Communication in Nursing (10th Edition) – Test Bank Questions, Francis, Comprehensive Exam Preparation Material

TEST BANK
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Communication in Nursing 10th Edition
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Julia Balzer Riley
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I S
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A N
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, Table of Contents gi gi



Chapter 1: Responsible, Assertive, Caring Communication in Nursing Chap
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ter 2: The Client-
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Nurse Relationship: A Helping Relationship Chapter 3: Solving Problems
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gi Together
Chapter 4: Understanding Each Other: Communication and Culture
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Chapter 5: Demonstrating Warmth gi gi gi



Chapter 6: Showing Respect Ch gi gi gi gi



apter 7: Being Genuine Chaptergi gi gi
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8: Being Empathetic Chapter 9:
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Using Self- gi



Disclosure Chapter 10: Being sp gi
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ecific Chapter 11: Asking Questi
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C
ons Chapter 12: Expressing Opini
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ons Chapter 13: Using Humor
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Chapter 14: Embracing the Spiritual Journey of Health Caring, Meaning Making Chapte
r 15: Requesting Support
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gi
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Chapter 16: Overcoming Evaluation Anxiety C gi gi gi gi
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hapter 17: Working with Feedback Chapte gi gi gi gi gi



r 18: Using Relaxation technique
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Chapter 19: Incorporating Imagery in Professional Practice and Self-
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Care 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 gi gi gi gi



Chapter 24: Refusing Unreasonable Requests gi gi gi gi



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- gi gi gi gi gi



Life Chapter 30: Continuing the Commitment
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,Balzer Riley: Communication in Nursing, 10th Edition
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Chapter 1: Responsible, Assertive, Caring Communication in Nursing
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Test Bank Multipl gi gi




e Choice
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1. Which statement describes the affective aspect of learning effect
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ive communication strategies?
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a.
b.
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―The nurse should use clear, direct statements using objective words.‖
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―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), aff
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ective aspects (feelings, values, and attitudes), and psychomotor aspects (physical capabil
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ity).Learning basic communication skills involves the cognitive domain; building confide
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nce through a belief in the value and impact of positive communication is the affective do
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main; and putting skills into action is the psychomotor domain.DIF: Comprehension REF
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: p. 13 TOP: Integrated Process: Communication and Documentation MSC: Psychosoci
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al 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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i 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 irr
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ational 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 Proces
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s: Communication and Documentation MSC: Safe and Effective Care Environment: Man
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agement of Care gi gi

, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-
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hour shifts. Which statement, if made by the staff nurse, is nonassertive and may resul
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t in a 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 nonasser
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tive style of communication; the response of others to a nonassertive statement may inclu
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de disrespect, guilt, anger, or frustration. Statements that make choices for others or that
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are accusations are examples of aggressive styles of communication; the response of othe
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rs to an aggressive statement may include hurt, defensiveness, or humiliation. A statemen
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t that allows making one’s own decisions is an example of assertive style of communicati
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on; the response of others to an assertive statement may include mutual respect.DIF: Anal
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ysis REF: p. 7 TOP: Integrated Process: Communication and Documentation MSC: Safe a
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nd 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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patient has not been following the prescribed diet or taking the prescribed medication
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s. Which type of communication approach is most important for the nurse to use with
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this patient to facilitate a change in self-care behavior?
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a. Authoritative, honest, and outright communication gi gi gi gi


b. Assertive, responsible, and caring communication
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d.
Aggressive, sympathetic, and realistic communication
Positive, expert, and focused communication gi
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ANS:B
Communication must be technically responsible, assertive, and caring to facilitate a chan
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ge in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP: Integrated Process: C
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ommunication and Documentation MSC: Psychosocial Integrity gi gi gi gi gi




5. Which are examples of a nurse who is communicating responsibly? (Select
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g i all that apply)
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a. The nurse uses profanity to respond to a client who is intoxicated and verball
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y abusive. gi


b. The nurse helps a client talk to family members about discontinuing
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chemotherapy.