A nurse manager discovers there is a conflict between nurses working the day shift and nurses working the night shift. Which of the following actions should the nurse manager take first?
Meet with a committee of nurses from each shift to discuss issues related to the conflict.
Gather information regarding the situation.
Acknowledge the conflict and encourage the nurses to focus on working as a team.
Encourage the nurses to resolve the conflict autonomously.
The Correct Answer is B
Rationale:
A. Meeting with a committee of nurses from each shift to discuss the conflict is an important step in resolving the issue, but it should not be the first action. Without a clear understanding of the underlying causes, the meeting may not effectively address the conflict.
B. Gathering information regarding the situation is the first step the nurse manager should take. This involves assessing the perspectives of all parties, identifying the source and severity of the conflict, and collecting objective facts. This step aligns with the nursing process and effective conflict management, as it ensures that any interventions are informed and appropriate.
C. Acknowledging the conflict and encouraging teamwork is a supportive approach, but it does not address the root causes. Without gathering information first, this action may be premature and ineffective in resolving the conflict.
D. Encouraging nurses to resolve the conflict autonomously may be suitable for minor disagreements, but in this case, a conflict between day and night shift staff likely affects unit function and patient care. The nurse manager must first assess the situation before deciding on the appropriate level of intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Ensuring that clients are fully informed about treatment options relates to informed consent, not HIPAA. While HIPAA protects information, it does not guarantee client education or decision-making regarding treatments.
B. HIPAA does not automatically allow information to be shared with loved ones. Client information can only be disclosed to family members or others with the client’s explicit consent, unless there is an emergency or legal requirement to do so.
C. HIPAA is a federal law, so its rules and penalties are consistent nationwide. While some states may have additional privacy regulations, the basic HIPAA regulations do not vary by state.
D. HIPAA allows sharing of confidential client information among healthcare providers for the purpose of treatment, payment, and healthcare operations without requiring separate client authorization. This includes consulting providers, which ensures coordinated, safe, and effective care while maintaining confidentiality.
Correct Answer is D
Explanation
Rationale:
A. Admitting clients directly to positive-pressure rooms is inappropriate in chemical exposure incidents because positive pressure could spread contaminants to other areas. Initial decontamination should occur outside the facility.
B. Placing shower caps over hair does not remove chemical contaminants. Decontamination requires removing the source of exposure, not just covering it.
C. Scrubbing clients’ skin with betadine solution is not recommended. Harsh antiseptics can cause chemical reactions or skin injury. Decontamination should be performed with copious amounts of water.
D. Removing contaminated clothing is the priority step in chemical exposure incidents. This eliminates the primary source of chemical contamination, reducing absorption and preventing further harm to the client and the environment. Clothing should be carefully removed and contained to prevent secondary contamination.
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