TESTBANK
CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible,Assertive,CaringCommunicationinNursing Chapt (i
er 2: The Client-
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
Together
Chapter4:UnderstandingEachOther:CommunicationandCulture
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect Cha
(i
pter 7: Being Genuine Chapter 8:
Being Empathetic Chapter 9: Usi
(i
ng Self-
Disclosure Chapter 10: Being spe (i
cific Chapter 11: Asking Questio (i
ns Chapter 12:
Expressing Opinio ns Chapter
(i
13: Using Humor
Chapter14:Embracingthe Spiritual Journey of HealthCaring, Meaning Making Chapter
(i (i
15: Requesting Support
Chapter 16: OvercomingEvaluation Anxiety (i
C hapter 17: Working with Feedback
Chapter 18: Using Relaxation technique
Chapter19:IncorporatingImageryin Professional Practice and Self- (i (i
Care Chapter 20 Incorporating Positive Self-Talk
Chapter21: Learning to Work Together in Groups
(i
Chapter22:TheChanging Worldof ElectronicCommunication
(i
Chapter 23: Learning Confrontation skills
(i
Chapter 24: RefusingUnreasonable Requests
Chapter25: Communicating Assertively and Responsiblywith Distressed Clientsand Colleagues C
(i
hapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues C
hapter 27: Communicating Assertively and Responsibly with Unpopular Clients
(i
Chapter 29: Communicating at the End-of-
Life Chapter 30: Continuing the Commitment (i
,BalzerRiley:Communication inNursing,10thEdition
Chapter1:Responsible,Assertive,Caring CommunicationinNursing
(i
Test Bank Multipl
eChoice
1. Which statement describes the affective aspect of learning effecti
ve communication strategies?
a. ―Thenurse should use clear, direct statements using objective words.‖
b. ―Thenurse uses body language that is congruent with the verbal message.‖
(i
c. ―Thenurse believes that positive communication strategies build confidence.‖
(i (i
d. ―Thenurse practices assertive and responsible communication strategies.‖
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
affec tive aspects (feelings, values, and attitudes), and psychomotor aspects (physical
capability)
.Learning basic communication skills involves the cognitive domain; building confidence
t hrough 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
(i
REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC:
Psychosocial Integr ity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
(i
th e staff nurse is assertive and based on rational beliefs?
a. ―Idon’t want you upset, so Iwill work extra.‖
b. ―Why do I always have to cover extra shifts?‖
c. ―I am not able to work an extra shift.‖
(i (i
d. ―If you can’t find anyone else, I will do it.‖
(i
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
irrat ional beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
or foc using on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
Process: Co mmunication and Documentation MSC: Safe and Effective Care
(i
Environment: Manageme nt of Care
,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 i n a frustrated response from the nurse manager?
(i (i
a. ―Iwant to decide the shifts for all of the other staff nurses.‖
b. ―Dowhatever you want. It doesn’t really matter to me.‖
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
(i
d. ―You will never be able to give me what I really want to work.‖
(i
ANS:B
A statement that allows others to make decisions for a person is an example of a
(i (i
nonasserti ve 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 ac cusations are examples of aggressive styles of communication; the
response of others to an aggressive statement may include hurt, defensiveness, or
humiliation. A statement that allo ws making one’s own decisions is an example of
assertive style of communication; the resp onse of others to an assertive statement may
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication
(i
and Documentation MSC: Safe and Effective C are Environment: Management of Care
4. The nurse is providing care to a patient who was admitted with heart failure. The
(i
pa tient has not been following the prescribed diet or taking the prescribed
(i
medications. W hich type of communication approach is most important for the nurse
to use with this p atient 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.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
Process: Com munication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select
all that apply)
(i
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 c hemotherapy.
, c. The nurse uses interpersonal strategies to help a client develop methods of coping.
(i (i
d. The nurse provides a client’s health information to a close relative who is visiting.
(i (i
e. The nurse listens carefully to theclient’s concern about inadequate pain relief.
(i (i
ANS:B, C, E
A nurse who communicates responsibly will perform the role of a client advocate, will con
sider the world of the client and the client’s family, and will naturally focus on the
nursing process and problem-
(i
solving process. The nurse is responsible for maintaining the professional conduct of the r
(i
elationship. Examples of unprofessional conduct would include breaching client
(i
confidenti ality or verbally abusing a client.DIF: Application REF: pp. 11-
12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Inte
(i
grity
6. According to Swanson’s theory, there are five caring processes, one of which is
(i
―be ing with.‖ Which of the responses by the nurse portrays an understanding of the
(i (i
concep t of ―being with‖ a client?
(i
a. Thenurse charting in the room to spend more time with the client
b. The nurse wearing locator badge so you can quickly respond any time pati
ent would call front desk and ask to page you
c. Thenurse requesting one-on-one nurse staffing
d. The nurse being emotionally present to the client
(i
ANS:D
Caring is an essential ingredient in life and must characterize the nurse–
(i
client relationship…. Consider Swanson’s five caring processes (Swanson, 1993):1) Maint
(i
aining 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—
(i
being emotionally present to the other4) Doing for—
doing for others what they would do for themselves if possible5) Enabling— (i
facilitating the capacity of others to care for themselves and family members (Tonges and R
ay, 2011, p. 375)DIF: Application REF: p. 11 TOP: Integrated Process: CaringMSC:
Physi ological Integrity: Basic Care and Comfort
7. According to Swanson’s theory, there are five caring processes, one of which is ―
(i
knowing.‖ What are the other four?
a. Communication, assertiveness, responsibility, and caring
(i
b. Maintaining belief, being with, doing for, and enabling
(i
c. Understanding, action, information, and comfort
d. Maintaining belief, being with, enabling, and supporting
(i
CommunicationinNursing10thEdition
JuliaBalzerRiley
, TableofContents
Chapter1:Responsible,Assertive,CaringCommunicationinNursing Chapt (i
er 2: The Client-
Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
Together
Chapter4:UnderstandingEachOther:CommunicationandCulture
Chapter 5: Demonstrating Warmth
Chapter 6: Showing Respect Cha
(i
pter 7: Being Genuine Chapter 8:
Being Empathetic Chapter 9: Usi
(i
ng Self-
Disclosure Chapter 10: Being spe (i
cific Chapter 11: Asking Questio (i
ns Chapter 12:
Expressing Opinio ns Chapter
(i
13: Using Humor
Chapter14:Embracingthe Spiritual Journey of HealthCaring, Meaning Making Chapter
(i (i
15: Requesting Support
Chapter 16: OvercomingEvaluation Anxiety (i
C hapter 17: Working with Feedback
Chapter 18: Using Relaxation technique
Chapter19:IncorporatingImageryin Professional Practice and Self- (i (i
Care Chapter 20 Incorporating Positive Self-Talk
Chapter21: Learning to Work Together in Groups
(i
Chapter22:TheChanging Worldof ElectronicCommunication
(i
Chapter 23: Learning Confrontation skills
(i
Chapter 24: RefusingUnreasonable Requests
Chapter25: Communicating Assertively and Responsiblywith Distressed Clientsand Colleagues C
(i
hapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues C
hapter 27: Communicating Assertively and Responsibly with Unpopular Clients
(i
Chapter 29: Communicating at the End-of-
Life Chapter 30: Continuing the Commitment (i
,BalzerRiley:Communication inNursing,10thEdition
Chapter1:Responsible,Assertive,Caring CommunicationinNursing
(i
Test Bank Multipl
eChoice
1. Which statement describes the affective aspect of learning effecti
ve communication strategies?
a. ―Thenurse should use clear, direct statements using objective words.‖
b. ―Thenurse uses body language that is congruent with the verbal message.‖
(i
c. ―Thenurse believes that positive communication strategies build confidence.‖
(i (i
d. ―Thenurse practices assertive and responsible communication strategies.‖
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
affec tive aspects (feelings, values, and attitudes), and psychomotor aspects (physical
capability)
.Learning basic communication skills involves the cognitive domain; building confidence
t hrough 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
(i
REF: p. 13 TOP: Integrated Process: Communication and Documentation MSC:
Psychosocial Integr ity
2. The nurse manager asks the staff nurse to work an extra shift. Which response by
(i
th e staff nurse is assertive and based on rational beliefs?
a. ―Idon’t want you upset, so Iwill work extra.‖
b. ―Why do I always have to cover extra shifts?‖
c. ―I am not able to work an extra shift.‖
(i (i
d. ―If you can’t find anyone else, I will do it.‖
(i
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
irrat ional beliefs. Irrational beliefs occur as a result of being anxious about assertiveness
or foc using on possible negative outcomes.DIF: Analysis REF: p. 8 TOP: Integrated
Process: Co mmunication and Documentation MSC: Safe and Effective Care
(i
Environment: Manageme nt of Care
,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 i n a frustrated response from the nurse manager?
(i (i
a. ―Iwant to decide the shifts for all of the other staff nurses.‖
b. ―Dowhatever you want. It doesn’t really matter to me.‖
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
(i
d. ―You will never be able to give me what I really want to work.‖
(i
ANS:B
A statement that allows others to make decisions for a person is an example of a
(i (i
nonasserti ve 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 ac cusations are examples of aggressive styles of communication; the
response of others to an aggressive statement may include hurt, defensiveness, or
humiliation. A statement that allo ws making one’s own decisions is an example of
assertive style of communication; the resp onse of others to an assertive statement may
include mutual respect.DIF: Analysis REF: p. 7 TOP: Integrated Process: Communication
(i
and Documentation MSC: Safe and Effective C are Environment: Management of Care
4. The nurse is providing care to a patient who was admitted with heart failure. The
(i
pa tient has not been following the prescribed diet or taking the prescribed
(i
medications. W hich type of communication approach is most important for the nurse
to use with this p atient 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.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated
Process: Com munication and Documentation MSC: Psychosocial Integrity
5. Which are examples of a nurse who is communicating responsibly? (Select
all that apply)
(i
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 c hemotherapy.
, c. The nurse uses interpersonal strategies to help a client develop methods of coping.
(i (i
d. The nurse provides a client’s health information to a close relative who is visiting.
(i (i
e. The nurse listens carefully to theclient’s concern about inadequate pain relief.
(i (i
ANS:B, C, E
A nurse who communicates responsibly will perform the role of a client advocate, will con
sider the world of the client and the client’s family, and will naturally focus on the
nursing process and problem-
(i
solving process. The nurse is responsible for maintaining the professional conduct of the r
(i
elationship. Examples of unprofessional conduct would include breaching client
(i
confidenti ality or verbally abusing a client.DIF: Application REF: pp. 11-
12 TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Inte
(i
grity
6. According to Swanson’s theory, there are five caring processes, one of which is
(i
―be ing with.‖ Which of the responses by the nurse portrays an understanding of the
(i (i
concep t of ―being with‖ a client?
(i
a. Thenurse charting in the room to spend more time with the client
b. The nurse wearing locator badge so you can quickly respond any time pati
ent would call front desk and ask to page you
c. Thenurse requesting one-on-one nurse staffing
d. The nurse being emotionally present to the client
(i
ANS:D
Caring is an essential ingredient in life and must characterize the nurse–
(i
client relationship…. Consider Swanson’s five caring processes (Swanson, 1993):1) Maint
(i
aining 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—
(i
being emotionally present to the other4) Doing for—
doing for others what they would do for themselves if possible5) Enabling— (i
facilitating the capacity of others to care for themselves and family members (Tonges and R
ay, 2011, p. 375)DIF: Application REF: p. 11 TOP: Integrated Process: CaringMSC:
Physi ological Integrity: Basic Care and Comfort
7. According to Swanson’s theory, there are five caring processes, one of which is ―
(i
knowing.‖ What are the other four?
a. Communication, assertiveness, responsibility, and caring
(i
b. Maintaining belief, being with, doing for, and enabling
(i
c. Understanding, action, information, and comfort
d. Maintaining belief, being with, enabling, and supporting
(i
