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A nurse educator teaches a staff nurse how to say no effectively. Which statement, if made by the staff nurse, indicates an understanding of the instructions?

"I should briefly state my reason for saying no and suggest a possible solution."

"It is important to provide a detailed excuse that is logical."

"My rights will be protected if I project my voice and give several excuses."

"If I seem hesitant and avoid eye contact, saying no is believable."

Answer and Explanation

The Correct Answer is A

A. Briefly stating a reason and suggesting a solution is an effective and assertive way to say no.

B. Providing a detailed excuse is unnecessary and can be seen as over-explaining.

C. Projecting the voice and giving several excuses can come off as defensive and unassertive.

D. Hesitation and avoiding eye contact undermine the effectiveness of saying no.

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Correct Answer is B

Explanation

A. Requesting a transfer does not address communication skills or assertiveness; it’s a change in work environment rather than a strategy for improving communication.

B. Identifying and addressing irrational beliefs helps the nurse understand and overcome barriers to effective, assertive, and caring communication.

C. Delegating tasks might help manage workload but does not directly address issues of communication and assertiveness.

D. A passive communication style is not effective for responsible, assertive, and caring interactions with patients.

A. Refrains from touching the patient under any circumstance. B. Requests that the patient wait to ask questions until the end of the home visit. C. Expects the patient to meet the goals for exercise as determined by the nurse. D. Learns the names of the patient's family members and close friends and neighbors. E. Listens to the patient describe the feelings of anxiety related to severe dyspnea.

Correct Answer is ["D","E"]

Explanation

A. Refraining from touching the patient under any circumstance can prevent the development of a therapeutic relationship.

B. Requesting that questions be saved until the end of the visit can be dismissive and hinder effective communication and bonding.

C. Expecting the patient to meet goals determined solely by the nurse shows a lack of collaboration and does not support a bond.

D. Learning the names of family members and friends shows genuine interest in the patient's life and helps build a relationship.

E. Listening to the patient's feelings and concerns demonstrates empathy and validation of the patient’s experiences, which are essential for bonding.

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A nurse educator teaches a staff nurse how to say no effectively. Which statement, if made by the staff nurse, indicates an understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is concerned that their quality of care is diminishing due to stressful work demands. Which of the following recommendations made by the manager may help the nurse develop responsible, assertive, and caring communication?

Correct Answer is B

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The home health nurse cares for a patient who is diagnosed with chronic obstructive pulmonary disease. Which response(s) and behavior(s) by the nurse would indicate that bonding between nurse and patient has occurred? (Select all that apply).

Correct Answer is ["D","E"]

Explanation

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