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A nurse manager has recently become aware of a conflict between the pharmacy and the staff nurses regarding sending and receiving medications. Which of the following actions should the nurse take first to resolve the conflict?
- A. Evaluate the results.
- B. Identify the problem.
- C. Brainstorm solutions.
- D. Implement a resolution.
Correct Answer: B
Rationale: The correct answer is B: Identify the problem. The first step in resolving any conflict is to understand the root cause. By identifying the problem between the pharmacy and staff nurses, the nurse manager can gain insight into the specific issues causing the conflict. This step allows for a targeted and strategic approach to finding solutions. Evaluating results (A) comes after implementing a resolution, brainstorming solutions (C) is premature without a clear understanding of the problem, and implementing a resolution (D) should only occur once the problem has been fully identified and a plan developed.
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One of your staff nurses asks for your advice because a patient refuses to sign a consent for surgery. The patient says that he won't sign because he doesn't understand the nature of the surgery. You advise that:
- A. The patient has a right to choose not to consent.
- B. Consent must not be coerced.
- C. Consent for life-saving surgery is always mandatory.
- D. The patient must sign the consent because the doctor wants him to sign.
- E. Minors can consent to procedures in the absence of parents or guardians.
Correct Answer: A,B
Rationale: Correct Answer: A,B
Rationale:
A: The patient has the right to choose not to consent: It is essential to respect the autonomy and self-determination of the patient in making healthcare decisions. If the patient does not understand the nature of the surgery, forcing them to sign would violate their autonomy.
B: Consent must not be coerced: Coercion undermines the voluntary nature of consent. Patients should make decisions freely without pressure or influence from healthcare providers. Respecting the patient's decision-making process is crucial for ethical care.
Summary:
C: Consent for life-saving surgery is always mandatory: This statement is incorrect as consent should still be obtained even for life-saving procedures. It is about respecting the patient's autonomy and involving them in the decision-making process.
D: The patient must sign the consent because the doctor wants him to sign: This choice is incorrect as it disregards the patient's right to make an informed decision based on understanding the procedure.
E: Minors can consent to
The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?
- A. Integrate available evidence with unit expertise.
- B. Develop the clinical question.
- C. Appraise the evidence.
- D. Identify the databases to be used.
Correct Answer: B
Rationale: The correct answer is B: Develop the clinical question. This step is crucial in evidence-based practice as it helps to focus the search for evidence. By clearly defining the clinical question, the nurse manager can determine what information is needed to address the problem of preventing ventilator-associated pneumonia. Integrating available evidence with unit expertise (choice A) comes after developing the question. Appraising the evidence (choice C) and identifying databases (choice D) are important steps, but they should come later in the evidence-based inquiry process after the question has been formulated.
The chief nursing officer at a local hospital seeking Magnet® status creates staff development classes concerning translation of research into practice (TRIP). What best describes TRIP?
- A. Searching the literature for a systematic review.
- B. Applying strategies that aid in adoption of research in practice.
- C. Providing the results of research studies to practitioners.
- D. Conducting an integrative review of the literature.
Correct Answer: B
Rationale: The correct answer is B: Applying strategies that aid in adoption of research in practice. This best describes TRIP because it involves implementing evidence-based research findings into clinical practice. It focuses on bridging the gap between research and practice by promoting the utilization of research findings to improve patient outcomes.
A: Searching the literature for a systematic review is a step in the research process but not specifically related to TRIP.
C: Providing the results of research studies to practitioners is important but does not encompass the full process of translating research into practice.
D: Conducting an integrative review of the literature is a research method but not directly related to implementing research into practice.
During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?
- A. autonomy
- B. nonmaleficence
- C. justice
- D. fidelity
Correct Answer: D
Rationale: The correct answer is D: fidelity. Fidelity refers to the principle of being faithful or loyal to commitments and obligations. In this scenario, the manager providing truthful feedback during the performance evaluation demonstrates fidelity by upholding their professional duty to provide honest and accurate information to support the nurse's growth and development. Autonomy (A) relates to respecting individuals' rights to make their own decisions. Nonmaleficence (B) pertains to avoiding harm. Justice (C) involves fairness and equality in decision-making. In this context, fidelity best aligns with the manager's responsibility to maintain trust and integrity in the feedback process.
A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
- A. I need to speak with you about unit expectations regarding delegating and completing tasks.
- B. You have been very inconsiderate of others by not completing your share of the work.
- C. If you don't do your share of the work, I will have to inform the nurse manager.
- D. Several staff members have commented that you don't do your fair share of the work.
Correct Answer: A
Rationale: The correct answer is A: "I need to speak with you about unit expectations regarding delegating and completing tasks." This statement addresses the issue directly and professionally, focusing on establishing clear communication and setting expectations. By having a conversation about unit expectations, it allows for clarification on roles and responsibilities, promoting accountability and teamwork.
Incorrect Choices:
B: This statement uses accusatory language and does not address the issue constructively.
C: Threatening to inform the nurse manager may escalate the conflict instead of resolving it through open communication.
D: This choice involves hearsay and gossip, which is not an effective way to address the issue professionally.