A nurse manager is confronted by a staff nurse who states that an assignment is unfair. Which of the following responses should the nurse manager make?
"What part of this assignment makes you upset?"
"Let's discuss how this affects your performance improvement plan."
"Why are you talking to me instead of the charge nurse?"
"You are not the only one with a heavy assignment today."
The Correct Answer is A
A. "What part of this assignment makes you upset?": This response encourages open communication, allowing the staff nurse to express specific concerns. It demonstrates active listening, validation of feelings, and promotes problem-solving in a professional and supportive manner.
B. "Let's discuss how this affects your performance improvement plan.": This response shifts the focus to evaluation or discipline rather than addressing the immediate concern. It may create defensiveness and does not validate the nurse’s feelings or allow for discussion of the assignment issue.
C. "Why are you talking to me instead of the charge nurse?": This response is dismissive and may discourage the staff nurse from voicing concerns in the future. It does not address the fairness of the assignment or explore potential solutions.
D. "You are not the only one with a heavy assignment today.": Comparing workloads minimizes the nurse’s concerns and can be perceived as unsupportive. It does not facilitate problem-solving or acknowledge the staff nurse’s feelings about the assignment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Potassium level: Potassium measurement is used to assess electrolyte balance and kidney function, but it does not provide information about platelet function or clotting ability. It is not relevant for evaluating petechiae or ecchymoses.
B. Prealbumin: Prealbumin is a marker of nutritional status and protein intake. While important for overall health, it does not help identify the cause of bleeding disorders or thrombocytopenia.
C. Creatinine clearance: Creatinine clearance assesses renal function and is unrelated to platelet levels or coagulation abnormalities. It would not provide diagnostic information for clients presenting with bleeding manifestations.
D. Platelet count: A platelet count is essential for evaluating clients with generalized petechiae and ecchymoses because these signs suggest thrombocytopenia or platelet dysfunction. Measuring platelet levels helps determine the severity of the disorder and guides further diagnostic and therapeutic interventions.
Correct Answer is C
Explanation
A. Remove the skin markings following radiation: Skin markings should not be removed during radiation therapy, as they are necessary for accurate targeting of radiation. Removing them can interfere with treatment accuracy and is not recommended.
B. Apply lotions liberally to the skin: While moisturizing can help with dryness, during radiation therapy, the nurse should recommend only mild, non-irritating, fragrance-free lotions approved by the radiation team. Applying products liberally or unapproved lotions can interfere with radiation dosing.
C. Wear protective clothing when outside: Radiation can make the skin more sensitive to sunlight. Wearing protective clothing and using sun protection helps prevent additional irritation, burns, or damage to already vulnerable skin. This is an appropriate measure to manage skin integrity.
D. Cleanse skin with an antibacterial cleanser: Antibacterial or harsh cleansers can irritate the sensitive skin of a child undergoing radiation therapy. Gentle, mild, fragrance-free soap and lukewarm water are preferred to maintain skin integrity without causing further damage.
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