A nurse is working with a client to develop assertive communication skills. The nurse documents achievement of treatment outcomes when the client makes a statement such as:
"You are pushing me too hard."
"I feel upset when you interrupt me."
"I'm not going to listen to other people anymore."
"I'm sorry. I'm not picking this up very quickly."
The Correct Answer is B
A. “You are pushing me too hard” places blame on the other person and is more aggressive than assertive.
B. “I feel upset when you interrupt me” is correct because it expresses the client’s feelings using an “I” statement, which is respectful, direct, and assertive.
C. “I’m not going to listen to other people anymore” reflects withdrawal and avoidance, not assertiveness.
D. “I’m sorry. I’m not picking this up very quickly” shows self-deprecation rather than confidence and assertiveness.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Changing the subject is correct because the nurse shifted the focus away from the client’s expressed feelings about being ignored to an unrelated topic (stress reduction classes).
B. Offering advice involves telling the client what to do, which did not occur here.
C. Disapproving would convey judgment about the client’s behavior or feelings, which is not present in this response.
D. Challenging means questioning or disputing the client’s feelings or perceptions, which also is not shown in this scenario.
Correct Answer is B
Explanation
A. Values guide behavior and decision-making but do not primarily define the emotional lens through which the world is viewed.
B. Attitudes are correct because they shape the emotional frame of reference and influence how a person perceives and responds to situations, people, and the world.
C. Personal philosophy reflects an individual’s overall system of thought and worldview but is broader than the emotional frame of reference.
D. Beliefs are convictions held as true but do not specifically create the emotional perspective one uses to interpret the world.
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