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 A
Explanation
A. Setting realistic goals, finding meaning, and renewing energy reflect generative balance, where the nurse achieves a healthy work-life balance and personal fulfillment.
B. High expectations and focusing on professional success can lead to burnout if not balanced with self-care and personal growth.
C. Providing for others at the expense of self-care leads to imbalanced care and potential burnout.
D. Controlling events, accepting failure, and seeking perfection indicate unrealistic expectations and may lead to stress and imbalance.
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.
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