The nurses and the unit manager have been involved in shared decision-making related to the model of nursing care delivery that the unit will adopt. All individuals have participated and been involved in decision-making and implementation of changes. When issues arise during implementation, it is expected that:

Individual expertise will be utilized to provide solutions, but responsibility for the change is shared.

This will contribute to widespread skepticism among the staff about the probability of success.

Accountability resides entirely with the unit manager.

No one really has any accountability or responsibility for the changes.

Answer and Explanation

The Correct Answer is A

Choice A reason: Utilizing individual expertise while sharing responsibility ensures that all team members are involved in problem-solving and that no single person is burdened with the outcome. This approach aligns with the principles of shared decision-making, which emphasize collaboration and collective accountability.

Choice B reason: Shared decision-making aims to reduce skepticism by involving staff in the decision-making process, thereby increasing buy-in and the likelihood of success. Widespread skepticism would suggest a failure in the decision-making process.

Choice C reason: In a shared decision-making model, accountability does not rest solely with the unit manager. Instead, it is distributed among all individuals involved in the decision-making process.

Choice D reason: The statement that no one has any accountability or responsibility for the changes is incorrect. Shared decision-making requires that all participants take responsibility for the decisions made and their outcomes.

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Correct Answer is D

Explanation

Choice A reason: Superseding the need for staff members to file incident reports would not address the underlying issue of fall prevention and could lead to underreporting of incidents.

Choice B reason: Disciplining staff members for previous incidents does not contribute to a proactive approach to fall prevention and may create a punitive environment that discourages reporting.

Choice C reason: While compensating for previous injuries may be necessary, it does not prevent future falls or address the root cause of the problem.

Choice D reason: Eliminating risks before anyone is harmed is the most proactive and effective approach to fall prevention, aligning with the principles of risk management to anticipate and mitigate potential hazards.

A. People are naturally difficult and will not work well together without such agreements. B. A way to eliminate unproductive team members must be available. C. If there are no agreements, each member will make up rules about how to handle disagreements. D. People will naturally ask for agreements about how to be together.

Correct Answer is C

Explanation

Choice A reason: This choice suggests a negative view of human nature that is not constructive for conflict resolution. It is not typically the role of a mediator to assume that people are inherently difficult.

Choice B reason: The goal of conflict resolution is not to eliminate team members but to find ways to work together effectively. This choice does not reflect a healthy approach to resolving team conflicts.

Choice C reason: This choice recognizes the importance of having clear agreements or protocols in place to guide team members in resolving conflicts. Without such agreements, there is a risk of inconsistency and further conflict, making this the most appropriate answer.

Choice D reason: While it is true that people may seek agreements, this choice does not directly address the issue of conflict resolution within a team. It is more about the desire for harmony rather than a method for resolving conflicts.

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Naxlex Comprehensive Predictor Exams

To reduce the incidence of falls in a skilled nursing unit, the nurse manager contacts the risk manager. Risk management is a process that attempts to identify potential hazards and:

Correct Answer is D

Explanation

A mediator suggested that the nurse manager and staff members decide on a method to resolve conflicts. It is important to have agreements about how team members will work together because:

Correct Answer is C

Explanation

Two employees disagree about who should work on Christmas Day. The bottom line is that one will have to work the first half of the shift and the other the second half. What is the best method for the manager to decide who will work each half?

The nurse manager plans a series of staff development workshops for charge nurses to help them deal with conflicts. The first workshop introduces the four stages of conflict, which are:

dropdown is exploring the thoughts you have about your experiences, actions, and reactions is an active process you can use to strengthen your ongoing professional growth.

The biggest challenge in the recruitment of staff is:

The chief executive officer asks the nurse manager of an intermediate care unit to justify the disproportionately high number of registered nurses on the unit. The nurse manager explains that nursing research has validated which statement about a low nurse-to-patient ratio?

A health care organization characterized by clear, precise rules for employees, nursing care delineated by procedures and protocols, and a majority of decisions made by senior administrators is best described as:

When preparing staffing schedules, a nurse manager needs to calculate paid nonproductive time. Which of the following should the nurse manager consider?

A nurse enters a room and finds the client lying on the floor. Which of the following actions should the nurse take first?