A nurse observes two assistive personnel (AP) arguing over who should go on break first. The nurse interrupts the conversation and states that one AP can take a break now, but the other AP will get to take an early lunch. Which of the following types of conﬂict management is the nurse demonstrating?

Cooperating

Compromising

Competing

Avoiding

Answer and Explanation

The Correct Answer is B

In this situation, the nurse is demonstrating the compromising style of conﬂict management. Compromising involves finding a middle ground where both parties give up something in order to reach a mutually acceptable solution. In this case, the nurse suggests that one AP can take a break now, but the other AP will get to take an early lunch. This solution allows both APs to have some of their needs met while also making concessions.

The other options are not the type of conﬂict management demonstrated by the nurse in this situation. Cooperating [a] involves one party giving in to the demands of the other party in order to maintain harmony. Competing [c] involves one party trying to win at the expense of the other party. Avoiding [d] involves avoiding or withdrawing from the conﬂict altogether.

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Correct Answer is D

Explanation

If a client has received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery, the nurse should delay the procedure. This is because the client may not be able to give informed consent due to the eﬀects of the medication.
Option A may not be appropriate if the client is not able to give informed consent.
Option B is not appropriate as it is not within the nurse's scope of practice to sign consent on behalf of a client.
Option C may be necessary if the client is unable to give informed consent and a relative is available to provide consent.

A. A client decides not to have a colonoscopy after signing the consent form. B. A client requests to take a shower in the evening rather than in the morning. C. A client has an episode of vomiting after receiving medication for hypertension. D. A client's family member becomes short of breath and reports having chest pain.

Correct Answer is C

Explanation

An incident report should be completed if a client has an episode of vomiting after receiving medication for hypertension. This is an unexpected event that may indicate an adverse reaction to the medication and requires documentation and follow-up.
Option A does not require an incident report as the client has the right to refuse treatment.
Option B also does not require an incident report as it is a routine request.
Option D may require immediate medical attention, but it does not necessarily require an incident report as it involves a family member rather than a client.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to obtain consent from a client who has a tibia fracture. The client received IV morphine sulfate prior to arrival on the unit and is scheduled for surgery. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a group of newly licensed nurses about completing an incident report. For which of the following situations should the nurse complete an incident report?

Correct Answer is C

Explanation

A nurse is assisting with the care of a group of pediatric clients. Which of the following actions should the nurse take first?

A nurse observes another nurse performing a procedure in the incorrect sequence. The procedure does not harm the client. Which of the following actions should the nurse take first?

Nurses are responsible not only for their actions but also for the actions of the staﬀ to whom they delegate work, including accurate documentation. What is the principle associated with this responsibility?

A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?

A nurse asks an assistive personnel (AP) to take a specimen to the laboratory, and the AP refuses. Which of the following actions should the nurse take?

A nurse is working with two assistive personnel (AP). The nurse notes that one of the APs has been taking long breaks and making personal phone calls. Which of the following statements should the nurse make to resolve this conﬂict?

A nurse is reinforcing teaching with a client about advance directives. Which of the following topics should the nurse include? (Select all that apply.)

What is a nurse's best protection against negligence or malpractice?