The novice nurse is speaking with the nurse manager about their roles within the hierarchy of the institution. The nurse manager would most likely identify which role as having the most internal conflict?
a. Coordinating institutional goals with the immediate demands of the clinical area
b. Determining which of the staff members should get better raises than other mem-bers
c. Deciding which employees should be recommended for promotion
d. Determining which staff members get Christmas day off
ANS: A
Many times the goals of the institution conflict with the goals of the individual employees of a particular clinical area and the nurse manager must implement institutional changes regardless of the nurse's personal opinion. The other options are incorrect because those roles should not pro-voke as much conflict.
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