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A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from:
- A. group decision-making options
- B. perceptions of incompatibility
- C. increases in group cohesiveness
- D. debates, negotiations, and compromises
Correct Answer: B
Rationale: Conflict here stems from perceived incompatibility staff clinging to familiar procedures versus the manager's new ideas creating a values clash. This interdependence, where change threatens established norms, sparks resistance, not group decision-making, cohesiveness (which it disrupts), or negotiation (not yet engaged). The staff's pushback reflects a belief that the new approach interferes with their comfort, a classic conflict trigger needing resolution to align goals.
You may also like to solve these questions
A democratic leadership style has which of the following characteristics
- A. Split power
- B. Dictatorial leader
- C. Genuine
- D. Answer A & B
Correct Answer: A
Rationale: Democratic style splits power A is correct. Nurse leaders share decisions, like shift planning with staff, contrasting with dictatorial rigidity. In healthcare, this boosts morale and input, fostering teamwork over top-down control. It aligns leadership with collaboration, enhancing patient care through collective effort.
A client with a history of hypertension is prescribed hydrochlorothiazide. Which laboratory value should the nurse monitor?
- A. Potassium
- B. Calcium
- C. Magnesium
- D. Sodium
Correct Answer: A
Rationale: For hydrochlorothiazide in HTN, monitor potassium, not calcium, magnesium, or sodium. Thiazides dump potassium hypokalemia risks arrhythmias. Others shift less. Leadership watches this imagine cramps; it ensures safety, aligning with HTN care effectively.
A nurse is preparing to attend a care plan conference for a client who has severe burns. Which of the following criteria should the nurse identify as part of an effective conference?
- A. The nurse leads all discussions
- B. Other health care professionals are in attendance at the conference
- C. The client is excluded from planning
- D. Only nursing goals are set
Correct Answer: B
Rationale: An effective care plan conference for a severe burns client requires interdisciplinary input due to the condition's complexity skin integrity, infection risk, mobility, nutrition, and psychological impact. Identifying that other healthcare professionals (e.g., physical therapists, dieticians, psychologists) attend ensures diverse expertise shapes a comprehensive plan, setting realistic, client-centered goals for recovery. The nurse leading all discussions limits collaboration, while excluding the client ignores their input and autonomy, reducing efficacy. Focusing only on nursing goals neglects broader needs like rehabilitation or dietary support. Multidisciplinary attendance fosters holistic planning, leverages specialized knowledge, and enhances outcomes, aligning with best practices for complex cases like burns, where teamwork drives success.
The nurse is applying a decision-making process to a clinical challenge. When applying this process, the nurse must:
- A. analyze the root causes of a situation
- B. begin by solving the underlying problem
- C. choose between different courses of action
- D. prioritize the maximum good for the maximum number of people
Correct Answer: C
Rationale: In nursing, decision making involves selecting a course of action, as this nurse must do amidst a clinical challenge. Analyzing root causes or solving problems first are steps within problem solving a systematic subset of decision making but the core act is choosing, like opting for one treatment over another. Prioritizing the maximum good aligns with utilitarian ethics, but nursing often lacks the scope for such broad impact in single decisions. For instance, faced with a patient's deteriorating vitals, the nurse chooses between immediate intervention or monitoring, weighing options based on data and protocols. This choice-driven process, distinct from exhaustive analysis, empowers nurses to act decisively in dynamic settings, ensuring patient safety and care quality, a critical leadership skill in managing clinical uncertainties effectively.
An RN and a licensed practical nurse (LPN) are caring for a client who has a small bowel obstruction and is NPO with a nasogastric (NG) tube set to continuous suction. Which of the following tasks should the RN perform?
- A. Administer IV fluids
- B. Assess for bowel sounds every 2 hours
- C. Monitor NG tube output
- D. Reposition the NG tube
Correct Answer: B
Rationale: The RN's scope of practice includes assessments requiring clinical judgment, such as evaluating bowel sounds to determine hypoactive, normal, or hyperactive states, which informs the care plan for a small bowel obstruction. This task demands interpretive skills beyond the LPN's role, which focuses on data collection (e.g., listening for sounds) rather than analysis. Administering IV fluids, monitoring NG tube output, and repositioning the tube are within the LPN's capabilities under RN supervision, as they involve technical execution rather than diagnostic reasoning. The RN's expertise ensures accurate assessment of bowel function, critical for detecting complications like perforation or resolution of the obstruction, guiding subsequent interventions, and maintaining client safety in a condition requiring precise monitoring and decision-making.