A preceptor is explaining different types of conflict to a new graduate nurse. Which example best describes an intrapersonal conflict?

A nurse disagrees with a physician's orders for a patient's pain medication.

A nurse wants to apply for a management position but feels as if she already spends too much time at work.

A nurse opposes a charge nurse's instructions to set up equipment for a procedure.

A nurse feels helpless when other nurses do not step in to assist her with a heavy workload.

Answer and Explanation

The Correct Answer is B

Conflict in nursing manifests as a struggle between opposing forces, significantly impacting professional performance and psychological well-being. Intrapersonal conflict occurs within an individual, involving internal dissonance between personal values, professional roles, or competing psychological motives that require complex decision-making processes.

Rationale:

A. This scenario illustrates interpersonal conflict, which involves a disagreement between two or more individuals. The disagreement regarding physician orders highlights a professional misalignment between members of the healthcare team regarding a specific clinical intervention for pain management.

B. This represents a classic internal struggle between a desire for career advancement and a personal need for work-life balance. The internal tension between two competing goals characterizes the subjective nature of intrapersonal conflict within the nurse’s own psyche.

C. Opposing a superior’s instructions is a form of interpersonal conflict, often rooted in issues of authority or power dynamics. This opposition creates external friction between the subordinate and the leadership, rather than an internal psychological struggle within the nurse.

D. Feeling helpless due to a lack of teamwork describes a response to organizational or interpersonal issues. The helplessness results from an external lack of support and perceived inequity in workload distribution among the nursing staff on the unit.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

Respiratory acidosis occurs when alveolar hypoventilation impairs the clearance of carbon dioxide, leading to hypercapnia. The kidneys eventually compensate through bicarbonate retention, but acute shifts cause rapid pH drops below 7.35. Obstruction or impaired gas exchange are the primary physiological triggers for this acid-base imbalance.

Rationale:

A. Oxygen administration treats hypoxemia, but the client’s PaO2 of 87 mmHg is currently within the normal 80-100 mmHg range. This intervention does not address the underlying hypercapnia or the elevated PaCO2 level. Oxygen won't improve ventilation mechanics in this specific scenario.

B. This is the priority intervention to facilitate carbon dioxide removal. Promoting lung expansion and clearance of secretions through coughing and deep breathing improves alveolar ventilation and restores acid-base balance. It addresses the root cause of respiratory acidosis directly.

C. While the provider should be informed of abnormal results, the nurse must first implement independent nursing interventions. Stabilizing the client through improved ventilation is the immediate priority before performing clerical notification. Immediate clinical action takes precedence over reporting.

D. The pulse oximetry provides a non-invasive estimate of oxygen saturation, but the ABG already confirms a normal PaO2 level. Obtaining more data on oxygenation is redundant and delays the necessary treatment for respiratory distress. Focus must remain on correcting the pH.

A. I can arrange a conference for you and your family with the oncologist would that be okay?" B. "Is there something your oncologist told you about your options you don't understand?" C. "You should discuss your concerns with your oncologist I cannot give any medical advice." "know that if I had breast cancer, I would have both chemotherapy and radiation." D. "Have you asked for a second opinion yet? There might be other options for treatment."

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

Explanation

Oncology communication requires therapeutic communication, patient autonomy, shared decision-making, and interdisciplinary collaboration. Nurses facilitate understanding, clarify information, and support informed choices while avoiding personal bias or prescriptive advice in complex cancer treatment planning.

Rationale:

A. Arranging a conference with the oncologist supports coordinated care and ensures accurate information delivery. It facilitates patient understanding and family involvement in decision-making. This promotes interdisciplinary collaboration and enhances informed consent through direct communication with the specialist.

B. Asking about unclear information encourages the client to express concerns and promotes clarification of prior teaching. It uses open-ended communication to assess knowledge gaps. This supports therapeutic communication and improves patient understanding without introducing bias or misinformation.

C. Stating inability to give advice and then offering a personal treatment preference is inappropriate and contradictory. Personal opinions can influence decisions and violate professional boundaries. This undermines professional integrity and introduces personal bias into sensitive clinical decision-making.

D. Suggesting a second opinion is appropriate as it empowers the client to explore all treatment options. It supports autonomy and informed decision-making without directing a specific choice. This enhances patient autonomy and promotes comprehensive evaluation of treatment options.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A preceptor is explaining different types of conflict to a new graduate nurse. Which example best describes an intrapersonal conflict?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is evaluating the client's arterial blood gas report. Which action should the nurse take first?

Correct Answer is B

Explanation

The client, who has a recurrence of breast cancer, questions the female nurse about treatment options. Which responses by the nurse would be appropriate? Select All That Apply.

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

Explanation

The nurse is observing the nursing student caring for the client with an artificial eye. What action by the student nurse would require intervention?

A nurse is teaching a client who has osteoarthritis of the hip and knee about self-management of the disease. Which statements should the nurse include in the teaching? Select All That Apply.

A client has been prescribed norepinephrine 152 mcg. The concentration of norepinephrine is 8 mg mixed in 250 mL of DSW. How many mL should the nurse administer? Round to the whole number.

A nurse is collaborating with an interdisciplinary team to develop a plan of care for a client. Which tool should the nurse use to guide the delivery of care?

A new nurse manager plans to examine the staff's interprofessional collaboration skills. Which actions by staff should the nurse anticipate to promote interprofessional collaboration? Select All That Apply.

A charge nurse is a member of the resource management team for a skilled care facility. Which action should the charge nurse take to ensure the facility provides cost-effective wound care for clients?

The registered nurse preceptor plans to teach a new graduate registered nurse about nursing actions to prevent falls. Which actions should the preceptor include? Select All That Apply.

Which of the staff nurse's personal attributes is an important consideration for the unit manager when deciding whether to make an experienced nurse a preceptor for new graduates? Select All That Apply.