The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is assertive and based on rational beliefs?
"If you can't find anyone else, I will do it."
"Why do I always have to cover extra shifts?"
"I don't want you upset, so I will work extra."
"I am not able to work an extra shift."
The Correct Answer is D
A. This response is conditional and does not express a clear boundary or communicate the nurse’s own needs and limitations.
B. This response expresses frustration but does not address the request in an assertive or rational manner.
C. This response prioritizes the manager’s feelings over the nurse’s own boundaries and needs.
D. This response clearly and directly communicates the nurse’s inability to take on the extra shift, which is an assertive and rational way to set a boundary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Clarification helps the nurse understand the client's feelings and concerns by rephrasing or restating what the client has said.
B. Providing information would involve giving details about the procedure, not exploring the client's feelings.
C. Summarizing involves pulling together the main points of a discussion, rather than exploring specific concerns.
D. Confrontation involves addressing discrepancies or conflicts in a client's statements or behavior, which is not applicable in this situation.
Correct Answer is ["B","D","E"]
Explanation
A. It is important to assess the patient’s and family’s desire for information rather than assuming they want all details.
B. Understanding what the client and family already know helps to provide information appropriately and fill gaps.
C. Breaking bad news should be done by a healthcare professional directly involved in the care, not delegated to a minister.
D. Controlling the environment ensures privacy and comfort during the conversation.
E. Planning what is to be said ensures that the information is communicated clearly and compassionately.
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