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22 Cards in this Set

  • Front
  • Back

A newborn has several congenital anomalies incompatible with living beyond 1 month. The newborn cannot retain formula, and the temp drops when the newborn is removed from the warmer. Two nurses who alternate caring for the baby argue about whether or not to attempt bottle feedings and whether the newborn should be removed from the warmer to be held. What is the origin of the conflict described?


A. Ethical values


B. Nursing role concerns


C. Personal goals for advancement
D. Personality differences

A. Ethical Values
This situation depicts personal issues based on two separate sets of ethics or values regarding newborn care. One places value on nutritional needs and the other on the need for bonding.

Of the following common areas of conflict between nurses and their pts and families, which does the nurse interpret as the most easily resolved?


A. issues of concern about quality of care


B. Issues surrounding treatment decisions


C. issues of family involvement


D. issues about quality of parental care

A. Issues of concern about quality of care


Families typically are concerned with how well their loved on is being attended to. Conflict often arises out of concerns related to quality of care. This is something the nurse can directly address whereas they cant with the other choices

What is the best strategy for resolving the conflict in a situation in which two staff nurses request the same vacation week?


A. Accomodation


B. Collaboration


C. Competition


D. Avoidance

B. Collaboration


This strategy involves confrontation and problem solving. Needs feelings and desires of both parties are considered to create a win-win outcome.

On the unit in which you work, one nurses aide is usually pleasant and helpful; the other is often abrasive and angry. What is the most important basic guideline to be observed by a nurse who must resolve a conflict between the two nurses aides?


A. Deal with issues, not personalities


B. Require the aides to reach a compromise


C. weight the consequences of each possible solution


D. Encourage ventilation of anger and use humor to minimize conflict

A. Dealing with issues, not personalities



A staff nurse being harassed at work what is the first thing they should do?


A. Dont be quite so honorable. go on a date and see if you get a better assignments


B. Confront the nurse leader with a description of the behavior and state that you want the behavior to stop


C. Go directly to the human relations office at the agency and tell them what you just told me


D. Contact your lawyer and get advice ASAP in case the nurse leader decides to turn the tables and accuse you of advances

B. Confront the nurse leader with a description of the behavior and state that you want the behavior to stop



To resolve a scheduling conflict, a nurse manager is using employment seniority. The nurse manager interprets this as


A. win-win strategy


B. win-lose strategy


C. lose-lose strategy


D. a compromise(modified win-lose)

B. win-lose strategy

The nurse manager is attempting to resolve an interpersonal conflict between two nurses. Which action below should be done first?


A. Determine the facts related to the situation


B. Schedule a meeting time for resolution


C. Having accurate understanding of the problem or conflict


D. Have the determination to resolve the conflict

C. Have an accurate understanding of the problem/conflict


The first step is to make sure that the nurse manager has an accurate understanding. The quailty of the outcome of resolving a problem depends on proper recognition/identification of the problem or issue. This assessment is best addressed by determining the nature of the differences and the reasons for them.

During a staff meeting, an upset CNA tells the group that the other CNAs are given easier pt assignments and are always given their choice of days off. What approach by the nurse manager would be effective to resolve the conflict?


A. Attempt to persuade the upset CNA to calm down


B. Tell the group that this type of conversation needs to be handled privately


C. Consider transferring the upset CNA to another unit


D. Acknowledge the feelings of the upset CNA and make a plan to meet with her

D. Acknowledge the feelings of the upset CNA and make a plan to meet with her


this is the first step to conflict resolution. This process requires dealing with issues not personalities by communicating openly, listening actively to complaints sorting out the issues identifying key themes of the discussion and weighing the consequences and options to resolve the conflict

Which action by the nurse has potential for creating role conflict?


A. Arguing that the nurse on the next shift is responsible for weighing the pt


B. failing to dicuss differences with a coworker the nurse is angry with


C. Placing the nurse's personal achievement over that of a coworkers


D. trying to change anothers personailty

A. Arguing that the nurse on the next shift is responsible for weighing the patient



Which of the following scenarios shows an ethical conflict?


A. A nurse who consistently speaks poorly of another nurse for always being grumpy


B. A nurse who has a hard time respecting on codes on young pts


C. A nurse who refuses to run a systems check on the glucometers because its night shifts duty


D. A nurse who forgets to alert the family members to change in visiting hours

B. A nurse who has a hard time respecting no codes on young pts.

A nurse is aware that an area of conflict between nurses and pts families is quaility of parental care. Which action would not help the nurse reduce conflict?


A. Become frustrated with the parents lack of participation in care


B. Model positive parenting techniques


C. Encourage parents to meet other parents


D. Give out information about parenting classes

A. become frustrated with the parents for lack of participation in care


This will likely cause more conflict



What can staff nurses do to reduce conflict with pt and families?


A. Allow nurses to enforce what they feel comfortable with


B. keep tx decisions between the pt and health care team only


C. Dont allow family to participate in pt care


D. Maintain consistency in enforcing rules and policies

D. Maintain consistency in enforcing rules and policies



A nurse is frustrated about being scheduled on a holidy that had been requested off, but a new nurse with less seniority was given the holiday off. Which action by the nurse show accommodation?


A. The nurse works out a schedule change with the new nurse


B. The nurse doesnt bring the issue to the attention of the new nures but feels angry and frustrated


C. The nurse works the holiday while the new nurse has the day off


D. The nurse request to have to day before the holiday off

C. The nurse works the holiday while the new nurse has the day off



A nurse feels angry over a pt assignment and feels that assignments always include the bad ones. what is the best way to control this anger?


A. Ignore the negative feelings


B. Talk about other coworkers behind their backs


C. Face this anger and determine what is being felt


D. Refuse to speak to any coworkers for fear of lashing out

C. Face this anger and determine what is being felt



Which statement by the nurse is true regarding sexual harassment?


A. Sexual harassment no longer occurs in workplace


B. Sexual harassment is only cause by men


C. The most common sexual harassment complaint is inappropriate remarks and touching


D. Nothing can be done to prove sexual harassment

C. The most common sexual harassment complaint is inappropriate touching and remarks

A female nurse is experiencing sexual harassment in the workplace by a male nurse. Which action should this nurse take to stop the sexual harassment?


A. Ignore the comments made by the male nurse


B. Laugh about the comments


C. Tell the male nurse to stop


D. Begin to sexually harass the male nurse

C. Tell the male nurse to stop

What actions by the staff nurse are an effective way to deal with a sexual harassment issue at work? (select all that apply)


A. tell the person to stop


B. tell your best friend about the incident


C. file a formal grievance


D. Explain the sitaution to your spouse


E. play along with the person and document the activities


F. Threaten the person with a sexual harassment lawsuit

A,B,C,D


Start with the most direct measure ask the person to stop

What is important for the nurse manager to understand about resolving conflict in the workplace? (select all that apply)


A. Realize that most new graduates use competition as a form of conflict response


B. effective role socialization reduces neg conflict behaviors among nursing staff


C. Use of collaboration to solve conflict issues is an important strategy to encourage


D. Thinking like a nurse promotes role socialization and reudces conflict


E. Nurse managers need to create working environments that facilitate professional practice


F. High self esteem fosters entitlement type behavior that promotes conflict

B,C,D,E


New graduates use compromise and avoidance as primary means of conflict resolution. High self esteem is often found in empowering workplace environments where successful positive conflict resolution occurs.

What are some positive results that can come from conflict? (select all that apply)


A. Disturbing issues are brought out which may lead to more serious conflict


B. group cohesiveness may increase as individuals resolve issues.


C. results of conflict can be constructive


D. Groups can learn from each other


E. talking about issues can avert serious conflict

B,C,D,E

A nurse is caring for an older adult pt when conflict regarding tx arises between the family and the HCP. What can the nurse do to resolve this conflict? (select all that apply)


A. Defend the HCP tx and try to explain it to the family


B. Try to convince the family that the HCP knows what is best for the pt


C. Allow the family to participate in the decision making process for their loved one


D. Encourage the family to speak directly to the HCP regarding tx


E. Clarify the HCP orders with the family

C,D,E

Which of the following statements by the nurse about unresolved conflict are true? (select all that apply)


A. Conflict makes nursing staff more productive


B. Conflict reduces productivity among staff


C. Conflict wastes time


D. Conflict wastes energy


E. Conflict increases teamwork

B,C,D

What actions can a nurse implement into daily practice to reduce conflict? (select all that apply)


A. deal with issues and not personalities


B. Worry about themselves and no one else


C. Communicate openly


D. Listen actively


E. Sort out issues

A,C,D,E