A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

"Tell me more about what happened last night."

"I know you will sleep better tonight."

"No one sleeps well in the hospital."

"Did you drink too much caffeine yesterday?"

Answer and Explanation

The Correct Answer is A

A. Asking the patient to describe what happened provides an opportunity for them to express their concerns and opens a dialogue for finding a solution.

B. Assuming the patient will sleep better tonight without addressing current issues dismisses their concerns.

C. Generalizing about hospital conditions is dismissive and does not address the patient’s specific issue.

D. Focusing on possible causes without understanding the patient’s experience may come across as accusatory or dismissive.

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Correct Answer is D

Explanation

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.

A. "This meter does not work like it should, and I refuse to use this system ever again." B. "I had problems with this meter before, but I will use it and let you know what I think." C. "Why did no one ask for my opinion? I should have been involved in this decision." D. "I have experience with this system, and there were never any serious problems."

Correct Answer is B

Explanation

A. This statement is confrontational and not constructive.

B. This statement expresses the nurse’s past experience and willingness to reassess the system, showing assertiveness.

C. This statement is confrontational and does not address the issue constructively.

D. This statement contradicts the nurse’s past experience and is not honest.

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A patient is irritable and complains to the nurse about difficulty sleeping last night. Which response by the nurse is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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