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 B
Explanation
Rationale:
A. A client who is 3 days postoperative following a craniotomy requires careful monitoring due to potential complications from brain surgery, so vital signs should be taken by a nurse.
B. A client who is 3 days postoperative following gastric bypass surgery is stable enough for an AP to obtain vital signs, as the risk of immediate postoperative complications is lower compared to more recent surgeries.
C. A client who is 2 hr postoperative following an abdominal hysterectomy requires close monitoring due to the recent surgery, so vital signs should be obtained by a nurse.
D. A client who is 1 hr postoperative following a thyroidectomy requires vigilant monitoring for potential complications from recent surgery, which should be done by a nurse.
Correct Answer is D
Explanation
Rationale:
A. Capillary refill time of 4 seconds is concerning but less urgent compared to immediate post-catheter removal issues.
B. Fruity breath odor in late-stage cirrhosis could indicate a metabolic issue but is less immediate than issues related to urinary output.
C. Green gastric aspirate with a pH of 5.3 is within normal range for NG tube decompression.
D. A client who has not voided 5 hours after catheter removal is at risk for urinary retention or other complications and should be assessed immediately.