Which statement or question by the nurse manager demonstrates an assertive approach?
a. "You must assess and document pain status for every patient."
b. "Why haven't you been assessing and documenting pain for every patient?"
c. "Will you please assess and document pain status for every patient?"
d. "Explain why you haven't been assessing and documenting pain for every patient."
A
By stating that pain must be assessed and documented for every patient, the nurse manager is using an assertive approach. An assertive approach uses the statement of facts, not judgments. Asking why the nurse has not been assessing and documenting pain is judgmental. Asking the nurse whether she will assess and document pain for every patient invites a negative response and does not use an assertive approach. Asking the nurse to explain why she has not been assessing and documenting pain is also judgmental.
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