CLINICAL MANAGEMENT EXAM 2
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Johns Hopkins University
School of Nursing
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
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Clinical Management Exam 2
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:
a. group decision-making options.
b. perceptions of incompatibility.
c. increases in group cohesiveness.
d. debates, negotiations, and compromises.
B
Conflict involves disagreement in values or beliefs within oneself or between people
that causes harm or has the potential to cause harm. Conflict may result from the
interaction of interdependent people who perceive incompatibility and the potential
for
interference.
2. Two staff nurses are arguing about whose turn it is to work on the upcoming
holiday. In trying to resolve this conflict, the nurse
manager understands that interpersonal conflict arises when:
a. risk taking seems to be unavoidable.
b. people see events differently.
c. personal and professional priorities do not match.
d. the ways in which people should act do not match the ways in which they
do act.
B
By definition, conflict involves a difference in perception between two or more
individuals.
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3. The nurse manager is aware that conflict is occurring on her unit; however,
she is focused on preparing for a state health
department visit, so she ignores the problem. What factor can increase stress
and escalate conflict?
a. The use of avoidance
b. An enhanced nursing work force
c. Accepting that some conflict is normal
d. Managing the effects of fatigue and error
A
Avoidance as a conflict-management style prolongs conflict and tends to escalate
conflict.
4. The nurse manager decides to use a mediator to help resolve the staff's
conflict. A basic strategy for truly addressing this conflict is
to:
a. identify the conflicting facts.
b. be determined to resolve the conflict.
c. schedule a meeting time for resolution.
d. have a clear understanding of the differences between the parties in
conflict.
D
It is important for each person in the conflict to clarify the conflict as "I see it" and
how "it makes me respond" before all the persons involved in the conflict can define
the conflict, develop a shared conceptualization, and resolve their differences.
5. Sarah, a staff nurse on your unit, witnesses another nurse striking a patient.
Sarah wants to remain friends with her colleague and
worries that confrontation with her colleague or reporting her colleague will
destroy their relationship. Sarah is experiencing which
type of conflict?
a. Intrapersonal
b. Interpersonal
c. Organizational
d. Professional
A
Intrapersonal conflict occurs within a person when confronted with the need to think
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or act in a way that seems at odds with that person's sense of self. Questions often
arise that create a conflict over priorities, ethical standards, and values. Some issues
present a conflict over comfortably maintaining the status quo and taking risks to
confront people when needed, which can lead to interpersonal conflict.
6. The chief nursing officer plans a series of staff development workshops for
the nurse managers to help them deal with conflicts.
The first workshop introduces the four stages of conflict, which are:
a. frustration, competition, negotiation, and action.
b. frustration, conceptualization, action, and outcomes.
c. frustration, cooperation, collaboration, and action outcomes.
d. frustration, conceptualization, negotiation, and action outcomes
B
Thomas (1992) determined that conflict proceeds through these four stages in this
particular order
7. After using a mediator to resolve a conflict between the nurse manager and
two staff nurses, the chief nursing officer decides to:
a. observe to make sure the conflict has been resolved.
b. fire both staff nurses.
c. reassign both staff nurses.
d. reassign the nurse manager.
A
The nurse leader should follow up to determine if the conflict has been resolved
because, in professional practice environments, unresolved conflict among nurses is
a significant issue that results in job dissatisfaction, absenteeism, and turnover, as
well as in
decreased patient satisfaction and poorer quality in patient care
8. A nursing instructor is teaching a class on conflict and conflict resolution.
She relates to the class that conflict in an organization is
important, and that an optimal level of conflict will generate:
a. creativity, a problem-solving atmosphere, a weak team spirit, and motivation
of its workers.
b. creativity, a staid atmosphere, a weak team spirit, and motivation of its
workers.
c. creativity, a problem-solving atmosphere, a strong team spirit, and