A physician expresses anger towards a nurse assisting him in the operating room in front of the patient and other team members because the nurse did not hand him instruments quickly enough.
The nurse later addresses the physician privately using the DESC tool. Which statement represents the “E” component of this tool?
“I noticed you got angry at me in the operating room when I was handing you the instruments for the procedure.”.
“I’m concerned about how you expressed your concern in front of the other staff members and the patient. It made me feel uncomfortable in front of them.”.
“In the future, if you have an issue with how I do things, please pull me aside privately to discuss your concern.”.
“If we cannot agree on this alternative, we’ll have to escalate this issue.”.
The Correct Answer is B
Choice A rationale
This statement is more about describing the specific situation (the “D” in DESC) rather than expressing the nurse’s concerns (the “E” in DESC). It’s important to note that the DESC tool stands for Describe, Express, State, and Consequences. In this context, the nurse is merely stating what happened, not expressing how it made them feel or the impact it had on them.
Choice B rationale
This statement accurately represents the “E” component of the DESC tool, which stands for "Express your concerns"12. In this scenario, the nurse is expressing their feelings about the physician’s behavior and its impact on them. They’re stating how the physician’s actions made them feel uncomfortable, especially in front of other staff members and the patient. This is a crucial step in the DESC process as it allows the individual to express their feelings and concerns about the situation.
Choice C rationale
This statement is more aligned with the “S” component of the DESC tool, which stands for "State other alternatives"12. Here, the nurse is suggesting a different way for the physician to express their concerns in the future. While this is an important part of the DESC process, it does not represent the “E” component.
Choice D rationale
This statement represents the “C” component of the DESC tool, which stands for "Consequences stated"12. In this context, the nurse is outlining the potential outcomes if they cannot agree on an alternative approach. While this is a crucial step in the DESC process, it does not represent the “E” component.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale
The RN must ensure that the nurse aide has the required training to perform these tasks. This is because the RN is responsible for determining client needs and when to delegate. The RN must also ensure that the delegate is competent to perform the activity.
Choice B rationale
The RN must maintain accountability for ensuring the delegated tasks are conducted correctly and completely. This is because the RN is answerable for their own choices, decisions, and actions as measured against a standard.
Choice C rationale
The RN must ensure policies cover the delegation. This is because the RN must understand the delegation process and the state nurse practice act (NPA) to ensure that it is safely, ethically, and effectively carried out.
Choice D rationale
The RN must perform an assessment of the patient prior to delegation. This is because the RN’s decision of whether or not to delegate is based upon their judgement concerning the condition of the patient.
Choice E rationale
While observing all tasks performed by the nurse aide II is a good practice, it is not a requirement for the RN in regard to this delegated task.
Correct Answer is B
Explanation
Choice A rationale
Discharge teaching is typically a responsibility of the RN, as it often involves complex instructions and patient education.
Choice B rationale
LPNs are skilled in many technical tasks, including sterile dressing changes. This task is within the LPN’s scope of practice and does not require the advanced assessment skills of an RN56.
Choice C rationale
A bed bath and linen change are tasks that can be competently performed by Nurse Aides.
Choice D rationale
A patient complaining of new onset dizziness should be assigned to an RN. This symptom could indicate a serious condition that requires advanced assessment and critical thinking skills.
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