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 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.

A. Stand next to the client when speaking. B. Guide the client away from background noise. C. Provide a copy of the instructions printed in Braille. D. Speak loudly any phrases that the client misunderstands.

Correct Answer is B

Explanation

A. Standing next to the client might not be helpful as the client might need to see the nurse’s face to read lips.

B. Guiding the client away from background noise can help the client hear better.

C. Braille is for individuals with vision impairment, not hearing loss.

D. Speaking loudly can distort sounds and might not be helpful; it’s better to speak clearly and at a moderate pace.

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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 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

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?

Correct Answer is B

Explanation

Which of the following is NOT one of the four competencies of Interprofessional Collaborative Practice (IPE)?

Four nurses are working as a group to develop a new policy related to personal requests for scheduling. One nurse is quiet and rarely adds to the group discussion. Which action by the other staff nurses is best?

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?

The nurse questions a patient with hypertension before developing a teaching plan. Which question, if asked by the nurse, is most appropriate?

The nurse is a member of a quality improvement project team to improve communication when a patient is transferred to another unit. Which statement by the nurse is appropriate to demonstrate positive regard for the team members?

The nurse manager is interviewing several nurses who have applied for a position as a hospice nurse. It is most important for the nurse manager to assess each applicant for which qualities below? (Select all that apply.)

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?

The nurse prepares to obtain a health history from a hospitalized patient. Which action by the nurse is appropriate?