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?"

Answer and Explanation

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.

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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.

A. The nurse waits for the patient to leave, then files an incident report. B. The nurse contacts the patient's next-of-kin on the telephone. C. The nurse walks with the patient, attempting to explain the risks of leaving against medical advice. D. The nurse calls security personnel to apprehend the patient.

Correct Answer is C

Explanation

A. Waiting for the patient to leave before filing an incident report is not the most appropriate response. The immediate priority should be addressing the situation to ensure the patient's safety and attempting to resolve any issues before the patient leaves.
B. Contacting the patient’s next-of-kin can be appropriate if the nurse is concerned about the patient’s safety and if it’s necessary to inform the family about the patient’s condition or situation. However, this should be done only after attempting to address the situation directly with the patient, if feasible. It’s important to first try to resolve the issue directly with the patient before involving family members.
C. Walking with the patient and explaining the risks of leaving against medical advice (AMA) shows a proactive approach to addressing the patient's concerns and ensuring they understand the potential consequences of their actions. This approach aims to de-escalate the situation, provide important information, and potentially encourage the patient to stay for necessary care.
D. Calling security personnel should be a last resort and is generally used in situations where there is a safety threat or risk of harm. In this case, the patient is leaving in a disgruntled state but not exhibiting violent or threatening behavior.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following scenarios best exemplifies compromising?

Correct Answer is A

Explanation

After arguing with a nurse, a disgruntled patient removes their peripheral venous catheter, gathers their belongings, and storms out of the room. Which of the following actions made by the nurse is most appropriate?

Correct Answer is C

Explanation

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