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 ["A","D"]
Explanation
A. Shortage of personnel
A shortage of personnel is a significant cause of workplace stress for nurses. It often leads to increased workloads, longer hours, and decreased time for patient care, contributing to stress and burnout.
B. Communicating with colleagues
While communication can be challenging, it is not typically a primary cause of workplace stress. Effective communication is crucial but is more of a skill rather than a direct cause of stress.
C. Reduced workload
A reduced workload would generally not cause stress; instead, it might reduce stress. It could be seen as an opportunity for rest and recovery.
D. Increased acuity of patients
Increased patient acuity is a known cause of stress for nurses. It requires more intensive care, which can lead to higher stress levels due to increased demands and responsibilities.
E. Increase in available resources
An increase in available resources generally helps alleviate stress rather than causing it. More resources can support better patient care and reduce stress.
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