Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 9-5: Improve your collaborative communication skills.
Question 14
Type: MCSA
When the nurse manager orders supplies for the unit, which communication mode is best?
1. Telephone
2. E-mail
3. In person
4. Voice mail
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-3: Choose which communication mode to use depending on the message and the
relationship.
Question 15
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
An inexperienced speaker is practicing the delivery of a speech. Which statement indicates a lack of
understanding about how easily communication is distorted?
1. “I know I can better connect with my audience with good eye contact.”
2. “If I repeat a complicated section in another way, comprehension is improved.”
3. “If I know the background of the audience, it can help with tailoring the content.”
4. “The topic is not complicated, so I don’t have to worry about misunderstanding.”
Rationale 1: This statement sets up an “us against them” mentality. This mindset does not support respect for the
physicians and could make communication more difficult.
Rationale 2: This statement sets up an “us against them” mentality. This mindset does not support
communication.
Rationale 3: The nurse manager should ensure that the nursing staff is competent in the procedures that are
causing problems by reviewing the steps of the procedures with them.
Rationale 4: The preconceived notion that the problems are the fault of the physicians would make open and
honest communication more difficult.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-4: Explain how communication strategies vary according to the situation and those
involved.
Question 17
Type: MCSA
The nurse manager is counseling a male nurse about several recent incidents in which female nurses complained
that he was abrupt and condescending. What advice should the manager give this nurse?
1. “Make sure that anything you say is clear and concise.”
2. “Don’t feel as if you are responsible for fixing every problem.”
3. “Avoid using phrases such as ‘sort of’ when talking to females.”
4. “Don’t personalize everything.”
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-1: Identify the factors that influence communication.
Question 18
Type: MCSA
In which situation should the nurse be most concerned that communication was distorted?
1. The nurse obtains an admission history from the parents of an adopted child.
2. The nurse gives discharge instructions to a couple in their early 80s.
3. The nurse manager hires a new nurse originally from the Philippines.
4. The emergency nurse receives a client who was transferred via ambulance for confusion.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 9-1: Identify the factors that influence communication.
Question 19
Type: MCMA
Which directions given by the nurse to the assistant are most likely to be understood and completed correctly?
Sullivan, Effective Leadership and Management, 8/e Test Bank
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “Here are your directions for this morning. Please give the clients in rooms 2156, 2158, and 2159 total bed
baths.”
2. “Go to the diet kitchen and get a cup of apple juice for the client in room 2112.”
3. “Ambulate the clients on the south wing.”
4. “Do you think you’ll have time to do shampoos today?”
5. “It might be a good idea to get the client in room 2110 up in the chair this morning. Or maybe it would be better
to wait until this afternoon.”
2. Intrasender conflict
3. Metacommunication
4. Downward communication
Rationale 3: Fogging is a communication technique in which one partially agrees with what was said.
Rationale 4: Intersender conflict occurs when there is a difficulty in the interpretation of an intended message due
to disparity between different sources.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-1: Identify the factors that influence communication.
Question 22
Type: MCSA
The nurse asks the nurse manager if he can go home early because the census is low. When the request is denied,
the nurse states, “I don’t understand why I can’t leave early. I will use vacation time and this will help minimize
personnel costs for the shift.” This statement is an example of which technique of influencing the supervisor?
1. Fogging
2. Negative assertion
3. Negative inquiry
4. Compromise
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-4: Explain how communication strategies vary according to the situation and those
involved.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.