Docsity
Docsity

Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity


Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan


Guidelines and tips
Guidelines and tips

COMMUNICATION IN NURSING, 7TH EDITION QUIZ, Exams of Nursing

COMMUNICATION IN NURSING, 7TH EDITION QUIZ COMMUNICATION IN NURSING, 7TH EDITION QUIZ

Typology: Exams

2024/2025

Available from 07/02/2025

Prof.Henshall
Prof.Henshall 🇬🇧

309 documents

1 / 14

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
COMMUNICATION IN NURSING, 7TH EDITION QUIZ
MULTIPLE CHOICE
1. A male patient with hypertension tells the nurse that he follows the reduced sodium diet and
takes the antihypertensive medication as prescribed. The patient has had no reduction in blood
pressure. The nurse plans to confront the patient regarding this discrepancy. Which indicates to
the nurse that confronting the patient is effective?
A. The patient tells the nurse that it was not his fault that the prescribed treatment failed.
B. The patient cooperates with prescribed treatment and an actual behavior change occurs.
C. The patient shares feelings about his diagnosis and refuses to make any changes.
D. The nurse provides information for the patient to make an informed decision.
ANS: B
Confrontation provides feedback regarding discrepancies in the patient’s behavior in such a
manner that the desired behavior change occurs. Confrontation holds the patient accountable for
solving health problems. Feelings are not the focus of confrontation with the patient. Autonomy
is the focus of giving the patient information needed to make a decision.
DIF: Application
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: pp. 256, 257
2. The charge nurse observes a staff nurse delegate inappropriate tasks to a nursing
assistant. Which action by the charge nurse is most appropriate?
A. Avoid talking about the situation with the staff nurse.
B. Continue to observe the staff nurse’s behavior for 3 months.
C. Respectfully request that the staff nurse use appropriate delegation.
D. Post delegation guidelines in the report room.
ANS: C
The charge nurse should confront the staff nurse in a caring way by respectfully requesting a
behavior change. Confrontation is assertive; silence (e.g., avoidance, continuing to observe,
posting guidelines) involves nonassertive actions.
DIF: Application
TOP: Integrated Process: Communication and Documentation
MSC: Psychosocial Integrity
REF: p. 257
pf3
pf4
pf5
pf8
pf9
pfa
pfd
pfe

Partial preview of the text

Download COMMUNICATION IN NURSING, 7TH EDITION QUIZ and more Exams Nursing in PDF only on Docsity!

COMMUNICATION IN NURSING, 7 TH^ EDITION QUIZ

MULTIPLE CHOICE

  1. A male patient with hypertension tells the nurse that he follows the reduced sodium diet and takes the antihypertensive medication as prescribed. The patient has had no reduction in blood pressure. The nurse plans to confront the patient regarding this discrepancy. Which indicates to the nurse that confronting the patient is effective? A. The patient tells the nurse that it was not his fault that the prescribed treatment failed. B. The patient cooperates with prescribed treatment and an actual behavior change occurs. C. The patient shares feelings about his diagnosis and refuses to make any changes. D. The nurse provides information for the patient to make an informed decision. ANS: B Confrontation provides feedback regarding discrepancies in the patient’s behavior in such a manner that the desired behavior change occurs. Confrontation holds the patient accountable for solving health problems. Feelings are not the focus of confrontation with the patient. Autonomy is the focus of giving the patient information needed to make a decision. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: pp. 256, 257
  2. The charge nurse observes a staff nurse delegate inappropriate tasks to a nursing assistant. Which action by the charge nurse is most appropriate? A. Avoid talking about the situation with the staff nurse. B. Continue to observe the staff nurse’s behavior for 3 months. C. Respectfully request that the staff nurse use appropriate delegation. D. Post delegation guidelines in the report room. ANS: C The charge nurse should confront the staff nurse in a caring way by respectfully requesting a behavior change. Confrontation is assertive; silence (e.g., avoidance, continuing to observe, posting guidelines) involves nonassertive actions. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 257
  1. The nurse plans to confront a visitor who brings candy to a patient with diabetes. Which statement, if made by the nurse, would be most appropriate? A. “It is acceptable to bring candy, but you must give it to the nursing staff.” B. “Why can’t you bring vegetables instead of candy for the patient?” C. “You should not bring candy because the patient has diabetes.” D. “The patient needs a healthy snack, and you can help by bringing fresh fruit.” ANS: D Assertive confrontation has two parts: 1) Making others aware of the destructiveness or lack of productiveness of their behavior; and 2) Making a suggestion about how visitors could behave in a more constructive or productive way. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 257 PRIORITIZING/ORDERING
  2. A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. Arrange the elements of confrontation in the correct order of use. A. Ask the client to avoid using offensive language. B. Tell the client that offensive language is a problem. C. Explain positive consequences of using appropriate language. D. Describe how the offensive language is disrespectful of others. ANS: B, D, A, C The CARE (Clarify, Articulate, Request, Encourage) Confrontation elements are: 1) Clarify the behavior that is problematic; 2) Articulate why the behavior is a problem; 3) Request a change in the client’s behavior; and 4) Encourage the client to change by emphasizing the positive consequences of changing or the negative implications of failing to change. MULTIPLE RESPONSE
  3. Which situation(s) would be appropriate for the nurse’s use of confrontation? Select all that apply. A. Another nurse consistently withholds pain medication from Hispanic patients. B. A parent continues to smoke in the presence of a child who is diagnosed with asthma. C. A patient asks several questions about newly prescribed medications. D. A pregnant woman drinks 2 to 4 alcoholic beverages each day. E. A staff nurse is selected by a nursing supervisor to attend a conference. ANS: A, B, D

B. “If you cannot find another nurse to be a preceptor, I will volunteer for the job.” C. “I am honored by this request, however, I have made it a priority to go back to school.” D. “I enrolled in classes for an advanced degree, but I will still have time to be a preceptor.” ANS: C Assertive communication is based on a consideration of both party’s needs and recognizes that each person has the right to set priorities for actions and time allocation. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 266

  1. A nurse educator teaches a staff nurse how to say no effectively. Which statement, if made by the staff nurse, indicates an understanding of the instructions? A. “My rights will be protected, if I project my voice and give several excuses.” B. “I should state my reason for saying no and suggest a possible solution.” C. “It is important to provide a detailed excuse that is logical.” D. “If I seem hesitant and avoid eye contact, saying no is believable.” ANS: B The staff nurse can say no effectively by indicating the reason for saying no and suggesting an alternative source of help if appropriate. The staff nurse should not begin a refusal with a list of lengthy excuses. Also, the staff nurse should not be hesitant, lose eye contact, or use a raised voice. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 267, 270 MULTIPLE RESPONSE
  2. Which are potential negative consequences that may occur when a nurse refuses a request? A. Embarrassment B. Respect C. Defensiveness D. Helplessness and guilt E. Vision ANS: A, C, D Nonassertive or aggressive behavior when responding to a request may make the staff nurse feel guilty, helpless, embarrassed, or defensive. An assertive response to an unreasonable request is the way to show respect and to invest in personal visions and goals. DIF: Application TOP: Integrated Process: Communication and Documentation

Balzer Riley: Communication in Nursing, 7 th^ Edition

Chapter 25: Communicating Assertively and Responsibly with Distressed Clients and Colleagues Test Bank MULTIPLE CHOICE

  1. The nurse plans to teach colleagues about how to deal with distressed clients. Which statement by a colleague indicates to the nurse that further instruction is needed? A. “Loss of control is a common cause of stress for clients.” B. “My reaction to a client who is distressed is important.” C. “If my response is therapeutic, distress will be relieved.” D. “Interactions with distressed clients are opportunities to learn.” ANS: C Use of therapeutic communication does not guarantee that clients will be less distressed. When communicating with distressed clients, the nurse should use this as an opportunity to learn and build new skills that increase communication effectiveness. Common issues that can cause distress are loss of control, change, sense of threat, and unrealized expectations. The stressful situation itself does not cause problems. What is most important is the nurse’s reaction to the stressful situation. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 274
  2. A nurse has returned to work after maternity leave and is upset about being assigned to float to another unit. The nurse yells at the charge nurse and says that she is exhausted from lack of sleep and is anxious about leaving her baby in day care. Which assessment of the situation, if made by the charge nurse, is most appropriate? A. The nurse is experiencing distress about returning to work. B. The nurse wants other colleagues to feel sorry for her. C. The nurse does not like to float to other units. D. The nurse is not able to take direction from others. ANS: A When communicating with an upset colleague, it is important to accurately assess the situation and determine the colleague’s thoughts and feelings and requests. The nurse is anxious about separation from her baby; the nurse is making a request to not have additional stress today by floating to another unit. DIF: Application TOP: Integrated Process: Communication and Documentation
  1. A nurse cares for patients in a burn unit. Which statement, if made by the nurse, indicates that shadow grief may be occurring? Select all that apply. A. “I care about my patients and want to be a good nurse.” B. “I just do not have any get-up-and-go at work anymore.” C. “I use my presence to help patients who are distraught.” D. “I feel so apathetic most days and do not want to do anything fun.” E. “My family gets upset with me because I discuss work too much.” ANS: B, D, E Shadow grief occurs when the nurse picks up the sadness of patients. Nurses experiencing shadow grief have less energy, experience no zest for living, and talk about their patients continuously, even during off hours. Nurses need to develop ways to relate to distressed patients without upsetting themselves. Maintaining sensitivity to patients is important so that nurses can respond in caring ways without being overcome and losing objectivity. Nurses must exhibit presence without giving themselves away. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: pp. 273, 274

Balzer Riley: Communication in Nursing, 7

th

Edition

Chapter 26: Communicating Assertively and Responsibly with Aggressive Clients and Colleagues Test Bank MULTIPLE CHOICE

  1. A student nurse is not able to start an IV after two attempts. Two staff nurses laugh and call the student nurse “stupid.” The student nurse reports the staff nurses’ behavior to the charge nurse. Which response by the charge nurse is best? A. “This is an example of verbal abuse and is inappropriate.” B. “I think the nurses were just joking to relieve stress.” C. “The staff nurses did not mean to hurt your feelings.” D. “You just need more practice starting IVs.” ANS: A Verbal abuse (e.g., name calling, labeling) is communication via behaviors that patronize, demean, isolate, disparage, threaten or accuse, or intend that the individual feel attacked or humiliated. Student nurses and new graduates are often the most vulnerable. Verbal abuse is not an appropriate use of humor. Verbal abuse in the workplace is aggressive and a learned behavior; it should not be accepted as “just the way things are.” Aggressiveness may also indicate another

person’s lack of respect for our feelings or a violation of the right to be treated with courtesy and consideration. The charge nurse should not focus on the student nurse’s skill for starting an IV but rather deal with the report of verbal abuse. DIF: Application TOP: Integrated Process: Caring MSC: Safe and Effective Care Environment: Management of Care REF: p. 288

  1. The nurse manager teaches a group of graduate nurses how to respond to angry colleagues effectively. Which statement, if made by a graduate nurse indicates a need for further instruction? A. “It is important to consider your colleague’s point of view.” B. “Anger may be caused by frustration or fear of loss of control.” C. “I should avoid interactions with angry colleagues.” D. “I may feel uncomfortable when dealing with an angry colleague.” ANS: C Nurses should be assertive and confront a colleague who is angry instead of using avoidance. When dealing with angry expressions, it is important to consider the other person’s point of view. Anger is based on a sense of powerlessness, frustration, and fear of loss of control. It is common to feel discomfort when a colleague expresses anger. DIF: Application TOP: Integrated Process: Caring MSC: Safe and Effective Care Environment: Management of Care REF: p. 289
  2. A family member of a critically ill patient is irritated and upset. Which statement, if made by the nurse, would be most appropriate? A. “Why are you feeling upset?” B. “You should not feel so upset.” C. “What have I done to make you upset?’ D. “Tell me what is upsetting you today.” ANS: D The nurse should attempt to determine the reason the family member is irritated and upset. An open-ended statement (e.g., “Tell me …”) is an assertive, respectful, nonthreatening, and empathetic way to request more information. The nurse should avoid threatening questions (e.g., “Why are you …”), telling others how to feel (e.g., “You should not feel …”), and leading questions (e.g., “What have I …”). DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 289

Chapter 27: Communicating Assertively and Responsibly with Unpopular Clients Test Bank MULTIPLE CHOICE

  1. A patient with a rare disease continually complains to the nurse about receiving inadequate nursing care. Which is a common reaction by a nurse to this type of patient behavior? A. The nurse shows respect and concern for the patient. B. The nurse develops feelings of frustration and incompetence. C. The nurse will spend more time with the patient. D. The nurse develops improved job satisfaction. ANS: B Nurses commonly react with feelings of frustration and incompetence when caring for unpopular patients who complain or are a complicated case. Other common reactions to unpopular patients include job dissatisfaction, ignoring or avoiding the patient, and acting cool, detached, or insensitive. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: pp. 308, 309
  2. Which client would most likely receive courteous care that meets quality standards for nursing practice? A. A client who is wealthy and expects to be treated better than others. B. A client who tells tasteless jokes about nurses and laughs at the nurses. C. A client who follows the recommended diet and takes prescribed medications as directed. D. A client who reports pain and requests medications that are not prescribed. ANS: C Popular clients may receive more courteous nursing care and a higher quality of care than unpopular clients. Popular clients have the following characteristics: 1) able to joke and laugh with the nurses; 2) determined to get well again; 3) cooperative and compliant with the therapeutic regimen; 4) managed by routine methods; 5) rarely complain of pain or discomfort; and 6) minimize the trouble they cause staff by being cooperative. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: p. 309
  3. The nurse observes a student nurse exhibiting negative feelings toward patients who are incontinent. Which statement if made by the nurse is most appropriate?

A. “Changing your attitude will automatically change how you act.” B. “It would be better if you did not take care of incontinent patients.” C. “You need to change how you feel about incontinent patients.” D. “How would you feel if you were incontinent?” ANS: D The student nurse must become aware of having negative feelings toward incontinent patients to be in a position to change such behavior. One effective approach is to perceive things from the patient’s point of view. Changing an attitude will not automatically change nursing behavior, but the effort to view patients differently may help to achieve this empathic perspective. DIF: Application TOP: Integrated Process: Caring MSC: Psychosocial Integrity REF: p. 310 PRIORITIZING/ORDERING

  1. A nurse disapproves of a patient with diabetes who repeatedly asks for high-calorie snacks that are not within prescribed dietary restrictions. The nurse does not immediately answer this patient’s call bell and avoids going in the room. Arrange in order the steps the nurse should take to change this negative attitude and behavior. A. Problem solve with the patient to develop a realistic dietary plan. B. Directly confront the patient about not adhering to dietary restrictions. C. Attempt to understand what the patient might be thinking and feeling. D. Ask the patient to share feelings about having diabetes and the dietary restrictions. ANS: C, D, B, A To change a negative attitude and behavior, the nurse should first attempt to understand the situation from the patient’s viewpoint. Second, the nurse should provide an opportunity for the patient to share feelings and provide his or her viewpoint. Third, the nurse may directly confront the patient in an empathetic, caring manner. Fourth, the nurse should involve the patient in developing the dietary plan. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Psychosocial Integrity REF: p. 310 MULTIPLE RESPONSE
  2. Which client(s) would be most likely characterized as unpopular by the nurse? A. 42-year-old client who has a chronic and persistent mental illness.

REF: p. 315

  1. Which conflict would be the most difficult to resolve? A. Staff nurses cannot agree on an outcome for an assigned project. B. Staff nurses argue about the most common adverse effect of a medication. C. Staff nurses disagree on the best method to measure a patient’s temperature. D. Staff nurses have varying beliefs about social justice issues affecting patients. ANS: D There are four categories of conflict intensifying in degree of difficulty from first to last: facts, methods, goals, and values. Differences in belief systems are the most complex type of conflict, and a high level of motivation is required from involved parties to understand each other’s beliefs. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care REF: p. 316
  2. Two staff nurses do not agree on who should be the charge nurse. Which approach would lead to a win-win situation? A. The staff nurses take turns so each has the position an equal number of times per year. B. The staff nurse who has seniority is given the charge nurse position. C. Other nurses on the unit decide who will be the charge nurse each shift. D. One staff nurse decides to transfer to another unit to avoid the conflict. ANS: A The win-win approach to conflict resolution results in a solution with which both staff nurses are happy. The other approaches are win-lose; one staff nurse is happy, and the other is not happy. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care REF: p. 317
  3. A nurse on an acute care unit focuses on the development of assertive and responsible conflict resolution skills with peers. Which characteristic should the nurse develop? A. Passively participates in discussions. B. Listens empathetically to peers. C. Shares conflict from own point of view. D. Avoids peer assessments of the conflict. ANS: B A win-win approach is assertive and responsible (e.g., listen empathetically to colleagues’ points of view). A win-lose or lose-win approach is nonassertive and irresponsible (e.g., passively

participates in information sharing; does not seek out colleagues’ assessments of the conflict; gives defining conflict from own point of view). DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care REF: p. 318 PRIORITIZING/ORDERING

  1. A nurse manager decides to use a win-win approach to a conflict occurring between the staff nurses and physicians. Arrange the following steps to conflict management in the appropriate order. A. Ask staff nurses and physicians to see the conflict from the other point of view. B. Require that both staff nurses and physicians be actively involved. C. Select a solution that will meet both the needs of staff nurses and physicians. D. Identify the differences between staff nurses and physicians. E. Discuss possible ideas that could resolve the conflict. ANS: B, D, A, E, C A win-win conflict management strategy covers each of the following steps: 1) View the problem in terms of needs; 2) Consider the problem as a mutual one to be solved, requiring the active involvement of all affected; 3) Describe the conflict as specifically as possible; 4) Identify the differences between concerned parties; 5) See the conflict from another point of view; 6) Use brainstorming to arrive at possible solutions; 7) Select the solution that best meets both parties’ needs and considers all possible consequences; 8) Reach an agreement about how the conflict is to end and not recur; 9) Plan who will do what and where and when it will be done; and 10) After the plan has been implemented, evaluate the problem-solving process and review how well the solution turned out. DIF: Application TOP: Integrated Process: Communication and Documentation MSC: Safe and Effective Care Environment: Management of Care REF: p. 317