As the clinical director of 24 employees, you have been asked to explain to staff members why they are not getting a raise this year, even though they have been working short-handed for many months and patient satisfaction scores have never been higher. Because you believe yourself to be a transformational leader, you will approach this problem by:

Calling the assistant clinical director and asking her to share the bad news with the other staff members

Posting a bulletin board announcement

Holding a meeting with a small group of seasoned staff members and asking them how to break the news in the future

Showing staff members the budget and asking for input about how to cut costs so that raises will be possible

Answer and Explanation

The Correct Answer is D

Choice A Reason : While communication is essential, this approach lacks transparency and direct engagement with the staff. It may not foster trust or provide an opportunity for open dialogue.

Choice B Reason : Announcing the news through a bulletin board lacks personal interaction and may not address staff concerns adequately. It does not align with transformational leadership principles.

Choice C Reason: This approach demonstrates transformational leadership. By involving a small group of staff members, you create an opportunity for open discussion, empathy, and collaborative problem-solving.

Choice D Reason : Transparency about financial constraints is essential. By engaging staff in discussions about cost-cutting measures, you empower them to contribute ideas and understand the organization's challenges.

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Correct Answer is C

Explanation

Choice A reason: Group decision-making options can actually reduce conflict by involving staff in the process, thus it is not typically a source of conflict.

Choice B reason: Increases in group cohesiveness generally lead to better teamwork and less conflict, as the group works more effectively together.

Choice C reason: Perceptions of incompatibility are often at the heart of conflict, especially when new changes are introduced that challenge existing procedures and comfort zones.

Choice D reason: Debates, negotiations, and compromises are methods of resolving conflict, not causes of it. They are part of the conflict resolution process.

A. supervise the nursing staff members who implement the care map. B. Reduce the clients financial cost. C. Prevent additional hospitalizations resulting from complications of the clients disease. D. Provide direct nursing care through out the hospitalization

Correct Answer is C

Explanation

Choice A:

While nurse case managers do oversee the overall care of their patients, their role is not typically to supervise the nursing staff members who implement the care map. Their focus is more on coordinating care, communicating with the healthcare team, and ensuring the patient's needs are met.

Choice B:

While reducing the client's financial cost can be a part of a nurse case manager's role, it is not the primary consideration. The main goal is to ensure the patient receives the best possible care. While cost-effectiveness is important, it should not compromise the quality of care.

Choice C:

This is the correct answer. One of the main goals of a nurse case manager, especially when working with a client with a chronic condition like end-stage renal disease, is to prevent additional hospitalizations. This is achieved by coordinating care, educating the patient and their family, and closely monitoring the patient's condition.

Choice D:

While nurse case managers are registered nurses and capable of providing direct nursing care, their role is more focused on coordinating and managing care rather than providing direct care. They work closely with the healthcare team to ensure the patient's needs are met, but they do not typically provide bedside care.

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Naxlex Comprehensive Predictor Exams

A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager. The staff wants to keep their old procedures, and they resist the changes. Conflict arises from:

Correct Answer is C

Explanation

The nurse case manager is working with a client admitted for end-stage renal disease. The case managers major goal concerning the patient during this hospitalization is?

Correct Answer is C

Explanation

A newly licensed nurse is preparing to insert an IV catheter in a client. Which of the following sources should the nurse use to review the procedure and the standard at which it should be performed?

In delegating to a UAP in a home health setting, which of the following represents the most appropriate delegation communication?

A staff nurse has the goal of becoming a manager and is studying the leader-follower relationship.What has the nurse discovered as an accurate part of the leader-follower relationship?

A nurse manager insists on ensuring that a patient receives the treatment that is customary for the condition, despite the patient's inability to pay. The nurse manager is:

A charge nurse explains a new procedure to a staff nurse. However, the staff nurse is upset about working understaffed. The charge nurse recognizes that which barrier to communication is influencing this dialogue?

A nurse on a 6th-floor medical/surgical unit is advised that a severe weather code has been activated. Which of the following actions should the nurse take? (Select all that apply.)

The ED staff members are concerned that working long hours without rest puts patient safety at risk. One staff member decides that she will risk her job and become a whistleblower. Whistleblowing is an appropriate recourse when management:

A nurse discovers that a client has a severe weather code activated. What is the appropriate sequence of steps that the nurse should take using the following actions? (Put the actions in the correct order.)