A student nurse reports having difficulty comprehending the recent concepts discussed in class. The student is determined to seek support from their instructor. When crafting a request for support using an assertive approach, which of the following statements should the student include in their conversation with their instructor? Select all that apply.

"You need to present the information more clearly. Nobody understands what you are saying."

"If possible, please forward to me any additional resources that you feel might help me better understand the concepts."

"Do you not see that a lot of your students are having trouble?"

"I am having difficulty understanding the course content this week and would like to talk to you about it."

"I am in need of additional support to help me improve my grades."

Answer and Explanation

Correct Answer : B,D,E

A. Blaming the instructor and making broad generalizations are not assertive approaches and can damage the professional relationship.

B. Asking for additional resources is a specific, constructive request for help, showing an assertive and proactive approach.

C. Questioning the instructor’s awareness of the students’ struggles is confrontational and does not focus on the student’s own needs.

D. Clearly stating difficulty with content and requesting a meeting is a respectful and assertive way to seek support.

E. Expressing a need for additional support to improve grades is a direct and assertive way to request help.

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Correct Answer is C

Explanation

A. This statement is non-assertive and shows a willingness to sacrifice personal needs rather than clearly delegating a task.

B. This statement is aggressive and confrontational, focusing on punishment rather than constructive communication.

C. This statement clearly defines the task, sets expectations, and is assertive about the priority of client care while acknowledging the assistant's needs.

D. This statement is directive and dismisses the assistant’s needs, which is not an effective or empathetic way to delegate tasks.

A. The nurse is able to resolve conflict and identify appropriate and attainable goals. B. The nurse experiences energy and excitement when providing nursing care. C. The nurse realizes that there is hope when caring for patients who are dying. D. The nurse is frustrated because of time constraints that were not experienced as a student.

Correct Answer is D

Explanation

A. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

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Naxlex Comprehensive Predictor Exams

The nurse plans to delegate a client's personal hygiene to a nursing assistant. Which statement, if made by the nurse to the nursing assistant, is assertive?

Correct Answer is C

Explanation

A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Correct Answer is D

Explanation

Which activity, if performed by the nurse, can improve patient safety?

A patient asks the nurse to make a decision for her about whether or not to continue taking hormone replacement therapy (estrogen). Which response by the nurse is most appropriate?

The nurse provides care for a male patient. When the nurse addresses the patient, which would be most appropriate?

The nurse cares for a patient who is hospitalized on the 1-year anniversary of the death of her husband. Which statement, if made by the nurse, is most appropriate?

A nurse is leading a family therapy session for a mother, father, and two adolescent siblings. Which of the following statements should the nurse recognize as an example of effective communication among family members?

Which of the following statements made by the nurse best represents the "A" in the CARE confrontation?

A nurse is preparing a presentation on heart health at a community center for a group of clients. Which of the following actions should the nurse take to facilitate learning?

A nurse is reviewing communication styles. Which of the following characteristics should the nurse identify as being exhibited by a passive communicator?