A mediator suggests that the nurse manager and staff members establish a group agreement before resolving conflicts. It is important to have agreements about how team members will work together because:
people are dishonest by nature and will not work well together without accountability.
without agreements, implicit permission is granted for people to behave in any manner they see fit.
agreements reinforce that though bickering and backbiting inevitably occur during meetings, they are never personal.
agreements serve to distinguish cooperative team members from nonproductive ones.
The Correct Answer is B
A. This option reflects a negative view of human nature and does not fully capture the importance of agreements in fostering a collaborative environment.
B. Establishing agreements provides clear expectations for behavior and interactions, preventing misunderstandings and conflicts. Without such agreements, team members may feel free to act without consideration for others, leading to discord.
C. While agreements may help mitigate personal conflicts, their primary purpose is to set standards for behavior rather than to justify negative interactions.
D. While agreements can help identify roles within a team, their main function is to ensure respectful and productive interactions among all members rather than simply distinguishing between types of members.
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Correct Answer is A
Explanation
A. Reporting laboratory findings to a family member without the client’s consent is a violation of confidentiality, as the client’s health information should not be disclosed to unauthorized individuals.
B. Notifying the provider of physical examination findings is within the nurse's duty of care and does not violate confidentiality.
C. Discussing the client's care with the nurse manager, especially in a supervisory context, does not violate confidentiality, provided it's within the scope of professional communication.
D. Identifying the client by name when making a referral is a necessary part of care coordination and does not violate confidentiality when handled appropriately.
Correct Answer is D
Explanation
A. Speaking to an assistive personnel with a demeaning tone represents vertical violence, where a person in a position of authority mistreats a subordinate.
B. Rudeness towards a nurse manager is also an example of vertical violence because it involves an inappropriate interaction between different hierarchical levels.
C. Refusing to help a charge nurse is a form of unprofessional behavior but does not exemplify lateral violence, as it doesn't involve peers at the same level.
D. Rolling one's eyes at another nurse after providing a report is a clear example of lateral violence, where one peer demonstrates disrespect or hostility towards another peer.