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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:

A.

people are dishonest by nature and will not work well together without accountability.

B.

without agreements, implicit permission is granted for people to behave in any manner they see fit.

C.

agreements reinforce that though bickering and backbiting inevitably occur during meetings, they are never personal.

D.

agreements serve to distinguish cooperative team members from nonproductive ones.

Answer and Explanation

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 B

Explanation

A. This statement involves critical thinking and interpretation of assessment findings, which should be performed by the RN.

B. Asking the LPN to verify the medications the client is taking is appropriate delegation since it involves a task that LPNs are qualified to perform and does not require complex decision-making.

C. Documenting the admission assessment should be completed by the RN, especially if it involves interpreting the findings.

D. Performing the initial assessment is a responsibility of the RN, as it requires comprehensive assessment skills and clinical judgment.

Correct Answer is D

Explanation

A. The Patient Self-Determination Act (PSDA) ensures patients are informed of their rights, but it does not provide a basis for changing a living will when a patient is incapacitated.

B. A durable power of attorney for health care can make decisions on behalf of the client but cannot simply cancel the living will without considering the client's wishes as outlined in it.

C. Family members cannot arbitrarily change a living will, especially when the client is unconscious; the living will reflects the client’s predetermined wishes.

D. The living will is a legal document that outlines the client’s preferences regarding lifesaving measures and should be followed even if the client is unconscious.

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