A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management?
- A. Cooperating
- B. Compromising
- C. Avoiding
- D. Competing
Correct Answer: A
Rationale: The correct answer is A: Cooperating. The charge nurse is demonstrating cooperation by taking on the responsibility of caring for both nurses' clients while they go to lunch together. This approach shows a willingness to collaborate and find a solution that benefits all parties involved. By cooperating, the charge nurse is promoting teamwork and fostering a positive work environment.
Summary of other choices:
B: Compromising - This would involve finding a middle ground or making concessions, which is not the case in this scenario.
C: Avoiding - This would involve ignoring the conflict or avoiding confrontation, which is not what the charge nurse is doing.
D: Competing - This would involve a win-lose mindset where one party wins at the expense of the other, which is not evident in this situation.
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A nurse manager is preparing an inservice program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict?
- A. An experienced nurse is uncivil to a newly licensed nurse
- B. A nurse is uncertain about joining a professional nursing organization
- C. Nurses on the unit disagree about what time of day daily client weights should be obtained
- D. A nurse who just lost his spouse does not want to be assigned to care for a terminally ill client
Correct Answer: A
Rationale: The correct answer is A because it involves a direct conflict between two individuals, the experienced nurse and the newly licensed nurse. This type of conflict is interpersonal in nature as it pertains to personal interactions and relationships. The experienced nurse's uncivil behavior towards the newly licensed nurse indicates a clash of personalities or communication styles.
Choice B is incorrect as it does not involve a conflict between individuals but rather an internal struggle of the nurse deciding whether to join a professional organization. Choice C is incorrect as it describes a disagreement among nurses about a work-related task, which is more of an intragroup conflict. Choice D is incorrect as it represents a personal issue of the nurse dealing with grief, not a conflict with another individual.
A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?
- A. Reinforce discharge teaching to clients.
- B. Focus on providing care that prevents life-threatening emergencies.
- C. Stock additional unit supplies.
- D. Instruct the assistive personnel (AP) to focus on clients' ADLs.
Correct Answer: B
Rationale: Correct Answer: B - Focus on providing care that prevents life-threatening emergencies.
Rationale: During a disaster, the nurse's priority is to ensure the safety and well-being of clients by focusing on providing care that prevents life-threatening emergencies. By prioritizing care to prevent life-threatening situations, the nurse can help maintain the stability and health of clients during the crisis. This action aligns with disaster protocols and ensures that resources are utilized effectively to address the most critical needs first.
Incorrect Choices:
A: Reinforcing discharge teaching is not a priority during a disaster when immediate life-saving interventions are needed.
C: Stocking additional supplies may be important, but it is not the immediate priority when working with limited staff during a severe storm.
D: Instructing assistive personnel to focus on clients' ADLs may not address the urgency of preventing life-threatening emergencies during a disaster.
A charge nurse is planning a staff meeting to address low morale on the unit. Which of the following actions should the charge nurse take to promote a positive discussion?
- A. Criticize staff members who have been vocal about their dissatisfaction.
- B. Invite staff to share ideas for improving the work environment.
- C. Schedule the meeting during a busy shift to ensure attendance.
- D. Focus solely on the unit's performance metrics.
Correct Answer: B
Rationale: Inviting staff to share ideas fosters collaboration and engagement, creating a positive environment for addressing morale issues and encouraging staff input.
A nurse on a medical-surgical unit is providing care for a group of clients. The nurse should delegate collection of which of the following specimens to the assistive personnel (AP)?
- A. Blood for PaCO2
- B. Random stool specimen
- C. Wound drainage for culture
- D. Urine from an indwelling catheter
Correct Answer: B
Rationale: The correct answer is B: Random stool specimen. The rationale is that collecting a random stool specimen does not require specialized training or skills, making it appropriate for assistive personnel (AP) to perform. Collecting blood for PaCO2 (A) requires specific training and knowledge of arterial blood gas sampling. Wound drainage for culture (C) involves sterile technique and knowledge of wound care. Urine from an indwelling catheter (D) requires knowledge of catheter care and sterile technique. Therefore, delegating the collection of a random stool specimen to AP is the most appropriate choice.
A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?
- A. Inform the state medical board for an immediate investigation.
- B. Counsel the provider to determine the cause of the substance abuse.
- C. Notify the nursing supervisor of the concerns.
- D. Encourage clients to change to a different provider.
Correct Answer: C
Rationale: The correct answer is C: Notify the nursing supervisor of the concerns. This is the most appropriate action because it allows for immediate intervention by someone in authority to address the provider's behavior. The nursing supervisor is in a position to assess the situation, determine the appropriate course of action, and provide support to the nurse in dealing with this sensitive issue. Reporting to the state medical board (choice A) may be premature and could potentially harm the provider's career without first addressing the issue internally. Counseling the provider (choice B) may not be effective if there is a serious substance abuse problem. Encouraging clients to change providers (choice D) is not the nurse's responsibility and may not address the root cause of the issue.
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