Nursing Management Practice Exam Quiz 2
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P { margin-bottom: 0.08in; } A new triage area has been built in the emergency department causing conflict between the nurse manager and the nurses who think the design is not “user friendly.” After repeated complaints the nurse manager asks maintenance to change the arrangement of the room. What is the most important reason this change occurred?
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The complaints motivated the nurse manager to make the change to increase unit effectiveness.
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The room design was uncomfortable for the nurses, which convinced the nurse manager to change the design.
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The nurse manager was afraid the nurses would refuse to work in the room so the room had to be changed.
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The nurses would keep complaining so the nurse manager changed the room to stop the griping.
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If you are preparing for a career in nursing, then you need to pick up this nursing management practice quiz!
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- 2.
P { margin-bottom: 0.08in; } The hospital has an annual campaign in which the staff is divided into two teams to raise money for hospital special events. The team raising the most money gets possession of a “trophy” designed by the administrative staff. This is an example of which type of conflict?
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A conflict that is disruptive to the work of the hospital
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A competitive conflict that is positive to the work environment
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An intragroup conflict that is not appropriate in health care
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A felt conflict that will result in unresolved feelings of frustration
Correct Answer
A. A competitive conflict that is positive to the work environmentExplanation
This situation represents a competitive conflict that is positive to the work environment. The annual campaign and division into two teams create a healthy competition among the staff to raise money for special events. This conflict encourages teamwork, motivation, and a sense of achievement, which can have a positive impact on the work environment.Rate this question:
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- 3.
P { margin-bottom: 0.08in; } The medical residents on a particular unit do not answer pages very quickly, and sometimes do not answer them at all. The nursing staff complains to the nursing supervisor. After several weeks, this conflict has spiraled into a heated disagreement. Which is the most important reason to make the necessary changes to settle this conflict?
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Client care and satisfaction will suffer should it be allowed to continue.
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The residents cannot be allowed to continue such unprofessional behavior.
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Residents who do not answer pages do not get the most out of the experience.
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Physicians do not know what is going on with clients if the residents do not tell them.
Correct Answer
A. Client care and satisfaction will suffer should it be allowed to continue.Explanation
If the conflict between the medical residents and the nursing staff continues, it will ultimately impact client care and satisfaction. The residents' slow or non-existent response to pages can lead to delays in providing necessary medical attention to patients. This can result in compromised care, increased patient dissatisfaction, and even potential harm to the clients. Therefore, it is crucial to address this issue and make the necessary changes to ensure that client care and satisfaction are not compromised.Rate this question:
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- 4.
P { margin-bottom: 0.08in; } A difference in opinion has arisen regarding methods to care for clients who are on mechanical ventilators. The nurse manager asks a group of nurses to meet and review evidence-based practice related to this client care situation. Each nurse volunteers to gather data prior to the next meeting. This is an example of which type of problem solving?
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Negotiation
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Collaboration
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Compromise
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Forcing
Correct Answer
A. CollaborationExplanation
The correct answer is Collaboration. Collaboration involves a group of individuals working together to solve a problem or make a decision. In this scenario, the nurse manager asks a group of nurses to meet and review evidence-based practice related to client care on mechanical ventilators. Each nurse volunteers to gather data, indicating that they are working together and sharing information to find a solution. This demonstrates collaboration as a method of problem solving.Rate this question:
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- 5.
P { margin-bottom: 0.08in; } The nurse manager asks the staff nurse to work a double shift because the census is high. Although the nurse realizes the staffing for the night shift is low, the nurse has already made a family commitment for the same night. This is an example of which concept?
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Intrapersonal conflict
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Interpersonal conflict
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Intragroup conflict
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Intergroup conflict
Correct Answer
A. Intrapersonal conflictExplanation
This scenario represents an intrapersonal conflict because the nurse is experiencing a conflict within themselves. They are torn between fulfilling their professional obligation to work the double shift and their personal commitment to their family. The conflict arises from the nurse's internal struggle to prioritize their work responsibilities and their personal life.Rate this question:
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- 6.
P { margin-bottom: 0.08in; } The staff nurses and nursing administration are attempting to construct a method of scheduling that meets the needs of both the clients and the nursing personnel. Because nurses and nursing administration have experienced conflict about the issue, their intent is to arrive at an agreeable solution between both parties. Which option does this process best exemplify?
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Negotiation
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Accommodation
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Forcing
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Consensus
Correct Answer
A. NegotiationExplanation
The given scenario describes a situation where the staff nurses and nursing administration are trying to find a scheduling method that satisfies both the clients and the nursing personnel. They have conflicting opinions and want to reach a solution that both parties can agree on. This process of finding a mutually acceptable solution is known as negotiation.Rate this question:
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- 7.
P { margin-bottom: 0.08in; } Which statement by the nurse managing a unit conflict indicates that the integrative decision-making strategy is being used?
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“I’ve heard all I need to hear. I’ll have a decision tomorrow.”
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“Once you have signed this informed consent, the issue will go to mediation.”
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“This will all blow over if everyone just tries to get along better.”
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“Both parties should come up with as many alternative solutions as possible before our next meeting.”
Correct Answer
A. “Both parties should come up with as many alternative solutions as possible before our next meeting.”Explanation
The statement "Both parties should come up with as many alternative solutions as possible before our next meeting" indicates that the nurse is using the integrative decision-making strategy. This strategy involves encouraging all parties involved to brainstorm and come up with multiple solutions to the conflict, with the goal of finding a mutually beneficial resolution. By suggesting this approach, the nurse is promoting collaboration and open communication among the parties, which is a key aspect of the integrative strategy.Rate this question:
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- 8.
P { margin-bottom: 0.08in; } The day shift nurses and night shift nurses are in clear opposition regarding the responsibilities that each shift should be assigned. This opposition has created a "we-they" distinction on the unit. This is an example of which phenomenon?
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Distancing
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Suppression
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Group withdrawal
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Unification
Correct Answer
A. DistancingExplanation
The given scenario describes a situation where the day shift nurses and night shift nurses have opposing views on their responsibilities, leading to a "we-they" distinction. This "we-they" distinction indicates a sense of separation and distance between the two groups, hence the phenomenon can be identified as distancing.Rate this question:
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- 9.
P { margin-bottom: 0.08in; } A nurse manager states, “I cannot stand all these conflicts in my department. Nothing good can come out of it.” Which indicates the best reason the manager’s statement is untrue?
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Conflict can stimulate more people to become involved in a situation, thus creating more innovative solutions to the issue.
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When people are in conflict, they tend to work harder just to avoid the conflicting situation.
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Groups in conflict spur competition, which is always beneficial to the units from which the groups emerged.
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When there is conflict in an organization, people are more open to discussion, thus conflict can open the lines of communication.
Correct Answer
A. Conflict can stimulate more people to become involved in a situation, thus creating more innovative solutions to the issue.Explanation
The nurse manager's statement is untrue because conflict can actually stimulate more people to become involved in a situation, which can lead to the generation of more innovative solutions to the issue.Rate this question:
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- 10.
P { margin-bottom: 0.08in; } The nurse manager meets with the staff nurses to discuss ways to improve communication among the shifts. Which statement by the nurse manager best exemplifies the final stage of conflict management?
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"We need to clearly define the nature of the conflict."
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"I will evaluate the outcomes of our strategies on a monthly basis."
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"Let's create a time line for the implementation of our strategies."
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"Hopefully, each group can understand each other's perceptions of the issue."
Correct Answer
A. "I will evaluate the outcomes of our strategies on a monthly basis."Explanation
The statement "I will evaluate the outcomes of our strategies on a monthly basis" best exemplifies the final stage of conflict management because it shows that the nurse manager is committed to monitoring and assessing the effectiveness of the strategies implemented to improve communication. This indicates a proactive approach towards resolving conflicts and ensuring that the desired outcomes are achieved.Rate this question:
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- 11.
P { margin-bottom: 0.08in; } A nurse manager is trying to manage a conflict between a staff nurse and a medical student. Which statement by the manager would the nursing supervisor interpret as following the rules of basic mediation?
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“Both parties need to grow up. They are so immature.”
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“The problem is partially the fault of both parties.”
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“I stopped the conversation frequently to have the parties summarize what was being said.”
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“They just went on and on. I had to stop the discussion because I was out of time.”
Correct Answer
A. “I stopped the conversation frequently to have the parties summarize what was being said.”Explanation
The statement "I stopped the conversation frequently to have the parties summarize what was being said" would be interpreted as following the rules of basic mediation because it shows that the manager is actively facilitating communication between the two parties and ensuring that they understand each other's perspectives. This approach helps to promote understanding and resolution of the conflict.Rate this question:
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- 12.
P { margin-bottom: 0.08in; } A conflict has arisen between two staff nurses who work on the same unit. Which strategy is most important for the nurse manager to consider?
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Address the conflict in the break room.
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Make a timely decision regarding if and when to intervene.
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Accept full responsibility for developing a solution.
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Redirect expressions of disagreement between the participants.
Correct Answer
A. Make a timely decision regarding if and when to intervene.Explanation
The most important strategy for the nurse manager to consider is making a timely decision regarding if and when to intervene. This is crucial because if the conflict is left unaddressed, it can escalate and negatively impact the work environment and patient care. The nurse manager needs to assess the situation and determine the appropriate time to step in and mediate the conflict, ensuring that it is resolved effectively and efficiently. By intervening in a timely manner, the nurse manager can prevent further escalation and promote a positive and harmonious work environment.Rate this question:
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- 13.
P { margin-bottom: 0.08in; } A nurse has a longstanding conflict with another nurse working the same shift. Over the last few days the first nurse has made an effort to smooth over the conflict. Which statement would the nurse manager evaluate as an example of a “smoothing” comment?
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“We are never going to agree because I am from Generation X and you are a baby boomer.”
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“I’m tired of this fight and I’m not going to argue with you anymore.”
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“Even though we don’t agree on much, I do think you are correct about enforcing the length of lunch breaks.”
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“I think everything is fine and that we can get along.”
Correct Answer
A. “Even though we don’t agree on much, I do think you are correct about enforcing the length of lunch breaks.”Explanation
The correct answer is a good example of a "smoothing" comment because it acknowledges the disagreement between the two nurses, but also finds common ground by agreeing with the other nurse's opinion on a specific issue. This comment shows an effort to find areas of agreement and build a positive relationship despite the conflict.Rate this question:
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- 14.
P { margin-bottom: 0.08in; } A staff nurse has experienced disagreements with one of the medical residents about several issues. The resident reacts to this conflict by belittling the nurse in front of colleagues. This behavior is most characteristic of which type of conflict?
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Competitive
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Role
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Perceived
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Disruptive
Correct Answer
A. DisruptiveExplanation
The behavior of belittling the nurse in front of colleagues indicates that the resident is intentionally causing disruption and creating a hostile work environment. This type of conflict is known as disruptive conflict, where one party seeks to undermine or harm the other party involved.Rate this question:
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- 15.
P { margin-bottom: 0.08in; } The nurse manager assesses that two staff nurses are engaged in a conflict that is having a negative impact on client care. The manager meets with the nurses involved and identifies the conflict. An attempt is made to resolve the conflict through knowledge and reason. What strategy is this manager using?
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Confrontation
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Resolution
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Negotiation
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Forcing
Correct Answer
A. ConfrontationExplanation
The manager is using the strategy of confrontation. They are directly addressing the conflict between the two staff nurses and attempting to resolve it through open communication and problem-solving. This approach involves identifying the conflict and addressing it head-on, rather than avoiding or ignoring it. By using knowledge and reason, the manager is trying to facilitate a resolution and improve client care.Rate this question:
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- 16.
P { margin-bottom: 0.08in; } Which is the most important factor in whether a conflict will be perceived or felt between two nurses?
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How well the nurses know and trust each other
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If the nurses are on the same job level
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The congruence of the nurse’s values and beliefs
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Whether or not the nurses perform the same roles
Correct Answer
A. How well the nurses know and trust each otherExplanation
The most important factor in whether a conflict will be perceived or felt between two nurses is how well they know and trust each other. This is because when nurses have a strong relationship built on trust and familiarity, they are more likely to communicate effectively, understand each other's perspectives, and resolve conflicts in a constructive manner. On the other hand, if there is a lack of trust and familiarity between the nurses, conflicts may escalate and be more difficult to resolve, leading to a negative work environment and potentially compromising patient care.Rate this question:
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- 17.
P { margin-bottom: 0.08in; } The nurse manager assesses that there is conflict between two of the charge nurses. The decision is made to postpone an intervention and allow the conflict to escalate. Why might the nurse manager make this decision?
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Allow sufficient time for the problem to spontaneously resolve.
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Motivate the participants to seek resolution.
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Give the nurse manager time to identify problem-solving strategies.
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Relieve the nurse manager of the time commitment necessary to intervene.
Correct Answer
A. Motivate the participants to seek resolution.Explanation
The nurse manager may make the decision to postpone an intervention and allow the conflict to escalate in order to motivate the participants to seek resolution. By allowing the conflict to escalate, the nurse manager may create a sense of urgency and encourage the charge nurses to take initiative in resolving their conflict. This approach can empower the individuals involved to actively seek a solution and potentially lead to a more sustainable resolution.Rate this question:
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- 18.
P { margin-bottom: 0.08in; } In order to come to a solution for an ongoing conflict among several nursing units, the nursing supervisor says, “Your managers will meet to create a voting form representing both sides of this issue. Each of you will vote and the majority will rule.” What kind of a solution is the supervisor seeking?
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Consensus
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Win-win
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Forcing
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Win-lose
Correct Answer
A. Win-loseExplanation
The nursing supervisor is seeking a win-lose solution. This is evident from the statement that "the majority will rule." In a win-lose solution, one side wins while the other side loses. The supervisor wants the majority to make the decision, indicating that the outcome will not consider the needs or preferences of the minority.Rate this question:
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- 19.
P { margin-bottom: 0.08in; } A nurse manager and a staff nurse are in conflict. The nursing supervisor has decided to use mediation to arrive at a solution. The supervisor should be most concerned about which person’s level of comfort when choosing a place for the mediation meeting?
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The manager
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The staff nurse
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The supervisor
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There should be equal concern for all participants.
Correct Answer
A. The staff nurseExplanation
In this situation, the nursing supervisor should be most concerned about the staff nurse's level of comfort when choosing a place for the mediation meeting. This is because the staff nurse is one of the conflicting parties and may feel more comfortable and open in a familiar or neutral environment. By prioritizing the staff nurse's comfort, the supervisor can create a conducive atmosphere for open communication and problem-solving during the mediation process.Rate this question:
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- 20.
P { margin-bottom: 0.08in; } The nursing staff is continually upset about inability to provide clients with supplies needed because third-party payers will not reimburse for those items. This is an example of which conflict antecedent?
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Task interdependencies
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Distancing
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Role
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Incompatible goals
Correct Answer
A. Incompatible goalsExplanation
This scenario represents a conflict antecedent known as "incompatible goals." The nursing staff is frustrated because they are unable to provide necessary supplies to clients due to the refusal of third-party payers to reimburse for those items. This conflict arises from the opposing goals of the nursing staff, who want to provide quality care, and the third-party payers, who prioritize cost containment. The incompatible goals create tension and frustration within the nursing staff.Rate this question:
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- 21.
P { margin-bottom: 0.08in; } A serious conflict between a nurse and a nursing assistant erupted into a shouting match in the hallway. The nurse attempted to slap the nursing assistant. What conflict responses are appropriate for the assistant?
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Accommodating
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Withdrawal
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Avoiding
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Smoothing
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Negotiation
Correct Answer(s)
A. Withdrawal
A. AvoidingExplanation
The appropriate conflict responses for the nursing assistant in this situation would be withdrawal and avoiding. Withdrawing from the conflict means removing oneself from the situation to prevent further escalation or harm. Avoiding the conflict involves actively avoiding any confrontations or interactions with the nurse to prevent further conflict. These responses prioritize the safety and well-being of the nursing assistant and aim to de-escalate the situation.Rate this question:
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- 22.
P { margin-bottom: 0.08in; } The nurse and a client are discussing instructions for self-care after discharge. The client’s husband says, “I can’t take care of her by myself. We need home health like we had before she came to the hospital.” This statement reflects which antecedent condition?
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Task interdependence
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Resource competition
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Structural conflict
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Differences in values and beliefs
Correct Answer
A. Differences in values and beliefsExplanation
The husband's statement reflects differences in values and beliefs because he believes that they need home health care while the nurse and client may have a different opinion or belief about the client's ability to be cared for at home. This difference in values and beliefs can lead to a conflict or disagreement regarding the client's post-discharge care.Rate this question:
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- 23.
P { margin-bottom: 0.08in; } The nurse manager presents an issue to the nursing staff for a decision. The group assesses the problem, and a decision is made meeting the needs of both the nurse manager and the nursing staff. This is an example of which conflict management strategy?
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Integrative decision making
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Win-lose strategy
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Accommodation
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Consensus
Correct Answer
A. ConsensusExplanation
Consensus is the correct answer because it refers to a conflict management strategy where a decision is made by the group that meets the needs of all parties involved. In this scenario, the nurse manager presents an issue to the nursing staff, and after assessing the problem, a decision is made that satisfies both the nurse manager and the nursing staff. This demonstrates the use of consensus as a conflict management strategy.Rate this question:
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- 24.
P { margin-bottom: 0.08in; } A nurse and a physician are in conflict over the treatment of a client. Which statements by the nurse reflect the best way to handle interprofessional conflict?
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“I think it would be better for the client to stay another day.”
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“This client needs an additional day to learn how to care for a complex wound.”
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“It will help this client manage her diabetes more effectively if she is assigned a diabetic educator.”
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“Research has shown that early ambulation helps to reduce the likelihood of pulmonary embolism.”
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“Do you not remember what happened when you sent that other client home too early?”
Correct Answer(s)
A. “This client needs an additional day to learn how to care for a complex wound.”
A. “It will help this client manage her diabetes more effectively if she is assigned a diabetic educator.”
A. “Research has shown that early ambulation helps to reduce the likelihood of pulmonary embolism.”Explanation
The nurse's statements reflect the best way to handle interprofessional conflict because they focus on the client's needs and provide evidence-based reasons for their suggestions. By mentioning the need for additional time to learn wound care, assigning a diabetic educator to help manage diabetes, and highlighting the benefits of early ambulation, the nurse is advocating for the best possible care for the client and presenting valid arguments that can be discussed and considered by the physician.Rate this question:
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- 25.
P { margin-bottom: 0.08in; } The nurse manager is facilitating the work of a collaborative team whose mission is to negotiate employment contracts with physicians. The nurse manager does not want to compromise the nurses’ concerns in favor of the doctors’ concerns. Which strategies would facilitate this outcome?
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Accommodating
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Compromising
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Smoothing
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Collaborating
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Competing
Correct Answer(s)
A. Collaborating
A. CompetingExplanation
Collaborating and competing are the strategies that would facilitate the nurse manager in not compromising the nurses' concerns in favor of the doctors' concerns. Collaborating involves working together with the team to find a solution that satisfies both parties' interests. Competing, on the other hand, involves advocating for the nurses' concerns and prioritizing them over the doctors' concerns. Both strategies allow the nurse manager to ensure that the nurses' concerns are not compromised.Rate this question:
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- 26.
P { margin-bottom: 0.08in; } Two staff nurses are in conflict about the summer vacation schedule. The nurse manager is contemplating assigning both nurses to a task that will require frequent contact with each other, hoping that they will resolve the issue themselves. What should the manager consider before making this assignment?
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What is the anxiety level of the nurses in regard to the vacation schedule?
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Have the nurses ever worked together before on a project?
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Will the conflict decrease the efficiency of the unit while the nurses are self-solving the issue?
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How intense is the conflict about vacation scheduling?
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Are the nurses talking to the rest of the staff about the conflict?
Correct Answer(s)
A. What is the anxiety level of the nurses in regard to the vacation schedule?
A. Will the conflict decrease the efficiency of the unit while the nurses are self-solving the issue?
A. How intense is the conflict about vacation scheduling?Explanation
The manager should consider the anxiety level of the nurses in regard to the vacation schedule because if the level is high, it may affect their ability to resolve the conflict effectively. The manager should also consider whether the conflict will decrease the efficiency of the unit while the nurses are self-solving the issue, as this may impact patient care. Additionally, the manager should assess how intense the conflict about vacation scheduling is, as a more intense conflict may require more intervention from the manager.Rate this question:
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- 27.
P { margin-bottom: 0.08in; } Conflict has arisen within the hospital regarding who will staff a proposed high-acuity unit. The nurse executive and other administrators have purposefully not intervened in this conflict. Why is that strategy appropriate?
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Conflict draws attention to an issue.
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The administrators do not like conflict management.
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Conflict can stimulate new ideas about how to manage the high-acuity unit.
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Conflict about the unit will help to identify the compromises necessary to make it a viable part of the hospital system.
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Conflicts about staffing may make current staff members reexamine their own performance.
Correct Answer(s)
A. Conflict draws attention to an issue.
A. Conflict can stimulate new ideas about how to manage the high-acuity unit.
A. Conflict about the unit will help to identify the compromises necessary to make it a viable part of the hospital system.
A. Conflicts about staffing may make current staff members reexamine their own performance.Explanation
The strategy of not intervening in the conflict is appropriate because conflict draws attention to the issue at hand, stimulates new ideas on how to manage the high-acuity unit, helps identify necessary compromises for the unit to be viable, and makes current staff members reexamine their own performance. By allowing the conflict to play out, the nurse executive and administrators are giving the stakeholders an opportunity to express their concerns, generate innovative solutions, and self-reflect on their own contributions to the issue.Rate this question:
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- 28.
P { margin-bottom: 0.08in; } Which statements would alert a nurse manager that a unit conflict has become disruptive?
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“I won’t stop until I have gotten her fired.”
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“He doesn’t fight fairly.”
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“I’ve almost forgotten what started this, I just focused on beating her.”
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“I am going to win this argument.”
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“He is so wrong, he just has to go.”
Correct Answer(s)
A. “I won’t stop until I have gotten her fired.”
A. “He doesn’t fight fairly.”
A. “I’ve almost forgotten what started this, I just focused on beating her.”
A. “He is so wrong, he just has to go.”Explanation
The statements "I won't stop until I have gotten her fired," "He doesn't fight fairly," "I've almost forgotten what started this, I just focused on beating her," and "He is so wrong, he just has to go" suggest that the conflict has become disruptive. These statements indicate a desire for vengeance, unfair fighting tactics, a focus on winning at all costs, and a determination to remove the other person from the unit. These attitudes and behaviors can escalate the conflict and create a toxic work environment.Rate this question:
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- 29.
P { margin-bottom: 0.08in; } Why does conflict help generate change?
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Conflict assists change to occur more rapidly than it would otherwise.
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It brings more attention to an issue in need of change.
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People get involved because conflict breeds curiosity.
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If there is an existing conflict, a change must occur to stop the conflict.
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Change is inevitable, and some people refuse to change, which causes conflict.
Correct Answer(s)
A. It brings more attention to an issue in need of change.
A. People get involved because conflict breeds curiosity.Explanation
Conflict helps generate change because it brings more attention to an issue in need of change. When there is conflict, people become curious and get involved, which leads to a greater push for change. Additionally, if there is an existing conflict, a change must occur to stop the conflict. Change is inevitable, and some people's refusal to change can cause conflict, further emphasizing the need for change.Rate this question:
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- 30.
P { margin-bottom: 0.08in; } A physician criticizes the care provided by a nurse in an area where others are present. Which actions by the nurse would the manager interpret as a covert conflict behavior resulting from this situation?
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The nurse says, “You can’t talk to me like that.”
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The nurse avoids the physician in the hallway.
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The nurse refuses to care for the physician’s clients.
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The nurse is no longer as careful in caring for this physician’s clients.
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The nurse is apathetic about the care of clients.
Correct Answer(s)
A. The nurse avoids the physician in the hallway.
A. The nurse is no longer as careful in caring for this physician’s clients.
A. The nurse is apathetic about the care of clients.Explanation
The nurse avoiding the physician in the hallway, no longer being as careful in caring for the physician's clients, and being apathetic about the care of clients can all be interpreted as covert conflict behaviors resulting from the physician's criticism. Avoiding the physician and being less careful with their clients may be the nurse's way of expressing their displeasure or resentment towards the physician. Being apathetic about the care of clients may be a passive-aggressive response to the criticism.Rate this question:
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Current Version
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Aug 18, 2023Quiz Edited by
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Oct 06, 2013Quiz Created by
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