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 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.
Correct Answer is ["D","E"]
Explanation
A. Refraining from touching the patient under any circumstance can prevent the development of a therapeutic relationship.
B. Requesting that questions be saved until the end of the visit can be dismissive and hinder effective communication and bonding.
C. Expecting the patient to meet goals determined solely by the nurse shows a lack of collaboration and does not support a bond.
D. Learning the names of family members and friends shows genuine interest in the patient's life and helps build a relationship.
E. Listening to the patient's feelings and concerns demonstrates empathy and validation of the patient’s experiences, which are essential for bonding.
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