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. “I don’t mind cleaning up your mess. I am used to it because my child does this at night.”
This response is non-therapeutic because it minimizes the patient’s feelings and experiences by comparing them to the nurse’s personal life. It fails to acknowledge the patient's emotional distress and does not address the underlying issue of incontinence.
B. “I will bring you some diapers to wear instead of having you wet the bed all the time.”
This response is dismissive and fails to address the patient’s emotional needs. It focuses on a temporary solution rather than working collaboratively with the patient on a more comprehensive management plan.
C. “Don’t be embarrassed. A lot of patients have this problem after a stroke.”
This response is dismissive of the patient’s feelings of embarrassment. It fails to provide empathetic support and does not offer a solution or a plan to address the incontinence.
D. “You seem upset about this. We can work together on a bladder retraining program.”
This response is therapeutic as it acknowledges the patient’s feelings and offers a constructive approach to manage the issue. It demonstrates empathy and engages the patient in a collaborative solution, which is essential for effective patient care.
Correct Answer is C
Explanation
A. This statement is a threat and does not promote effective communication.
B. This is an example of taking responsibility but not necessarily fostering effective communication.
C. This is an example of effective communication as it seeks to understand the underlying reasons for behavior.
D. This statement does not foster constructive dialogue or problem-solving.
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