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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024), Chapter 1-30 | All Chapters
Test Bank - Communication in Nursing, 10th Edition (Riley, 2024), Chapter 1-30 | All Chapters
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TEST BANKCommunication in Nursing
Julia Balzer Riley
10th Edition
,Table of Contents
Chapter 01 Responsible, Assertive, Caring Communication in Nursing 1
Chapter 02 The Client-Nurse Relationship-A Helping Relationship 6
Chapter 03 Solving Problems Together 11
Chapter 04 Understanding Each Other-Communication and Culture 16
Chapter 05 Working Together in Groups 21
Chapter 06 The Changing World of Electronic Communication 26
Chapter 07 Warmth 31
Chapter 08 Respect 36
Chapter 09 Genuineness 40
Chapter 10 Empathy 43
Chapter 11 Self-Disclosure 46
Chapter 12 Specificity 49
Chapter 13 Asking Questions 52
Chapter 14 Expressing Opinions 55
Chapter 15 Humor 58
Chapter 16 Spirituality 61
Chapter 17 Requesting Support 64
Chapter 18 Overcoming Evaluation Anxiety 67
Chapter 19 Feedback 70
Chapter 20 Relaxation 73
Chapter 21 Imagery 76
Chapter 22 Positive Self-Talk 79
Chapter 23 Confrontation 82
Chapter 24 Refusing Unreasonable Requests 85
Chapter 25 Communicating Assertively and Responsibly with Distressed Clients and
Colleagues 88
Chapter 26 Communicating Assertively and Responsibly with Aggressive Clients and
Colleagues 91
Chapter 27 Communicating Assertively and Responsibly with Unpopular Clients 94
Chapter 28 Managing Team Conflict Assertively and Responsibly 97
Chapter 29 Communicating at the End of Life 100
Chapter 30 Continuing the Commitment 103
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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024)
Balzer Riley: Communication in Nursing, 10th Edition
Chapter 01: Responsible, Assertive, Caring Communication in Nursing
Test Bank
MULTIPLE CHOICE
1. A client has high blood pressure and needs to learn about a low sodium diet. Which questions
if asked by the client would be an indirect request for information?
A. “How should food be prepared without adding salt?”
B. “What will I do to make food taste better?”
C. “What diet changes are needed to control my blood pressure?”
D. “What foods should 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 will 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 low sodium diet. The other
questions are direct requests for information on a low sodium diet.
DIF: Application
TOP: Integrated Process: Communication and Documentation
MSC: Physiological Integrity: Basic Care and Comfort
REF: p. 5
2. The nurse plans to delegate helping a client with personal hygiene to a nursing assistant.
Which statement if made by the nurse to the nursing assistant is assertive?
A. “Would you mind helping the client with a bath when you have time? If not, I will skip my
lunch and do it myself.”
B. “You never get your work done and are always on the phone. You need to help the client
right now with a bath, or I will write you up.”
C. “The client needs help with bathing. I want you to assist the client now, and you can go to
lunch when you are finished.”
D. “I have important work to complete this morning. You will assist the client with a bath. Do
not take a break until you have finished.”
ANS: C
An assertive statement is clear, direct, and respectful; the nurse should use assertive rights, avoid
irrational beliefs, and use the Describe Express Specify Consequence script to formulate an
assertive response.
Describe: “The client needs help with bathing.”
Express and Specify: “I want you to assist the client now,”
Consequence: “You can go to lunch when you are finished.”
The other statements are nonassertive or aggressive:
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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024)
“Would you mind helping the client with a bath when you have time? If not, I will skip my
lunch and do it myself.” is nonassertive, hesitant, and apologetic.
“You never get your work done and are always on the phone. You need to help the client
right now with a bath, or I will write you up.” is aggressive, blaming, and negative.
“I have important work to complete this morning. You will assist the client with a bath. Do
not take a break until you have finished.” is aggressive, sarcastic, uncaring, and superior.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
REF: pp. 6, 7
3. 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 nurse may turn down even a reasonable request; an assertive response avoids irrational
beliefs. Irrational beliefs occur as a result of being anxious about assertiveness or focusing on
possible negative outcomes.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
REF: p. 7
4. The charge nurse informs a staff nurse that it is her turn to float to another unit. Which
response by the staff nurse is aggressive?
A. “I had such a bad experience last time. Please send another nurse instead of me.”
B. “I will miss working with you today, but I understand that it is my turn to float.”
C. “I will not survive on the other unit. The staff are always too busy to help me.”
D. “I will float, but you’ll be sorry. You cannot handle emergencies without me.”
ANS: D
An aggressive response is forceful and confrontational; the person using an aggressive approach
will place his or her needs first and respect for others is lacking. A nonassertive response is
apologetic, the person frequently puts himself or herself down. An assertive response is clear,
direct, confident, and honest.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
REF: p. 9
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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024)
5. 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 result 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 nonassertive
style of communication; the response of others to a nonassertive statement may include
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 others to an
aggressive statement may include hurt, defensiveness, or humiliation. A statement that allows
making one’s own decisions is an example of assertive style of communication; the response of
others to an assertive statement may include mutual respect.
DIF: Analysis
TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
REF: 9
6. 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 medications. 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 change in
behavior.
DIF: Knowledge/Comprehension
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 11
7. A hospital nurse is concerned about the demands of providing safe care to clients who are
seriously ill. The nurse manager should suggest which intervention to effectively help the nurse
balance the demanding work in the hospital setting?
A. Delegate more tasks to the unlicensed nursing personnel on the unit.
B. Request a transfer to another nursing care unit with patients who are stable.
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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024)
C. Write down stories in a journal about how caring makes a difference for patients.
D. Use an assertive communication style for every patient-nurse interaction.
ANS: C
DIF: Application
TOP: Integrated Process: Caring
MSC: Safe and Effective Care Environment: Management of Care
REF: p. 11
8. 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 which are the cognitive aspects (understanding and meaning),
affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capability).
Learning basic communication skills involves the cognitive domain; building confidence through
a belief in the value and impact of positive communication is the affective domain; and putting
skills into action is the psychomotor domain.
DIF: Comprehension
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 12
MULTIPLE RESPONSE
9. Which nonverbal action(s) would be consistent with an assertive style of communication?
Select all that apply.
A. Relaxed posture
B. Established eye contact
C. Hands placed on hips
D. Distant, soft voice
E. Mask-like facial expression
ANS: A, B
Assertive styles of communication that are nonverbal include a relaxed stance and eyes that are
warm, in contact, and frank. Aggressive styles of communication that are nonverbal include
expressionless, cold, narrowed, or staring eyes and hands placed on hips. A weak, distant, soft
voice is a nonassertive style of nonverbal communication.
DIF: Comprehension
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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024)
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 6
10. 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.
C. The nurse uses interpersonal strategies to help a client develop methods of coping.
D. The nurse provides a client’s health information to a close relative who is visiting.
E. The nurse listens carefully to the client’s concern about inadequate pain relief.
ANS: B, C, E
A nurse who communicates responsibly will perform the role of a client advocate, will consider
the world of the client and the client’s family, and will naturally focus on the nursing process and
problem-solving process. The nurse is responsible for maintaining the professional conduct of
the relationship. Examples of unprofessional conduct would include breaching client
confidentiality or verbally abusing a client.
DIF: Application
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 11
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Test Bank - Communication in Nursing, 10th Edition (Riley, 2024)
Balzer Riley: Communication in Nursing, 10th Edition
Chapter 02: The Client-Nurse Relationship: A Helping Relationship
Test Bank
MULTIPLE CHOICE
1. The nurse cares for a client who is scheduled for a breast biopsy. Which is the main purpose
of the client-nurse relationship?
A. To develop a mutually satisfying experience for the client and nurse.
B. To assist the client in achieving and maintaining optimal health.
C. To provide excellent client service and improve quality of care.
D. To allow the client to receive important health information.
ANS: B
The client-nurse relationship is established primarily to help the client achieve and maintain
optimal health. The client-nurse relationship is entered for the benefit of the client but is more
effective if the relationship is mutually satisfying. The ability to communicate clearly and with
compassion is central to excellent customer (or client) service. The client is not just a passive
receiver of health information; the client-nurse relationship refers to the interaction between the
nurse and the client.
DIF: Knowledge
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 18
2. The nurse is performing a well-child assessment on a 15-month-old child. The child’s
mother and father are present. Which action by the nurse will best determine the health beliefs
and values of the parents?
A. Have the parents independently complete the Myers-Briggs Type Indicator survey.
B. Read the documented health histories of the child’s parents and grandparents.
C. Actively listen to the parents talk about their lives and health concerns.
D. Review the traditional health practices of the ethnic group identified by the parents.
ANS: C
Nurses should listen to their client’s story to gain insight and knowledge into how a person
defines “health.” The Myers-Briggs Type Indicator identifies a person’s preferences in regard to
perception and judgment. Review of health histories or traditional health practices will not
provide as much insight on health beliefs and values as allowing the client to tell their story.
DIF: Application
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 21
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