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 was administered erythromycin for acute glomerulonephritis and reports reddish-brown urinary output requires assessment for possible drug reaction or hematuria, but this may not be immediately life-threatening compared to hypoglycemia.
B. A client who was administered glipizide for type 2 diabetes mellitus and has a blood glucose of 68 mg/dL is at risk for hypoglycemia, which requires prompt assessment and intervention to prevent severe complications.
C. A client who was administered adalimumab for Crohn's disease, has a serum calcium level of 10 mg/dL, and reports a headache should be assessed, but the calcium level and headache are less urgent compared to immediate treatment needs for hypoglycemia.
D. A client who was administered acyclovir for cellulitis reports pain in the affected leg may require assessment for infection or medication side effects, but this is less critical than addressing hypoglycemia.
Correct Answer is D
Explanation
Rationale:
A. A client who has a small circular partial-thickness burn of the left calf requires care, but this is less urgent compared to severe airway or respiratory issues.
B. A client who has a massive head injury and is experiencing seizures is critical but still less urgent compared to immediate life-threatening airway issues.
C. A client who has a splinted open fracture of left medial malleolus requires care but is not as immediately life-threatening as respiratory issues.
D. A client who has severe respiratory stridor and a deviated trachea has a life-threatening airway obstruction that needs immediate intervention to ensure adequate breathing and oxygenation.