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In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is "right," and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?

Upon noticing the positive outcomes of the decision, the disagreeing nurses will see the error of their ways, resulting in intergroup cohesiveness.

Patient care may suffer because attention and energy is being diverted.

The conflict will allow nurses to more clearly identify their shared values.

Overall unit outcomes will be enhanced since the policy change is the right decision.

Answer and Explanation

The Correct Answer is B

A. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.
B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.
C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.
D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.

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Correct Answer is C

Explanation

A. Waiting to speak only when certain undermines open communication and can stifle collaboration, which is crucial for synergistic function.
B. While expertise is valuable, relying solely on one person's opinion can lead to a lack of diverse perspectives and contributions from all team members.
C. Active listening among team members fosters an environment of respect and understanding, which is essential for synergy, allowing for the integration of ideas and better decision-making.
D. Not volunteering information can hinder communication and collaboration, which are necessary for teams to function effectively together.

A. Implement an evidence-based plan of action. B. Establish a vision and mission statement for the impending change. C. Search the environment for its strengths, weaknesses, opportunities, and threats. D. Develop a strategy with an interdisciplinary team.

Correct Answer is B

Explanation

A. Implementing a plan without first establishing a clear vision and mission could lead to confusion and misalignment among team members regarding the goals of the program.
B. Establishing a vision and mission statement is crucial as it provides direction and purpose for the strategic planning process, guiding subsequent actions and decisions.
C. While assessing strengths, weaknesses, opportunities, and threats is important, it typically comes after defining the vision and mission to ensure that planning aligns with overall goals.
D. Collaborating with an interdisciplinary team to develop a strategy is essential but should occur after establishing a foundational vision and mission statement to ensure that everyone is aligned toward common objectives.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

By following a shared leadership model, the nurse manager believes that staff members will learn to function synergistically. Some teams function synergistically because members:

Correct Answer is C

Explanation

Planning is a process designed to achieve goals in dynamic, competitive environments. As a new manager, what is the first step you will undertake to develop a strategic plan of action for a congestive heart failure program?

Correct Answer is B

Explanation

You are supervising a new graduate LPN who is ordered to perform tracheostomy care. The LPN states that she has performed this procedure only a handful of times, and completes the task slowly. Which of the following actions made by you is most appropriate?

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A nurse is caring for a client whose informed consent form has been signed in preparation for a procedure. The client states, "I have decided not to have the procedure." Which of the following actions should the nurse take?

A nurse is instructing a newly licensed nurse about the scope and standards of nursing practice. Which of the following characteristics best describes standards of practice?

At the beginning of the shift, the RN charge nurse instructs an RN to care for a particular set of patients. Upon receiving and acknowledging their assignment the RN assumes: