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?
"You shouldn't make accusations. Your nursing care doesn't always set a good example."
"What do you have against me? It must be something or you wouldn't be criticizing my care.
“I am at a loss for words. I always do my best to give good care to my clients.
" I feel as though I met the standard of care. Would you tell me more about your concerns?"
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Recruiting volunteers might seem like a cost-effective solution, it can be problematic in terms of patient safety and quality of care. Volunteers generally lack the clinical training required to perform medical tasks safely and competently. Their involvement in direct patient care could pose risks to patient safety and may not effectively address staffing shortages in a meaningful way.
B. Developing a centralized staffing pool of float nurses is a strong intervention for addressing staffing shortages while securing patient safety and managing costs. Float nurses are experienced and can be deployed to various units as needed. This strategy ensures that staffing needs are met in a flexible and efficient manner, without compromising patient care. It also helps to balance the workload and prevents burnout among regular staff.
C. Assigning nurses from less busy units to understaffed ones can be effective, but it must be done with consideration for patient acuity. Nurses need to be assigned based on their skills and the needs of the unit to ensure that patient safety is maintained. If nurses from less busy units are assigned to areas with higher acuity patients without proper training or experience, it could compromise patient care and safety.
D. Implementing a mandatory overtime policy can address short-term staffing shortages but often leads to staff dissatisfaction, burnout, and decreased quality of care. Compelling nurses to work extra hours can negatively impact their well-being and job satisfaction, potentially leading to higher turnover rates and increased costs associated with recruiting and training new staff.
Correct Answer is A
Explanation
A. This statement accurately reflects the importance of personal insight in leadership. By understanding one's strengths, a leader can leverage them effectively to achieve goals and contribute to the organization.
B. Moral courage compels us to "stand up for what is right unless our jobs are threatened." This statement defines moral courage, not personal insight.
C. Reflection can lead to value development but it's not necessarily the final stage or ultimate goal. Personal growth and self-awareness are ongoing processes.
D. Emotional intelligence is strongly correlated with personal and leadership success.
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