TEST BANK Communication in Nursing
8th Edition Julia Balzer Riley
Table of Contents
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Chapter 2: The Client-Nurse Relationship: A Helping Relationship
Chapter 3: Solving Problems Together
Chapter 4: Understanding Each Other: Communication and Culture
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect
Chapter 7: Being Genuine
Chapter 8: Being Empathetic
Chapter 9: Using Self-Disclosure
Chapter 10: Being specific
Chapter 11: Asking Questions
Chapter 12: Expressing Opinions
Chapter 13: Using Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
Chapter 15: Requesting Support
Chapter 16: Overcoming Evaluation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using Relaxation technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
Chapter 20 Incorporating Positive Self-Talk
Chapter 21: Learning to Work Together in Groups
Chapter 22: The Changing World of Electronic Communication
Chapter 23: Learning Confrontation skills
Chapter 24: Refusing Unreasonable Requests
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
Chapter 28: Communicating at the End-of-Life
Chapter 29: Continuing the Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Multiple Choice
1. The nurse plans to delegate a client’s personal hygiene to a nursing assistant.
Which statement if made by the nurse to the nursing assistant is assertive?
a. “Would you mind helping the client with a bath when you have time? If not, I will skip
my lunch and do it myself.”
b. “You never get your work done and are always on the phone. You need to help the
client right now with a bath, or I will write you up.”
c. “The client needs help with bathing. I want you to assist the client now, and you can
go to lunch when you are finished.”
d. “I have important work to complete this morning. You will assist the client with a
bath. Do not take a break until you have finished.”
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive rights,
avoid irrational beliefs, and use the Describe Express Specify Consequence script to formulate
an assertive response. Describe: “The client needs help with bathing.” Express and Specify: “I
want you to assist the client now. ”Consequence: “You can go to lunch when you are finished.
”The other statements are nonassertive or aggressive: “Would you mind helping the client with
a bath when you have time? If not, I will skip my lunch and do it myself.” is nonassertive,
hesitant, and apologetic. “You never get your work done and are always on the phone. You
need to help the client right now with a bath, or I will write you up.” is aggressive, blaming,
and negative. “I have important work to complete this morning. You will assist the client with
a bath. Do not take a break until you have finished.” is aggressive, sarcastic, uncaring, and
superior. DIF: Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
2. A hospital nurse is concerned about the demands of providing safe care to clients who are
seriously ill. The nurse manager should suggest which intervention to effectively help the
nurse balance the demanding work in the hospital setting?
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
b. Request a transfer to another nursing care unit with patients who are stable.
c. Write down stories in a journal about how caring makes a difference for patients.
d. Use an assertive communication style for every patient–nurse interaction.
ANS:C
Caring is the moral ideal that guides nurses through the caregiving process. Although there is
satisfaction in being technologically competent, that satisfaction is not as lasting as the
satisfaction derived from meaningful moments of connection with clients, family, and
colleagues. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
and Effective Care Environment: Management of Care
, 3. Which nonverbal action(s) would be consistent with an assertive style of
communication? (Select all that apply)
a. Relaxed posture
b. Established eye contact
c. Hands placed on hips
d. Distant, soft voice
e. Mask-like facial expression
ANS:A, B
Assertive styles of communication that are nonverbal include a relaxed stance and eyes that
are warm, in contact, and frank. Aggressive styles of communication that are nonverbal
include expressionless, cold, narrowed, or staring eyes and hands placed on hips. A weak,
distant, soft voice is a nonassertive style of nonverbal communication. DIF: Comprehension
REF: pp. 11-12 TOP: Integrated Process: Communication and Documentation MSC:
Psychosocial Integrity
4. 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.DIF: Comprehension REF: p.
13 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
5. 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.DIF: Analysis REF: p. 8 TOP: Integrated Process:
Communication and Documentation MSC: Safe and Effective Care Environment: Management
8th Edition Julia Balzer Riley
Table of Contents
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Chapter 2: The Client-Nurse Relationship: A Helping Relationship
Chapter 3: Solving Problems Together
Chapter 4: Understanding Each Other: Communication and Culture
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect
Chapter 7: Being Genuine
Chapter 8: Being Empathetic
Chapter 9: Using Self-Disclosure
Chapter 10: Being specific
Chapter 11: Asking Questions
Chapter 12: Expressing Opinions
Chapter 13: Using Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making
Chapter 15: Requesting Support
Chapter 16: Overcoming Evaluation Anxiety
Chapter 17: Working with Feedback
Chapter 18: Using Relaxation technique
Chapter 19: Incorporating Imagery in Professional Practice and Self-Care
Chapter 20 Incorporating Positive Self-Talk
Chapter 21: Learning to Work Together in Groups
Chapter 22: The Changing World of Electronic Communication
Chapter 23: Learning Confrontation skills
Chapter 24: Refusing Unreasonable Requests
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues
Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues
Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients
Chapter 28: Communicating at the End-of-Life
Chapter 29: Continuing the Commitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
Multiple Choice
1. The nurse plans to delegate a client’s personal hygiene to a nursing assistant.
Which statement if made by the nurse to the nursing assistant is assertive?
a. “Would you mind helping the client with a bath when you have time? If not, I will skip
my lunch and do it myself.”
b. “You never get your work done and are always on the phone. You need to help the
client right now with a bath, or I will write you up.”
c. “The client needs help with bathing. I want you to assist the client now, and you can
go to lunch when you are finished.”
d. “I have important work to complete this morning. You will assist the client with a
bath. Do not take a break until you have finished.”
ANS:C
An assertive statement is clear, direct, and respectful; the nurse should use assertive rights,
avoid irrational beliefs, and use the Describe Express Specify Consequence script to formulate
an assertive response. Describe: “The client needs help with bathing.” Express and Specify: “I
want you to assist the client now. ”Consequence: “You can go to lunch when you are finished.
”The other statements are nonassertive or aggressive: “Would you mind helping the client with
a bath when you have time? If not, I will skip my lunch and do it myself.” is nonassertive,
hesitant, and apologetic. “You never get your work done and are always on the phone. You
need to help the client right now with a bath, or I will write you up.” is aggressive, blaming,
and negative. “I have important work to complete this morning. You will assist the client with
a bath. Do not take a break until you have finished.” is aggressive, sarcastic, uncaring, and
superior. DIF: Analysis REF: p. 6 TOP: Integrated Process: Communication and Documentation
MSC: Safe and Effective Care Environment: Management of Care
2. A hospital nurse is concerned about the demands of providing safe care to clients who are
seriously ill. The nurse manager should suggest which intervention to effectively help the
nurse balance the demanding work in the hospital setting?
a. Delegate more tasks to the unlicensed nursing personnel on the unit.
b. Request a transfer to another nursing care unit with patients who are stable.
c. Write down stories in a journal about how caring makes a difference for patients.
d. Use an assertive communication style for every patient–nurse interaction.
ANS:C
Caring is the moral ideal that guides nurses through the caregiving process. Although there is
satisfaction in being technologically competent, that satisfaction is not as lasting as the
satisfaction derived from meaningful moments of connection with clients, family, and
colleagues. DIF: Application REF: p. 13 TOP: Integrated Process: Caring MSC: Safe
and Effective Care Environment: Management of Care
, 3. Which nonverbal action(s) would be consistent with an assertive style of
communication? (Select all that apply)
a. Relaxed posture
b. Established eye contact
c. Hands placed on hips
d. Distant, soft voice
e. Mask-like facial expression
ANS:A, B
Assertive styles of communication that are nonverbal include a relaxed stance and eyes that
are warm, in contact, and frank. Aggressive styles of communication that are nonverbal
include expressionless, cold, narrowed, or staring eyes and hands placed on hips. A weak,
distant, soft voice is a nonassertive style of nonverbal communication. DIF: Comprehension
REF: pp. 11-12 TOP: Integrated Process: Communication and Documentation MSC:
Psychosocial Integrity
4. 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.DIF: Comprehension REF: p.
13 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity
5. 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.DIF: Analysis REF: p. 8 TOP: Integrated Process:
Communication and Documentation MSC: Safe and Effective Care Environment: Management
