In dealing with a conflict on a unit, the nurse manager decides to ask one of the staff nurses, who is not moving towards resolution, to transfer to another unit. What tactic has the manager implemented?

Correct Answer: C

Rationale: The correct answer is C: Suppression. The nurse manager chose to suppress the conflict by asking the staff nurse to transfer, avoiding direct confrontation. This tactic aims to remove the conflict from the unit without addressing the root cause. Avoidance (A) is not correct as the manager did take action. Withdrawal (B) implies the nurse manager removed themselves from the conflict, which is not the case. Competition (D) involves a win-lose approach, which is not evident in this scenario.

Correct Answer: A

Rationale: Step-by-step rationale: 1. Understanding why a decision is needed is crucial in this situation to prioritize the client's well-being. 2. The nurse needs to assess the reasons behind the client's refusal to be repositioned, considering factors such as pain level and potential harm. 3. By determining the underlying cause, the nurse can make an informed decision on the best course of action to address the client's needs promptly. 4. Considering the alternatives (choice C) is important but secondary to understanding the urgency and necessity of the decision (choice A). 5. Who makes the decision (choice B) and when it is needed (choice D) are not as critical as the rationale behind the decision-making process. Summary: Choice A is correct because understanding the reason for the decision is essential for prioritizing the client's well-being. Choices B, C, and D are incorrect as they do not directly address the immediate need to assess the situation and make an informed decision based on the client's condition

Correct Answer: A

Rationale: The correct answer is A: Job enlargement. Job enlargement involves adding more tasks of a similar level of complexity to an existing job role. In this scenario, the manager is given additional responsibilities without a new hire, which expands the scope of their role. This aligns with the concept of job enlargement. Explanation for why other choices are incorrect: B: Proactive management typically involves taking preventive actions to address potential issues before they occur. This situation does not involve proactive measures. C: Time log refers to tracking and recording time spent on various tasks, which is not relevant to the scenario described. D: Prioritizing involves determining the order of importance of tasks. While prioritizing may be necessary in this situation, it is not the best fit for the scenario provided.

Correct Answer: B

Rationale: The primary goal of a root cause analysis (RCA) in healthcare is to prevent future errors by identifying underlying causes. This is because RCA focuses on understanding the fundamental reasons behind incidents to implement effective preventive measures. By identifying root causes, healthcare providers can implement strategies to mitigate risks and enhance patient safety. The other choices are incorrect because RCA is not about assigning blame (A), improving patient satisfaction (C), or analyzing financial impact (D), but rather about understanding and addressing the core issues to prevent recurrence.

Correct Answer: B

Rationale: The correct answer is B: Disruptive conflict. This type of conflict occurs when individuals are unwilling to cooperate or communicate effectively, leading to negative consequences. In this scenario, the resident and nurse are engaging in disruptive conflict by refusing to answer calls and retaliating with more calls. This behavior disrupts the communication and collaboration necessary for effective patient care. A: Perceived conflict is when individuals believe there is a conflict, even if it may not exist. In this case, the conflict is real and not just perceived. C: Competitive conflict involves individuals trying to outdo each other or win at the expense of the other party. This is not evident in the scenario provided. D: Felt conflict refers to the emotional response to a conflict situation. While there are emotions involved in the scenario, the main issue is the disruption in communication rather than just feelings.

Correct Answer: A

Rationale: The correct answer is A: Patient outcomes. Nurse managers are responsible for overseeing the quality of care provided by their staff. Patient outcomes directly reflect the effectiveness of care delivery. Monitoring patient outcomes helps nurse managers identify areas for improvement, implement changes, and ensure high-quality care. Rapport with staff (B) is important for team cohesion but may not directly impact performance model evaluation. Daily job performance (C) reflects individual staff performance, not the overall performance model. Flexibility (D) is a valuable trait but is not a specific indicator in relation to a performance model.

Correct Answer: A

Rationale: The correct answer is A: Trait theories. This is because the nurse's description of the unit manager as 'a born leader' aligns with the trait approach to leadership that focuses on inherent qualities and characteristics of individuals that make them effective leaders. Trait theories suggest that certain traits such as intelligence, charisma, and decisiveness are inherent in effective leaders. The other choices are incorrect because B: Behavioral theories focus on the actions and behaviors of leaders, C: Formal leadership theories emphasize organizational structures and roles, and D: Democratic leadership theories pertain to leadership styles rather than inherent traits.

Correct Answer: C

Rationale: The correct answer is C: Continuous improvement. Total Quality Management (TQM) focuses on constantly improving processes, products, and services to meet or exceed customer expectations. TQM involves all employees in identifying and solving problems, emphasizing continuous learning and innovation. A: Top-down management is incorrect because TQM encourages involvement and empowerment of employees at all levels, not just top management. B: Employee-centered approach is incorrect because while TQM values employees and their contributions, it is primarily focused on improving overall quality and processes, not solely centered on employees. D: Quality control is incorrect because TQM goes beyond traditional quality control methods to encompass a holistic approach to quality management through continuous improvement efforts.

Correct Answer: C

Rationale: The correct answer is C because when an ethical dilemma involves two or more equally unpleasant choices, it can be challenging for decision-makers to come to a consensus. This is known as a moral dilemma, where there is no clear right or wrong option, making it difficult to reach an agreement. In such cases, individuals may have strong convictions about different courses of action, leading to a deadlock in decision-making. Incorrect choices: A: One or more of the parties may be able to reconcile their values - This choice suggests that parties can find common ground by adjusting their values, which is not always possible in complex ethical dilemmas. B: The patient’s point of view is recognized as valuable - While recognizing the patient's perspective is important, it may not directly address the core reason why an agreement cannot be reached. D: The institution is unable to honor the patient’s request - This choice focuses on institutional constraints rather than the fundamental nature of ethical dilemmas and decision-making processes.