A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?
"You shouldn't make accusations. Your nursing care doesn't always set a good example."
"What do you have against me? It must be something or you wouldn't be criticizing my care.
“I am at a loss for words. I always do my best to give good care to my clients.
" I feel as though I met the standard of care. Would you tell me more about your concerns?"
The Correct Answer is D
A. This response is defensive and confrontational. It does not address the concern about care quality but instead attacks the other nurse’s behavior and care standards. Assertiveness involves expressing oneself honestly and respectfully, which this response does not achieve.
B. This response is also defensive and dismissive. It implies that the criticism is personal rather than a professional concern, which can be seen as an emotional reaction rather than a constructive dialogue. Assertiveness involves addressing issues directly and professionally, not by questioning motives or personalizing the feedback.
C. This response indicates a lack of confidence or readiness to engage with the feedback constructively. It does not actively seek clarification or attempt to understand the specific concerns about the care provided. Instead, it focuses on the nurse's own feelings and attempts to justify their actions without engaging in a problem-solving discussion.
D. This response is assertive because it acknowledges the feedback, states the nurse’s perspective on the care provided, and invites further discussion to understand the concerns better. It demonstrates openness to feedback and a willingness to address potential issues constructively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Accommodation involves giving in to the needs or desires of others, often at the expense of one’s own needs or preferences. In this scenario, Lee is accommodating Jillian’s schedule by sacrificing his own personal time to ensure she receives the coaching she needs.
B. Avoiding is a conflict management strategy where one party tries to ignore or evade the conflict, often by withdrawing from the situation. In this case, Lee is not avoiding the conflict but is actively working to resolve it by adjusting his schedule.
C. Compromising involves each party giving up something to reach a middle ground. While Lee is adjusting his schedule, he is not negotiating or finding a middle ground where both parties make concessions. Instead, he is accommodating Jillian’s needs by sacrificing his own time, which does not fit the definition of compromising.
D. Competing is a strategy where one party seeks to win the conflict at the expense of others. This involves pursuing one's own goals aggressively, often disregarding the needs or preferences of others. In this scenario, Lee is not trying to win or impose his preferences; rather, he is making a personal sacrifice to meet Jillian’s needs.
Correct Answer is B
Explanation
A. Horizontal violence, also known as lateral violence, refers to aggressive or disruptive behavior between colleagues at the same level, such as between nurses. Since the head nurse is in a superior position and the staff nurse is a subordinate, the behavior described does not fit the definition of horizontal violence.
B. Bullying involves repeated, intentional actions that undermine or belittle another person. The head nurse’s comments about the staff nurse’s credibility to other staff members could be considered a form of bullying, especially if this behavior is persistent and aims to undermine the staff nurse’s professional reputation or confidence.
C. Confrontation is a direct approach to addressing disagreements or conflicts between individuals. It involves discussing differing views openly and is intended to resolve issues through dialogue. In this
case, the head nurse’s behavior does not involve direct confrontation with the staff nurse about the disagreement but rather involves undermining the staff nurse's credibility behind their back.
D. Mediation is a process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a resolution. The behavior described does not involve mediation; instead, it involves negative comments and undermining behavior without seeking resolution or involving a mediator.
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