The charge nurse informs a staff nurse that it is her turn to float to another unit. Which response by the staff nurse is aggressive?
"I will float, but you'll be sorry. You cannot handle emergencies without me."
"I will not survive on the other unit. The staff are always too busy to help me."
"I had such a bad experience last time. Please send another nurse instead of me."
"I will miss working with you today, but I understand that it is my turn to float."
The Correct Answer is A
A. This statement is aggressive and threatening.
B. This statement expresses concern but is not aggressive.
C. This statement is a request for reconsideration based on past experience but is not aggressive.
D. This statement shows understanding and willingness to follow the schedule, demonstrating assertiveness.
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Correct Answer is D
Explanation
A. Call a nursing colleague who speaks the same language as the client to interpret the information.
While this option may seem viable, it is not the best practice. Using a colleague for interpretation could breach confidentiality and might not ensure a professional level of accuracy. Nurses are not always trained interpreters and might not fully understand the nuances of medical communication.
B. Ask the client's partner to interpret the information.
It is not appropriate to use the client’s partner as an interpreter due to potential conflicts of interest and breaches of confidentiality. Family members may not provide accurate translations and could unintentionally alter the information.
C. Use an electronic translating service from the internet to interpret the information.
While online translating tools can be helpful for casual conversations, they are not reliable for medical information due to potential inaccuracies and lack of medical terminology. Professional interpreters are trained to handle medical terminology and ensure that communication is clear and accurate.
D. Telephone the interpreter that is designated for the facility to interpret the information.
This is the best practice for ensuring clear and accurate communication. Designated interpreters are trained professionals who can accurately convey medical information and maintain confidentiality. They ensure that communication is both effective and compliant with legal and ethical standards.
Correct Answer is B
Explanation
A. Requesting a transfer does not address communication skills or assertiveness; it’s a change in work environment rather than a strategy for improving communication.
B. Identifying and addressing irrational beliefs helps the nurse understand and overcome barriers to effective, assertive, and caring communication.
C. Delegating tasks might help manage workload but does not directly address issues of communication and assertiveness.
D. A passive communication style is not effective for responsible, assertive, and caring interactions with patients.
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