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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Hypocalcemia: Hypocalcemia, or low levels of calcium in the blood, is not typically associated with an increased risk of urolithiasis. In fact, hypercalcemia, or high levels of calcium, is more commonly linked to the formation of calcium-based kidney stones.
B. Diuretic use: Diuretic medications can increase urine production and may contribute to dehydration, which can predispose individuals to the formation of kidney stones. However, diuretic use alone is not as significant a risk factor as other factors like dehydration or specific dietary habits.
C. Family history: Family history of urolithiasis is a significant risk factor for developing kidney stones. Genetic factors can influence the likelihood of stone formation, and individuals with a family history of kidney stones are at a higher risk of experiencing them themselves.
D. BMI less than 25: Obesity and higher BMI (body mass index) are associated with an increased risk of urolithiasis. Excess body weight can lead to metabolic changes that promote the formation of kidney stones. Therefore, having a BMI less than 25 is less likely to be a risk factor compared to having a higher BMI.

A. Blood B. Parasites C. Steatorrhea D. Bacteria

Correct Answer is A

Explanation

A. Blood: The purpose of a stool guaiac test is to detect the presence of occult (hidden) blood in the stool. This test is commonly used to screen for gastrointestinal bleeding, which may indicate various conditions such as peptic ulcers, colorectal cancer, inflammatory bowel disease, or hemorrhoids. The guaiac test relies on the chemical reaction between guaiac resin and the heme component of hemoglobin in blood, resulting in a color change when blood is present in the stool.
B. Parasites: Stool tests for parasites typically involve examining stool samples under a microscope to identify the presence of parasitic organisms, such as protozoa or helminths. These tests are used to diagnose parasitic infections, such as giardiasis, cryptosporidiosis, or intestinal worms, rather than detecting blood in the stool.
C. Steatorrhea: Stool tests for steatorrhea assess the presence of excess fat in the stool, which may indicate malabsorption disorders, pancreatic insufficiency, or other gastrointestinal conditions affecting fat digestion and absorption. These tests involve analyzing stool samples for the presence of undigested fat globules rather than detecting blood.
D. Bacteria: Stool cultures are used to detect the presence of pathogenic bacteria in the stool, which may indicate bacterial infections such as Salmonella, Shigella, or Campylobacter. These tests involve culturing stool samples on specific media to identify bacterial pathogens rather than detecting blood. Stool guaiac tests specifically target the detection of occult blood and are not designed to identify bacteria in the stool.

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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?

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Correct Answer is C

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Correct Answer is A

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