QUESTIONS AND ANSWERS | NURSING
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,A newly licensed nurse is assigned to an experienced nurse ANS: D
for training on a medical unit of a hospital. What type of nurse- Mentoring is a collaborative partnership between a novice nurse and an expert nurse to
to-nurse collaboration does this assignment demonstrate? help transition a nurse through career development, personal growth, and socialization
into the profession. Interprofessional collaboration is working with several disciplines.
a. Shared governance is a type of management for nursing. Interorganizational
Interprofessional collaboration often includes teams from inside and outside an organization to meet a
b. common goal.
Shared governance
c.
Interorganizational
d.
Mentoring
Sarah is a nurse manager in a surgical unit. She is concerned ANS: D
about a conflict between Lucy (a staff nurse) and one of the Research by Saltman et al. (2006) determined that productivity decreases with
maintenance personnel. Sarah explains to Lucy that destructive conflict, whereas constructive conflict strengthens relationships.
unsatisfactory resolution of the conflict is typically destructive
and will result in:
a. Decreased frustration between the maintenance worker and
her.
b. A good relationship with the maintenance department.
c. Eventual resolution of the problem without further
intervention.
d. Decreased productivity on her part.
The nurse is presenting an in-service on the importance of ANS: A
collaborative communication. The nurse includes which critical The Joint Commission has identified that poor communication is the primary factor in the
event identified by the Joint Commission as an outcome of occurrence of sentinel events, or events resulting in unintended death or serious injury to
poor communication among health care team members? patients. Lack of documentation, longer time to begin surgery, and increased delays in
discharge all contribute to the management of health care, but do not result in critical
a. patient outcomes.
The occurrence of a patient event resulting in death or serious
injury
b.
Decreased ability to document expenses of care provided
c.
Longer time to begin surgical cases
d.
Increased time to discharge patients to outpatient care
,Staff at Valley Hospital are concerned that recent staffing cuts ANS: A
will affect their ability to provide quality patient care, and they Conflicts arise in four areas: goals, facts, approaches, and values. Conflicts among goals
express their concerns to senior management. The CEO of arise from competing priorities such as the provision of quality patient care and
Valley Hospital makes the following statement: "We need to containment of costs.
contain costs because our funding has been decreased." This
is a good example of which of the following conditions that
propel a situation toward conflict?
a. Incompatible goals
b. Role conflicts
c. Structural conflict
d. Competition for resources
Which patient scenario describes the best example of ANS: D
professional collaboration? Professional collaboration includes team management and referral to needed providers
to meet patient needs. Each discipline retains responsibility for their own scope of
a. practice but recognizes the expertise of other providers. Working separately does not
The nurse, physician, and physical therapist have all visited develop a comprehensive plan of care. Casual mentioning of patient needs does not
separately with the patient. follow professional communication channels and frequently delays needed interventions.
b.
The nurse, physical therapist, and physician have all
developed separate care plans for the patient.
c.
The nurse mentions to the physical therapist that the patient
may benefit from a muscle strengthening evaluation.
d.
The nurse and physician discuss the patient's muscle weakness
and initiate a referral for physical therapy.
Kala, a unit manager, in discussing a role the CEO would like ANS: C
her to perform, makes the following statement, "I will sit on the Negotiation involves an exchange of concessions (membership on a committee in return
hospital taskforce on improving morale if you send me to the for attendance at a workshop) or trading. This strategy supports a balance of power.
hospital's leadership training classes next week, so I can
further develop my skills and thus be more effective." Which of
the following conflict management styles is Kala using?
a. Collaborating
b. Avoiding
c. Negotiating
d. Accommodating
, Which statement correctly describes the nurses' role in ANS: D
collaboration? Nurses collaborate with many different persons, including patients, managers, educators,
and researchers. Collaboration does not occur only with physicians or nurses of
a. equivalent educational background, but with anyone who is working towards meeting
State boards of nursing mandate that collaboration can only patient goals. Collaboration occurs in any health care setting as well as community and
occur in hospitals. home settings.
b.
Collaboration should occur only with physicians.
c.
Collaboration occurs only between nurses with the same level
of education.
d.
Collaboration may occur in health-related research.
John is a circulating nurse in the operating room. He is usually ANS: B
assigned to general surgery, but on this day he is assigned to Compromise involves negotiation or an exchange of concessions and supports a balance
the orthopedic room. He is unfamiliar with the routines and of power.
studies the doctor's preference cards before each patient. The
fourth patient comes into the room and John prepares a site
for a biopsy using a Betadine solution. The surgeon prefers
another solution. He notices what John has done and
immediately corrects him by rudely insulting John. Which of
the following is the most appropriate approach to conflict
resolution in this example?
a. Collaboration
b. Compromising
c. Avoiding
d. Withdraw