The staff nurses and nursing administration are attempting to construct a method of scheduling that meets the needs of both the clients and the nursing personnel
Because nurses and nursing administration have experienced conflict about the issue, their intent is to arrive at an agreeable solution between both parties. Which option does this process best exemplify? 1. Negotiation
2. Accommodation
3. Forcing
4. Consensus
1
Rationale 1: Negotiation involves a reciprocal "give and take" on issues among the parties. The desired outcome is to achieve agreement even though consensus will never be reached.
Rationale 2: Accommodation is a cooperative tactic used when the desired outcome is to preserve harmony when one party has a vested interest in an issue that is unimportant to the other party.
Rationale 3: Forcing is an inappropriate mode of responding to conflict, and although a solution is found, the conflict remains unresolved.
Rationale 4: Consensus implies that the solution meets everyone's needs, which is often not the case in negotiation.
Global Rationale:
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A child who is medically fragile is being discharged home after a long hospital stay. The child will require someone to provide medical treatments several times a day. In planning discharge, the nurse will:
1. Train all members of the family to take part in the child's care. 2. Plan for a home health nurse to visit the child four times a day to provide the medical treatment. 3. Determine with the family which family members may be trained to provide care for the child. 4. Evaluate the size of the child's room for therapy.
A nurse is going to visit a client who needs assistance with personal hygiene and feeding. Which of the following suggestions should be made to the family?
a. "I'll teach you how to care for your family member to keep him comfortable or, if you can afford it, you can employ an aide." b. "It's important that he try to take care of himself and, if he can't or won't, he'll have to deal with the consequences." c. "Reimbursement is available for a nurse to come to the house each day if you would like this assistance." d. "You can always have your family member readmitted to the hospital for care."
A nurse is caring for a client with insomnia and the nurse is explaining the importance of sleep to the client. Which of the following roles is sleep supposed to play?
A) Stabilizing mood B) Eliminating fat accumulation C) Reducing protein synthesis D) Decreasing pain tolerance
A client has been managed on chlorpromazine (Thorazine) for some time for schizophrenia. The nurse assesses the client prior to administering the medication and notes the client's lip smacking, blinking, and tongue protrusion
The initial action by the nurse would be to: 1. give the medication. 2. call a code. 3. hold the medication and notify the physician. 4. notify the charge nurse.