The nurse is providing care for a client who is about to be discharged.The nurse is discussing the discharge orders with the client's primary healthcare provider.Which statement by the nurse is an appropriate example of using assertive communication?
A) "Can we talk about this client prior to discharge?"
B) "That new medication you prescribed for the client is ineffective."
C) "I am worried about the client's blood pressure. It remains high even with the new medication."
D) "Excuse me, Doctor, I think you need to do something about the client's blood pressure."

Question

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A) The nurse who expresses concern because the client's blood pressure remains high on new medication is being assertive, clear, and concise. Telling the physician that the new medication is ineffective is an inflammatory remark to the doctor. Asking if the physician can talk about a client does not give the physician enough information. Stating that the physician must do something about a client's blood pressure may produce defensiveness from the physician.
B) The nurse who expresses concern because the client's blood pressure remains high on new medication is being assertive, clear, and concise. Telling the physician that the new medication is ineffective is an inflammatory remark to the doctor. Asking if the physician can talk about a client does not give the physician enough information. Stating that the physician must do something about a client's blood pressure may produce defensiveness from the physician.
C) The nurse who expresses concern because the client's blood pressure remains high on new medication is being assertive, clear, and concise. Telling the physician that the new medication is ineffective is an inflammatory remark to the doctor. Asking if the physician can talk about a client does not give the physician enough information. Stating that the physician must do something about a client's blood pressure may produce defensiveness from the physician.
D) The nurse who expresses concern because the client's blood pressure remains high on new medication is being assertive, clear, and concise. Telling the physician that the new medication is ineffective is an inflammatory remark to the doctor. Asking if the physician can talk about a client does not give the physician enough information. Stating that the physician must do something about a client's blood pressure may produce defensiveness from the physician.

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