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?
"I should briefly state my reason for saying no and suggest a possible solution."
"It is important to provide a detailed excuse that is logical."
"My rights will be protected if I project my voice and give several excuses."
"If I seem hesitant and avoid eye contact, saying no is believable."
The Correct Answer is A
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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Related Questions
Correct Answer is B
Explanation
A. While it is important to have staff who can negotiate and support decisions, the manager’s role is to facilitate the process rather than just choose supporters.
B. Serving as the chairperson and facilitator ensures that the committee functions effectively and achieves its objectives.
C. Staff seeking personal recognition or advancement may not focus on the committee’s goals but rather on their own interests.
D. Recruiting only three or four staff members may be insufficient for a comprehensive review; a more diverse and larger group is often needed.
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.
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