A nurse who was just released from orientation is reflecting on a decision he made but now regrets.
Which of the following is true regarding the use of self-reflection as an assessment tool?

Choice A rationale

Taking on additional responsibilities typically increases workload and demands, which can significantly escalate stress levels rather than reduce them. Stress reduction strategies focus on managing existing stressors and incorporating activities that promote relaxation and well-being, not adding more pressure. This choice directly contradicts effective stress management principles by increasing physiological and psychological demands.

Choice B rationale

Limiting vacation time is counterproductive to stress reduction. Vacations provide essential opportunities for physical and mental rejuvenation, allowing individuals to step away from daily stressors, recover from work-related fatigue, and engage in activities that promote well-being. Reducing this restorative period can lead to burnout and increased chronic stress levels, negatively impacting overall health.

Choice C rationale

Being a good listener facilitates effective communication and strengthens interpersonal relationships, which are vital components of social support. Social support networks act as a buffer against stress by providing emotional, informational, and tangible assistance. Engaging actively in listening can also reduce personal rumination by focusing on others, thus promoting a more balanced mental state.

Choice D rationale

Wearing comfortable clothing can directly influence physiological and psychological comfort. Restrictive or uncomfortable attire can contribute to physical tension, discomfort, and even pain, which can exacerbate stress. Conversely, comfortable clothing promotes relaxation and a sense of ease, reducing superficial irritants that can contribute to overall stress levels and improving body image.

Choice E rationale

Maintaining contact with friends provides a crucial social support system. Strong social connections offer emotional support, opportunities for shared experiences, and a sense of belonging, all of which are protective factors against stress. Engaging with friends can alleviate feelings of isolation, provide different perspectives, and offer a positive outlet for processing emotions, thereby reducing the burden of stress.

Choice A rationale

Using silence when a team discussion becomes uncomfortable is generally a passive response, not assertive. Assertiveness involves expressing one's thoughts and feelings openly and respectfully, even in challenging situations, rather than withdrawing or avoiding communication.

Choice B rationale

Discussing feeling unprepared for an assignment with the charge nurse is an assertive action. It demonstrates self-awareness and responsible communication, advocating for one's professional needs while also ensuring patient safety by addressing potential deficiencies in preparation.

Choice C rationale

Apologizing to a coworker for needing help finishing an assignment is more indicative of a passive or submissive communication style. While politeness is important, an assertive individual would focus on expressing their need for assistance directly and professionally without excessive apology.

Choice D rationale

Avoiding confrontation by deferring to others' opinions is a passive communication strategy. Assertiveness involves expressing one's own opinions and ideas, even if they differ from others, and engaging in constructive dialogue rather than simply yielding to avoid conflict. .