TEST BANK Communication in Nursing
m m m m
8th Edition Julia Balzer Riley
m m m m
mm
TablemofmContent
s
,Chapterm1:mResponsible,mAssertive,mCaringmCommunicationminmNursingm
Chapterm 2:mThemClient-NursemRelationship:mAmHelpingmRelationshipm
Chapterm3:mSolvingm ProblemsmTogether
Chapterm4:mUnderstandingmEachmOther:mCommunicationmandmCul
turem Chapterm5:mDemonstratingmWarmth
Chapterm6:mShowingmRespectm Ch
apterm7:mBeingmGenuinem
Chapterm 8:mBeingmEmpatheticmCh
apterm9:m UsingmSelf-
DisclosuremChapterm10:m Beingmsp
ecificm
Chapterm11:mAskingm QuestionsmCh
apterm12:mExpressingm OpinionsmC
hapterm13:mUsingmHumor
Chapterm14:mEmbracingmthemSpiritualmJourneymofmHealthmCaring,mMeaningmMaking
mChapterm15:m RequestingmSupport
Chapterm16:mOvercomingmEvaluationmAnxietym
Chapterm17:mWorkingmwithmFeedbackm
Chapterm 18:mUsingmRelaxationmtechnique
Chapterm19:mIncorporatingmImageryminmProfessionalmPracticemandmSelf-
Carem Chapterm20mIncorporatingmPositivemSelf-Talk
Chapterm21:m LearningmtomWorkmTogetherminmGroups
Chapterm22:mThemChangingmWorldmofmElectronicmCommunic
ationm Chapterm23:mLearningmConfrontationmskills
Chapterm24:mRefusingmUnreasonablemRequests
Chapterm 25:mCommunicatingm Assertivelymandm ResponsiblymwithmDistressedm Clientsm andm Colleag
uesm Chapterm 26:m Communicatingm Assertivelym andm Responsiblym withm Aggressivem Clientsm andm Colle
aguesm Chapterm27:mCommunicatingmAssertivelymandmResponsiblymwithmUnpopularmClients
Chaptermm28:mmCommunicatingm atm themmEnd-
of-
Lifem Chapterm29:mContinuingmthemCommitment
,Chapterm1:mResponsible,mAssertive,mCaringmCommunicationminmNursing
MultiplemChoice
1. Them nursem plansm tom delegatem am client’sm personalm hygienem tom am nursingm ass
istant.m Whichmstatementmifmmadembymthemnursemtomthemnursingmassistantmismas
sertive?
a. “Wouldmyoummindmhelpingmthemclientmwithmambathmwhenmyoumhavemtime?mIfmnot,mImwi
llmskip
mymlunchmandmdomitmmyself.”
b. “Youmnevermgetmyourmworkmdonemandmaremalwaysmonmthemphone.mYoumneedmtomhelpmth
e
clientmrightmnowmwithmambath,mormImwillmwritemyoumup.”
c. “Themclientmneedsmhelpmwithmbathing.mImwantmyoumtomassistmthemclientmnow,mandmyou
mcan
gomtomlunchmwhenmyoumaremfinished.”
d. “Imhavemimportantmworkmtomcompletemthismmorning.mYoumwillmassistmthemclientmwithma
bath.mDomnotmtakemambreakmuntilmyoumhavemfinished.”
ANS:C
Anm assertivem statementm ism clear,m direct,m andm respectful;m them nursem shouldm usem assertivem
rights,m avoidm irrationalm beliefs,m andm usem them Describem Expressm Specifym Consequencem script
m tom formulatem anm assertivem response.m Describe:m “Them clientm needsm helpm withm bathing.”m E
xpressm andm Specify:m “Im wantm youm tom assistm them clientm now.m ”Consequence:m“Youmcanm gom
tomlunchm whenmyoum aremfinished.m ”Themothermstatementsmaremnonassertivemormaggressive:m
“Wouldmyoummindmhelpingmthemclientmwithm am bathm whenm youm havem time?m Ifm not,m Im will
m skipm mym lunchm andm dom itm myself.”m ism nonassertive,m hesitant,m andm apologetic.m “Youm ne
verm getm yourm workm donem andm arem alwaysm onm them phone.m Youm needm tom helpm them client
m rightm nowm withm am bath,m orm Im willm writem youm up.”m ism aggressive,m blaming,m andm negative
.m “Im havem importantmworkm tom completem thismmorning.m Youm willm assistm them clientmwithm am
bath.m Dom notm takem am breakm untilm youm havem finished.”m ism aggressive,m sarcastic,m uncaring,
m andm superior.mDIF:mAnalysismREF:mp.m6mTOP:mIntegratedmProcess:mCommunicationmandmDo
cumentationm MSC:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Amhospitalm nursem ism concernedmaboutm them demandsmofmprovidingm safem caremtomclientsm
whom arem seriouslym ill.m Them nursem managerm shouldm suggestm whichm interventionm tom eff
ectivelym helpm themnursembalancemthemdemandingmworkminmthemhospitalmsetting?
a. Delegatemmoremtasksmtomthemunlicensedmnursingmpersonnelmonmthemunit.
b. Requestmamtransfermtomanothermnursingmcaremunitmwithmpatientsmwhomaremstable.
c. Writemdownmstoriesminmamjournalmaboutmhowmcaringmmakesmamdifferencemformpatients.
d. Usemanmassertivemcommunicationmstylemformeverympatient–nurseminteraction.
ANS:C
Caringmismthem moralmidealm thatm guidesm nursesmthroughm them caregivingm process.mAlthoughmt
, herem ism satisfactionm inm beingm technologicallym competent,m thatm satisfactionm ismnotm asm lastin
gm asmthem satisfactionm derivedm fromm meaningfulm momentsm ofm connectionm withm clients,m fa
mily,m andm colleagues.mDIF:mApplicationmREF:mp.m13mTOP:mIntegratedmProcess:mCaringmMSC:
mSafe
andmEffectivemCaremEnvironment:mManagementmofmCare
3. Whichmnonverbalm action(s)mwouldmbemconsistentm withm anmassertivemstylem
ofm communication?m(Selectmallmthatmapply)
a. Relaxedmposture
b. Establishedmeyemcontact
c. Handsmplacedmonmhips
d. Distant,msoftmvoice
e. Mask-likemfacialmexpression
ANS:A,mB
Assertivem stylesm ofm communicationm thatm arem nonverbalm includem am relaxedm stancem andm eye
sm thatm arem warm,m inm contact,m andm frank.m Aggressivem stylesm ofmcommunicationm thatm a
rem nonverbalm includem expressionless,m cold,m narrowed,m orm staringm eyesm andm handsm place
dm onm hips.m Am weak,m distant,m softm voicem ism am nonassertivem stylem ofm nonverbalm communi
cation.m DIF:m Comprehensionm REF:m pp.m 11-
12m TOP:m Integratedm Process:m Communicationm andmDocumentationm MSC:m PsychosocialmInte
grity
4. Whichm statementm describesm them affectivem aspectm ofm learningm effective
m communicationmstrategies?
a. “Themnursemshouldmusemclear,mdirectmstatementsmusingmobjectivemwords.”
b. “Themnursemusesmbodymlanguagemthatmismcongruentmwithmthemverbalmmessage.”
c. “Themnursembelievesmthatmpositivemcommunicationmstrategiesmbuildmconfidence.”
d. “Themnursempracticesmassertivemandmresponsiblemcommunicationmstrategies.”
ANS:C
Learningminvolvesmthreemdomains:mthemcognitivemaspectsm(understandingmandmmeaning),maffe
ctivem aspectsm(feelings,mvalues,mandmattitudes),mandmpsychomotormmaspectsmm(physicalm capa
bility).Learningm basicm communicationm skillsm involvesm them cognitivem domain;m buildingm con
fidencemthroughm am beliefm inm them valuem andm impactmofm positivem communicationm ism them affec
tivem domain;mandmputtingmskillsmintomactionmismthempsychomotormdomain.DIF:mComprehensi
onmREF:mp.m 13mTOP:mIntegratedmProcess:mCommunicationmandmm DocumentationmMSC:mPsyc
hosocialmIntegrity
5. Themnursemmanagermasksmthemstaffmnursemtomworkmanmextramshift.mWhichmresponsemby
mthem staffmnursemismassertivemandmbasedmonmrationalmbeliefs?
a. “Imdon’tmwantmyoumupset,msomImwillmworkmextra.”
b. “WhymdomImalwaysmhavemtomcovermextramshifts?”
c. “Imammnotmablemtomworkmanmextramshift.”
m m m m
8th Edition Julia Balzer Riley
m m m m
mm
TablemofmContent
s
,Chapterm1:mResponsible,mAssertive,mCaringmCommunicationminmNursingm
Chapterm 2:mThemClient-NursemRelationship:mAmHelpingmRelationshipm
Chapterm3:mSolvingm ProblemsmTogether
Chapterm4:mUnderstandingmEachmOther:mCommunicationmandmCul
turem Chapterm5:mDemonstratingmWarmth
Chapterm6:mShowingmRespectm Ch
apterm7:mBeingmGenuinem
Chapterm 8:mBeingmEmpatheticmCh
apterm9:m UsingmSelf-
DisclosuremChapterm10:m Beingmsp
ecificm
Chapterm11:mAskingm QuestionsmCh
apterm12:mExpressingm OpinionsmC
hapterm13:mUsingmHumor
Chapterm14:mEmbracingmthemSpiritualmJourneymofmHealthmCaring,mMeaningmMaking
mChapterm15:m RequestingmSupport
Chapterm16:mOvercomingmEvaluationmAnxietym
Chapterm17:mWorkingmwithmFeedbackm
Chapterm 18:mUsingmRelaxationmtechnique
Chapterm19:mIncorporatingmImageryminmProfessionalmPracticemandmSelf-
Carem Chapterm20mIncorporatingmPositivemSelf-Talk
Chapterm21:m LearningmtomWorkmTogetherminmGroups
Chapterm22:mThemChangingmWorldmofmElectronicmCommunic
ationm Chapterm23:mLearningmConfrontationmskills
Chapterm24:mRefusingmUnreasonablemRequests
Chapterm 25:mCommunicatingm Assertivelymandm ResponsiblymwithmDistressedm Clientsm andm Colleag
uesm Chapterm 26:m Communicatingm Assertivelym andm Responsiblym withm Aggressivem Clientsm andm Colle
aguesm Chapterm27:mCommunicatingmAssertivelymandmResponsiblymwithmUnpopularmClients
Chaptermm28:mmCommunicatingm atm themmEnd-
of-
Lifem Chapterm29:mContinuingmthemCommitment
,Chapterm1:mResponsible,mAssertive,mCaringmCommunicationminmNursing
MultiplemChoice
1. Them nursem plansm tom delegatem am client’sm personalm hygienem tom am nursingm ass
istant.m Whichmstatementmifmmadembymthemnursemtomthemnursingmassistantmismas
sertive?
a. “Wouldmyoummindmhelpingmthemclientmwithmambathmwhenmyoumhavemtime?mIfmnot,mImwi
llmskip
mymlunchmandmdomitmmyself.”
b. “Youmnevermgetmyourmworkmdonemandmaremalwaysmonmthemphone.mYoumneedmtomhelpmth
e
clientmrightmnowmwithmambath,mormImwillmwritemyoumup.”
c. “Themclientmneedsmhelpmwithmbathing.mImwantmyoumtomassistmthemclientmnow,mandmyou
mcan
gomtomlunchmwhenmyoumaremfinished.”
d. “Imhavemimportantmworkmtomcompletemthismmorning.mYoumwillmassistmthemclientmwithma
bath.mDomnotmtakemambreakmuntilmyoumhavemfinished.”
ANS:C
Anm assertivem statementm ism clear,m direct,m andm respectful;m them nursem shouldm usem assertivem
rights,m avoidm irrationalm beliefs,m andm usem them Describem Expressm Specifym Consequencem script
m tom formulatem anm assertivem response.m Describe:m “Them clientm needsm helpm withm bathing.”m E
xpressm andm Specify:m “Im wantm youm tom assistm them clientm now.m ”Consequence:m“Youmcanm gom
tomlunchm whenmyoum aremfinished.m ”Themothermstatementsmaremnonassertivemormaggressive:m
“Wouldmyoummindmhelpingmthemclientmwithm am bathm whenm youm havem time?m Ifm not,m Im will
m skipm mym lunchm andm dom itm myself.”m ism nonassertive,m hesitant,m andm apologetic.m “Youm ne
verm getm yourm workm donem andm arem alwaysm onm them phone.m Youm needm tom helpm them client
m rightm nowm withm am bath,m orm Im willm writem youm up.”m ism aggressive,m blaming,m andm negative
.m “Im havem importantmworkm tom completem thismmorning.m Youm willm assistm them clientmwithm am
bath.m Dom notm takem am breakm untilm youm havem finished.”m ism aggressive,m sarcastic,m uncaring,
m andm superior.mDIF:mAnalysismREF:mp.m6mTOP:mIntegratedmProcess:mCommunicationmandmDo
cumentationm MSC:mSafemandmEffectivemCaremEnvironment:mManagementmofmCare
2. Amhospitalm nursem ism concernedmaboutm them demandsmofmprovidingm safem caremtomclientsm
whom arem seriouslym ill.m Them nursem managerm shouldm suggestm whichm interventionm tom eff
ectivelym helpm themnursembalancemthemdemandingmworkminmthemhospitalmsetting?
a. Delegatemmoremtasksmtomthemunlicensedmnursingmpersonnelmonmthemunit.
b. Requestmamtransfermtomanothermnursingmcaremunitmwithmpatientsmwhomaremstable.
c. Writemdownmstoriesminmamjournalmaboutmhowmcaringmmakesmamdifferencemformpatients.
d. Usemanmassertivemcommunicationmstylemformeverympatient–nurseminteraction.
ANS:C
Caringmismthem moralmidealm thatm guidesm nursesmthroughm them caregivingm process.mAlthoughmt
, herem ism satisfactionm inm beingm technologicallym competent,m thatm satisfactionm ismnotm asm lastin
gm asmthem satisfactionm derivedm fromm meaningfulm momentsm ofm connectionm withm clients,m fa
mily,m andm colleagues.mDIF:mApplicationmREF:mp.m13mTOP:mIntegratedmProcess:mCaringmMSC:
mSafe
andmEffectivemCaremEnvironment:mManagementmofmCare
3. Whichmnonverbalm action(s)mwouldmbemconsistentm withm anmassertivemstylem
ofm communication?m(Selectmallmthatmapply)
a. Relaxedmposture
b. Establishedmeyemcontact
c. Handsmplacedmonmhips
d. Distant,msoftmvoice
e. Mask-likemfacialmexpression
ANS:A,mB
Assertivem stylesm ofm communicationm thatm arem nonverbalm includem am relaxedm stancem andm eye
sm thatm arem warm,m inm contact,m andm frank.m Aggressivem stylesm ofmcommunicationm thatm a
rem nonverbalm includem expressionless,m cold,m narrowed,m orm staringm eyesm andm handsm place
dm onm hips.m Am weak,m distant,m softm voicem ism am nonassertivem stylem ofm nonverbalm communi
cation.m DIF:m Comprehensionm REF:m pp.m 11-
12m TOP:m Integratedm Process:m Communicationm andmDocumentationm MSC:m PsychosocialmInte
grity
4. Whichm statementm describesm them affectivem aspectm ofm learningm effective
m communicationmstrategies?
a. “Themnursemshouldmusemclear,mdirectmstatementsmusingmobjectivemwords.”
b. “Themnursemusesmbodymlanguagemthatmismcongruentmwithmthemverbalmmessage.”
c. “Themnursembelievesmthatmpositivemcommunicationmstrategiesmbuildmconfidence.”
d. “Themnursempracticesmassertivemandmresponsiblemcommunicationmstrategies.”
ANS:C
Learningminvolvesmthreemdomains:mthemcognitivemaspectsm(understandingmandmmeaning),maffe
ctivem aspectsm(feelings,mvalues,mandmattitudes),mandmpsychomotormmaspectsmm(physicalm capa
bility).Learningm basicm communicationm skillsm involvesm them cognitivem domain;m buildingm con
fidencemthroughm am beliefm inm them valuem andm impactmofm positivem communicationm ism them affec
tivem domain;mandmputtingmskillsmintomactionmismthempsychomotormdomain.DIF:mComprehensi
onmREF:mp.m 13mTOP:mIntegratedmProcess:mCommunicationmandmm DocumentationmMSC:mPsyc
hosocialmIntegrity
5. Themnursemmanagermasksmthemstaffmnursemtomworkmanmextramshift.mWhichmresponsemby
mthem staffmnursemismassertivemandmbasedmonmrationalmbeliefs?
a. “Imdon’tmwantmyoumupset,msomImwillmworkmextra.”
b. “WhymdomImalwaysmhavemtomcovermextramshifts?”
c. “Imammnotmablemtomworkmanmextramshift.”
