Four nurses are working as a group to develop a new policy related to personal requests for scheduling. One nurse is quiet and rarely adds to the group discussion. Which action by the other staff nurses is best?
Allow additional time for the staff nurse to respond to a question or idea.
Replace the staff nurse with a nurse who is more outgoing and confident.
Refer the staff nurse to a counselor for self-esteem-building exercises.
Notify the nurse manager about the lack of participation of the staff nurse.
The Correct Answer is A
A. Allowing additional time for the staff nurse to respond encourages participation and ensures that all voices are heard in the discussion.
B. Replacing the staff nurse would be dismissive and counterproductive, rather than encouraging involvement.
C. Referring the staff nurse for self-esteem exercises is unnecessary and inappropriate for addressing participation in a group setting.
D. Notifying the nurse manager is premature; first, try to address the issue within the group before escalating it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse's response offers false reassurance, which can minimize the client's feelings and concerns without addressing the underlying issue.
B. The response does not express sympathy; it instead aims to reassure without empathy.
C. The response is not passive; it actively tries to reassure the client, albeit ineffectively.
D. The response does not show disapproval; it attempts to comfort.
Correct Answer is ["A","B","E","F"]
Explanation
A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.
F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.
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