The charge nurse on the cardiac unit is counseling a staff nurse because the nurse has clocked in late multiple times for the 7:00 a.m. to 7:00 p.m. shift. Which conflict resolution uses the win-win strategy?
The charge nurse learns that the staff nurse is having childcare issues; therefore, the charge nurse allows the staff nurse to work a 9:00 a.m. to 9:00 p.m. shift.
The staff nurse asks another employer to talk to the charge nurse to explain that they are a valuable part of the team.
The charge nurse places the staff nurse on probation, with the understanding that the next time the staff nurse is late to work it will result in termination.
The charge nurse terminates the staff nurse in accordance with hospital policy so that a new nurse can be assigned to the unit.
The Correct Answer is A
Conflict resolution employs collaborative problem-solving to achieve integrative solutions where all parties' needs are met. This interpersonal strategy emphasizes open communication and flexible scheduling to maintain workforce stability while upholding organizational standards and professional accountability.
Rationale:
A. Accommodating childcare challenges while maintaining staffing hours represents a win-win outcome. Both the staff nurse and the facility benefit because the nurse retains employment while the unit ensures all clinical shifts are fully covered.
B. Involving a third party to validate one's value is an avoidance tactic rather than resolution. It fails to address the tardiness issue directly and does not result in a sustainable or mutually beneficial agreement between the primary parties.
C. Placing a nurse on probation is a competing strategy that utilizes formal authority to enforce compliance. While it addresses the policy violation, it creates a lose-win dynamic where the nurse’s personal needs remain entirely unaddressed and ignored.
D. Termination is a punitive action that results in a win-lose or lose-lose outcome. The nurse loses their professional position, and the unit loses an experienced staff member, necessitating costly and time-consuming recruitment for a replacement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Severe malnutrition in anorexia nervosa triggers electrolyte imbalances, specifically hypokalemia and hypomagnesemia, which disrupt myocardial electrical conduction. This state of metabolic instability leads to bradycardia and lethal dysrhythmias. Physiological restoration of nutritional homeostasis is the immediate life-saving priority over psychological or family-based interventions.
Rationale:
A. Establishing a sense of control is a vital long-term psychotherapeutic objective for recovery from eating disorders. However, psychological milestones are secondary to physiological stabilization when life-threatening arrhythmias are present. The nurse must prioritize physical survival before addressing behavioral or cognitive autonomy issues.
B. Addressing body dysmorphia is essential for resolving the cognitive distortions that drive restrictive eating behaviors. Despite its importance in psychiatric rehabilitation, it does not mitigate the immediate mortality risk associated with cardiac instability. Physiological needs always take precedence over psychosocial needs in the acute clinical setting.
C. Restoring body weight is the priority to reverse myocardial atrophy and correct the biochemical deficiencies causing arrhythmias. Reaching a safe weight threshold facilitates cardiac recovery and prevents sudden death. This goal addresses the most acute threat to the client’s physical integrity and survival.
D. Enhancing family dynamics and promoting autonomy are components of systemic therapy used during the maintenance phase. While these promote long-term resilience, they do not resolve the acute starvation state or the current cardiac emergency. Clinical focus must remain on biological stabilization during the initial hospitalization phase.
Correct Answer is C
Explanation
Advance directives facilitate patient autonomy by documenting healthcare preferences before incapacitation. These legal instruments ensure that end-of-life decisions align with the individual's values, particularly during high-acuity surgeries where the risk of losing decision-making capacity is significant.
Rationale:
A. A DNR is a specific medical order signed by a physician, not a comprehensive advance directive. It only addresses cardiopulmonary resuscitation and is too narrow for a client needing broad representation during an upcoming emergency surgery.
B. A living will specifies treatment preferences but is often limited to terminal conditions or persistent vegetative states. In emergency surgery, it may not cover the real-time complexities and fluid clinical decisions required by the surgical team.
C. A durable power of attorney for health care (DPOA-HC) is ideal for surgical patients. It designates a healthcare proxy to make diverse medical decisions if the client is anesthetized or unconscious, ensuring continuous advocacy.
D. A general power of attorney typically grants authority over financial matters and legal transactions. It does not automatically provide the legal right to make medical choices, making it inappropriate for clinical end-of-life or surgical planning.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.