Chapter 1: Responsible, Assertive, Caring Communication in
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xx NursingChapter 2: The Client-Nurse Relationship: A Helping
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xx Relationship Chapter 3: Solving Problems Together xx xx xx xx xx
Chapter 4: Understanding Each Other: Communication and CultureChapter
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xx 5: Demonstrating Warmth
xx xx
Chapter 6: Showing Respect
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xx Chapter 7: Being Genuinexx xx xx
xx Chapter 8: Being Empathetic
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xx Chapter 9: Using Self-
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DisclosureChapter 10: Being x xx xx
xx specific Chapter 11: Asking
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xx Questions Chapter 12: xx xx
Expressing OpinionsChapter
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xx 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning
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xx MakingChapter 15: Requesting Support
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Chapter 16: Overcoming Evaluation
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AnxietyChapter 17: Working with
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xx Feedback Chapter 18: Using Relaxation
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xx technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-
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CareChapter 20 Incorporating Positive Self-Talk
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Chapter 21: Learning to Work Together in Groups
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Chapter 22: The Changing World of Electronic
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CommunicationChapter 23: Learning Confrontation skills
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Chapter 24: Refusing Unreasonable Requests
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Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and
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xx ColleaguesChapter 26: Communicating Assertively and Responsibly with Aggressive Clients and
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ColleaguesChapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-
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LifeChapter 30: Continuing the Commitment
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,Balzer Riley: Communication in Nursing, 10th Edition
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xx
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank xx
xx Multiple Choice xx
1. Which statement describes the affective aspect of learning
x x x x x x x x x x x x x x
x x effectivecommunication strategies? x xx
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 meaning),
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affective
xx aspects (feelings, values,
x x and attitudes), and psychomotor x x x x x x x x x x x x
aspects (physical capability).Learning basic communication skills involves the
x x x x x xx xx xx xx xx
cognitive domain; building confidence 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: p. 13 TOP: Integrated Process:
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xCommunication and Documentation MSC: Psychosocial Integrity
x x x xx xx xx xx
2. The nurse manager asks the staff nurse to work an extra shift. Which response
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xx bythe staff nurse is assertive and based on rational beliefs?
x xx xx xx xx xx xx xx xx xx
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?‖
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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 avoids
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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 TOP:
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Integrated Process: Communication and Documentation MSC: Safe and Effective Care
xx xx xx xx xx xx xx xx xx xx
Environment: Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
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xx shifts. Which statement, if made by the staff nurse, is nonassertive and may result
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xx in afrustrated response from the nurse manager?
xx x xx xx xx xx xx
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
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a 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 hurt,
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defensiveness, or humiliation. A statement that allows making one’s own decisions is
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an example of assertive style of communication; the response of others to an assertive
xx xx xx x xx xx xx xx xx xx xx xx xx xx
statement may include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated
xx xx xx xx xx xx xx xx xx xx xx
Process: Communication and Documentation MSC: Safe and Effective Care
xx xx x xx xx xx xx xx xx
Environment: Management of Care
xx xx xx xx
4. The nurse is providing care to a patient who was admitted with heart failure.
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xx The patient has not been following the prescribed diet or taking the prescribed
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xx medications. Which type of communication approach is most important for the
xx xx xx xx xx xx xx xx xx xx
xx nurse to use with this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication xx xx xx xx
b. Assertive, responsible, and caring communication xx xx xx xx
c. Aggressive, sympathetic, and realistic communication xx xx xx xx
d. Positive, expert, and focused communication xx xx xx xx
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate xx xx xx xx xx xx xx xx xx
a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
xx x xx xx xx xx xx xx xx x x
Process: Communication and Documentation MSC: Psychosocial Integrity
xx xx xx xx xx xx xx
5. Which are examples of a nurse who is communicating responsibly?
x x x x x x x x x x x x x x x x x x
x x (Select allthat apply) x x x xx
a. The nurse uses profanity to respond to a client who is intoxicated and
xx x x x x x x x x x x x x x x x x xx x x x x
verballyabusive.
x x x
b. The nurse helps a client talk to family members about
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discontinuingchemotherapy.
xx x
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