NUR 108 Ch 10 Leadership, Managing and
Delegating
1. Two staff nurses on a unit disagree with one another over certain key aspects of providing
client care. The nurse manager of the unit arranges a meeting with the charge nurse and the
twostaff nurses at a mutually
agreed-upon time to discuss this situation. This activity is most accurately described as what?
Conflict resolution
Problem solving
Delegation
Client protection
Answer
Conflict resolution
Nurse managers frequently encounter conflict between employees and between themselves and
employees. Unresolved conflict can lower morale and threaten quality care. Conflict resolution,
also known as conflict management, is a process to work through conflicts in a way that minimizes
negative effects and promotes positive consequences. In this scenario, the nurse manager is
practicing conflict resolution by bringing the parties involved in the conflict together to discuss
possible solutions. Problem solving consists of using generic or ad hoc methods in an orderly
manner to find solutions to problems. In a way, conflict resolution is a type of problem solving, in
which the problem to be solved is the relational conflict between two or more people. Delegation
is the assignment of any responsibility or authority to another person to carry out specific
activities. Client protection refers to preventing harm to the client, such as when the nurse keeps
client data private.
2. The registered nurse on a busy telemetry floor is delegating tasks to an
unlicensed assistive person (UAP). Which task is appropriate for the UAP to complete?
Bathing a combative client
Inserting an indwelling urinary catheter
Taking an order over the telephone from a physician
Assessing a client's wound
Answer
Bathing a combative client
,Bathing a client, whether combative or not, is within the scope of practice of a UAP. Skills such
as inserting an indwelling catheter, taking a physician order, and assessment must be completed
by licensed nurses, however.
3. The chief nursing officer (CNO) wants to encourage nurses in the hospital to become
clinical nurse leaders (CNL) and is reviewing a roster of nurses working on the medical-surgical
unit. Which nurse should the CNO recognize as being qualified to take the CNL examination?
An RN who attended a diploma program, has 20 years of nursing experience, is a bedside nurse,
is reliable, and provides quality client care
An with a BSN who is a case manager; has 16 years of nursing experience, is trustworthy, and
provides compassionate client care
An RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive, and
is engaged in community service activities
An RN with an ADN who is a charge nurse, has 5 years of nursing experience, is honest, and is
enrolled in BSN courses
Answer
An RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive,
and is engaged in community service activities
The RN with an MSN who is a nurse manager, has 7 years of nursing experience, is supportive,
and is engaged in community service activities is the only nurse qualified to become a CNL. The
American Association of Colleges of Nursing requires an RN to have at least a master's degree to
be eligible to become a CNL.
4. Which of these statements reflects the expected functioning at a hospital that has achieved
Magnet status?
Nursing administration is in control of all decision-making.
Most client outcomes haveimproved but are not at target range.
Staff nurses are developing innovative solutions toproblems.
There is a decreased rate of retention among the nursing staff.
Answer
Staff nurses are developing innovative solutions to problems.
A hospital that has achieved Magnet status has recognition of quality client care that is provided by
nursing staff who are professional and well qualified. The staff nurses participate in self-
governance and, therefore, work toward innovative solutions to problems. Having an increased
turnover among staff nurses and a lack of quality client outcomes would not be characteristics
of a Magnet hospital.
, 5. A nurse is caring for a client with pneumonia. Which task is most appropriate for the nurse
todelegate to an experienced unlicensed assistive personnel (UAP)?
Assessing for shortness of breath
Instructing the client about the need to alternate activity with rest
Obtaining vital signs every 4 hours
Administering nebulizer treatments as needed
Answer
Obtaining vital signs every 4 hours
Having the UAP obtain vital signs every 4 hours is most appropriate, as it is
within the UAP's scope of practice to perform this task. Assessment, teaching, and
administration of medication are not in the current scope of practice for UAPs.
6. Conflict has emerged on a nursing unit due to the perception by new graduates that some of
the more experienced nurses are manipulating the client assignment to ensure a lighter workload
during night shifts. How should the manager of the unit best address this conflict?
Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as
possible.
Gather evidence over the next several weeks in order to determine if the practice is indeed
happening.
Arrange for the newer nurses to organize the client assignment for a trial period.
Reassure the new graduates that the more experienced nurses are acting in the interests of both
staff and clients.
Answer
Arrange a meeting where the issue can be discussed and addressed by as many of the nurses as
possible.
Open, explicit, and participatory conflict resolution that is based on collaboration is an effective
strategy for the management of conflict. Gathering evidence does not directly address the
conflict that currently exists and reassurance may be
unwarranted and false. Allowing the new graduates to create the client assignment may
perpetuate selfish practices and does not resolve animosity between the two camps.
7. The nurse manager for the psychiatric unit sees that there are major conflicts between the
day and night shift staff. The nurse manager suggests that each shift put aside their differences
fora time and determine a common major goal. Which conflict resolution style does the nurse
manager display?
Avoiding
Competing
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