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 ["A","B","C","E"]

Explanation

A. Noise from nearby monitoring equipment can disrupt communication.

B. Cultural differences can affect communication effectiveness.

C. Use of medical terminology can be a barrier if not simplified for the client.

D. Facing the client when speaking is a technique that supports effective communication.

E. A client with dementia and memory loss may experience difficulties with communication.

A. "How long have you had hypertension?" B. "What do you know about hypertension?" C. "Are you taking any blood pressure medications?" D. "Do you understand why salt is bad for you?"

Correct Answer is B

Explanation

A. While knowing the duration of hypertension is useful, it doesn’t directly inform the development of a teaching plan.

B. Asking what the patient knows about hypertension helps the nurse assess the patient’s current knowledge level, which is essential for creating an effective teaching plan.

C. Knowing if the patient is taking medications is important, but it is a more specific detail rather than a foundational assessment for teaching.

D. Understanding why salt is bad is specific information but does not assess the patient’s overall knowledge of hypertension.

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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

A nurse is discussing potential barriers to effective communication with a newly licensed nurse. Which of the following barriers should the nurse include?

Correct Answer is ["A","B","C","E"]

Explanation

The nurse questions a patient with hypertension before developing a teaching plan. Which question, if asked by the nurse, is most appropriate?

Correct Answer is B

Explanation

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?

The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?

The nurse manager is interviewing several nurses who have applied for a position as a hospice nurse. It is most important for the nurse manager to assess each applicant for which qualities below? (Select all that apply.)

The nurse cares for a client who does not follow dietary recommendations for treatment of heart failure. Which statement, if made by the nurse, demonstrates respect for the client?

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?

The nurse receives criticism during a performance evaluation by a nursing supervisor. Which response by the nurse is most appropriate?

The nurse manager teaches a group of graduate nurses how to respond to angry colleagues effectively. Which statement, if made by a graduate nurse, indicates a need for further instruction? Select all that apply

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by an aggressive communicator?