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.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Choice A reason: Posting comparisons of client satisfaction scores can be motivating for the staff, but it may also create unnecessary competition and stress, which could negatively impact client care and satisfaction.
Choice B reason: Involving staff in resolving client issues quickly and effectively can directly improve client satisfaction. It demonstrates a commitment to addressing concerns and improving the client experience.
Choice C reason: Asking clients to put complaints in writing can be part of a formal grievance process, but it may not strengthen client satisfaction as it could be perceived as bureaucratic and unresponsive.
Choice D reason: Ensuring that staff apologize only when it is their fault does not foster a culture of accountability and service recovery, which are important for client satisfaction. Apologies can be powerful in healing and restoring client trust, even if the staff is not at fault.
Correct Answer is D
Explanation
Choice A reason: Responsibility refers to the obligation to perform duties and tasks, but it does not imply the transfer of activities to another individual.
Choice B reason: Legal authority pertains to the power granted by law to perform certain actions, which is not specific to the delegation of tasks.
Choice C reason: Accountability is the obligation to report, explain, and be answerable for resulting consequences, not the act of transferring tasks.
Choice D reason: Supervision is the correct term as it involves overseeing the performance of tasks by another individual, ensuring that they are carried out correctly and safely.
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