Test bank for communication in nursing 10th
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editionby Julia balzer riley
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,BalzerRiley:Communicationin Nursing,10thEdition
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Chapter1:Responsible, Assertive,Caring Communication in Nursing
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Test Bank CA
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1. Which statement describes the affective aspect of learningC A C A C A C A C A C A C A
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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. ―The nurse believes that positive communication strategies build confidence.‖
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d. ―The nurse practices assertive and responsible communication strategies.‖
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ANS:C
Learning involves three domains: the cognitive aspects (understanding‖and
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meaning), aff ective aspects (feelings, values, and attitudes), and psychomotor
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aspects (physical capabil ity).Learning basic communication skills involves the
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cognitive domain; building confide nce through a belief in the value and impact of
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positive communication is the affective domain; and putting skills into action is the
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psychomotor‖domain.DIF: Comprehension REF
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: p. 13 TOP: Integrated Process: Communication and Documentation MSC:
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Psychosocial Integrity
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2. The nurse manager‖asks the staff nurse to work an extra shift. Which
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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?‖CA CA CA CA CA CA CA
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 Proces s: 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-
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hour shifts. Which statement, if made by the staff nurse, is nonassertive and may
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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 is an example of a
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nonassertive style of communication; the response of others to a nonassertive
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statement may include disrespect, guilt, anger, or‖frustration. Statements that make
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choices for others or that are accusations are examples of aggressive styles of
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communication; the response of others to an aggressive statement may include
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hurt, defensiveness, or humiliation. A statement that allows making one’s own
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decisions is an example of assertive style of communication; the response of others
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to an assertive statement may‖include mutual respect.DIF: Analysis REF: p. 7 TOP:
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Integrated Process: Communication and Documentation MSC: Safe and Effective
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Care Environment: 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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medication
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s. Which type of communication approach is most important for the nurse to use
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withthis patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication CA CA CA CA
b. Assertive, responsible, and caring communication CA CA CA CA
c. Aggressive, sympathetic, and realistic communication CA CA CA CA
d. Positive, expert, and focused communication CA CA CA CA
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a CA CA CA CA CA CA CA CA CA CA
chan ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
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Process: Co mmunication and Documentation MSC: Psychosocial Integrity
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5. Which are examples of a nurse who is communicating responsibly?
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a. The nurse uses profanity to respond to a client who is intoxicated and
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verballyabusive. CA A
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b. The nurse helps a client talk to family members about
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discontinuingchemotherapy.
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, c. The nurse uses interpersonal strategies to help a client develop methods of coping.
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d. The nurse provides a client’s health information to a close relative who is visiting.
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e. The nurse listens carefully to the client’s concern about inadequate pain relief.
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ANS:B, C, E CA CA
A nurse who communicates responsibly will perform the role of a client advocate,
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will co nsider‖the world of the client and the client’s family, and will naturally focus
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on the nursi ng process and problem-
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solving‖process. The nurse is responsible for‖maintaining the professional conduct of CA CA CA CA CA CA CA CA CA
the relationship. Examples of unprofessional conduct would include breaching
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client confidentiality or‖verbally abusing a client.DIF: Application REF: pp. 11-
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12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial
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Integrity
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6. According‖to Swanson’s theory, there are five caring processes, one of which is CA CA CA CA CA CA CA CA CA CA CA
― being with.‖ Which of the responses by‖the nurse portrays an understanding
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of the co ncept of ―being with‖ a client?
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a. The nurse charting‖in the room to spend more time with the client
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b. The nurse wearing locator badge so you can quickly respond any
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time patientwould call front desk and ask to page you
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c. The nurse requesting one-on-one nurse staffing CA CA CA CA CA
d. The nurse being emotionally present to the client CA CA CA CA CA CA CA
ANS:D
Caring is an essential ingredient in life and must characterize the nurse–
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client relationship…. Consider Swanson’s five caring processes (Swanson, 1993):1)
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Maintaining belief—
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sustaining faith in the capacity of others to transition and have meaningful lives2)
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Knowing—
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striving to understand events as they have meaning in the life of the other3) Being
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with—being emotionally present to the other4) Doing for—
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doing‖for‖others what they would do for‖themselves if possible5) Enabling— CA CA CA CA CA CA CA CA
facilitating the capacity of others to care for‖themselves and family‖members
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(Tonges and Ray, 2011, p. 375)DIF: Application REF: p. 11 TOP: Integrated Process:
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CaringMSC: P hysiological Integrity: Basic Care and Comfort
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7. According to Swanson’s theory, there are five caring processes, one of which is CA CA CA CA CA CA CA CA CA CA CA CA
―knowing.‖ What are the other‖four? CA CA CA CA
a. Communication, assertiveness, responsibility, and caring CA CA CA CA
b. Maintaining belief, being with, doing for, and enabling CA CA CA CA CA CA CA
c. Understanding, action, information, and comfort CA CA CA CA
d. Maintaining belief, being with, enabling, and supporting CA CA CA CA CA CA
