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?

"Request a transfer to another nursing care unit with patients who are stable."

"Let's work together to identify which irrational beliefs are keeping you from being assertive."

"Delegate more tasks to the nursing assistants."

"Use a passive communication style for every patient-nurse interaction."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is C

Explanation

A. "You have this foot ulcer because you did not follow your diet and exercise plan."
This statement is accusatory and blames the patient, which is not constructive for feedback.

B. “I know you don't want to hear this, but uncontrolled diabetes leads to complications.”
This statement is dismissive and does not provide specific feedback or support.

C. “From my perspective, the foot ulcer occurred because your blood sugars are high.”
This statement provides clear, objective feedback and helps the patient understand the relationship between high blood glucose and complications.

D. “I am going to tell you what you are doing wrong because I know about diabetes.”
This statement is condescending and does not offer constructive feedback or support.

A. The LPN/LVN compares self-performance to how other nurses are performing. B. The LPN/LVN is not concerned about how the nurse is evaluating performance. C. The LPN/LVN focuses on the actual tasks rather than thinking about self-performance. D. The LPN/LVN blames external factors if performance is inadequate or poor.

Correct Answer is A

Explanation

A. Comparing self-performance to others indicates high evaluation anxiety as it reflects self-doubt and insecurity about one's performance.

B. Not being concerned about evaluation performance indicates a lack of anxiety rather than high anxiety.

C. Focusing on tasks rather than self-performance shows a practical approach rather than high anxiety.

D. Blaming external factors is a sign of avoiding responsibility, but it may not directly reflect high evaluation anxiety.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

The nurse evaluates care provided by a licensed practical/vocational nurse (LPN/LVN). The nurse determines that the LPN/LVN has high evaluation anxiety if which is observed?

Correct Answer is A

Explanation

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