The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?
"You have made me so angry. Why did you not report the fever to me?"
"You must have misunderstood. I wanted to know about any elevated temperatures."
"I am disappointed because you did not follow my directions."
"I am not dissatisfied with your performance, because we all make mistakes."
The Correct Answer is C
A. This statement expresses anger but is not constructive or specific about the issue.
B. This statement implies the misunderstanding was the assistant’s fault but is not concrete about the specific issue.
C. This statement is clear, specific, and explains the nurse's feelings about not following directions.
D. This statement minimizes the issue and does not specifically address the nurse's feelings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
A. Claiming to be the only one who understands the patient blurs professional boundaries and fosters dependency.
B. Appropriate self-disclosure is brief, relevant, and used only to help the patient, maintaining professional boundaries.
C. Keeping secrets with or for a patient is not a part of professional boundaries and can lead to ethical issues.
D. Discussing intimate or personal values can breach professional boundaries and is not appropriate self-disclosure.
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