Which of the following scenarios best exemplifies compromising?
An RN asks her head nurse if she can go on the permanent evening shift. The head nurse, Rajib, agrees, as long as Ann agrees to be involved in assisting to mentor evening staff in the use of the new clinical information system.
The technology committee has recommended a clinical system for implementation on the nursing unit. Staff is anxious about the change. Tim, the head nurse. asks staff for ideas on how to meet the technology goals and to meet staff needs.
During management meetings, George, the head nurse on nephrology, dominates meetings and decisions. Lee, the head nurse on the cardiac step-down unit. begins to miss the management meetings.
Elizabeth the head nurse on neurology, finds that Tom, the RN nurse on nights, is irritable in relation to any suggestions or new ideas, and so she comes in to work after Tom leaves the unit.
The Correct Answer is A
A. This scenario best exemplifies compromising because both parties involved give up something to reach an agreement. The RN gets her desired shift, while the head nurse gets assistance with staff training on the new system.
B. This scenario describes collaboration, where everyone works together to find a solution that meets everyone's needs.
C. This scenario describes an example of accommodation, where one person gives in to the other's wishes.
D. This scenario describes avoidance, where the conflict is ignored rather than addressed.
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Related Questions
Correct Answer is C
Explanation
A. Critical pathways are designed to standardize care and ensure that key interventions and assessments are performed within specific timeframes to achieve optimal outcomes. However, flexibility might be necessary based on individual patient needs, and strict adherence to the exact order may not always be feasible or appropriate.
B. Critical pathways are primarily used to guide the management of specific clinical conditions or procedures rather than health promotion activities. They focus on improving the efficiency and effectiveness of patient care for specific diagnoses or treatments rather than general health promotion.
C. Critical pathways aim to standardize care and improve outcomes by following evidence-based practices, which can lead to more efficient use of resources and reduced costs. By streamlining care processes and minimizing variations, critical pathways can help achieve better patient outcomes and cost savings.
D. Critical pathways are typically developed by multidisciplinary teams, including clinical experts, to create standardized care plans based on best practices for specific conditions or procedures. They are not usually developed by individual providers for individual clients.
Correct Answer is A
Explanation
A. Discharge planning should start as soon as the client is admitted to the facility. Early planning helps anticipate and address the patient’s needs and ensures that all necessary arrangements for post- discharge care are made well in advance.
B. Starting discharge planning 48 hours before discharge is generally too late. Effective discharge planning requires more time to coordinate care, education, and resources. Beginning the process 48 hours before discharge may not allow enough time to address all aspects of the plan adequately, potentially leading to issues in the transition.
C. Waiting for insurance approval before starting discharge planning can lead to delays and may not be in the best interest of the patient. Discharge planning should be initiated based on the patient’s needs rather than insurance coverage. Waiting for approval can also disrupt the timeline for arranging follow- up care and services.
D. Waiting until the discharge order is written is too late for effective discharge planning. By the time the discharge order is written, many elements of the discharge plan should already be in place. Waiting until this point can lead to rushed arrangements and potentially inadequate preparation for the patient’s needs after leaving the facility.
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