The staff of a medical-surgical unit is in disagreement about holiday scheduling. The nurse manager knows that this is what type of conflict?

Correct Answer: A

Rationale: The correct answer is A: Intragroup conflict. In this scenario, the conflict is happening within the staff of the medical-surgical unit, making it an intragroup conflict. The staff members belong to the same group or team, and the conflict arises within this specific group. This type of conflict typically involves disagreements, tension, or differences of opinion among members of the same group. Summary: B: Intergroup conflict involves conflicts between different groups or teams, not within the same group. C: Interpersonal conflict refers to conflicts between individuals, not within a group. D: Intrapersonal conflict involves internal conflicts within an individual, not within a group.

Correct Answer: D

Rationale: The correct answer is D because values and vision & mission statements are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & mission statements define the organization's purpose and goals, providing a roadmap for strategic direction. Reengineering, as mentioned in choice C, is a process improvement approach and not an inherent component of strategic planning. Therefore, choice D is the correct answer as it includes the key components necessary for effective strategic planning.

Correct Answer: A

Rationale: The correct answer is A: Salary compression. Salary compression occurs when the pay of newer employees is comparable to or higher than that of more experienced employees due to various factors such as market trends, limited salary budgets, or lack of adjustments for inflation. This can lead to decreased morale and motivation among the experienced employees. Choice B, salary expectations, does not specifically refer to the situation described in the question. Choice C, salary range, is a term used to define the minimum and maximum pay levels for a particular job position and does not address the relationship between newer and more experienced employees' pay. Choice D, salary inflation, refers to the general increase in wages over time due to factors such as rising costs of living and economic growth, but it does not specifically address the scenario of newer employees earning more than experienced employees.

Correct Answer: A

Rationale: The correct answer is A: Prepare an agenda. This approach ensures that all relevant points are covered by structuring the meeting topics in a logical sequence. Step 1: Identify key discussion points. Step 2: Organize them in a coherent order on the agenda. Step 3: Share the agenda with participants beforehand. This allows everyone to come prepared, promotes focus, and helps stay on track during the meeting. Visual aids (B) may enhance understanding but don't ensure all points are covered. Inviting only key stakeholders (C) limits perspectives. Reviewing previous budgets (D) is valuable but not sufficient for comprehensive coverage.

Correct Answer: D

Rationale: The correct answer is D (Values and Vision & Mission statements) because they are essential components of strategic planning. Values guide decision-making and behavior, ensuring alignment with the organization's principles. Vision & Mission statements define the organization's purpose, goals, and direction, providing a roadmap for strategic decisions. Reengineering (choice C) is not a typical component of strategic planning as it focuses on process improvement rather than guiding the overall strategy. Choice A (Values) alone is not sufficient for strategic planning without a clear direction provided by Vision & Mission statements (B), making D the most comprehensive and accurate choice.

Correct Answer: A

Rationale: The correct answer is A because having family members wear a gown and gloves when visiting a client with C. difficile infection helps prevent the spread of the bacteria to others. This infection is highly contagious and can be transmitted through contact with contaminated surfaces or feces. By wearing protective gear, family members can reduce the risk of spreading the infection to themselves or others. Choice B is incorrect because while cleaning contaminated surfaces with a bleach solution is important, it is not directly related to family members' responsibilities. Choice C is incorrect because alcohol-based hand sanitizers are not effective against C. difficile spores, so proper handwashing with soap and water is recommended. Choice D is incorrect because assigning the client to a room with a private bathroom is not directly related to the responsibility of family members visiting the client.

Correct Answer: A

Rationale: The correct answer is A, the first step in the grievance process. When a nurse disagrees with a physician's statements, consulting the nurse manager is an initial step to address the issue informally. This step allows for clarification, communication, and resolution at a lower level before escalating to formal grievance procedures. Choices B, C, and D are incorrect because they pertain to subsequent steps in the process after the issue has become more formalized and escalated beyond the initial stage.

Correct Answer: C

Rationale: The main focus of health literacy initiatives is to ensure that patients understand their health information. This is important for empowering individuals to make informed decisions about their health. Promoting the use of medical jargon (Option A) would actually hinder comprehension. Improving patient communication skills (Option B) is beneficial but not the main focus. Reducing the use of electronic health records (Option D) is not related to enhancing patient understanding.

Correct Answer: C

Rationale: The correct answer is C: National healthcare legislation. Macro-level health policies are those that are implemented at the national level and have a broad impact on a large population. National healthcare legislation falls under this category as it sets guidelines and regulations for the entire country's healthcare system. Local health ordinances (A) are specific regulations for a particular locality, state licensing regulations (B) are at the state level, and institutional policies (D) are specific to individual healthcare institutions. Therefore, the correct choice is C as it aligns with the definition of macro-level health policy.