During patient rounds with the multidisciplinary team, the nurse expresses disagreement with the type of medication prescribed for her patient hospitalized for renal failure. What is the likely result of the nurse's speaking up?
a. Reduces the opportunity for inadvertent error in clinical judgment
b. Increases the risk for medical liability when pointing out possible error
c. Interferes with the good working relationship among the healthcare team
d. Compromises the nurse's reputation as a collaborative team member
Question 2
A nurse has sound, scientific evidence to support changing a procedure that would reduce catheter-related infections on the unit.
The unit manager states, nevertheless, that she is unwilling to make the change because it would too costly. Which response by the nurse represents assertive communication?
a. This is a widely used practice. If you read more research, you'd probably wonder why we aren't already doing it.
b. There is extensive evidence to support the new method, but I understand this change would be too difficult.
c. Is the budget more important to the hospital than reducing infections and patient suffering?
d. I'd like to help gather information regarding cost of new materials versus the savings in treating infections.
(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
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