A charge nurse allows a nurse an additional twenty minutes for his lunch break to take care of a personal matter. The charge nurse agrees to watch his patients for the additional twenty minutes, only if he agrees to help with the end-of-shift drug count. The charge nurse is demonstrating which of the following types of conflict management?

Avoiding

Compromising

Cooperating

Competing

Answer and Explanation

The Correct Answer is B

A. Avoiding: Avoiding conflict would involve not addressing the issue or avoiding the conversation, which is not the case here.
B. Compromising: Compromising involves making mutual concessions to reach a solution that is acceptable to both parties, which is demonstrated by the charge nurse agreeing to cover the nurse’s patients in exchange for help with the drug count.
C. Cooperating: Cooperating would involve working together to solve the problem, but without a clear exchange or compromise, which does not fully describe this situation.
D. Competing: Competing involves a win-lose approach, where one party’s needs are met at the expense of the other’s, which does not apply here as both parties are making concessions.

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Correct Answer is A

Explanation

A. Involve affected staff in the decision-making process: Involving staff in decision-making aligns with complexity principles, which emphasize collaboration and the consideration of multiple perspectives to address complex issues effectively.
B. Focus the assessment on the unit and do not consider the hospital as a whole: Ignoring broader organizational factors may limit the effectiveness of adaptations and does not fully consider the complexity of the hospital environment.
C. Create a mandatory policy to force workers to participate in problem-solving solutions: Mandating participation without engagement may lead to resistance and does not align with complexity principles that value collaboration and buy-in.
D. Select a management approach that does not change: Maintaining the status quo may fail to address the unique needs of older adults and does not reflect the adaptive nature of complexity principles.

A. Surgery to the wrong site was stopped prior to a procedure. B. Paralysis of a client's lower extremities occurred following epidural anesthesia. C. A client fall during ambulation did not result in client injury. D. A complaint that a nurse was culturally insensitive was made by a client's family member.

Correct Answer is B

Explanation

A. Surgery to the wrong site was stopped prior to a procedure: This incident was prevented before harm occurred and is not considered a sentinel event since no actual harm was inflicted.
B. Paralysis of a client's lower extremities occurred following epidural anesthesia: This represents a significant adverse outcome that has resulted in severe harm and is considered a sentinel event, which requires thorough investigation and response.
C. A client fall during ambulation did not result in client injury: Although falls are a concern, the lack of injury means this incident may not be classified as a sentinel event.
D. A complaint that a nurse was culturally insensitive was made by a client's family member: While important for addressing care quality and communication, this complaint does not typically constitute a sentinel event as it does not directly involve significant harm or risk.

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Naxlex Comprehensive Predictor Exams

A nurse manager of a 20-bed medical unit finds that 80% of the patients are older adults. She is asked to assess and adapt the unit to better meet the unique needs of the older adult patient. Using complexity principles, what would be the best approach to take for implementation of this change?

Correct Answer is A

Explanation

A nurse is a member of a quality-improvement committee seeking to reduce the risk of adverse events in a health care facility. When reviewing recently submitted incident reports, which of the following incidents should the nurse identify as a sentinel event?

Correct Answer is B

Explanation

Which of the following is an effective approach in the appraisal of research studies?

With regard to nursing practice, nurse managers are held responsible for: (Select all that apply.)

During an annual performance evaluation, a manager provides truthful feedback about the nurse's performance. What ethical principle does this represent?

A nurse in an acute care setting is serving on a committee whose charge is to use the auditing process to client care. Which of the following aspects of client care is measured by an outcome audit?

Volunteers in a study are assigned randomly to groups. Some of the volunteers receive an herbal supplement that is reputed to control nausea, and some of the volunteers are assigned to a control group where a placebo is administered. This is an example of a(n):

As a nurse manager, you have to be effective in managing a culturally diverse staff. Which of the following nurse manager attributes would assist you in addressing the cultural needs of your staff? (Select all that apply.)

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. After developing a spirit of inquiry and identifying a problem, what is the next step to effectively gather evidence for guiding practice (i.e., evidence-based inquiry)?

Which of the following is most accurate regarding evidence-based practice?