Nokea
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.
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A charge nurse is planning care for a unit with limited staffing due to a flu outbreak. Which of the following actions should the charge nurse prioritize?
- A. Assign assistive personnel to provide client education on hand hygiene.
- B. Ensure all clients receive their scheduled baths on time.
- C. Reassess clients with unstable vital signs every 2 hours.
- D. Delegate documentation of intake and output to the unit clerk.
Correct Answer: C
Rationale: The correct answer is C: Reassess clients with unstable vital signs every 2 hours. This is the priority because clients with unstable vital signs require frequent monitoring to detect any deterioration or changes in their condition promptly. This action directly impacts patient safety and allows for timely intervention if needed.
Assigning assistive personnel for client education (A) is important for infection control but may not be the priority during a staffing shortage. Ensuring scheduled baths (B) is important for hygiene but can be delayed if necessary. Delegating documentation of intake and output (D) to the unit clerk is not appropriate as it involves clinical judgment and assessment.
A nurse manager has received information from the facility's risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process?
- A. Discovery phase
- B. Decision phase
- C. Trial phase
- D. Complaint phase
Correct Answer: A
Rationale: The correct answer is A: Discovery phase. During the discovery phase of a legal process, both parties exchange information and evidence relevant to the case. A deposition is a part of the discovery phase where witnesses are questioned under oath. In this scenario, the nurse manager would be required to participate in a deposition to provide information related to the lawsuit.
Option B: Decision phase is incorrect as it typically refers to the phase where a judgment or verdict is made. Option C: Trial phase is incorrect as it involves the actual court proceedings. Option D: Complaint phase is incorrect as it is the initial phase where a formal complaint is filed to initiate the legal process.
A nurse manager is implementing a new electronic health record system. Which of the following actions should the nurse manager take to facilitate staff adoption?
- A. Require staff to use the system without prior training.
- B. Provide hands-on training sessions for all staff members.
- C. Assign super-users to troubleshoot issues during implementation.
- D. Delay the implementation until all staff are comfortable.
Correct Answer: B
Rationale: Providing hands-on training sessions equips staff with the skills and confidence needed to use the new system, facilitating a smooth transition and adoption.
A nurse is leading a debriefing session after a critical incident on the unit. Which of the following actions should the nurse take to support the team?
- A. Focus on assigning blame for the incident.
- B. Encourage staff to share their feelings and experiences.
- C. Criticize staff for errors made during the incident.
- D. Limit the discussion to procedural changes only.
Correct Answer: B
Rationale: Encouraging staff to share their feelings and experiences promotes emotional support and team cohesion, helping staff process the incident and identify areas for improvement.
A nurse is caring for four postoperative clients. The nurse can delegate obtaining vital signs to an assistive personnel (AP) for which of the following clients?
- A. A client who is 3 days postoperative following a craniotomy
- B. A client who is 3 days postoperative following gastric bypass surgery
- C. A client who is 2 hr postoperative following an abdominal hysterectomy
- D. A client who is 1 hr postoperative following a thyroidectomy
Correct Answer: B
Rationale: The correct answer is B because a client who is 3 days postoperative following gastric bypass surgery is stable and unlikely to have immediate complications. Vital signs can be safely delegated to an assistive personnel (AP) for this client.
Choice A is incorrect because a client who is 3 days postoperative following a craniotomy may still be at risk for neurological complications that require close monitoring by a nurse.
Choice C is incorrect because a client who is only 2 hours postoperative following an abdominal hysterectomy is still in the immediate postoperative period and requires frequent monitoring by a nurse.
Choice D is incorrect because a client who is only 1 hour postoperative following a thyroidectomy is in the immediate postoperative period and may have potential complications that require close monitoring by a nurse.
Overall, the key factor in delegating obtaining vital signs to an AP is the stability of the client's condition postoperatively.