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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

Rationale:
A. Administering a medication 30 minutes late is generally considered a minor deviation from the schedule and may be documented in the medical record, but it does not usually require an incident report unless it caused harm to the client.

B. A client refusing physical therapy is an exercise of patient autonomy and does not constitute an incident that causes harm. This is documented in the medical record but does not require an incident report.

C. A visitor pinching his finger in the client’s bed frame is considered an unanticipated event involving injury. Incident reports are required for injuries to clients, staff, or visitors, as well as for events that could have caused harm. This allows the facility to investigate, implement corrective measures, and prevent future occurrences.

D. A client throwing a box of tissues at a nurse is a behavioral or safety concern. While it may be documented for safety purposes, it typically does not require a formal incident report unless injury or significant risk occurred.

A. Request that the coworker complete an incident report. B. Submit an incident report to the risk manager C. File an anonymous report of the incident to the nurse manager D. Document a factual account of the incident. E. Identify all witnesses to the incident

Correct Answer is ["B","D","E"]

Explanation

Rationale:

A. Requesting that the coworker complete an incident report is inappropriate. The responsibility for reporting improper handling of controlled substances falls on the witness and the facility’s reporting system, not the person who committed the violation.

B. Submitting an incident report to the risk manager is correct. The risk manager ensures the incident is formally documented, reviewed, and addressed according to facility policy and regulatory requirements, preventing future errors and ensuring accountability.

C. Filing an anonymous report is not the preferred method. Reports should be factual, signed, and traceable to ensure proper follow-up, investigation, and legal compliance.

D. Documenting a factual account of the incident in objective terms is essential. Documentation should include what was observed, the time, date, and actions taken, avoiding opinions or assumptions.

E. Identifying all witnesses ensures a complete and accurate account of the incident. Witnesses can corroborate facts during investigation and support accountability.

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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?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["B","D","E"]

Explanation

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