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 C
Explanation
A. Using the patient's daughter might introduce errors or misunderstandings and is not a professional approach for obtaining accurate health information.
B. A bilingual friend is not a professional interpreter and might not maintain confidentiality or provide accurate translations.
C. Requesting a Spanish-speaking medical interpreter ensures that the communication is accurate, professional, and confidential, which is crucial for obtaining a health history.
D. Nonverbal communication and drawings are insufficient for comprehensive health history and might not convey complex medical information.
Correct Answer is B
Explanation
A. While knowing the duration of hypertension is useful, it doesn’t directly inform the development of a teaching plan.
B. Asking what the patient knows about hypertension helps the nurse assess the patient’s current knowledge level, which is essential for creating an effective teaching plan.
C. Knowing if the patient is taking medications is important, but it is a more specific detail rather than a foundational assessment for teaching.
D. Understanding why salt is bad is specific information but does not assess the patient’s overall knowledge of hypertension.
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