Two nurses approach their manager with a patient assignment conflict, speaking loudly and simultaneously. What should the manager do to exhibit effective negotiation skills?

The manager advises the nurses to work out the problem between them.

The manager sends both nurses away, emphasizing that they cease their complaints.

The manager requests each nurse, individually, to state their position.

The manager cautions the nurses that if the issue isn’t resolved, disciplinary actions may be necessary.

Answer and Explanation

The Correct Answer is C

Choice A Reason

Advising the nurses to work out the problem between them can be a useful strategy in some situations, as it encourages direct communication and problem-solving. However, in this scenario, the nurses are already speaking loudly and simultaneously, indicating a high level of conflict and emotional intensity. Without managerial intervention, the situation may escalate further. Therefore, this approach may not be effective in resolving the immediate conflict.

Choice B Reason

Sending both nurses away and emphasizing that they cease their complaints is not an effective negotiation strategy. This approach dismisses the concerns of the nurses and does not address the underlying issue. It can lead to feelings of frustration and resentment, potentially worsening the conflict. Effective negotiation requires active listening and addressing the concerns of all parties involved.

Choice C Reason

Requesting each nurse, individually, to state their position is an effective negotiation strategy. This approach allows the manager to understand each nurse’s perspective and the specifics of the conflict. By listening to each nurse separately, the manager can gather all relevant information, reduce the emotional intensity, and facilitate a more structured and productive discussion. This method promotes fairness and ensures that both parties feel heard and respected.

Choice D Reason

Cautioning the nurses that disciplinary actions may be necessary if the issue isn’t resolved is a punitive approach that can escalate the conflict. This strategy may create a hostile environment and discourage open communication. Effective negotiation focuses on finding mutually acceptable solutions rather than threatening consequences. It is important to address the conflict constructively and collaboratively.

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Correct Answer is E

Explanation

Choice A Reason:

Discarding systematic reviews is not a recommended approach for determining the quality and strength of a research study. Systematic reviews are comprehensive summaries of all the available evidence on a particular topic and are considered one of the highest levels of evidence in research. They use rigorous methods to identify, evaluate, and synthesize the results of relevant studies, providing a reliable overview of the evidence. Discarding them would mean ignoring a valuable source of high-quality information.

Choice B Reason:

Selecting only studies with meta-analyses since they are the weakest form of evidence is incorrect. In fact, meta-analyses are considered one of the strongest forms of evidence. They combine data from multiple studies to provide a more precise estimate of the effect of an intervention or exposure. By pooling data, meta-analyses increase the statistical power and provide more robust conclusions than individual studies alone. Therefore, this choice is based on a misunderstanding of the strength of meta-analyses.

Choice C Reason:

Evaluating the quality of studies with a sample size of at least 250 people is not sufficient on its own to determine the quality and strength of a research study. While a larger sample size can increase the reliability of study results, it is not the only factor to consider. Other important aspects include the study design, methodology, data analysis, and potential biases. A comprehensive evaluation should consider all these factors rather than focusing solely on sample size.

Choice D Reason:

Accepting only studies that use a randomized controlled trial (RCT) design is too restrictive. While RCTs are considered the gold standard for evaluating the effectiveness of interventions due to their ability to minimize bias, they are not always feasible or ethical for all research questions. Other study designs, such as cohort studies, case-control studies, and qualitative research, can also provide valuable insights. Therefore, it is important to evaluate the quality of studies based on their design and methodology rather than excluding non-RCT studies outright.

Choice E Reason:

Evaluating studies against the standards for that type of research is the best approach to determine the quality and strength of a research study. This involves using established criteria and guidelines to assess the study’s design, methodology, data analysis, and reporting. By comparing the study to the standards for its specific type, researchers can identify strengths and weaknesses, determine the reliability of the findings, and make informed decisions about the evidence. This comprehensive approach ensures that all relevant factors are considered in the evaluation process.

A. Dameeka, RN, asks her head nurse if she can go on the permanent evening shift. The head nurse, Jose, agrees, as long as Dameeka agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system. B. The technology committee has recommended a clinical system for implementation on the nursing unit. Staff are anxious about the change. Tim, the head nurse, asks staff for ideas on how to meet the technology goals and to meet staff needs. C. Rita, the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit. D. During management meetings, Franklin, the head nurse on nephrology, dominates meetings and decisions. Alicia, the head nurse on the cardiac step-down unit, begins to miss the management meetings.

Correct Answer is A

Explanation

Choice A Reason

This scenario exemplifies compromising because both parties make concessions to reach a mutually beneficial agreement. Dameeka wants to work the evening shift permanently, and Jose, the head nurse, agrees to this request on the condition that Dameeka assists in mentoring the evening staff on the new clinical information system. This arrangement allows both parties to achieve their goals while making necessary adjustments to accommodate each other’s needs.

Choice B Reason

This scenario demonstrates collaboration rather than compromising. Tim, the head nurse, involves the staff in the decision-making process by asking for their ideas on how to meet the technology goals and address their needs. Collaboration involves working together to find a solution that satisfies all parties, whereas compromising involves making concessions.

Choice C Reason

This scenario does not exemplify compromising. Rita, the head nurse, avoids conflict by coming to work after Tom leaves the unit. This approach does not involve any negotiation or mutual agreement but rather avoidance of the issue altogether.

Choice D Reason

This scenario illustrates avoidance and disengagement rather than compromising. Alicia, the head nurse on the cardiac step-down unit, begins to miss management meetings because Franklin dominates the meetings and decisions. There is no attempt to negotiate or reach a mutual agreement in this situation.

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Two nurses approach their manager with a patient assignment conflict, speaking loudly and simultaneously. What should the manager do to exhibit effective negotiation skills?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following approaches is best to determine the quality and strength of a research study?

Correct Answer is E

Explanation

Which of the following scenarios best exemplifies compromising?

Correct Answer is A

Explanation

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Two nurses approach their manager with a patient assignment conflict, speaking loudly and simultaneously. What should the manager do to exhibit effective negotiation skills?

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