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: C

Rationale: The correct answer is C: Staffing that minimizes overtime. Politics involves influencing resource allocation, and staffing decisions directly impact the allocation of human resources, a scarce resource in healthcare settings. Minimizing overtime through effective staffing management is crucial for efficient resource utilization. Raises for the staff (A) are more related to compensation rather than resource allocation. Patient supplies (B) and paper for the printer (D) are important resources but not directly tied to influencing resource allocation in the same way as staffing decisions. In summary, the correct answer, C, directly aligns with the definition of politics and resource allocation in a healthcare setting.

Correct Answer: C

Rationale: Step 1: In type 2 diabetes, the body either becomes resistant to insulin or doesn't produce enough insulin. Step 2: Diet and exercise can help improve insulin sensitivity and control blood glucose levels in type 2 diabetes. Step 3: Medications may also be prescribed if diet and exercise alone are not effective. Step 4: Insulin therapy may be necessary in some cases but is not the first-line treatment for type 2 diabetes. Step 5: Complications of type 2 diabetes can be serious and include cardiovascular issues, neuropathy, and kidney disease. Step 6: Type 2 diabetes is typically diagnosed through blood tests, not by admission with a hyperglycemic coma. Summary: Choice A is incorrect because complications can be severe in type 2 diabetes. Choice B is incorrect as insulin may be used in some cases. Choice D is incorrect as type 2 diabetes is usually diagnosed through blood tests. Choice C is correct as diet and exercise play a

Correct Answer: A

Rationale: The correct answer is A (10:00 AM) because aspart insulin typically peaks in around 1-3 hours after administration. Given that the patient received the insulin at 8:00 AM, the peak effect would most likely occur around 10:00 AM, making it crucial for the nurse to monitor for hypoglycemia symptoms. Choice B (12:00 PM) is not the best time as the peak effect would have already passed. Choices C (2:00 PM) and D (4:00 PM) are even further away from the expected peak time, making them less critical for monitoring hypoglycemia symptoms.

Correct Answer: C

Rationale: The correct answer is C: Check the blood glucose during the night. The Somogyi effect is rebound hyperglycemia that occurs in response to hypoglycemia during the night. By checking blood glucose levels during the night, the patient can identify if they are experiencing nighttime hypoglycemia leading to rebound hyperglycemia in the morning. This will help determine the need for adjusting insulin doses or carbohydrate intake. Why the other choices are incorrect: A: Avoid snacking at bedtime - does not address the underlying issue of nighttime hypoglycemia. B: Increase the rapid-acting insulin dose - could potentially worsen the Somogyi effect by causing further hypoglycemia. D: Administer a larger dose of long-acting insulin - also does not address the issue of nighttime hypoglycemia and may lead to further fluctuations in blood glucose levels.