A student nurse reports having difficulty comprehending the recent concepts discussed in class. The student is determined to seek support from their instructor. When crafting a request for support using an assertive approach, which of the following statements should the student include in their conversation with their instructor? Select all that apply.

"You need to present the information more clearly. Nobody understands what you are saying."

"If possible, please forward to me any additional resources that you feel might help me better understand the concepts."

"Do you not see that a lot of your students are having trouble?"

"I am having difficulty understanding the course content this week and would like to talk to you about it."

"I am in need of additional support to help me improve my grades."

Answer and Explanation

Correct Answer : B,D,E

A. Blaming the instructor and making broad generalizations are not assertive approaches and can damage the professional relationship.

B. Asking for additional resources is a specific, constructive request for help, showing an assertive and proactive approach.

C. Questioning the instructor’s awareness of the students’ struggles is confrontational and does not focus on the student’s own needs.

D. Clearly stating difficulty with content and requesting a meeting is a respectful and assertive way to seek support.

E. Expressing a need for additional support to improve grades is a direct and assertive way to request help.

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Correct Answer is ["A","B","C"]

Explanation

A. Aggressive communicators often try to control the conversation to dominate others.

B. Aggressive communicators frequently interrupt others to assert their dominance.

C. Aggressive communicators tend to blame others for misunderstandings, not taking responsibility for communication breakdowns.

D. Anxiousness about how their message will be received is more characteristic of passive communicators.

E. Advocating for their rights as well as the rights of others is characteristic of assertive communicators, not aggressive ones.

A. "Nurses who express opinions give patients the opportunity to make choices." B. "Patient safety is enhanced if nurses have confidence in their ability to communicate." C. "Expressing opinions or recommendations is an assertive behavior." D. "Giving advice leads to independent decision-making by patients."

Correct Answer is D

Explanation

A. Correct. Expressing opinions helps patients make their own decisions.

B. Correct. Confidence in communication supports patient safety.

C. Correct. Expressing opinions and recommendations can be forms of assertive communication.

D. Giving advice does not typically lead to independent decision-making; instead, it can impose a solution rather than fostering patient autonomy.

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator?

Correct Answer is ["A","B","C"]

Explanation

A nurse manager has set a goal to improve professional communication on the unit. The staff nurses have attended a session on how to distinguish between expressing opinions and giving advice. Which statement, if made by a staff nurse, indicates that further teaching is needed?

Correct Answer is D

Explanation

A nurse is concerned that their quality of care is diminishing due to stressful work demands. Which of the following recommendations made by the manager may help the nurse develop responsible, assertive, and caring communication?

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

A nurse educator teaches a staff nurse how to say no effectively. Which statement, if made by the staff nurse, indicates an understanding of the instructions?

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

A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?

A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. What is the element of confrontation that the nurse should do first?

The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply).