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. This statement is confrontational and not constructive.
B. This statement expresses the nurse’s past experience and willingness to reassess the system, showing assertiveness.
C. This statement is confrontational and does not address the issue constructively.
D. This statement contradicts the nurse’s past experience and is not honest.
Correct Answer is ["A","D"]
Explanation
A. Shortage of personnel
A shortage of personnel is a significant cause of workplace stress for nurses. It often leads to increased workloads, longer hours, and decreased time for patient care, contributing to stress and burnout.
B. Communicating with colleagues
While communication can be challenging, it is not typically a primary cause of workplace stress. Effective communication is crucial but is more of a skill rather than a direct cause of stress.
C. Reduced workload
A reduced workload would generally not cause stress; instead, it might reduce stress. It could be seen as an opportunity for rest and recovery.
D. Increased acuity of patients
Increased patient acuity is a known cause of stress for nurses. It requires more intensive care, which can lead to higher stress levels due to increased demands and responsibilities.
E. Increase in available resources
An increase in available resources generally helps alleviate stress rather than causing it. More resources can support better patient care and reduce stress.
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