As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in: (Select all that apply)

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.

Choice A Reason:

I should promote the idea of clients getting an annual flu vaccination. Promoting annual flu vaccinations is a cost-saving measure because it helps prevent the flu, which can lead to serious health complications and hospitalizations. By encouraging clients to get vaccinated, nurses can reduce the incidence of flu-related illnesses, thereby decreasing healthcare costs associated with treating these conditions. This preventive approach aligns with cost-saving strategies in client care.

Choice B Reason:

I need to delay emptying my client’s drainable colostomy until it’s three-fourths full. Delaying the emptying of a drainable colostomy until it is three-fourths full is not a recommended practice. It can lead to leakage, skin irritation, and other complications. Proper and timely management of colostomies is essential for maintaining client comfort and preventing additional healthcare costs related to complications.

Choice C Reason:

I should suggest that my clients with a permanent tracheostomy practice sterile technique when performing ostomy care at home. While sterile technique is important in certain clinical settings, it is not typically required for routine tracheostomy care at home. Teaching clients proper clean technique is usually sufficient and more practical for home care. This statement does not demonstrate an understanding of cost-saving methods, as it may unnecessarily increase costs and complexity for clients.

Choice D Reason:

I ought to assign the task of administering closed irrigation to the assistive personnel (AP). Administering closed irrigation is a task that requires specific knowledge and skills, and it may not be appropriate to delegate this to assistive personnel. Proper delegation involves ensuring that tasks are assigned to individuals with the appropriate training and competency. This statement does not reflect an understanding of safe and cost-effective delegation practices.