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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f Chapter 3: Solving Problems Together
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Chapter 4: Understanding Each Other: Communication and CultureChapter
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f 5: Demonstrating Warmth
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Chapter 6: Showing Respect
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f Chapter 7: Being Genuine
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f Chapter 8: Being Empathetic
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f Chapter 9: Using Self-Disclosure
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Chapter 10: Being specific
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f Chapter 11: Asking Questions
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f Chapter 12: Expressing Opinions
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Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning MakingChapter
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f 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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f 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 Communication
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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 Colleagues
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Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
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Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
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Chapter 29: Communicating at the End-of-Life
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Chapter 30: Continuing the Commitment
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,Balzer Riley: Communication in Nursing, 10th Edition
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Chapter1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank f
f Multiple Choice f
1. Which statement describes the affective aspect of learning f f f f f f f
f effectivecommunication strategies? f f
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
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f(physical 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 communication is
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the affective domain; and putting skills into action is the psychomotor domain.DIF:
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Comprehension REF: p. 13 TOP: Integrated Process: Communication and
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Documentation MSC: Psychosocial Integrity
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2. The nurse manager asks the staff nurse to work an extra shift. Which response by
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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 assertiveness or
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focusing on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated Process:
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Communication and Documentation MSC: Safe and Effective Care Environment:
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Management of Care
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, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour shifts.
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Which statement, if made by the staff nurse, is nonassertive and may result in a
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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 statement
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may include disrespect, guilt, anger, or frustration. Statements that make choices for others
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or that are accusations are examples of aggressive styles of communication; the response of
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others to an aggressive statement may include hurt, defensiveness, or humiliation. A
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statement that allows making one’s own decisions is an example of assertive style of
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communication; the response of others to an assertive statement may include mutual
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respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication and
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Documentation MSC: Safe and Effective Care Environment: Management of Care
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4. The nurse is providing care to a patient who was admitted with heart failure. The
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f patient has not been following the prescribed diet or taking the prescribed medications.
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f Which type of communication approach is most important for the nurse to use with this
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f patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication f f f f
b. Assertive, responsible, and caring communication f f f f
c. Aggressive, sympathetic, and realistic communication f f f f
d. Positive, expert, and focused communication f f f f
ANS:B
Communication must be technically responsible, assertive, and caring to facilitate achange f f f f f f f f f f f
in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process:
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Communication and Documentation MSC: Psychosocial Integrity
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5. Which are examples of a nurse who is communicating responsibly? (Select
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f allthat apply)
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a. The nurse uses profanity to respond to a client who is intoxicated and
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verballyabusive.
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b. The nurse helps a client talk to family members about discontinuing
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chemotherapy.f
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