A nurse manager is planning to assist with resolving conflict within a group of nurses. Which of the following actions should the nurse manager take?
Encourage open communication among team members.
Assign a mediator from outside the unit.
Schedule mandatory team-building exercises.
Reassign conflicting nurses to different shifts.
The Correct Answer is A
Choice A reason: Encouraging open communication fosters dialogue, allowing nurses to resolve conflicts directly. This reduces tension and improves teamwork by addressing interpersonal issues, aligning with psychological principles of conflict resolution. Effective communication mitigates misunderstandings, enhancing collaboration in high-stress healthcare environments.
Choice B reason: Assigning an external mediator may help but is premature without trying internal resolution. Encouraging team dialogue leverages existing relationships, fostering cohesion. External mediators may not address unit-specific dynamics, making internal communication a more effective first step in resolving nurse conflicts.
Choice C reason: Mandatory team-building exercises may improve morale but do not directly resolve specific conflicts. Forcing participation can increase resentment if issues persist. Communication-based strategies target root causes, making them more effective for conflict resolution in healthcare teams compared to generic team-building.
Choice D reason: Reassigning nurses to different shifts avoids conflict but disrupts workflow and patient care continuity. It fails to address underlying issues, allowing tensions to persist. Communication-focused approaches promote resolution, maintaining team integrity and collaboration in healthcare settings, unlike reassignment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: A pain level of 1 on a 0-10 scale indicates well-controlled pain, which does not directly impair wound healing. Adequate pain management supports mobility and recovery, reducing stress responses that could delay healing. This finding is not a risk factor for delayed wound healing in post-surgical clients.
Choice B reason: An oxygen saturation of 92% on room air is slightly low but not critically hypoxic. Wound healing requires adequate oxygenation, but levels above 90% are generally sufficient for tissue repair. This finding alone does not significantly indicate a risk for delayed wound healing compared to nutritional deficits.
Choice C reason: An albumin level of 2.5 g/dL (normal: 3.5-5.0 g/dL) indicates malnutrition, a major risk for delayed wound healing. Albumin is essential for tissue repair, collagen synthesis, and immune function. Low levels impair fibroblast activity and wound strength, increasing infection risk and slowing recovery in post-surgical clients.
Choice D reason: A body mass index of 22 is within the normal range (18.5-24.9) and does not indicate malnutrition or obesity, both of which can impair wound healing. Normal BMI supports adequate nutritional status for tissue repair, making this finding not a risk factor for delayed wound healing.
Correct Answer is A
Explanation
Choice A reason: Discussing the prescription with the provider is critical, as amoxicillin, a penicillin derivative, is contraindicated in clients with penicillin allergies due to risk of anaphylaxis. This ensures patient safety by verifying or correcting the order, aligning with nursing advocacy and safety protocols, making it correct.
Choice B reason: Administering amoxicillin to a client with a penicillin allergy risks severe allergic reactions, including anaphylaxis, violating patient safety principles. Nurses must verify contraindicated orders before administration, making this action dangerous and incorrect in this scenario.
Choice C reason: Placing an incident report is premature, as no error has occurred yet. The nurse’s role is to prevent harm by addressing the contraindicated prescription proactively. This action does not resolve the issue and is inappropriate as the first step, making it incorrect.
Choice D reason: Calling the pharmacist for clarification is less direct than discussing with the provider, who issued the order. While pharmacists can provide guidance, the provider must confirm or change the prescription to ensure safety, making this action secondary and less effective.
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