In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?

The conflict can help nurses better identify their common values.

Diverted attention and energy from patient care may potentially impact patient well-being.

The policy change, being the correct choice, will improve the overall unit performance.

When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group.

Debriefing involves temporarily setting aside the significance of our actions to concentrate on the actions themselves.

Answer and Explanation

The Correct Answer is B

Choice A Reason:

The conflict can help nurses better identify their common values. While conflict can sometimes lead to positive outcomes, such as a deeper understanding of shared values and improved communication, it often requires effective conflict resolution strategies and a supportive environment. In the context of a new policy that has already sparked mistrust, it is less likely that the immediate outcome will be positive without deliberate efforts to address the underlying issues.

Choice B Reason:

Diverted attention and energy from patient care may potentially impact patient well-being. This is a significant concern in healthcare settings, especially in intensive care units where patient needs are critical. When nurses are preoccupied with internal conflicts and mistrust, their focus on patient care can be compromised, leading to potential negative outcomes for patients. Ensuring that the team remains cohesive and focused on patient care is essential for maintaining high standards of care and patient safety.

Choice C Reason:

The policy change, being the correct choice, will improve the overall unit performance. This statement assumes that the policy change is inherently beneficial and that its positive effects will be immediately apparent. However, even well-intentioned policies can face resistance if not properly communicated and implemented. The initial mistrust and conflict may hinder the potential benefits of the policy, at least in the short term.

Choice D Reason:

When observing the favorable results of the decision, the dissenting nurses may recognize their previous stance was mistaken, promoting unity within the group. While this outcome is possible, it is not the most likely immediate outcome given the initial mistrust and conflict. It often takes time for the positive effects of a policy change to become evident and for dissenting team members to change their perspectives. Effective leadership and communication are crucial in facilitating this process.

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Correct Answer is B

Explanation

Choice A Reason:

“Critical pathways ensure cost-effective outcomes at a reduced cost.” While critical pathways can help in managing costs by standardizing care and reducing unnecessary variations, the primary focus is on improving patient outcomes. Cost-effectiveness is a benefit, but it is not the main purpose of critical pathways.

Choice B Reason:

“Critical pathways result in better care outcomes.” This statement accurately reflects the primary goal of critical pathways. These pathways are designed to standardize care processes, reduce variability, and ensure that patients receive evidence-based care. By following critical pathways, healthcare providers can improve the quality of care, enhance patient outcomes, and ensure consistency in treatment.

Choice C Reason:

“Critical pathways must be followed in the prescribed order to meet optimal outcomes.” While it is important to follow critical pathways to achieve the desired outcomes, there should be some flexibility to accommodate individual patient needs. Strict adherence without considering patient-specific factors can lead to suboptimal care. Critical pathways provide a framework, but clinical judgment is essential to tailor care to each patient.

Choice D Reason:

“Critical pathways are utilized to guide health promotion activities.” Critical pathways are primarily used to manage clinical care processes and ensure that patients receive standardized, evidence-based treatment. While they can include elements of health promotion, their main focus is on managing specific clinical conditions and improving patient outcomes.

Choice E Reason:

“Individual healthcare providers create critical pathways to guide the care they offer to their patients.” Critical pathways are typically developed by multidisciplinary teams, including physicians, nurses, and other healthcare professionals. They are based on best practices and evidence-based guidelines. Individual providers may contribute to the development of critical pathways, but they are not created by a single provider.

A. Identifying weaknesses in clinical knowledge. B. Identifying job responsibilities. C. Role development. D. Identifying where to obtain support. E. Determining job expectations.

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

Explanation

Choice A Reason:

Identifying weaknesses in clinical knowledge. Identifying weaknesses in clinical knowledge is crucial for professional growth and ensuring high-quality patient care. By recognizing areas where improvement is needed, nurses can seek additional training and education to enhance their skills. This continuous self-assessment helps maintain competency and ensures that nurses are up-to-date with the latest medical practices and technologies.

Choice B Reason:

Identifying job responsibilities. Understanding job responsibilities is essential for effective performance in any role. The ROLES assessment helps nurses clarify their duties and expectations, which can reduce confusion and improve job satisfaction. Clear identification of responsibilities also aids in prioritizing tasks and managing time efficiently, leading to better patient outcomes.

Choice C Reason:

Role development. Role development is a key aspect of professional nursing practice. It involves expanding one’s skills, knowledge, and responsibilities over time. The ROLES assessment supports this by identifying areas for growth and development, enabling nurses to take on more advanced roles and responsibilities within their practice. This progression is vital for career advancement and personal fulfillment in the nursing profession.

Choice D Reason:

Identifying where to obtain support. Knowing where to obtain support is critical for managing the challenges of nursing. The ROLES assessment can highlight resources and support systems available to nurses, such as mentorship programs, peer support, and professional organizations. Access to these resources can help nurses cope with stress, improve their practice, and enhance their overall well-being.

Choice E Reason:

Determining job expectations. Determining job expectations is fundamental for aligning personal goals with organizational objectives. The ROLES assessment helps nurses understand what is expected of them in their roles, which can lead to better performance and job satisfaction. Clear expectations also facilitate effective communication between nurses and their supervisors, ensuring that everyone is working towards common goals.

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In the intensive care unit, nurses disagree with a new policy imposed by the manager. The decision sparks mistrust among the team. What’s the most likely outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A charge nurse is educating a newly licensed nurse regarding the utilization of critical pathways. What should the charge nurse incorporate?

Correct Answer is B

Explanation

As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in: (Select all that apply)

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

Explanation

According to the ANA Systematic Practices, nurses’ contributions to quality health care and their professional roles are scaled in:

Which of the following scenarios best exemplifies compromising?

A charge nurse is planning to conduct a performance appraisal of a staff member on her unit. Which of the following actions should the nurse take?

The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:

According to the Nursing Intellectual Capital (NiC) Theory, which factor increases overall organizational improvement?

In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that: