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 D
Explanation
A. Resolving conflicts and setting goals indicates adjustment, not reality shock.
B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.
C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.
D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.
Correct Answer is A
Explanation
A. Use an assertive approach to seek affective support from the nurse manager.
An assertive approach involves communicating concerns clearly and respectfully. Seeking affective support from the nurse manager helps address the lack of empathy and feedback, leading to constructive changes and professional growth.
B. Use an aggressive approach to seek cognitive support from other graduate nurses.
An aggressive approach can create conflict and damage professional relationships. It is counterproductive to seek support in a manner that might antagonize or confront colleagues.
C. Use a nonassertive approach to seek physical support from the staff nurses.
A nonassertive approach may involve passivity or avoidance, which is ineffective in addressing concerns and can lead to unresolved issues.
D. Use an antagonistic approach to seek support from a nurse who is a mentor.
An antagonistic approach is confrontational and unhelpful. Seeking support through antagonism undermines professional relationships and fails to address the core issues of empathy and feedback.
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