Jill is the head nurse on a unit in a large hospital. Two of the staff nurses are constantly arguing and blaming each other, and a resolution has not occurred in months
To solve the existing con-flict, which is the most creative conflict resolution? a. Avoiding
b. Competing
c. Compromising
d. Collaborating
D
Collaboration, although time-consuming, is the most creative stance. The collaboration technique involves both sides in the conflict working together to develop an optimal outcome. This results in a win-win solution.
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A nurse uses Roy's model to guide nursing care. When using this model, what stimuli would be important for the nurse to assess? (Select all that apply.)
a. Adaptive stimuli: Stimuli the patient knows is beneficial b. Contextual stimuli: all stimuli in the patient's environment c. Focal stimuli: what is confronting the patient immediately d. Residual stimuli: stimuli that is left over from prior experience e. Transient stimuli: stimuli that is not expected to have a permanent effect
A patient taking medication for depression states, "I need to stop taking my medication because it blurs my vision, and I'm making mistakes when I paint jewelry by hand.". Which response by a nurse would be most therapeutic?
a. "If you cannot take medication, would you consider a course of 6 to 10 electroconvulsive therapy (ECT) treatments offered on an outpatient basis? ECT treatments usually work immediately.". b. "Do you recall the two of us discussing that blurred vision may occur but that it will resolve shortly? In the meantime, let's discuss how to best avoid getting injured until your vision clears up.". c. "I understand your concern considering that you need to work to receive health insurance. Would you like me to ask the psychiatrist to change your medication?" d. "You may need to apply for a sick leave for 6 months until your depression improves enough to lessen the medication dosage.".
While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position. Which action should the nurse take?
a. Postpone catheter insertion until the next shift. b. Adapt the positioning technique to the situation. c. Notify the health care provider for a urologist consult. d. Follow textbook procedure with contraindicated position.
A nurse is following the Ventilator Bundle standards to prevent ventilator-associated pneumonia. Which strategies is the nurse using? (Select all that apply.)
a. Head of bed elevation to 90 degrees at all times b. Daily oral care with chlorhexidine c. Cuff monitoring for adequate seal d. Clean technique when suctioning e. Daily "sedation vacations" f. Heart failure prophylaxis