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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. This statement is aggressive and threatening.
B. This statement expresses concern but is not aggressive.
C. This statement is a request for reconsideration based on past experience but is not aggressive.
D. This statement shows understanding and willingness to follow the schedule, demonstrating assertiveness.
Correct Answer is ["A","B","E","F"]
Explanation
A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.
F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.
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