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The nurse instructs the nursing assistant to obtain temperatures on four patients and report abnormal findings immediately. Two hours later the nurse discovers that one of the patients had a fever that was not reported. The nurse is upset with the nursing assistant. Which statement, if made by the nurse, is concrete and specifically explains the nurse's feelings?

"You have made me so angry. Why did you not report the fever to me?"

"You must have misunderstood. I wanted to know about any elevated temperatures."

"I am disappointed because you did not follow my directions."

"I am not dissatisfied with your performance, because we all make mistakes."

Answer and Explanation

The Correct Answer is C

A. This statement expresses anger but is not constructive or specific about the issue.

B. This statement implies the misunderstanding was the assistant’s fault but is not concrete about the specific issue.

C. This statement is clear, specific, and explains the nurse's feelings about not following directions.

D. This statement minimizes the issue and does not specifically address the nurse's feelings.

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Correct Answer is C

Explanation

A. This statement is a threat and does not promote effective communication.

B. This is an example of taking responsibility but not necessarily fostering effective communication.

C. This is an example of effective communication as it seeks to understand the underlying reasons for behavior.

D. This statement does not foster constructive dialogue or problem-solving.

A. "I decline the opportunity at this time." B. "It's just not the right time for me to do this." C. "Everyone knows there are others who can chair this committee better than me." D. "Can you tell me why you chose me?"

Correct Answer is A

Explanation

A. This statement is clear, direct, and assertive.

B. This statement is somewhat assertive but less direct.

C. This statement deflects responsibility and undermines the nurse's own abilities.

D. This statement does not directly decline the offer and shifts the focus to the reason for selection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is rehearsing assertive communication approaches to use when declining leadership of a nursing department committee. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse who cares for patients in the emergency department is distressed, fatigued, and frustrated by the demands of the job. Which are appropriate methods for the nurse to renew energy and find meaning in nursing practice? (Select all that apply.)

The nurse receives criticism during a performance evaluation by a nursing supervisor. Which response by the nurse is most appropriate?

A nurse is preparing to review discharge instructions with a client who reports having hearing loss. Which of the following actions should the nurse plan to take?

A graduate nurse is concerned about making the transition to nursing practice. It is most appropriate for the graduate nurse to take which action?

Which three technique(s) should be AVOIDED when the nurse questions patients? (Select all that apply.)

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?

The nurse cares for a patient who is admitted to the medical unit. The patient has type 2 diabetes mellitus, a blood glucose of 420 mg/dL, and a foot ulcer. Which statement, if made by the nurse, is appropriate when giving feedback to this patient?