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 gi gi
8: Being Empathetic Chapter 9:
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Using Self- gi
Disclosure Chapter 10: Being sp gi gi gi gi
ecific Chapter 11: Asking Questi
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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
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r 15: Requesting Support
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Chapter 16: Overcoming Evaluation Anxiety C gi gi gi gi gi
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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gi
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. ―The nurse should use clear, direct statements using objective words.‖
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b. ―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 gi gi gi gi
c. Aggressive, sympathetic, and realistic communication gi gi gi gi
d. Positive, expert, and focused communication gi gi gi gi
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.
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