In the cardiac intensive care unit, a group of nurses is disgruntled by a recent policy change enacted by the new unit manager. The new manager insists that this decision is "right," and for critics to adopt the policy immediately. Though many nurses agree with the change, many others feel the decision was made without their consent, fostering mistrust of the manager and each other. Which of the following statements demonstrates the most probable result of this situation?
Upon noticing the positive outcomes of the decision, the disagreeing nurses will see the error of their ways, resulting in intergroup cohesiveness.
Patient care may suffer because attention and energy is being diverted.
The conflict will allow nurses to more clearly identify their shared values.
Overall unit outcomes will be enhanced since the policy change is the right decision.
The Correct Answer is B
A. While some nurses may eventually support the change, it is unlikely that immediate disagreement will lead to intergroup cohesiveness without addressing the underlying concerns and communication issues.
B. The division among staff regarding the policy change can lead to distractions and decreased collaboration, ultimately impacting patient care and overall effectiveness within the unit.
C. Although conflict can lead to identifying shared values, this typically requires constructive dialogue and resolution, which is not currently occurring in this scenario.
D. While the policy change may be justified, the lack of staff support and trust can hinder the implementation process, making it unlikely that overall unit outcomes will improve without addressing staff concerns.
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Correct Answer is C
Explanation
A. This option suggests that the RN is solely responsible and accountable, which is not accurate in a team setting where oversight exists.
B. This option incorrectly places accountability solely with the charge nurse, whereas the RN also has accountability for the care provided to their assigned patients.
C. The RN assumes accountability for the specific tasks assigned to them while understanding that overall responsibility for patient safety and outcomes remains with the charge nurse. This reflects the collaborative nature of nursing practice.
D. This option suggests that the RN has neither responsibility nor accountability, which contradicts the professional role of a nurse who must always maintain a level of accountability for their actions and decisions regarding patient care.
Correct Answer is D
Explanation
A. The PSDA ensures patients understand their rights but does not authorize family members to alter a living will when the patient is incapacitated.
B. A durable power of attorney can make healthcare decisions but cannot simply annul the living will without considering the patient's stated wishes.
C. Family members cannot change a living will arbitrarily, especially when the client is unconscious; the living will conveys the client's predetermined preferences.
D. The living will is a legal document that outlines the client's desires regarding lifesaving measures and must be followed, even if the client is unconscious.