A charge nurse notes that a staff nurse delegates an unfair share of tasks to the assistive personnel (AP) and the nurses on next shift report the staff nurse frequently leaves tasks uncompleted. Which of the following statements should the charge nurse make to resolve this conflict?
"If you don't do your share of the work, I will have to inform the nurse manager"
"Several staff members have commented that you don't do your fair share of the work."
"I need to talk to you about unit expectations regarding delegating and completing tasks."
"You have been very inconsiderate of others by not completing your share of the work."
The Correct Answer is C
A. "If you don't do your share of the work, I will have to inform the nurse manager"
This statement uses a threatening tone and may escalate the conflict. It does not promote open communication or collaboration to resolve the issue. Additionally, threatening to inform the nurse manager immediately can create a hostile work environment.
B. "Several staff members have commented that you don't do your fair share of the work."
While it's important to address concerns, singling out the staff nurse in front of others may cause embarrassment and defensiveness. It's better to address the issue privately to avoid further conflict and maintain professionalism.
C. "I need to talk to you about unit expectations regarding delegating and completing tasks."
This statement acknowledges the need for a discussion about unit expectations regarding delegating and completing tasks. By expressing the intention to have a conversation, it opens the door for dialogue and collaboration between the charge nurse and the staff nurse. This approach promotes a supportive and constructive environment for resolving conflicts and addressing concerns.
D. "You have been very inconsiderate of others by not completing your share of the work."
This statement is accusatory and confrontational, which can lead to defensiveness and resistance from the staff nurse. It does not facilitate effective communication or problem-solving. Constructive dialogue is essential for addressing conflicts and finding mutually beneficial solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Each statement provides valuable information about the child's behavior or physical condition.
A. "Sometimes my child acts bossy with his friends.": This statement indicates a behavioral characteristic of the child that may be typical for a 6-year-old. While it's essential for the child to learn appropriate social behaviors, occasional bossiness is not unusual at this age and may reflect normal developmental stages.
B. "My child often cheats when we play board games.": While honesty is important, cheating during games is a behavior that some children may exhibit during certain developmental stages. It can provide insight into the child's understanding of rules and social interactions but may not necessarily be a cause for significant concern.
C. "The teacher says my child has to squint to see the board.": This statement raises concern about the child's vision and suggests potential visual impairment or difficulty seeing distant objects clearly. Squinting to see the board could indicate nearsightedness or other vision problems that may require further assessment and intervention by an eye care professional.
D. "My child has recently lost both front top teeth.": Losing baby teeth is a normal developmental milestone for children around the age of 6. It typically indicates the natural process of permanent teeth erupting, and it's not typically a cause for concern unless there are complications or abnormalities associated with tooth loss.
Correct Answer is B
Explanation
Answer: B. Non-maleficence
Rationale:
A. Utility:
The principle of utility refers to actions that maximize the overall good or benefit for the greatest number of people. In this scenario, the nurse’s refusal to share the surgeon's medical diagnosis does not directly relate to maximizing benefits, so this principle is not applicable.
B. Non-maleficence:
Non-maleficence is the ethical principle that involves the obligation to avoid causing harm to others. By not disclosing the surgeon's medical diagnosis, the nurse is protecting the surgeon's privacy and confidentiality, thereby preventing potential harm that could arise from sharing sensitive health information without consent.
C. Paternalism:
Paternalism refers to making decisions for others with the belief that it is in their best interest, often overriding their autonomy. The nurse's action of withholding information is not based on deciding what is best for the other nurse but rather on adhering to confidentiality principles.
D. Justice:
Justice in healthcare refers to fairness in the distribution of resources and treatment. The situation does not pertain to equitable treatment or allocation of resources, so this principle is not relevant in this context.
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