A nurse tells another nurse that she thinks he did not provide adequate care for a client who underwent hip arthroplasty. Which of the following responses by the nurse demonstrates assertiveness?
"What do you have against me? It must be something or you wouldn't be criticizing my care."
"You shouldn't make accusations. Your nursing care doesn't always set a good example."
"I feel as though I met the standard of care. Would you tell me more about your concerns?"
"I am at a loss for words. I always do my best to give good care to my clients."
The Correct Answer is C
Rationale:
A. "What do you have against me? It must be something or you wouldn't be criticizing my care." is defensive and confrontational, which is not appropriate for assertive communication.
B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." is also defensive and shifts the focus away from addressing the concern directly.
C. "I feel as though I met the standard of care. Would you tell me more about your concerns?" is an assertive response that acknowledges the concern and seeks constructive feedback.
D. "I am at a loss for words. I always do my best to give good care to my clients." is not assertive as it does not address the concern directly or invite constructive discussion.
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Correct Answer is B
Explanation
Rationale:
A. "If you let us know ahead of time that you plan to perform a procedure, we could do better job of having the supplies available." may be perceived as placing blame and does not address the immediate concern of the provider's anger.
B. "It must be very frustrating when you don't have what you need to perform the procedure." acknowledges the provider's frustration and validates their feelings, which can help de-escalate the situation and improve communication.
C. "I will help you with this procedure instead of the staff nurse." does not address the underlying issue and might not resolve the conflict or improve the situation.
D. "You should think about how you make others feel when you lose your temper." is confrontational and may escalate the situation further rather than resolving it.
Correct Answer is A
Explanation
Rationale:
A. Encouraging clients to receive an annual flu immunization is a cost-effective measure to prevent illness and reduce overall healthcare costs.
B. Waiting to empty a drainable colostomy until it is three-fourths full might not be the best practice for client comfort or prevention of leakage.
C. Recommending sterile technique for home care is important for infection prevention but not necessarily a cost-reduction strategy in the healthcare setting.
D. Delegating closed irrigation to AP may not be appropriate if it involves tasks beyond their scope of practice and does not directly relate to cost reduction.