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A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements should the nurse make?

"I decline the opportunity at this time."

"It's just not the right time for me to do this."

"Everyone knows there are others who can chair this committee better than me."

"Can you tell me why you chose me?"

Answer and Explanation

The Correct Answer is A

A. This statement is clear, direct, and assertive.

B. This statement is somewhat assertive but less direct.

C. This statement deflects responsibility and undermines the nurse's own abilities.

D. This statement does not directly decline the offer and shifts the focus to the reason for selection.

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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.

A. The right to refuse without feeling guilty B. The right to determine your own priorities C. The right to make decisions for the patient D. The right to make mistakes and be responsible for them

Correct Answer is C

Explanation

A. The right to refuse without feeling guilty is an example of an assertive right that acknowledges personal boundaries.

B. The right to determine your own priorities reflects assertiveness in managing your time and responsibilities.

C. The right to make decisions for the patient is not an assertive right. It is the role of the patient to make their own decisions, with the nurse providing support and information.

D. The right to make mistakes and be responsible for them acknowledges that everyone is human and learning from mistakes is part of growth.

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A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements should the nurse make?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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