Leadership and Nursing Care Management Huber 5th Edition Test Bank Full Download

Leadership and Nursing Care Management Huber 5th Edition Test Bank
Leadership and Nursing Care Management Huber 5th

Edition Test Bank
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Chapter 07: Communication Leadership
Test Bank
MULTIPLE CHOICE
1. The art of being able to structure and transmit a message in a way that another can understand
easily and accept is:
a. articulation.
b. communication.
c. evaluation.
d. pronunciation.
ANS: B
Communication is the art of being able to structure and transmit a message in a way that
another can understand easily and accept.
DIF: Cognitive Level: Remember (Knowledge) REF: Page 111

TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. Unspoken affective or expressive behaviors best describe which type of communication?

a. Effective communication
b. Ineffective communication
c. Nonverbal communication
d. Verbal communication
ANS: C
Nonverbal communication is unspoken. It is composed of affective or expressive behaviors.
The effectiveness of verbal communication depends on vocabulary, language, phrases,
sentence structure, sentence clarity, rate of speech, diction, tone, rhythm, and volume.
Nonverbal behavior includes gestures, facial expression, eye contact, body language, and
positioning (Hersey et al., 2008).
DIF: Cognitive Level: Understand (Comprehension) REF: Page 112

3. A nursing theory used to describe the manner of communicating that acknowledges the unique
characteristics of the holistic human being is the:
a. Humanizing Nursing Communication Theory (HNCT).
b. situation, background, assessment, and recommendation (SBAR) Communication
Theory.
c. Behavioral System Model.
d. Human Relationship Model.
ANS: A
The HNCT is used to describe the manner of communicating that acknowledges the unique
characteristics of the holistic human being.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 115-116

4. A human communication activity designed to influence another to change attitudes or alter

behaviors by the use of techniques such as argument, reasoning, or pleading is known as:
a. advisement.
b. consultation.
c. persuasion.
d. suggestion.
ANS: C
Persuasion is a human communication activity designed to influence another to change
attitudes or alter behaviors by the use of techniques such as argument, reasoning, or pleading.

5. Which of the following is true about negotiation?

a. It commonly results in a win-lose situation.
b. It is aimed at solving problems, conflicts, or disputes.
c. It is used only in contract and labor union disputes.
d. It is the exchanging of favors or trading activity.
ANS: B
Negotiation is used to solve problems, conflicts, or disputes.
DIF: Cognitive Level: Understand (Comprehension) REF: Pages 112-113

6. A nursing preceptor is giving feedback to a new nurse who currently is being oriented. Her
preceptor suggests a better method of interacting with a family member by saying, “You
might want to be cognizant of your nonverbal behaviors when talking with clients. Rather
than continuing to chart when you are talking with an American family, stop charting, move
closer to the family and client, look at them during the conversation, and take time to let them
share their concerns.” This preceptor is giving advice about:
a. interpersonal communication.
b. clarity.
c. image.
d. intention.
ANS: A
If the verbal message is clear, but the nonverbal communication is not congruent, then
listeners may misinterpret, distrust, or not even hear the intended message. In this situation,
the nurse’s nonverbal behavior may suggest that she is not interested in interacting with the
family.
DIF: Cognitive Level: Apply (Application) REF: Page 112

TOP: Nursing Process: Planning
7. In an all-channel network of communication, the information is sent:

a. from the next person in command to above or below.
b. in any direction without restrictions.
c. from one person, who passes it on to others.
d. from the boss, who sends selected information back.
ANS: B
Organizations using an all-channel structure of communication send information in any
direction without restrictions. Usually, an association exists between communication patterns
and the organizational structure.

8. Most audience interpretations for speaker messages are determined by the speaker’s:
a. body language and facial expressions.
b. literal words.
c. pitch and volume of speech.
d. vocal quality and tone.
ANS: A
Research has shown that 55% of audience interpretations for speaker messages are determined
by the speaker’s nonverbal communication, such as facial expression and body language; 38%
by the speaker’s vocal quality, including tone, pitch, volume, and variation; and 7% by the
literal words.

9. _____ communication patterns exist between colleagues and serve to contribute to a hostile
work environment, high turnover, burnout, and job dissatisfaction.
a. Defensive
b. Disruptive
c. Negotiating
d. Humanizing
ANS: B
Documentation in literature is extensive regarding disruptive and distracting communication
interactions not only between nurses and colleagues but also between nurses and patients. The
research indicates that nursing personnel experience high turnover rates, job dissatisfaction,
and burnout; many registered nurses are leaving the profession. The work environment is
described as hostile to nurses, and patient outcomes of increased severity of illness and
mortality have been directly related to poor communication skills of the staff.

10. Over lunch in the cafeteria, student nurses are sharing educational information about the
patients for whom they are caring. This is a(n):
a. breach of beneficence.
b. example of maleficence.
c. potential assault and battery charge.
d. violation of the Health Insurance Portability and Accountability Act (HIPAA).
ANS: D
HIPAA provisions have heightened awareness about and encouraged strategies to protect a
patient’s privacy in health care transactions. This is an example of breach of confidentiality.

11. Interpersonal communication is defined as:

a. the conscious intent by one individual to modify the thoughts or behaviors of
others.
b. a combination of written and spoken communication.
c. a theory used to describe a manner of communicating.
d. communication between two or more individuals involving face-to-face
interaction.
ANS: D
Interpersonal communication is defined as communication between two or more individuals
involving face-to-face interaction while all parties are aware of the others on an ongoing basis.

12. Whether it is intentional or not, leaders and managers always communicate their:
a. attitude.
b. power.
c. spirituality.
d. decisions.
ANS: A
Leaders and managers always communicate their attitudes, goals, and expectations. Leaders
communicate vision and a sense of where they are going and what they expect from their
followers.

13. Which communication technique is used to handle patient complaints?

a. Persuasion
b. Bargaining
c. Negotiation
d. Nonverbal cues
ANS: C
Negotiation is used to educate clients and other professionals about nurses’ roles and
contributions, to interact with vendors, and to deal with patient and client complaints.
14. Patterns of communication where assertiveness and confrontation are the norm will create a
relationship of:
a. congruity.
b. trust.
c. listening.
d. separation.
ANS: D
As one moves to communicate with patterns of interaction that include assertiveness,
confrontation, and conflict, perceptions will increasingly differ and ultimately end the
relationship in separation.

15. Interpersonal communication that recognizes an individual’s human characteristics and

addresses the health care issue with dignity and respect is called:
a. dehumanizing.
b. humanizing.
c. persuasion.
d. bargaining.
ANS: B
To humanize means to recognize the individual's human characteristics and to address the
presented health care issues with dignity and respect. To implement the spiritual aspect of
holistic health care, concerted effort is needed by health care leaders in both education and
practice to guide people in a careful exploration of interpersonal communication processes
that are known to promote humanizing relationships not only between the nurse and client but
also between and among health care colleagues.

16. Which of the following reported a survey indicating the role that intimidation plays in the safe
administration of medications?
a. Workplace Bullying and Trauma Institute
b. Institute for Safe Medication Practices
c. American Nurses Association
d. HNCT
ANS: B
The Institute for Safe Medication Practices reported a survey indicating the role that
intimidation plays in the safe administration of medications.

MULTIPLE RESPONSE
1. Effective communication is fostered through which of the following ingredients (select all
that apply)?
a. Trust
b. Humility
c. Respect
d. Empathy
e. Sympathy
ANS: A, C, D
Trust, respect, and empathy are the three ingredients needed to create and foster effective
communication.

2. Which of the following patterns of communication are utilized in HNCT (select all that
apply)?
a. Detaching
b. Communing
c. Confronting
d. Conflicting
e. Negotiation
ANS: B, C, D
The communication patterns of interaction are conveyed with an attitude that can be identified
on the humanizing–dehumanizing continuum with HNCT. These include communing,
asserting, confronting, conflicting, and separating.

3. A client’s wife is concerned about her husband’s declining health. He has been admitted with
an acute myocardial infarction and has had two myocardial infarctions before this admission.
He is not a candidate for surgery. She and her husband have discussed “no breathing
machine” for long-standing care, but she is unsure of his wishes if he were to need a
“breathing machine” for a short period. The nurse discusses his current condition and care
with the client and his wife. She also organizes a team meeting consisting of the client’s
physicians, social worker, pastoral care person, and nursing staff. During this meeting, the
nurse helps the wife share her concerns and the client’s concerns with the rest of the team.
What type of communication technique is being utilized by the nurse (select all that apply)?
a. Bargaining
b. Negotiation
c. Persuasion
d. Spiritual assessment
e. Collective action
ANS: B, C
Persuasion and negotiation are used to ensure that all members of the team work together in a
cooperative manner. The nurse, the patient, and the spouse all communicate the wishes of the
patient to convince the team to abide by the autonomous decisions of the patient and spouse.
DIF: Cognitive Level: Apply (Application) REF: Pages 112-113

TOP: Nursing Process: Planning
4. Which of the following are examples of patient privacy or security breaches (select all that
apply)?
a. Encrypted e-mail communications
b. Fax transmission sent to incorrect physician office
c. Prescription given to patient with wrong label attached
d. Case management coordinator obtaining information about a patient’s diagnosis
e. Discharge summary given to patient’s spouse
ANS: B, C
Fax transmissions sent to the incorrect physician’s office or prescriptions given to a patient
with the wrong label attached are examples of privacy or security breaches under HIPAA.
Electronic transmissions should be end-user encrypted for data security.

5. During times of extreme crisis, what types of communication can be expected (select all that
apply)?
a. Employees prefer to obtain communication from external sources.
b. Normal communication flows are disrupted.
c. Managers should remain at home to decrease the number of personnel on scene.
d. Managers and leaders should stay focused on the business.
e. Managers and leaders have a contingency and disaster plan in place.
ANS: B, D, E
In times of extreme crisis, internal communication to employees takes precedence. It is
important for leaders to be on the scene to lead, make decisions, and show compassion.
Leaders choose communication channels carefully, because normal flows are often disrupted.
Managers stay focused on the business at hand and have a contingency and disaster plan in
place.

6. Which of the dimensions of spirituality should nurses be responsible for in care delivery
(select all that apply)?
a. Culture
b. Beliefs
c. Values
d. Meanings
e. Goals
ANS: B, C, D, E
Although definitions of spirituality are endless, nurses need to be responsible for five
dimensions: beliefs, values, meanings, goals, and relationships.

7. Numerous theories of communication are in place for use in nursing practice. What are some
of the humanizing attitudes that are used in promoting relationships (select all that apply)?
a. Authenticity
b. Monologue
c. Equality
d. Individual
e. Tolerance
ANS: A, C, D
Authenticity, equality, and individual are attitudes that promote relationships and
communication.

8. Situational leadership focuses on three competencies deemed necessary for a leader’s success.
Which of the following are correct statements (select all that apply)?
a. Communicating is a behavioral competency.
b. Communicating is a process competency.
c. Diagnosing is a behavioral competency.
d. Diagnosing is a cognitive competency.
e. Adapting is a behavioral competency.
ANS: B, D, E
Situational leadership focuses on the following three competencies deemed necessary for
success. Diagnosing is a cognitive—or cerebral—competency. It is the understanding of what
the situation is now and knowing what it can reasonably be expected to be in the future. The
discrepancy between the two is the problem to be solved. This discrepancy is what the other
competencies are aimed at resolving. Adapting is a behavioral competency. It involves
adapting behavior and other resources in a way that helps close the gap between the current
situation and what the leader wishes to achieve. Communicating is a process competency.
Leaders need to communicate effectively. If leaders cannot communicate in a way that people
can understand and accept, they will be unlikely to meet their goals.

9. Group readiness levels can be assessed in four stages. Which of the following statements is
accurate regarding group readiness (select all that apply)?
Leadership and Nursing Care Management Huber 5th Edition Test Bank
a. Members are organized and secure about their roles in the forming stage.
b. At the forming stage, the group needs direction in defining goals.
c. During the storming period, there is more willingness to accept the group goals.
d. The group becomes self-managing during the norming period.
e. During the performing period, the members willingly perform the task.
ANS: B, C, E
At the forming readiness level, the group needs direction in defining task goals and objectives
as opposed to personal goals. The members are uncertain and insecure about their role in the
group. This initial period is chaotic. During the storming period, there is more willingness to
accept the group goals and objectives but there are still differences of opinion, competition for
recognition, and attempts to influence the group. During the norming period, there is greater
agreement on the task goals as the group develops cohesiveness and adjusts to the group and
task. Finally, during the performing period, the members are thinking as one and willingly
performing the task. There is camaraderie and team spirit as the group becomes
self-managing.
DIF: Cognitive Level: Remember (Knowledge) REF: Pages 122-123

10. Which are characteristics of interpersonal communication (select all that apply)?
a. Communication is unavoidable.
b. Each person has an independent role as sender or receiver of messages.
c. The sender and receiver are dependent in interpersonal communication.
d. Interpersonal communication is the means by which we confirm and validate self.
e. Interpersonal communication is irreversible and unrepeatable.
ANS: A, D, E
Communication is unavoidable and inevitable when people are aware of one another. Each
person assumes roles as both sender and receiver of messages in interpersonal
communication. In interpersonal communication, the sender and the receiver are
interdependent. Interpersonal communication is the means by which we confirm and validate
self. Interpersonal communication is irreversible and unrepeatable and almost always
functions in a context of change.

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Visit TestBankBell.com to get complete for all chapters

DIF: Cognitive Level: Remember (Knowledge) REF: Page 111

2. Unspoken affective or expressive behaviors best describe which type of communication?

DIF: Cognitive Level: Understand (Comprehension) REF: Page 112

DIF: Cognitive Level: Remember (Knowledge) REF: Pages 115-116

4. A human communication activity designed to influence another to change attitudes or alter

DIF: Cognitive Level: Understand (Comprehension) REF: Page 112

5. Which of the following is true about negotiation?

DIF: Cognitive Level: Understand (Comprehension) REF: Pages 112-113

DIF: Cognitive Level: Apply (Application) REF: Page 112

7. In an all-channel network of communication, the information is sent:

DIF: Cognitive Level: Understand (Comprehension) REF: Page 123

DIF: Cognitive Level: Understand (Comprehension) REF: Page 125

DIF: Cognitive Level: Remember (Knowledge) REF: Page 125

DIF: Cognitive Level: Apply (Application) REF: Page 114

11. Interpersonal communication is defined as:

DIF: Cognitive Level: Remember (Knowledge) REF: Page 115

DIF: Cognitive Level: Remember (Knowledge) REF: Page 112

13. Which communication technique is used to handle patient complaints?

DIF: Cognitive Level: Remember (Knowledge) REF: Page 116

15. Interpersonal communication that recognizes an individual’s human characteristics and

DIF: Cognitive Level: Remember (Knowledge) REF: Page 119

DIF: Cognitive Level: Remember (Knowledge) REF: Page 124

DIF: Cognitive Level: Remember (Knowledge) REF: Page 111

DIF: Cognitive Level: Remember (Knowledge) REF: Page 111

DIF: Cognitive Level: Apply (Application) REF: Pages 112-113

DIF: Cognitive Level: Apply (Application) REF: Page 114

DIF: Cognitive Level: Apply (Application) REF: Page 114

DIF: Cognitive Level: Remember (Knowledge) REF: Page 115

DIF: Cognitive Level: Remember (Knowledge) REF: Page 116

DIF: Cognitive Level: Remember (Knowledge) REF: Page 121

DIF: Cognitive Level: Remember (Knowledge) REF: Pages 122-123

DIF: Cognitive Level: Remember (Knowledge) REF: Page 121

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