Two nurses on a unit each contend that the other is not doing a fair share of work. The conflict is affecting the functioning of the unit. A charge nurse should approach this conflict in which of the following ways?
Schedule the nurses to work on alternating shifts.
Organize a task force to evaluate the situation.
Tell the nurses that it is their responsibility to cooperate with coworkers.
Explore alternative solutions to address unit workflow with the nurses.
The Correct Answer is D
The correct answer is choice D: Explore alternative solutions to address unit workflow with the nurses.
Choice A rationale:
Scheduling the nurses to work on alternating shifts (Choice A) might alleviate the immediate conflict, but it doesn't address the root cause of the issue, which is their perceived unequal workload. This approach could also disrupt the unit's continuity of care and potentially lead to further conflicts.
Choice B rationale:
Organizing a task force to evaluate the situation (Choice B) could be beneficial in the long run for identifying systemic issues contributing to the conflict. However, this approach might take time to yield results. In the meantime, the conflict could continue to negatively impact the unit's functioning.
Choice C rationale:
Telling the nurses that it's their responsibility to cooperate with coworkers (Choice C) is oversimplifying the situation. While cooperation is important, conflicts often arise from deeper issues that need to be addressed constructively. This choice doesn't provide a clear plan for resolving the workload disparity.
Choice D rationale:
Exploring alternative solutions to address unit workflow with the nurses (Choice D) is the most effective approach. By engaging the nurses in problem-solving discussions, the charge nurse can identify the reasons behind their perception of unfair workload distribution and collaboratively develop strategies to ensure a more equitable division of tasks. This approach promotes communication, collaboration, and shared accountability.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Ethics committees are tasked with providing guidance and recommendations in ethical dilemmas. They don't make the final decisions, but rather facilitate discussions and help individuals involved in the situation to weigh the options and make informed choices. This is consistent with the committee's role in addressing complex ethical decisions.
Choice B rationale:
Providing a legal representative for the family is not the primary role of an ethics committee. Legal representation is a separate matter and might be considered in situations where there are legal implications, but the committee's primary function is to address ethical concerns and conflicts.
Choice C rationale:
While ethics committees can offer recommendations, their focus is not necessarily on determining the best course of action for the client. Instead, they help individuals explore ethical principles and values to make decisions that align with the client's best interests.
Choice D rationale:
The ethics committee does not make decisions on behalf of the nursing team. Its role is to provide guidance and promote ethical discussions. Deciding how the nursing team should resolve the dilemma is beyond the committee's scope.
Correct Answer is C
Explanation
The correct answer is C.
Choice A: Take extra wheelchairs to the emergency department While having extra wheelchairs available can be helpful in a disaster situation, it is not the primary responsibility of the PACU charge nurse. The logistics of equipment distribution would typically be managed by a different team or department.
Choice B: Send PACU assistive personnel to assist with triage Triage is a critical part of disaster response, but it is typically performed by trained emergency department personnel or those with specific training in disaster triage. PACU personnel should focus on their area of expertise, which is post-anesthesia care.
Choice C: Identify stable clients for transfer to a surgical unit This is the correct action. By identifying stable clients for transfer, the PACU charge nurse can free up space for incoming patients who may require immediate post-operative care. This action helps to ensure that the PACU is ready to receive patients who are likely to come from the emergency department after immediate lifesaving interventions.
Choice D: Report to the command center for further instructions While communication with the command center is important in a disaster situation, the PACU charge nurse’s primary responsibility is to manage the care environment and patient flow within their specific unit. Other teams or personnel would likely handle tasks like reporting to the command center.
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