A charge nurse allows a nurse an additional twenty minutes for his lunch break to take care of a personal matter. The charge nurse agrees to watch his patients for the additional twenty minutes, only if he agrees to help with the end-of-shift drug count. The charge nurse is demonstrating which of the following types of conflict management?

A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.

A. Referring all errors in nursing judgment to state disciplinary boards: Nurse managers are responsible for addressing nursing errors appropriately within their organization and may involve disciplinary boards when necessary, but not all errors require such referral.

B. Verifying that attending physicians are properly licensed to provide care on patient care units: This responsibility typically falls under the purview of medical credentialing departments, not nurse managers.

C. Practicing within legal guidelines established under state law and nurse practice acts: Nurse managers must ensure their practice and that of their staff adheres to state laws and nurse practice acts to maintain legal and professional standards.

D. Creating an environment of severe consequences for nursing errors to ensure quality practice: A punitive approach can create a blame culture, which is counterproductive. A focus on education and system improvement is more effective.

E. Ensuring that nursing staff under their supervision are currently licensed to practice: Nurse managers are responsible for verifying that all nursing staff hold valid and current licenses to practice, ensuring compliance with regulatory requirements.