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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Closed-ended questioning involves yes/no or brief answers, which is not the case here.
B. Empathizing would involve expressing understanding of the client's feelings rather than asking for more information.
C. Focusing directs the conversation to a specific topic or concern, which the nurse does by asking about the client's specific concerns.
D. Summarizing involves reviewing and organizing information, which is not happening here.
Correct Answer is C
Explanation
A. Develop a new positive statement every 2 to 3 days.
This option is not ideal as it does not provide a consistent or sustainable method for maintaining optimism. Regularly developing new statements may not be as effective as having a set of affirmations that can be reviewed more frequently.
B. Use statements that refer to positive actions that will occur in the future.
Focusing only on future events may lead to unrealistic expectations. Affirmations should include present-focused, positive statements that reflect current realities and support ongoing optimism.
C. Write down short, specific positive statements.
Short, specific positive statements are practical for daily use and can help reinforce a positive mindset. They are easy to remember and can be reviewed regularly to support hope and optimism in challenging situations.
D. Review written positive statements 2 to 3 times per month.
This frequency is too infrequent to be effective for maintaining a hopeful and optimistic mindset. More frequent review of affirmations (such as daily or weekly) is generally recommended for maintaining a positive outlook.
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