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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D","E"]
Explanation
A. Blaming the instructor and making broad generalizations are not assertive approaches and can damage the professional relationship.
B. Asking for additional resources is a specific, constructive request for help, showing an assertive and proactive approach.
C. Questioning the instructor’s awareness of the students’ struggles is confrontational and does not focus on the student’s own needs.
D. Clearly stating difficulty with content and requesting a meeting is a respectful and assertive way to seek support.
E. Expressing a need for additional support to improve grades is a direct and assertive way to request help.
Correct Answer is D
Explanation
A. Therapeutic communication is crucial for both nurse-to-nurse and nurse-to-client interactions to promote effective care and relationships.
B. Therapeutic communication involves specific techniques and principles that differ from general conversation.
C. Therapeutic communication is as important as medication; it supports overall client care and emotional well-being.
D. Therapeutic communication is essential for creating a therapeutic relationship that supports clients’ emotional health.
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