A nurse manager in the pediatric intensive care unit understands that when providing information to parents of a critically ill child, the following should be performed FIRST:

assessing the parents' preferences regarding the amount of information provided.

arranging for a specialist to speak with the family.

directing the family to online resources.

making sure that patient education brochures explaining ICU protocols are readily available.

Answer and Explanation

The Correct Answer is A

A.   Assessing the parents' preferences regarding the amount and type of information they want is crucial because it helps tailor the communication to their needs and emotional state. This initial step ensures
that the information provided is appropriate for the parents’ level of understanding and readiness. By understanding their preferences, the nurse manager can offer information in a manner that is most supportive and useful for the family.
B.   Arranging for a specialist to speak with the family might be necessary. However, it is not the first step in the process. This step would be more relevant after understanding the family’s needs and preferences, as the specialist can then provide more targeted and relevant information based on the family's specific questions or concerns.
C.   Directing the family to online resources might be useful, but it is not the first priority. Providing online resources should come after assessing the family's needs and preferences to ensure that the resources are relevant and appropriate.
D.   Having patient education brochures available is important but it should come after assessing the family's preferences. The brochures alone might not address the family's immediate concerns or preferences for the amount of information they wish to receive.

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Correct Answer is D

Explanation

A. This response is defensive and confrontational. It does not address the concern about care quality but instead attacks the other nurse’s behavior and care standards. Assertiveness involves expressing oneself honestly and respectfully, which this response does not achieve.

B. This response is also defensive and dismissive. It implies that the criticism is personal rather than a professional concern, which can be seen as an emotional reaction rather than a constructive dialogue. Assertiveness involves addressing issues directly and professionally, not by questioning motives or personalizing the feedback.
C. This response indicates a lack of confidence or readiness to engage with the feedback constructively. It does not actively seek clarification or attempt to understand the specific concerns about the care provided. Instead, it focuses on the nurse's own feelings and attempts to justify their actions without engaging in a problem-solving discussion.
D. This response is assertive because it acknowledges the feedback, states the nurse’s perspective on the care provided, and invites further discussion to understand the concerns better. It demonstrates openness to feedback and a willingness to address potential issues constructively.

A. An RN asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system. B. The technology committee has recommended a clinical system for implementation on the nursing unit. Staff is anxious about the change. Tim, the head nurse. asks staff for ideas on how to meet the technology goals and to meet staff needs. C. During management meetings, George, the head nurse on nephrology, dominates meetings and decisions. Lee, the head nurse on the cardiac step-down unit. begins to miss the management meetings. D. Elizabeth the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit.

Correct Answer is A

Explanation

A. This scenario best exemplifies compromising because both parties involved give up something to reach an agreement. The RN gets her desired shift, while the head nurse gets assistance with staff training on the new system.
B. This scenario describes collaboration, where everyone works together to find a solution that meets everyone's needs.
C. This scenario describes an example of accommodation, where one person gives in to the other's wishes.
D. This scenario describes avoidance, where the conflict is ignored rather than addressed.

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A nurse manager in the pediatric intensive care unit understands that when providing information to parents of a critically ill child, the following should be performed FIRST:

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Naxlex Comprehensive Predictor Exams

A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?

Correct Answer is D

Explanation

Which of the following scenarios best exemplifies compromising?

Correct Answer is A

Explanation

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