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."

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. This question does not align with the FICA tool and avoids addressing spiritual concerns.

B. This question is appropriate and aligns with the "C" (Care) in the FICA tool, focusing on addressing the patient's spiritual needs.

C. This question is inappropriate and can be offensive and judgmental.

D. This question assumes a role that the nurse may not be qualified to fulfill and does not align with the FICA tool.

A. Set time limits for the interview to reduce cost. B. Stand at the foot of the bed to maintain eye contact. C. Avoid asking questions that may upset the patient. D. Respect the patient's privacy by closing the door.

Correct Answer is D

Explanation

A. Setting time limits for the interview based on cost is not a priority; the focus should be on obtaining a thorough health history.

B. Standing at the foot of the bed can create a physical barrier and reduce opportunities for eye contact. The nurse should sit at the patient’s level.

C. While sensitive topics should be approached with care, avoiding important questions can hinder obtaining a complete health history.

D. Closing the door ensures privacy and creates a conducive environment for a confidential conversation.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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