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 D
Explanation
A. Involving nonprofessional workers can lead to resistance, but it is not the primary factor when considering the overall impact of change.
B. Interdisciplinary collaboration can present challenges, but it does not inherently lead to resistance. Many professionals recognize the value of collaboration.
C. While involving many layers can complicate change, it does not necessarily result in resistance if there is clear communication and support.
D. Change that threatens personal security, whether physical, emotional, or job-related, is most likely to evoke resistance as individuals often prioritize their sense of safety and stability.
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.