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?"

Answer and Explanation

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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Correct Answer is D

Explanation

Choice A reason: A functional structure is an organizational design that groups employees by their similar skills and expertise. While it involves clear roles and responsibilities, it does not necessarily imply that the majority of decisions are made by senior administrators.

Choice B reason: Transformational leadership is a style of leadership where the leader works with teams to identify needed change, creating a vision to guide the change through inspiration. This does not specifically describe an organization with clear rules and procedures.

Choice C reason: A matrix service line is a type of management system that combines a traditional departmental structure with a project-based structure. This choice does not fit the description of an organization primarily governed by strict rules and senior administrator decisions.

Choice D reason: This is the correct answer because a bureaucratic organization is characterized by formal procedures and protocols, a clear hierarchy, and decision-making authority typically residing with senior administrators. This structure is designed to ensure efficiency and consistency in operations.

A. Planning an opportunity for Z to return and be recognized at a staff farewell. B. Meeting with Z, a Human Resources representative, and you to deliver the termination notice and all other related documents. C. Calling Z at home to inform Z about the termination and to expect the formal paperwork in the mail at a later date. D. Calling Z into a meeting in your office on the unit, where assistance is available, should Z become upset or agitated.

Correct Answer is B

Explanation

Choice A reason: Planning a farewell event is considerate but may not be appropriate in the context of termination due to conflict, as it could lead to further tension.

Choice B reason: This is the most professional and respectful approach, allowing for a private discussion and the opportunity to address any questions or concerns directly.

Choice C reason: Informing an employee of termination over the phone can feel impersonal and may not provide the necessary support during such a sensitive conversation.

Choice D reason: While it is important to offer support, calling an employee to the office without prior notice can be distressing and may not be the most considerate approach.

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Naxlex Comprehensive Predictor Exams

A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:

Correct Answer is D

Explanation

You need to terminate staff member Z, who has had a long-standing history of conflict with you and other employees. You consult with Human Resources, and together, you develop a plan, which includes:

Correct Answer is B

Explanation

In a well-functioning team, what key concept can hamper performance?

At a hospital, there has been a 20% increase in incidents of instruments and sponges being left in patients during surgery, and surgeries performed on the wrong limbs. These incidents are known as:

Before terminating an employee, a nurse manager must:

Emotional intelligence in a leader should inspire those who follow this leader. What is the best example that illustrates emotional intelligence?

A nurse intervenes when a client attempts to harm herself on the unit. During the interaction, the client slaps the nurse across the face, as a manager, it is important that you:

When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?

The nurse case manager is working with a client admitted for end-stage renal disease. The case managers major goal concerning the patient during this hospitalization is?

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because: