Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Chapter 2: The Client-Nurse Relationship: A Helping Relationship
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Chapter 3: Solving Problems Together
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Chapter 4: Understanding Each Other: Communication and
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Culture Chapter 5: Demonstrating Warmth
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Chapter 6: Showing Respect
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Chapter 7: Being Genuine
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Chapter 8: Being Empathetic
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Chapter 9: Using Self-
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Disclosure Chapter 10: Being
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specific Chapter 11: Asking
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Questions Chapter 12:
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Expressing Opinions Chapter
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13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
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Chapter 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety
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Chapter 17: Working with Feedback
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Chapter 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
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Chapter 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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Communication Chapter 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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Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients
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and Colleagues Chapter 27: Communicating Assertively and Responsibly with Unpopular
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Clients
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Chapter 29: Communicating at the End-of-
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Life Chapter
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Commitment
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,Balzer Riley: Communication in Nursing, 10th Edition
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank m
m Multiple Choice m
1. Which statement describes the affective aspect of learning
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m effective communication strategies?
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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 meaning),
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affective aspects (feelings, values, and attitudes), and psychomotor aspects (physical
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capability).Learning basic communication skills involves the cognitive domain;
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building confidence through a belief in the value and impact of positive
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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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Communication and Documentation MSC: Psychosocial Integrity
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2. The nurse manager asks the staff nurse to work an extra shift. Which response
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mby the staff nurse is assertive and based on rational beliefs?
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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?‖
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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
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TOP: Integrated Process: 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-hour
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m shifts. Which statement, if made by the staff nurse, is nonassertive and may result
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m 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 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
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statement may include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated
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Process: Communication and Documentation MSC: Safe and Effective Care
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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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m The patient has not been following the prescribed diet or taking the prescribed
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m medications. Which type of communication approach is most important for the
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m nurse to use with this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication m m m m
b. Assertive, responsible, and caring communication
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c. Aggressive, sympathetic, and realistic communicationm m m m
d. Positive, expert, and focused communication
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ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a
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change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
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mProcess: Communication and Documentation MSC: Psychosocial Integrity
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5. Which are examples of a nurse who is communicating responsibly?
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m (Select all that apply) m m m
a. The nurse uses profanity to respond to a client who is intoxicated and
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verbally abusive.
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b. The nurse helps a client talk to family members about
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discontinuing chemotherapy.
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