Chapter 1: Responsible, Assertive, Caring Communication in
g g g g g g
g NursingjChapter 2: The Client-Nurse Relationship: A g g g g g
g HelpingRelationship Chapter 3: Solving Problems
g g g g g
g Together
Chapter 4: Understanding Each Other: Communication
g g g g g
g andCulturejChapter 5: Demonstrating Warmth
g g g g
Chapter 6: Showing g g
RespectChapter 7: Being
g g g g
Genuine Chapter 8: Being
g g g g
EmpatheticChapter 9: Using
g g g g
Self- DisclosureChapter 10:
g g g
Beingspecific Chapter 11:
g g g g
Asking Questions Chapter 12:
g g g g
Expressing
OpinionsChapter13: Using
g g g
g Humor
Chapter 14: Embracing the Spiritual Journey of Health Caring,
g g g g g g g g
g MeaningMakingChapter 15: Requesting Support
g g g g
Chapter 16: Overcoming Evaluation
g g g
g AnxietyChapter 17: Working with g g g
g Feedback Chapter 18: Using g g g
g Relaxationtechnique g
Chapter 19: Incorporating Imagery in Professional Practice and Self-
g g g g g g g g
CareChapter 20 Incorporating Positive Self-Talk
g g g g g
Chapter 21: Learning to Work Together in Groups
g g g g g g g
Chapter 22: The Changing World of Electronic
g g g g g g g
CommunicationChapter 23: Learning Confrontation
g g g g
skillsChapter 24: Refusing Unreasonable Requests
g g g g g g
Chapter 25: Communicating Assertively and Responsibly with Distressed Clients
g g g g g g g g g and
g Colleagues Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients
g g g g g g g g g
g and Colleagues Chapter 27: Communicating Assertively and Responsibly with Unpopular
g g g g g g g g g
g Clients
Chapter 29: Communicating at the End-of-
g g g g g
Life
g Chapter
g 30:
g g Continuing g the
Commitment
g
,Balzer Riley: Communication in Nursing, 10th Edition
g g g g g
g
Chapter 1: Responsible, Assertive, Caring Communication in Nursing
g g g g g g g
Test Bank g
g Multiple
Choice
g
1. Which statement describes the affective aspect of
g g g g g g
g learningeffectivecommunication strategies?
g g
a. ―The nurse should use clear, direct statements using objective words.‖
g g g g g g g g g
b. ―The nurse uses body language that is congruent with the verbal message.‖
g g g g g g g g g g g
c. ―The nurse believes that positive communication strategies build confidence.‖
g g g g g g g g
d. ―The nurse practices assertive and responsible communication strategies.‖
g g g g g g g
ANS:C
Learning involves three domains: the cognitive aspects (understanding and meaning),
g g g g g g g g g
affective aspects (feelings, values, and attitudes), and psychomotor aspects
g g g g g g g g g g g g g
(physical capability).Learning basic communication skills involves the cognitive
g g g g g g g g
domain; building confidence through a belief in the value and impact of positive
g g g g g g g g g g g g g
communication is the affective domain; and putting skills into action is the
g g g g g g g g g g g g
psychomotor domain.DIF: Comprehension REF: p. 13 TOP: Integrated Process:
g g g g g g g g g
Communication and Documentation MSC: Psychosocial Integrity
g g g g g g
2. The nurse manager asks the staff nurse to work an extra shift. Which
g g g g g g g g g g g g
g responsebyjthe staff nurse is assertive and based on rational beliefs?
g g g g g g g g g g
a. ―I don’t want you upset, so I will work extra.‖
g g g g g g g g g
b. ―Why do I always have to cover extra shifts?‖
g g g g g g g g
c. ―I am not able to work an extra shift.‖
g g g g g g g g
d. ―If you can’t find anyone else, I will do it.‖
g g g g g g g g g
ANS:C
The staff nurse may turn down even a reasonable request; an assertive response avoids
g g g g g g g g g g g g g
irrational beliefs. Irrational beliefs occur as a result of being anxious about
g g g g g g g g g g g g
assertiveness or focusing on possible negative outcomes.DIF: Analysis REF: p. 8
g g g g g g g g g g g
TOP: Integrated Process: Communication and Documentation MSC: Safe and
g g g g g g g g g
Effective Care Environment: Management of Care
g g g g g g
, 3. A nurse manager offers a staff nurse a choice between working 8- or 12-hour
g g g g g g g g g g g g g
shifts. Which statement, if made by the staff nurse, is nonassertive and may
g g g g g g g g g g g g g
resultin afrustrated response from the nurse manager?
g g g g g g g g
a. ―I want to decide the shifts for all of the other staff nurses.‖
g g g g g g g g g g g g
b. ―Do whatever you want. It doesn’t really matter to me.‖
g g g g g g g g g
c. ―Thank you for offering me a choice. I prefer 12-hour shifts.‖
g g g g g g g g g g
d. ―You will never be able to give me what I really want to work.‖
g g g g g g g g g g g g g
ANS:B
A statement that allows others to make decisions for a person is an
g g g g g g g g g g g g
gexample of a nonassertive style of communication; the response of others to a
g g g g g g g g g g g g
gnonassertive statement may include disrespect, guilt, anger, or frustration. Statements
g g g g g g g g g
that make choices for others or that are accusations are examples of aggressive styles of
g g g g g g g g g g g g g g g
communication; the response of others to an aggressive statement may include hurt,
g g g g g g g g g g g g
defensiveness, or humiliation. A statement that allows making one’s own
g g g g g g g g g g
gdecisions isan example ofassertive style of communication; the response of others to an
g g g g g g g g g g g g g
assertive statement may include mutual respect.DIF: Analysis REF: p. 7 TOP:
g g g g g g g g g g g
gIntegrated Process: Communication and Documentation MSC: Safe and Effective Care
g g g g g g g g g
Environment: Management of Care
g g g g
4. The nurse is providing care to a patient who was admitted with heart
g g g g g g g g g g g g
failure. The patient has not been following the prescribed diet or taking the
g g g g g g g g g g g g g
prescribed medications. Which type of communication approach is most important
g g g g g g g g g g
gfor the nurse to use with this patient to facilitate a change in self-care
g g g g g g g g g g g g g
behavior?
g
a. Authoritative, honest, and outright communication g g g g
b. Assertive, responsible, and caring communication g g g g
c. Aggressive, sympathetic, and realistic communication g g g g
d. Positive, expert, and focused communication g g g g
ANS:B
Communication must be technically responsible, assertive, and caring to
g g g g g g g g g g g g g g
g facilitate a change in behavior.DIF: Knowledge/Comprehension REF: p. 13 TOP:
g g g g g g g g g
gIntegrated Process: Communication and Documentation MSC: Psychosocial Integrity
g g g g g g g
5. Which are examples of a nurse who is communicating
g g g g g g g g
g responsibly?(Select allthat apply) g g g
a. The nurse uses profanity to respond to a client who is intoxicated
g g g g g g g g g g g
andverballyabusive.
g g
b. The nurse helps a client talk to family members
g g g g g g g g
aboutdiscontinuingchemotherapy.
g g
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