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 D

Explanation

A. Address the patient by his last name.
Addressing the patient by their last name can be formal but may not reflect the patient’s personal preference. It is generally respectful but does not consider individual preferences.

B. Use both first and last name with each encounter.
Using both names with each encounter can be overly formal and might not be necessary unless specified by the healthcare setting or the patient’s preference.

C. Call the patient by his first name.
Using the patient’s first name can be perceived as too informal or presumptive, depending on the patient’s preferences and cultural norms.

D. Ask the patient how he prefers to be addressed.
This is the most appropriate approach as it shows respect for the patient’s preferences and allows for a personalized and respectful interaction. It acknowledges that patients may have specific preferences for how they are addressed.

A. "Why did you make the choice to behave negatively?" B. "You were made aware of the consequences of negative behavior." C. "I understand that you are angry. However, I followed the appropriate protocol." D. "You need to calm down before discussing this matter any further."

Correct Answer is C

Explanation

A. This question can come across as accusatory and judgmental.

B. This statement is factual but lacks empathy and can be perceived as dismissive.

C. This statement acknowledges the patient's feelings and explains the nurse's actions assertively.

D. This statement can be perceived as dismissive and does not address the patient's feelings or provide an explanation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?

Correct Answer is D

Explanation

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

Correct Answer is C

Explanation

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).

Which nurse is being fully present with the patient to provide spiritual care?

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Which demonstrates the nurse's genuine concern for clients?

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The nurse cares for a patient with urinary incontinence after a stroke. Which response by the nurse is best?

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