The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is assertive and based on rational beliefs?

"If you can't find anyone else, I will do it."

"Why do I always have to cover extra shifts?"

"I don't want you upset, so I will work extra."

"I am not able to work an extra shift."

Answer and Explanation

The Correct Answer is D

A. This response is conditional and does not express a clear boundary or communicate the nurse’s own needs and limitations.

B. This response expresses frustration but does not address the request in an assertive or rational manner.

C. This response prioritizes the manager’s feelings over the nurse’s own boundaries and needs.

D. This response clearly and directly communicates the nurse’s inability to take on the extra shift, which is an assertive and rational way to set a boundary.

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Correct Answer is C

Explanation

A. This question can come across as accusatory and judgmental.

B. This statement is factual but lacks empathy and can be perceived as dismissive.

C. This statement acknowledges the patient's feelings and explains the nurse's actions assertively.

D. This statement can be perceived as dismissive and does not address the patient's feelings or provide an explanation.

A. "A relative of mine passed away suddenly earlier this week." B. “I need to attend the funeral, which is scheduled for tomorrow." C. "I would like to ask if you would trade shifts with me." D. “I will return the favor, and more.”

Correct Answer is C

Explanation

A. This does not directly address the specific situation or request.

B. This explains the reason for the request but does not make the request itself.

C. The "S" in DESC stands for “State” the situation clearly and specifically. This statement makes a clear request.

D. Offering to return a favor is not a direct and clear request; it is more of a negotiation.

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The nurse manager asks the staff nurse to work an extra shift. Which response by the staff nurse is assertive and based on rational beliefs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

Correct Answer is C

Explanation

Which of the following statements made by the nurse best demonstrates the "S" in the DESC script?

Correct Answer is C

Explanation

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

A nurse manager has set a goal to improve professional communication on the unit. The staff nurses have attended a session on how to distinguish between expressing opinions and giving advice. Which statement, if made by a staff nurse, indicates that further teaching is needed?

The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?

A nurse manager asks an intensive care unit nurse to work an additional 8 hours after a 12-hour night shift. The nurse is exhausted and does not believe he can provide safe care. Which statement, if made by the nurse, would be most appropriate?

A new blood glucose bedside monitoring system is introduced at a staff meeting. A nurse who has previously used this system remembers that the meter would show error messages frequently. Which statement by the nurse demonstrates assertiveness?

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A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?