A nurse manager asks an intensive care unit nurse to work an additional 8 hours after a 12-hour night shift. The nurse is exhausted and does not believe he can provide safe care. Which statement, if made by the nurse, would be most appropriate?
“I was really busy last night, but I will stay for another 8 hours.”
“I guess I can do it, as long as I get a few more cups of coffee.”
“I don’t have a choice, so I guess.”
“No. It is not safe for me or the patient if I work extra hours.”
The Correct Answer is D
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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Related Questions
Correct Answer is C
Explanation
A. Offering approval or disapproval
Offering approval or disapproval can create a judgmental atmosphere and hinder open communication. Therapeutic communication focuses on understanding and supporting the patient without expressing judgment.
B. Asking for explanations
Asking for explanations can sometimes come across as interrogative or demanding. While it is important to understand patient concerns, therapeutic communication should be focused on exploring feelings and experiences rather than demanding explanations.
C. Asking open-ended questions
Open-ended questions encourage patients to share more about their thoughts and feelings, facilitating deeper and more meaningful conversations. This technique helps patients express themselves more freely and promotes effective therapeutic communication.
D. Offering sympathy
Offering sympathy, rather than empathy, can distance the nurse from the patient and may not address the patient’s needs as effectively. Therapeutic communication should focus on empathy, where the nurse understands and acknowledges the patient's feelings without feeling sorry for them.
Correct Answer is ["A","B","C"]
Explanation
A. Aggressive communicators often try to control the conversation to dominate others.
B. Aggressive communicators frequently interrupt others to assert their dominance.
C. Aggressive communicators tend to blame others for misunderstandings, not taking responsibility for communication breakdowns.
D. Anxiousness about how their message will be received is more characteristic of passive communicators.
E. Advocating for their rights as well as the rights of others is characteristic of assertive communicators, not aggressive ones.
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