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.”

Answer and Explanation

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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Correct Answer is B

Explanation

A. “Would you like medication for the pain?”
This question is not specific to understanding the cause or nature of the back pain. It addresses only the patient’s desire for pain relief rather than gathering detailed information about the pain itself.

B. “What have you been doing in the last few days?”
This question helps the nurse gather specific information about the activities that may have contributed to or exacerbated the back pain. It is essential for understanding the context of the pain, such as recent physical activities, injuries, or changes in routine that might have led to the issue.

C. “What do you think caused the back pain?”
This question is less specific and can lead to subjective or inaccurate information. It shifts the responsibility of diagnosing the cause of the pain to the patient rather than seeking concrete details about recent activities.

D. “Do you have a family history of osteoporosis?”
While relevant to some aspects of back pain, this question is more focused on risk factors rather than gathering specific details about the current episode of back pain.

A. "You have this foot ulcer because you did not follow your diet and exercise plan." B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.” C. “From my perspective, the foot ulcer occurred because your blood sugars are high.” D. “I am going to tell you what you are doing wrong because I know about diabetes.”

Correct Answer is C

Explanation

A. "You have this foot ulcer because you did not follow your diet and exercise plan."
This statement is accusatory and blames the patient, which is not constructive for feedback.

B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.”
This statement is dismissive and does not provide specific feedback or support.

C. “From my perspective, the foot ulcer occurred because your blood sugars are high.”
This statement provides clear, objective feedback and helps the patient understand the relationship between high blood glucose and complications.

D. “I am going to tell you what you are doing wrong because I know about diabetes.”
This statement is condescending and does not offer constructive feedback or support.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse cares for a patient who complains of back pain. Which question should the nurse ask to obtain specific information about the back pain?

Correct Answer is B

Explanation

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?

Correct Answer is C

Explanation

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