4of4assertive4style4of4communication;4t
he4response4of4others4to4an4assertive4statement4may4include4mutual4respect.DIF:4Analysis4
REF:4p.474TOP:4Integrated4Process:4Communication4and4Documentation4MSC:4Safe4and4E
ffective4Care4Environment:4Management4of4Care
4. The4nurse4is4providing4care4to4a4patient4who4was4admitted4withieart4failure.4The4p
atientias4not4been4following4the4prescribed4diet4or4taking4the4prescribed4medications.4
Which4type4of4communication4approach4is4most4important4for4the4nurse4to4use4with4th
is4patient4to4facilitate4a4change4in4self-care4behavior?
a. Authoritative,ionest,4and4outright4communication
b. Assertive,4responsible,4and4caring4communication
c. Aggressive,4sympathetic,4and4realistic4communication
d. Positive,4expert,4and4focused4communication
ANS:B
Communication4must4be4technically4responsible,4assertive,4and4caring4to4facilitate4a4chang
e4in4behavior.DIF:4Knowledge/Comprehension4REF:4p.4134TOP:4 Integrated4Process:4Co
mmunication4and4Documentation4MSC:4Psychosocial4Integrity
5. Which4 are4 examples4 of4 a4 nurse4 who4 is4 communicating4 responsibly?4 (Select4 all4
that4apply)
a. The4nurse4uses4 profanity4 to4 respond4 to4 a4client4 who4is4 intoxicated4 and4 verbally4
abusive.
b. The4nurseielps4a4client4talk4to4family4members4about4discontinuing4
chemotherapy.