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 B
Explanation
A. The nurse has expert knowledge of diabetes and formulates appropriate learning outcomes for the client.
While expert knowledge is important, it is not sufficient on its own for building a mutually respectful relationship. Mutuality involves collaboration, where the client’s needs and preferences are taken into account in the care process.
B. The nurse teaches diabetes management by involving the client in making decisions about self-care.
This approach fosters mutuality by recognizing the client’s role in their own health management. It empowers the client to take an active role in their care, which is essential for building a collaborative and effective nurse-client relationship. This approach supports the client’s autonomy and respects their expertise about their own life.
C. The nurse controls the relationship by retaining the power to make judgments about diabetes education.
Controlling the relationship and making judgments undermines mutuality. Effective nurse-client relationships are based on partnership and shared decision-making rather than unilateral decision-making.
D. The nurse demonstrates trust and respect by solving problems for the client when issues occur with self-management.
While problem-solving is part of care, true mutuality involves the client being an active participant in their care decisions rather than just having problems solved for them. Empowering the client and involving them in decision-making processes are key elements of mutuality.
Correct Answer is ["A","B","C","E"]
Explanation
A. Noise from nearby monitoring equipment can disrupt communication.
B. Cultural differences can affect communication effectiveness.
C. Use of medical terminology can be a barrier if not simplified for the client.
D. Facing the client when speaking is a technique that supports effective communication.
E. A client with dementia and memory loss may experience difficulties with communication.
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