A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. Using the CARE method of confrontation, what should the nurse do first?
Tell the client that offensive language is a problem.
Ask the client to avoid using offensive language.
Describe how the offensive language is disrespectful of others.
Explain positive consequences of using appropriate language.
The Correct Answer is C
A. Telling the client that offensive language is a problem does not involve a respectful, caring approach or explain the issue.
B. Asking the client to avoid offensive language is a step that can come after explaining the issue.
C. Describing how the offensive language is disrespectful of others is the first step in the CARE method, which involves Confronting the behavior with a clear explanation.
D. Explaining positive consequences is a later step, after addressing the current behavior.
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Related Questions
Correct Answer is D
Explanation
A. “I was really busy last night, but I will stay for another 8 hours.”
This statement reflects a lack of assertiveness and overlooks the nurse’s own well-being and the potential risks of working beyond capacity. It does not address the safety concerns of continuing to work when exhausted.
B. “I guess I can do it, as long as I get a few more cups of coffee.”
This statement demonstrates a lack of assertiveness and does not recognize the risks associated with fatigue. Coffee cannot counteract the safety risks of working while exhausted.
C. “I don’t have a choice, so I guess.”
This statement is non-assertive and passive. It fails to address the safety concerns associated with the nurse’s exhaustion and does not advocate for the nurse’s own or the patient’s safety.
D. “No. It is not safe for me or the patient if I work extra hours.”
This is the most appropriate response because it asserts the nurse’s concerns about safety. It clearly communicates that working additional hours would compromise both the nurse’s well-being and patient care, which is a valid reason for declining the request.
Correct Answer is A
Explanation
A. Briefly stating a reason and suggesting a solution is an effective and assertive way to say no.
B. Providing a detailed excuse is unnecessary and can be seen as over-explaining.
C. Projecting the voice and giving several excuses can come off as defensive and unassertive.
D. Hesitation and avoiding eye contact undermine the effectiveness of saying no.
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