Communication in Nursing 10th Edition
by Julia Balzer Riley RN MN AHN-BC REACE (Author) latest Update Graded A+
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, Table Of Contents
Chapter 1: Responsible, Assertive, Caring Communication In Nursing ......................................................................................... 3
Chapter 2: The Client-Nurse Relationship: A Helping Relationship............................................................................................... 5
Chapter 3: Solving Problems Together ........................................................................................................................................... 8
Chapter 4: Understanding Each Other: Communication And Culture.......................................................................................... 11
Chapter 5: Demonstrating Warmth............................................................................................................................................... 13
Chapter 6: Showing Respect ........................................................................................................................................................ 16
Chapter 7: Being Genuine ............................................................................................................................................................ 18
Chapter 8: Being Empathetic ....................................................................................................................................................... 19
Chapter 9: Using Self-Disclosure ................................................................................................................................................. 20
Chapter 10: Being Specificity ...................................................................................................................................................... 22
Chapter 11: Asking Questions...................................................................................................................................................... 24
Chapter 12: Expressing Opinions ................................................................................................................................................. 25
Chapter 13: Using Humor ............................................................................................................................................................ 26
Chapter 14: Embracing The Spiritual Journey Of Health Caring…Meaning Making.................................................................. 28
Chapter 15: Requesting Support................................................................................................................................................... 29
Chapter 16: Overcoming Evaluation Anxiety .............................................................................................................................. 31
Chapter 17: Working With Feedbacktest Bank .............................................................................................................................. 1
Chapter 18: Using Relaxation Techniques...................................................................................................................................... 4
Chapter 19: Incorporating Imagery In Professional Practice Andself-Care ................................................................................... 6
Chapter 20: Relaxation ................................................................................................................................................................. 11
Chapter21: Incorporating Positive Self-Talk ................................................................................................................................ 13
Chapter 22: Navigating The Changing World Of Electronic Communication ............................................................................. 15
Chapter 23: Learning Confrontation Skills................................................................................................................................... 18
Chapter 24: Refusing Unreasonable Requests.............................................................................................................................. 19
Chapter 25: Communicating Assertively And Responsibly With Distressed Clientsand Colleagues........................................... 20
Chapter 26: Communicating Assertively And Responsibly With Aggressive Clients And Colleagues ........................................ 23
Chapter 27: Communicating Assertively And Responsibly With Unpopular Clients ................................................................... 25
Chapter 28: Managing Team Conflict Assertively And Responsibly ........................................................................................... 27
Chapter 29: Communicating At The End Of Life ........................................................................................................................ 29
Chapter 30: Continuing The Commitment To The Journey ......................................................................................................... 32
, Chapter 1: Responsible, Assertive, Caring Communication In Nursing
Multiple Choice
1. 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: 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.
2. 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 Staff 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.
3. 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.
4. 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.
5. 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.
6. According To Swanson’s Theory, There Are Five Caring Processes, One Of Which Is “Being With.” Which Of The Responses By
The Nurse Portrays An Understanding Of The Concept Of “Being With” A Client?
a. The Nurse Charting In The Room To Spend More Time With The Client
b. The Nurse Wearing Locator Badge So You Can Quickly Respond Any Time Patient Would Call Front Desk And Ask To Page
You
c. The Nurse Requesting One-On-One Nurse Staffing
d. The Nurse Being Emotionally Present To The Client
Ans: D
Caring Is An Essential Ingredient In Life And Must Characterize The Nurse–Client Relationship…. Consider Swanson’s Five
Caring Processes (Swanson, 1993):1) Maintaining Belief—Sustaining Faith In The Capacity Of Others To Transition And Have
Meaningful Lives2) Knowing—Striving To Understand Events As They Have Meaning In The Life Of The Other3) Being
With—Being Emotionally Present To The Other4) Doing For—Doing For Others What They Would Do For Themselves If
Possible5) Enabling—Facilitating The Capacity Of Others To Care For Themselves And Family Members (Tonges And Ray,
2011, P. 375)
7. According To Swanson’s Theory, There Are Five Caring Processes, One Of Which Is “Knowing.” What Are The Other Four?
a. Communication, Assertiveness, Responsibility, And Caring
b. Maintaining Belief, Being With, Doing For, And Enabling
c. Understanding, Action, Information, And Comfort
d. Maintaining Belief, Being With, Enabling, And Supporting
Ans: B
Caring Is An Essential Ingredient In Life And Must Characterize The Nurse–Client Relationship…. Consider Swanson’s Five
Caring Processes (Swanson, 1993):1) Maintaining Belief—Sustaining Faith In The Capacity Of Others To Transition And Have
Meaningful Lives2) Knowing—Striving To Understand Events As They Have Meaning In The Life Of The Other3) Being
With—Being Emotionally Present To The Other4) Doing For—Doing For Others What They Would Do For Themselves If
Possible5) Enabling—Facilitating The Capacity Of Others To Care For Themselves And Family Members (Tonges And Ray,
2011, P. 375)
8. 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.
9. A Client Has High Blood Pressure And Needs To Learn About A Low-Sodium Diet. Which Question If Asked By The Client
Would Be An Indirect Request For Information?
a. “How Should I Prepare Food 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.
10. The Nurse Plans To Delegate A Client’s Personal Hygiene To A Nursing Assistant. Which Statement If Made By The Nurse To
