TEST BANK Communication in Nursing
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8th Edition Julia Balzer Riley
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Table of Contents
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,Chaptero1:oResponsible,oAssertive,oCaringoCommunicationoinoNursingo
Chaptero 2:oTheoClient-NurseoRelationship:oAoHelpingoRelationshipo
Chaptero3:oSolvingo ProblemsoTogether
Chaptero4:oUnderstandingoEachoOther:oCommunicationoandoCultureo
Chaptero5:oDemonstratingoWarmth
Chaptero6:oShowingoRespecto Chapt
ero7:oBeingoGenuineo
Chaptero 8:oBeingoEmpatheticoChap
tero9:o UsingoSelf-
DisclosureoChaptero10:o Beingospecif
ico
Chaptero11:oAskingo QuestionsoChap
tero12:oExpressingo OpinionsoChapter
13:oUsingoHumor
o
Chaptero14:oEmbracingotheoSpiritualoJourneyoofoHealthoCaring,oMeaningoMaking
Chaptero15:o RequestingoSupport
o
Chaptero16:oOvercomingoEvaluationoAnxietyo Cha
ptero17:oWorkingowithoFeedbacko
Chaptero 18:oUsingoRelaxationotechnique
Chaptero19:oIncorporatingoImageryoinoProfessionaloPracticeoandoSelf-
Careo Chaptero20oIncorporatingoPositiveoSelf-Talk
Chaptero21:o LearningotooWorkoTogetheroinoGroups
Chaptero22:oTheoChangingoWorldoofoElectronicoCommunication
o Chaptero23:oLearningoConfrontationoskills
Chaptero24:oRefusingoUnreasonableoRequests
Chaptero 25:oCommunicatingo Assertivelyoando ResponsiblyowithoDistressedo Clientso ando Colleagueso Ch
aptero 26:o Communicatingo Assertivelyo ando Responsiblyo witho Aggressiveo Clientsoando Colleagueso Chaptero
27:oCommunicatingoAssertivelyoandoResponsiblyowithoUnpopularoClients
Chapteroo28:ooCommunicatingo ato theooEnd-of-
Lifeo Chaptero29:oContinuingotheoCommitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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MultipleoChoice
1. Theo nurseo planso too delegateo ao client’so personalo hygieneo too ao nursingo assistant.o
Whichostatementoifomadeobyotheonurseotootheonursingoassistantoisoassertive?
a. “Wouldoyouomindohelpingotheoclientowithoaobathowhenoyouohaveotime?oIfonot,oIowilloskip
myolunchoandodooitomyself.”
b. “Youoneverogetoyouroworkodoneoandoareoalwaysoonotheophone.oYouoneedotoohelpothe
clientorightonowowithoaobath,ooroIowillowriteoyououp.”
c. “Theoclientoneedsohelpowithobathing.oIowantoyouotooassistotheoclientonow,oandoyouocan
gootoolunchowhenoyouoareofinished.”
d. “Iohaveoimportantoworkotoocompleteothisomorning.oYouowilloassistotheoclientowithoa
bath.oDoonototakeoaobreakountiloyouohaveofinished.”
ANS:C
Ano assertiveo statemento iso clear,o direct,o ando respectful;o theo nurseo shouldo useo assertiveo rights,o a
voidoirrationalo beliefs,o andouseo theo Describeo Expresso Specifyo Consequenceo scripto too formulateo a
no assertiveo response.o Describe:o “Theo cliento needso helpowitho bathing.”o Expresso ando Specify:o “Io w
antoyouotooassistotheoclientonow.o ”Consequence:o“Youocanogootoolunchowhenoyouoareofinished.o ”T
heootherostatementsoareononassertiveooroaggressive:o“Wouldoyouomindohelpingotheoclientowitho ao b
atho wheno youo haveo time?o Ifo not,o Io willo skipo myo luncho ando doo ito myself.”o iso nonassertive,o hesit
ant,o ando apologetic.o “Youo nevero geto youro worko doneo ando areo alwayso ono theo phone.o Youo needo
too helpo theo cliento righto nowo witho ao bath,o oro Io willo writeo youo up.”o iso aggressive,o blaming,o andone
gative.o “Iohaveo importantoworkotoocompleteo thisomorning.oYouowilloassistotheo clientowitho ao bath.o
Doo noto takeo ao breako untilo youo haveo finished.”o iso aggressive,o sarcastic,o uncaring,o ando superior.
oDIF:oAnalysisoREF:op.o6oTOP:oIntegratedoProcess:oCommunicationoandoDocumentationo MSC:oSafe
oandoEffectiveoCareoEnvironment:oManagementoofoCare
2. Aohospitalonurseoisoconcernedoaboutotheodemandsoofoprovidingosafeocareotooclientsowhoo areo s
eriouslyo ill.oTheo nurseo manageroshouldo suggesto whichointerventiono too effectivelyohelpo theon
urseobalanceotheodemandingoworkoinotheohospitalosetting?
a. Delegateomoreotasksotootheounlicensedonursingopersonneloonotheounit.
b. Requestoaotransferotooanotheronursingocareounitowithopatientsowhooareostable.
c. Writeodownostoriesoinoaojournaloaboutohowocaringomakesoaodifferenceoforopatients.
d. Useoanoassertiveocommunicationostyleoforoeveryopatient–nurseointeraction.
ANS:C
Caringoisotheomoraloidealothato guidesonursesothroughotheocaregivingoprocess.oAlthoughothereoiso s
atisfactiono ino beingotechnologicallyocompetent,othatosatisfactiono isonotoaso lastingo asotheo satisfacti
ono derivedo fromo meaningfulo momentso ofo connectiono witho clients,o family,o ando colleagues.oDIF:
oApplicationoREF:op.o13oTOP:oIntegratedoProcess:oCaringoMSC:oSafe
andoEffectiveoCareoEnvironment:oManagementoofoCare
, 3. Whichononverbalo action(s)owouldobeoconsistento witho anoassertiveostyleoofo com
munication?o(Selectoallothatoapply)
a. Relaxedoposture
b. Establishedoeyeocontact
c. Handsoplacedoonohips
d. Distant,osoftovoice
e. Mask-likeofacialoexpression
ANS:A,oB
Assertiveo styleso ofo communicationo thato areo nonverbalo includeo ao relaxedo stanceo ando eyeso thato a
reo warm,o ino contact,o ando frank.o Aggressiveo styleso ofocommunicationo thato areo nonverbalo in
cludeo expressionless,o cold,o narrowed,o oro staringo eyeso ando handso placedo ono hips.o Ao weak,o dis
tant,o softo voiceo iso ao nonassertiveo styleo ofo nonverbalo communication.o DIF:o Comprehensiono RE
F:o pp.o 11-
12oTOP:o IntegratedoProcess:o Communicationo andoDocumentationo MSC:o PsychosocialoIntegrity
4. Whicho statemento describeso theo affectiveo aspecto ofo learningo effectiveo com
municationostrategies?
a. “Theonurseoshouldouseoclear,odirectostatementsousingoobjectiveowords.”
b. “Theonurseousesobodyolanguageothatoisocongruentowithotheoverbalomessage.”
c. “Theonurseobelievesothatopositiveocommunicationostrategiesobuildoconfidence.”
d. “Theonurseopracticesoassertiveoandoresponsibleocommunicationostrategies.”
ANS:C
Learningoinvolvesothreeodomains:otheocognitiveoaspectso(understandingoandomeaning),oaffectiveo
aspectso(feelings,ovalues,oandoattitudes),oandopsychomotorooaspectsoo(physicalo capability).Learnin
go basico communicationo skillso involveso theo cognitiveo domain;o buildingo confidenceothroughoaobe
liefo ino theo valueo andoimpactoofo positiveo communicationo isotheo affectiveo domain;oandoputtingoskill
sointooactionoisotheopsychomotorodomain.DIF:oComprehensionoREF:op.o 13oTOP:oIntegratedoProces
s:oCommunicationoandoo DocumentationoMSC:oPsychosocialoIntegrity
5. Theonurseomanageroasksotheostaffonurseotooworkoanoextraoshift.oWhichoresponseobyotheo staffo
nurseoisoassertiveoandobasedoonorationalobeliefs?
a. “Iodon’towantoyououpset,osooIowilloworkoextra.”
b. “WhyodooIoalwaysohaveotoocoveroextraoshifts?”
c. “Ioamonotoableotooworkoanoextraoshift.”
d. “Ifoyouocan’tofindoanyoneoelse,oIowillodooit.”
ANS:C
Theo staffo nurseo mayo turno downo eveno ao reasonableo request;o ano assertiveo responseo avoids
irrationalo beliefs.o Irrationalo beliefso occuro aso ao resulto ofo beingo anxiouso abouto assertivenesso oro f
ocusingo ono possibleo negativeo outcomes.DIF:o Analysiso REF:op.o 8o TOP:o Integratedo Process:o C
ommunicationoandoDocumentationoMSC:oSafeoandoEffectiveoCareoEnvironment:oManagemento of
o o o o
8th Edition Julia Balzer Riley
o o o o oo
Table of Contents
o o
,Chaptero1:oResponsible,oAssertive,oCaringoCommunicationoinoNursingo
Chaptero 2:oTheoClient-NurseoRelationship:oAoHelpingoRelationshipo
Chaptero3:oSolvingo ProblemsoTogether
Chaptero4:oUnderstandingoEachoOther:oCommunicationoandoCultureo
Chaptero5:oDemonstratingoWarmth
Chaptero6:oShowingoRespecto Chapt
ero7:oBeingoGenuineo
Chaptero 8:oBeingoEmpatheticoChap
tero9:o UsingoSelf-
DisclosureoChaptero10:o Beingospecif
ico
Chaptero11:oAskingo QuestionsoChap
tero12:oExpressingo OpinionsoChapter
13:oUsingoHumor
o
Chaptero14:oEmbracingotheoSpiritualoJourneyoofoHealthoCaring,oMeaningoMaking
Chaptero15:o RequestingoSupport
o
Chaptero16:oOvercomingoEvaluationoAnxietyo Cha
ptero17:oWorkingowithoFeedbacko
Chaptero 18:oUsingoRelaxationotechnique
Chaptero19:oIncorporatingoImageryoinoProfessionaloPracticeoandoSelf-
Careo Chaptero20oIncorporatingoPositiveoSelf-Talk
Chaptero21:o LearningotooWorkoTogetheroinoGroups
Chaptero22:oTheoChangingoWorldoofoElectronicoCommunication
o Chaptero23:oLearningoConfrontationoskills
Chaptero24:oRefusingoUnreasonableoRequests
Chaptero 25:oCommunicatingo Assertivelyoando ResponsiblyowithoDistressedo Clientso ando Colleagueso Ch
aptero 26:o Communicatingo Assertivelyo ando Responsiblyo witho Aggressiveo Clientsoando Colleagueso Chaptero
27:oCommunicatingoAssertivelyoandoResponsiblyowithoUnpopularoClients
Chapteroo28:ooCommunicatingo ato theooEnd-of-
Lifeo Chaptero29:oContinuingotheoCommitment
,Chapter 1: Responsible, Assertive, Caring Communication in Nursing
o o o o o o o
MultipleoChoice
1. Theo nurseo planso too delegateo ao client’so personalo hygieneo too ao nursingo assistant.o
Whichostatementoifomadeobyotheonurseotootheonursingoassistantoisoassertive?
a. “Wouldoyouomindohelpingotheoclientowithoaobathowhenoyouohaveotime?oIfonot,oIowilloskip
myolunchoandodooitomyself.”
b. “Youoneverogetoyouroworkodoneoandoareoalwaysoonotheophone.oYouoneedotoohelpothe
clientorightonowowithoaobath,ooroIowillowriteoyououp.”
c. “Theoclientoneedsohelpowithobathing.oIowantoyouotooassistotheoclientonow,oandoyouocan
gootoolunchowhenoyouoareofinished.”
d. “Iohaveoimportantoworkotoocompleteothisomorning.oYouowilloassistotheoclientowithoa
bath.oDoonototakeoaobreakountiloyouohaveofinished.”
ANS:C
Ano assertiveo statemento iso clear,o direct,o ando respectful;o theo nurseo shouldo useo assertiveo rights,o a
voidoirrationalo beliefs,o andouseo theo Describeo Expresso Specifyo Consequenceo scripto too formulateo a
no assertiveo response.o Describe:o “Theo cliento needso helpowitho bathing.”o Expresso ando Specify:o “Io w
antoyouotooassistotheoclientonow.o ”Consequence:o“Youocanogootoolunchowhenoyouoareofinished.o ”T
heootherostatementsoareononassertiveooroaggressive:o“Wouldoyouomindohelpingotheoclientowitho ao b
atho wheno youo haveo time?o Ifo not,o Io willo skipo myo luncho ando doo ito myself.”o iso nonassertive,o hesit
ant,o ando apologetic.o “Youo nevero geto youro worko doneo ando areo alwayso ono theo phone.o Youo needo
too helpo theo cliento righto nowo witho ao bath,o oro Io willo writeo youo up.”o iso aggressive,o blaming,o andone
gative.o “Iohaveo importantoworkotoocompleteo thisomorning.oYouowilloassistotheo clientowitho ao bath.o
Doo noto takeo ao breako untilo youo haveo finished.”o iso aggressive,o sarcastic,o uncaring,o ando superior.
oDIF:oAnalysisoREF:op.o6oTOP:oIntegratedoProcess:oCommunicationoandoDocumentationo MSC:oSafe
oandoEffectiveoCareoEnvironment:oManagementoofoCare
2. Aohospitalonurseoisoconcernedoaboutotheodemandsoofoprovidingosafeocareotooclientsowhoo areo s
eriouslyo ill.oTheo nurseo manageroshouldo suggesto whichointerventiono too effectivelyohelpo theon
urseobalanceotheodemandingoworkoinotheohospitalosetting?
a. Delegateomoreotasksotootheounlicensedonursingopersonneloonotheounit.
b. Requestoaotransferotooanotheronursingocareounitowithopatientsowhooareostable.
c. Writeodownostoriesoinoaojournaloaboutohowocaringomakesoaodifferenceoforopatients.
d. Useoanoassertiveocommunicationostyleoforoeveryopatient–nurseointeraction.
ANS:C
Caringoisotheomoraloidealothato guidesonursesothroughotheocaregivingoprocess.oAlthoughothereoiso s
atisfactiono ino beingotechnologicallyocompetent,othatosatisfactiono isonotoaso lastingo asotheo satisfacti
ono derivedo fromo meaningfulo momentso ofo connectiono witho clients,o family,o ando colleagues.oDIF:
oApplicationoREF:op.o13oTOP:oIntegratedoProcess:oCaringoMSC:oSafe
andoEffectiveoCareoEnvironment:oManagementoofoCare
, 3. Whichononverbalo action(s)owouldobeoconsistento witho anoassertiveostyleoofo com
munication?o(Selectoallothatoapply)
a. Relaxedoposture
b. Establishedoeyeocontact
c. Handsoplacedoonohips
d. Distant,osoftovoice
e. Mask-likeofacialoexpression
ANS:A,oB
Assertiveo styleso ofo communicationo thato areo nonverbalo includeo ao relaxedo stanceo ando eyeso thato a
reo warm,o ino contact,o ando frank.o Aggressiveo styleso ofocommunicationo thato areo nonverbalo in
cludeo expressionless,o cold,o narrowed,o oro staringo eyeso ando handso placedo ono hips.o Ao weak,o dis
tant,o softo voiceo iso ao nonassertiveo styleo ofo nonverbalo communication.o DIF:o Comprehensiono RE
F:o pp.o 11-
12oTOP:o IntegratedoProcess:o Communicationo andoDocumentationo MSC:o PsychosocialoIntegrity
4. Whicho statemento describeso theo affectiveo aspecto ofo learningo effectiveo com
municationostrategies?
a. “Theonurseoshouldouseoclear,odirectostatementsousingoobjectiveowords.”
b. “Theonurseousesobodyolanguageothatoisocongruentowithotheoverbalomessage.”
c. “Theonurseobelievesothatopositiveocommunicationostrategiesobuildoconfidence.”
d. “Theonurseopracticesoassertiveoandoresponsibleocommunicationostrategies.”
ANS:C
Learningoinvolvesothreeodomains:otheocognitiveoaspectso(understandingoandomeaning),oaffectiveo
aspectso(feelings,ovalues,oandoattitudes),oandopsychomotorooaspectsoo(physicalo capability).Learnin
go basico communicationo skillso involveso theo cognitiveo domain;o buildingo confidenceothroughoaobe
liefo ino theo valueo andoimpactoofo positiveo communicationo isotheo affectiveo domain;oandoputtingoskill
sointooactionoisotheopsychomotorodomain.DIF:oComprehensionoREF:op.o 13oTOP:oIntegratedoProces
s:oCommunicationoandoo DocumentationoMSC:oPsychosocialoIntegrity
5. Theonurseomanageroasksotheostaffonurseotooworkoanoextraoshift.oWhichoresponseobyotheo staffo
nurseoisoassertiveoandobasedoonorationalobeliefs?
a. “Iodon’towantoyououpset,osooIowilloworkoextra.”
b. “WhyodooIoalwaysohaveotoocoveroextraoshifts?”
c. “Ioamonotoableotooworkoanoextraoshift.”
d. “Ifoyouocan’tofindoanyoneoelse,oIowillodooit.”
ANS:C
Theo staffo nurseo mayo turno downo eveno ao reasonableo request;o ano assertiveo responseo avoids
irrationalo beliefs.o Irrationalo beliefso occuro aso ao resulto ofo beingo anxiouso abouto assertivenesso oro f
ocusingo ono possibleo negativeo outcomes.DIF:o Analysiso REF:op.o 8o TOP:o Integratedo Process:o C
ommunicationoandoDocumentationoMSC:oSafeoandoEffectiveoCareoEnvironment:oManagemento of
