As the nurse manager on a rehab unit, you are asked to come to the tub room immediately because two nursing assistants are having a loud disagreement in front of a patient
You ask the nursing assistants to meet you outside and after ensuring that a third nursing assistant is able to care for the patient, you speak with the two nursing assistants. Which of the following would you ask first?
a. "How long have you two been working together?"
b. "Have you experienced disagreements like this before?"
c. "How do you think this patient's perception of her care has been changed?"
d. "What happened to bring on this disagreement today?"
ANS: D
Conflicts are usually based on attempts to protect a person's self-esteem or to alter perceived inequities in power. When a nurse recognizes upset and reaction, the following steps can be helpful (Sportsman, 2005):
Identify the triggering event ("What happened to bring on this disagreement today?").
Discover the historical context for each person.
Assess how interdependent each person is on the other.
Identify the issues, goals, and resources involved in the situation.
You might also like to view...
A 30-year-old woman with two preschoolers has sought the nurse's advice because she has heard conflicting reports about the safety and efficacy of cough and cold products in young children. The nurse should inform the woman that
A) cough and cold remedies are generally safe and effective for children over the age of 2. B) there are concerns among health professionals about how safe and effective these medications are. C) media reports about the risks of cough and cold medications in children have greatly exaggerated the risks. D) it is imperative to use age-specific preparations of cough and cold remedies.
Which of the following is the priority intervention for a supine client whose monitor strip shows decelerations that begin after the peak of the contraction and return to the baseline after the contraction ends?
a. Increase IV infusion. b. Elevate lower extremities. c. Reposition to left side-lying position. d. Administer oxygen per face mask at 4 to 6 L/min.
A client is diagnosed with a rare lymphoma that reveals Reed-Sternberg cells. The nurse notes a painless swelling in a lymph node and suspects this client's condition is:
a. acute myelocytic leukemia c. Hodgkin's lymphoma b. chronic lymphocytic leukemia d. non-Hodgkin's lym-phoma
An older adult client develops herpes zoster and asks the nurse how this can happen, having had chickenpox as a child. What is the nurse's MOST appropriate response?
a. "Have you been exposed to chickenpox recently?" b. "Herpes zoster is related to the chickenpox virus, and you have just caught shingles." c. "You only developed partial immunity to the virus that causes it." d. "You must not have actually had chickenpox as a child."