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?

"Would you mind helping the client with a bath when you have time? If not, I will skip my lunch and do it myself."

"You never get your work done and are always on the phone. You need to help the client right now with a bath, or I will write you up."

"The client needs help with bathing. I want you to assist the client now, and you can go to lunch when you are finished."

"I have important work to complete this morning. You will assist the client with a bath. Do not take a break until you have finished."

Answer and Explanation

The Correct Answer is C

A. This statement is non-assertive and shows a willingness to sacrifice personal needs rather than clearly delegating a task.

B. This statement is aggressive and confrontational, focusing on punishment rather than constructive communication.

C. This statement clearly defines the task, sets expectations, and is assertive about the priority of client care while acknowledging the assistant's needs.

D. This statement is directive and dismisses the assistant’s needs, which is not an effective or empathetic way to delegate tasks.

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Correct Answer is C

Explanation

A. Develop a new positive statement every 2 to 3 days.
This option is not ideal as it does not provide a consistent or sustainable method for maintaining optimism. Regularly developing new statements may not be as effective as having a set of affirmations that can be reviewed more frequently.

B. Use statements that refer to positive actions that will occur in the future.
Focusing only on future events may lead to unrealistic expectations. Affirmations should include present-focused, positive statements that reflect current realities and support ongoing optimism.

C. Write down short, specific positive statements.
Short, specific positive statements are practical for daily use and can help reinforce a positive mindset. They are easy to remember and can be reviewed regularly to support hope and optimism in challenging situations.

D. Review written positive statements 2 to 3 times per month.
This frequency is too infrequent to be effective for maintaining a hopeful and optimistic mindset. More frequent review of affirmations (such as daily or weekly) is generally recommended for maintaining a positive outlook.

A. “I was really busy last night, but I will stay for another 8 hours.” B. “I guess I can do it, as long as I get a few more cups of coffee.” C. “I don’t have a choice, so I guess.” D. “No. It is not safe for me or the patient if I work extra hours.”

Correct Answer is D

Explanation

A. “I was really busy last night, but I will stay for another 8 hours.”
This statement reflects a lack of assertiveness and overlooks the nurse’s own well-being and the potential risks of working beyond capacity. It does not address the safety concerns of continuing to work when exhausted.

B. “I guess I can do it, as long as I get a few more cups of coffee.”
This statement demonstrates a lack of assertiveness and does not recognize the risks associated with fatigue. Coffee cannot counteract the safety risks of working while exhausted.

C. “I don’t have a choice, so I guess.”
This statement is non-assertive and passive. It fails to address the safety concerns associated with the nurse’s exhaustion and does not advocate for the nurse’s own or the patient’s safety.

D. “No. It is not safe for me or the patient if I work extra hours.”
This is the most appropriate response because it asserts the nurse’s concerns about safety. It clearly communicates that working additional hours would compromise both the nurse’s well-being and patient care, which is a valid reason for declining the request.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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