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. This option implies that the nurse would be accountable without sharing responsibility, which is not accurate. The nurse remains responsible for the overall care, even when delegating tasks.
B. This option indicates that the nurse would be accountable but free from responsibility, which is incorrect as the nurse retains both aspects.
C. This implies that the nurse would be responsible for patient care but without accountability, which does not reflect the true nature of nursing responsibilities.
D. The nurse is responsible for patient wellbeing and accountable for the care provided, even when tasks are delegated to unlicensed personnel.
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.