A staff nurse confronts a nurse manager expressing that she believes the manager’s scheduling decisions are unfair. Which of the following responses by the nurse manager exhibits assertiveness?

I believe I am rightly following our agency’s scheduling policies. Could you elaborate on your concerns?

Why do you think I am being unfair? Your emotions are clouding your judgment.

You shouldn’t make accusations or imply your own shortcomings too.

I’m sorry, I will try to be more fair from now on.

I’m sorry, I will try to be more fair from now on

Answer and Explanation

The Correct Answer is A

Choice A Reason:

I believe I am rightly following our agency’s scheduling policies. Could you elaborate on your concerns? This response demonstrates assertiveness by acknowledging the nurse’s concerns and inviting further discussion. It shows that the nurse manager is confident in their actions but is also open to understanding the staff nurse’s perspective. This approach fosters open communication and problem-solving, which are key components of effective leadership.

Choice B Reason:

Why do you think I am being unfair? Your emotions are clouding your judgment. This response is dismissive and confrontational. It invalidates the staff nurse’s feelings and implies that their concerns are not legitimate. Such a response can escalate the conflict and damage the working relationship between the nurse manager and the staff nurse.

Choice C Reason:

You shouldn’t make accusations or imply your own shortcomings too. This response is defensive and accusatory. It shifts the focus from the issue at hand to the staff nurse’s behavior, which is not constructive. Effective communication should address the concerns directly without making personal attacks.

Choice D Reason:

I’m sorry, I will try to be more fair from now on. While this response shows a willingness to change, it lacks assertiveness. It implies that the nurse manager agrees with the accusation of unfairness without seeking to understand the specific concerns. Assertiveness involves standing by one’s decisions while being open to feedback and discussion.

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Correct Answer is D

Explanation

Choice A Reason:

Continuing education. Continuing education is essential for nurses to stay updated with the latest medical knowledge and practices. It ensures that nurses maintain their competencies and can provide high-quality care. However, while continuing education contributes to professional development, it is not the primary factor highlighted by the ANA Systematic Practices for overall organizational improvement.

Choice B Reason:

Endorsement. Endorsement refers to the formal approval or support of a nurse’s qualifications and competencies by a recognized authority. While endorsement is important for validating a nurse’s skills and knowledge, it does not directly address the broader concept of intellectual capital and its impact on organizational improvement.

Choice C Reason:

Accreditation. Accreditation is the process by which an organization or program is evaluated and recognized as meeting certain predetermined standards. It is crucial for ensuring the quality and credibility of nursing programs and healthcare institutions. However, accreditation alone does not encompass the comprehensive development of nurses’ intellectual capital.

Choice D Reason:

The development of nurses’ knowledge, skills, and attitudes, thereby enriching the profession. This choice best aligns with the ANA Systematic Practices. The development of intellectual capital—encompassing knowledge, skills, and attitudes—is fundamental to enhancing the quality of healthcare and fostering professional growth. By investing in the continuous development of these attributes, nurses can contribute more effectively to patient care and organizational improvement.

Choice E Reason:

Entrepreneurship. Entrepreneurship in nursing involves innovative approaches to healthcare delivery and management. While it can drive improvements and introduce new solutions, it is not the primary focus of the ANA Systematic Practices related to intellectual capital and overall organizational improvement.

A. Clinical Decision Support B. Electronic Health Record C. WL Technology D. Computerized Provider Order

Correct Answer is A

Explanation

Choice A Reason:

Clinical Decision Support (CDS) systems are designed to provide healthcare professionals with knowledge and patient-specific information, intelligently filtered or presented at appropriate times, to enhance patient care. In this scenario, the CDS system generates an alert about the patient’s tetanus immunization status, prompting the nurse to take necessary actions. CDS systems are integral in improving healthcare quality and safety by ensuring that critical information is available when needed.

Choice B Reason:

Electronic Health Records (EHRs) are digital versions of patients’ paper charts and contain comprehensive patient data, including medical history, diagnoses, medications, treatment plans, immunization dates, and test results. While EHRs store the information that the CDS system uses to generate alerts, they do not independently produce alerts about specific clinical actions like immunization status. The alert functionality is typically a feature of the CDS system integrated within the EHR.

Choice C Reason:

WL Technology is not a recognized term in the context of healthcare technology. It appears to be a typographical error or a misunderstanding. Therefore, it does not apply to the scenario described and cannot be considered a valid option.

Choice D Reason:

Computerized Provider Order Entry (CPOE) systems allow healthcare providers to enter and manage orders for medications, laboratory tests, and other services electronically. While CPOE systems can improve the accuracy and efficiency of order processing, they do not typically generate alerts about immunization status. Such alerts are more commonly associated with CDS systems that analyze patient data and provide clinical recommendations.

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A staff nurse confronts a nurse manager expressing that she believes the manager’s scheduling decisions are unfair. Which of the following responses by the nurse manager exhibits assertiveness?

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Naxlex Comprehensive Predictor Exams

According to the ANA Systematic Practices, nurses’ contributions to quality health care and their professional roles are scaled in:

Correct Answer is D

Explanation

In a busy Emergency Department, a recent nursing graduate triages a patient with a severe foot wound. She uses a computerized patient classification system and receives an alert about the patient’s tetanus immunization status. What kind of technology produces this alert?

Correct Answer is A

Explanation

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