As the nurse manager on a rehab unit, you are asked to come to the tub room immediately because two nursing assistants are having a loud disagreement in front of a client. You ask the nursing assistants to meet you outside and, after ensuring that a third nursing assistant is able to care for the client, you speak with the two nursing assistants. Which of the following would you ask first?
"What happened to bring on this disagreement today?"
"How do you think the client's perception of her care has been changed?"
"Why do you think the other person is wrong?"
"How long have you two been working together?"
The Correct Answer is A
Choice A reason: Asking what happened to initiate the disagreement is a direct approach to understanding the root cause of the conflict. It allows the nurse manager to gather facts and assess the situation before making any judgments.
Choice B reason: Understanding the impact on the client's perception of care is important, but it is secondary to resolving the conflict between the staff members. The immediate concern is to address the cause of the disagreement.
Choice C reason: Asking why one thinks the other is wrong may escalate the conflict by focusing on blame rather than resolution. It is more constructive to understand the events that led to the disagreement.
Choice D reason: Knowing how long the nursing assistants have been working together could provide context to their working relationship, but it does not address the immediate issue of the disagreement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This option is the most detailed and provides clear instructions for the UAP, including a specific task, a time frame, and what to do if there is an issue. It promotes patient safety and ensures proper communication and follow-up.
Choice B reason: This statement is inappropriate as it expresses doubt about the UAP's competence, which can undermine confidence and does not provide clear guidance or expectations.
Choice C reason: While this choice includes an action and a follow-up, it lacks specificity about the task and does not mention a time frame for reporting potential issues, which is crucial for patient safety and effective delegation.
Choice D reason: This option is too vague and does not provide specific instructions or expectations for the UAP, which could lead to confusion and potential neglect of important care details.
Correct Answer is D
Explanation
Choice A reason: Purchasing software may help with tracking activities, but it is not the first step in managing time effectively. It does not address the underlying issues of time management.
Choice B reason: Reorganizing spaces can be helpful, but without clear goals, it may not lead to effective time management.
Choice C reason: Identifying time-consuming activities is important, but it should come after setting clear goals to provide direction for prioritization.
Choice D reason: Determining personal and professional goals is the first step in time management as it allows the manager to prioritize activities and align them with their objectives.
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