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. Briefly stating a reason and suggesting a solution is an effective and assertive way to say no.
B. Providing a detailed excuse is unnecessary and can be seen as over-explaining.
C. Projecting the voice and giving several excuses can come off as defensive and unassertive.
D. Hesitation and avoiding eye contact undermine the effectiveness of saying no.
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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