A nurse manager is preparing an inservice program about managing conflict for the nurses on the unit. The nurse manager should identify which of the following examples as interpersonal conflict?
An experienced nurse is uncivil to a newly licensed nurse
A nurse is uncertain about joining a professional nursing organization
Nurses on the unit disagree about what time of day daily client weights should be obtained
A nurse who just lost his spouse does not want to be assigned to care for a terminally ill client
The Correct Answer is A
Rationale:
A. An experienced nurse being uncivil to a newly licensed nurse is an example of interpersonal conflict, as it involves direct interaction and disagreement between individuals.
B. Uncertainty about joining a professional organization is a personal decision and not an interpersonal conflict.
C. Disagreements about the timing of client weights are more related to procedural issues than interpersonal conflicts.
D. Not wanting to care for a terminally ill client due to personal loss is a personal issue rather than an interpersonal conflict.
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Correct Answer is A
Explanation
Rationale:
A. "The client must provide permission to share the records with you." is the correct procedure as medical records are confidential and require patient consent for release to family members.
B. I will ask the nursing supervisor to obtain the medical records for you is not correct unless the client has given permission.
C. The health care provider will share this information with you does not address the need for patient consent.
D. The ethics committee will need to approve this request for you is not apptlicable; consent from the client is required.
Correct Answer is B
Explanation
Rationale:
A. A client who has Guillain-Barre syndrome requires close monitoring and specialized care due to progressive weakness and potential respiratory issues. This client's care may involve more complex needs that are beyond the AP's scope.
B. A client who has a lumbosacral spinal tumor is likely to have fewer immediate needs related to eating assistance, making this task appropriate to delegate to the AP. The client’s primary concern may be mobility or pain management, but meal assistance is a routine task.
C. A client who has systemic sclerosis may have issues with gastrointestinal motility and swallowing, requiring more careful feeding assistance and monitoring, which should be performed by the nurse.
D. A client who has amyotrophic lateral sclerosis (ALS) requires specialized care for swallowing difficulties and respiratory issues, making it inappropriate to delegate meal assistance to the AP.