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
