A nurse manager asks an intensive care unit nurse to work an additional 8 hours after a 12-hour night shift. The nurse is exhausted and does not believe he can provide safe care. Which statement, if made by the nurse, would be most appropriate?
“I was really busy last night, but I will stay for another 8 hours.”
“I guess I can do it, as long as I get a few more cups of coffee.”
“I don’t have a choice, so I guess.”
“No. It is not safe for me or the patient if I work extra hours.”
The Correct Answer is D
A. “I was really busy last night, but I will stay for another 8 hours.”
This statement reflects a lack of assertiveness and overlooks the nurse’s own well-being and the potential risks of working beyond capacity. It does not address the safety concerns of continuing to work when exhausted.
B. “I guess I can do it, as long as I get a few more cups of coffee.”
This statement demonstrates a lack of assertiveness and does not recognize the risks associated with fatigue. Coffee cannot counteract the safety risks of working while exhausted.
C. “I don’t have a choice, so I guess.”
This statement is non-assertive and passive. It fails to address the safety concerns associated with the nurse’s exhaustion and does not advocate for the nurse’s own or the patient’s safety.
D. “No. It is not safe for me or the patient if I work extra hours.”
This is the most appropriate response because it asserts the nurse’s concerns about safety. It clearly communicates that working additional hours would compromise both the nurse’s well-being and patient care, which is a valid reason for declining the request.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Working extra shifts may not directly address the specific concerns about transitioning into practice and could lead to burnout.
B. Asking appropriate individuals for assistance, such as mentors or experienced colleagues, is a proactive and effective approach for managing transition concerns.
C. Setting lofty expectations can lead to stress and frustration; setting realistic, achievable goals is more effective for transition.
D. Delaying joining professional associations misses out on potential support and resources that could aid the transition to practice.
Correct Answer is B
Explanation
A. Ethics is a core competency in IPE, focusing on understanding and respecting professional roles and responsibilities.
B. Curriculum Development is not one of the core competencies for IPE.
C. Shared Responsibility is a key competency in IPE, emphasizing collaborative roles in patient care.
D. Communication is a fundamental IPE competency for effective teamwork and collaboration among professionals.
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