A nurse is concerned that their quality of care is diminishing due to stressful work demands. Which of the following recommendations made by the manager may help the nurse develop responsible, assertive, and caring communication?
"Request a transfer to another nursing care unit with patients who are stable."
"Let's work together to identify which irrational beliefs are keeping you from being assertive."
"Delegate more tasks to the nursing assistants."
"Use a passive communication style for every patient-nurse interaction."
The Correct Answer is B
A. Requesting a transfer does not address communication skills or assertiveness; it’s a change in work environment rather than a strategy for improving communication.
B. Identifying and addressing irrational beliefs helps the nurse understand and overcome barriers to effective, assertive, and caring communication.
C. Delegating tasks might help manage workload but does not directly address issues of communication and assertiveness.
D. A passive communication style is not effective for responsible, assertive, and caring interactions with patients.
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Related Questions
Correct Answer is D
Explanation
A. “I don’t mind cleaning up your mess. I am used to it because my child does this at night.”
This response is non-therapeutic because it minimizes the patient’s feelings and experiences by comparing them to the nurse’s personal life. It fails to acknowledge the patient's emotional distress and does not address the underlying issue of incontinence.
B. “I will bring you some diapers to wear instead of having you wet the bed all the time.”
This response is dismissive and fails to address the patient’s emotional needs. It focuses on a temporary solution rather than working collaboratively with the patient on a more comprehensive management plan.
C. “Don’t be embarrassed. A lot of patients have this problem after a stroke.”
This response is dismissive of the patient’s feelings of embarrassment. It fails to provide empathetic support and does not offer a solution or a plan to address the incontinence.
D. “You seem upset about this. We can work together on a bladder retraining program.”
This response is therapeutic as it acknowledges the patient’s feelings and offers a constructive approach to manage the issue. It demonstrates empathy and engages the patient in a collaborative solution, which is essential for effective patient care.
Correct Answer is B
Explanation
A. Searching for similar policies online may provide information, but it does not ensure that the best available evidence is being used.
B. Using databases like Google Scholar, CINAHL, or PubMed ensures access to peer-reviewed, high-quality research articles, which is essential for evidence-based practice.
C. Collecting an opinion poll does not provide the best available evidence or focus on current research literature for policy updates.
D. Wikipedia is not a reliable or scholarly source for evidence-based practice.
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