NURS336 Exam 3 Collab change delegation conflict
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Free NURS336 Exam 3 Collab change delegation conflict Questions
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Develop policies consistent with the nurse manager's prior workplace.
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Attend a workshop on how to deal with difficult people.
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Schedule a series of meetings with staff and the administrator to clarify.
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Decide to give the position three more months and then leave if things do not improve.
Explanation
Correct Answer: (C) Schedule a series of meetings with staff and the administrator to clarify
The core issue is a lack of clarity and alignment regarding role expectations between the nurse manager, the charge nurse, and the administrator. Scheduling structured meetings with both staff and administration creates an open, professional forum to clarify expectations, establish shared priorities, and negotiate a workable balance between administrative responsibilities and clinical availability. This demonstrates proactive leadership and effective communication, which are essential components of successful role transition.
Why Other Options are Incorrect:
A. Develop policies consistent with the nurse manager's prior workplace Each healthcare institution has its own culture, policies, and operational needs. Applying policies from a prior workplace without adapting to the current institution's context is inappropriate and may conflict with existing facility standards and values.
B. Attend a workshop on how to deal with difficult people The issue is not about interpersonal conflict management but about role clarity and time allocation. Attending a workshop on difficult people misidentifies the problem and does not address the structural and communication gaps causing the tension.
D. Decide to give the position three more months and then leave if things do not improve Adopting a passive wait-and-see approach with a predetermined exit plan is not a leadership strategy. It avoids the problem rather than addressing it and would not resolve the underlying issues of role ambiguity and staff concern.
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A disease spreads worldwide
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The number of cases rises above expected levels in a specific area
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A disease is present at a steady rate in a community
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A disease occurs only in isolated cases
Explanation
Correct Answer: (B) The number of cases rises above expected levels in a specific area
An epidemic is defined as a sudden increase in the number of cases of a disease above what is normally expected in a specific geographic area or population. It is localized or regional in scope, distinguishing it from a pandemic which involves worldwide spread.
Why Other Options are Incorrect:
A. A disease spreads worldwide — This describes a pandemic, not an epidemic. A pandemic involves global spread across multiple countries or continents.
C. A disease is present at a steady rate in a community — This describes an endemic, where a disease consistently exists at a baseline level within a specific population or region.
D. A disease occurs only in isolated cases — This describes sporadic occurrence, which is the opposite of an epidemic. Isolated cases do not meet the threshold of rising above expected levels.
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Closed right femur fracture, pedal pulses strong, capillary refill less than 2 seconds
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Shortness of breath, symmetrical chest wall movement, O2 saturations 85%
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Severe bleeding of facial and head lacerations, oriented to person, place, and time
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Chest pain, blood pressure 90 systolic, heart rate 130, respirations 36 breaths/min
Explanation
Correct Answer: (A) Closed right femur fracture, pedal pulses strong, capillary refill less than 2 seconds
In mass casualty triage using the START triage system, patients are prioritized based on severity and urgency of their condition. A closed femur fracture with strong pedal pulses and capillary refill under 2 seconds indicates a stable patient with no immediate life-threatening compromise to circulation or airway. This patient would be classified as "delayed" (yellow tag) and treated after those with more critical needs, since all patients have high survival rates.
Why Other Options are Incorrect:
B. Shortness of breath with O2 saturations at 85% — This patient has a compromised airway and oxygenation, making them an immediate priority requiring urgent intervention.
C. Severe bleeding of facial and head lacerations — Active severe bleeding requires immediate hemorrhage control and takes priority over a stable orthopedic injury.
D. Chest pain, BP 90 systolic, HR 130, respirations 36 breaths/min — This patient is hemodynamically unstable with signs of shock and respiratory distress, making them the highest priority for immediate treatment.
A. "It means providing the most expensive treatments available."
B. "It focuses on meeting each patient's needs safely and effectively."
C. "It is care that meets minimum legal standards."
D. "It means following the doctor's orders exactly as written."
Explanation:
Correct Answer: (B) "It focuses on meeting each patient's needs safely and effectively."
Quality care is defined as care that is safe, effective, patient-centered, timely, efficient, and equitable. It prioritizes meeting the individual needs of each patient while ensuring their safety and achieving effective health outcomes, which is exactly what option B describes.
Why Other Options are Incorrect:
A. "It means providing the most expensive treatments available." — Cost does not determine quality. Expensive treatments may not always be the most appropriate or effective for a given patient.
C. "It is care that meets minimum legal standards." — Quality care goes far beyond legal minimums. Simply avoiding legal violations does not constitute high-quality, patient-centered care.
D. "It means following the doctor's orders exactly as written." — While following prescriptions is important, quality care also requires critical thinking, patient advocacy, and holistic assessment that extends beyond simply executing orders.
- "It means providing the most expensive treatments available."
- "It focuses on meeting each patient's needs safely and effectively."
- "It is care that meets minimum legal standards."
- "It means following the doctor's orders exactly as written."
Explanation
Correct Answer: (B) "It focuses on meeting each patient's needs safely and effectively."
Quality care is defined as care that is safe, effective, patient-centered, timely, efficient, and equitable. It prioritizes meeting the individual needs of each patient while ensuring their safety and achieving effective health outcomes, which is exactly what option B describes.
Why Other Options are Incorrect:
A. "It means providing the most expensive treatments available." — Cost does not determine quality. Expensive treatments may not always be the most appropriate or effective for a given patient.
C. "It is care that meets minimum legal standards." — Quality care goes far beyond legal minimums. Simply avoiding legal violations does not constitute high-quality, patient-centered care.
D. "It means following the doctor's orders exactly as written." — While following prescriptions is important, quality care also requires critical thinking, patient advocacy, and holistic assessment that extends beyond simply executing orders.
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Most older adult abuse is reported to the authorities.
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The most prevalent type of elder abuse is financial exploitation.
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In most states, older adult abuse is covered under mandatory reporting.
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Most older adults that experience abuse are abused in multiple ways.
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In some states, self-neglect by an older adult may be considered maltreatment.
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Older adults who experience abuse are often eager to report their abuse.
Explanation
Correct Answer: (B) The most prevalent type of elder abuse is financial exploitation, (C) In most states, older adult abuse is covered under mandatory reporting, (D) Most older adults that experience abuse are abused in multiple ways, and (E) In some states, self-neglect by an older adult may be considered maltreatment.
These statements are all factually accurate and clinically relevant for caregiver education on elder abuse. Financial exploitation is the most common form of elder abuse, mandatory reporting laws exist in most states, abuse commonly occurs in multiple forms simultaneously, and self-neglect is recognized as a form of maltreatment in several states.
Why Other Options are Incorrect:
A. Most older adult abuse is reported to the authorities — This is false. Elder abuse is significantly underreported, with the majority of cases never coming to the attention of authorities due to fear, shame, or dependency on the abuser.
F. Older adults who experience abuse are often eager to report their abuse — This is false. Victims of elder abuse are frequently reluctant to report due to fear of retaliation, emotional attachment to the abuser, or concerns about losing their caregiver.
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Wear business casual attire.
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Prepare examples of conflict resolution or teamwork.
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Research the facility's mission and services.
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Memorize answers to all possible questions.
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Ask about salary before the interviewer mentions it.
Explanation
Correct Answers: (A), (B), and (C)
Wearing business casual attire demonstrates professionalism and respect for the interview process. First impressions are important, and appropriate dress communicates that the candidate takes the opportunity seriously and understands professional standards.
Preparing examples of conflict resolution or teamwork allows the candidate to respond confidently to behavioral interview questions using the STAR method (Situation, Task, Action, Result). These examples showcase clinical and interpersonal competencies that are highly valued in nursing.
Researching the facility's mission and services demonstrates genuine interest in the organization, allows the candidate to align their answers with the facility's values, and enables them to ask informed and thoughtful questions during the interview.
Why Other Options are Incorrect:
D. Memorize answers to all possible questions Memorizing scripted answers makes responses sound rigid and rehearsed rather than authentic and thoughtful. Interviewers value candidates who can think on their feet and communicate naturally. Preparing key points and examples is more effective than memorization.
E. Ask about salary before the interviewer mentions it Raising salary as the first topic of discussion can create a negative impression by suggesting that compensation is the primary motivation for the applicant. Salary discussions are best initiated by the interviewer or reserved for later in the process, typically after an offer has been extended or the interviewer opens the conversation.
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Continuum of care
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Community
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Patients' home
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Holistic care
Explanation
Correct Answer: (B) Community
In community health nursing, a community is defined as a group of people who share common interests, characteristics, values, goals, and geographic or social bonds. The community is the unit of practice for public and community health nurses, who work to promote the health and well-being of the collective group rather than focusing solely on individual patients.
Why Other Options are Incorrect:
A. Continuum of care The continuum of care refers to a coordinated system of healthcare services ranging from preventive care to acute and long-term care that addresses the varying health needs of individuals over time. It describes a range of services, not a group of people.
C. Patients' home Patients' home refers to the physical living environment of an individual patient and is relevant to home health nursing. It does not describe a collective group sharing common social bonds and values.
D. Holistic care Holistic care refers to an approach to healthcare that addresses the physical, emotional, spiritual, and social dimensions of a patient's well-being. It describes a philosophy of care, not a group of individuals.
Explanation
Correct Answer: 4 mcg/min
Step 1 — Convert mg to mcg: 4 mg = 4,000 mcg
Step 2 — Find the concentration in mcg/mL: 4,000 mcg/250 mL = 16 mcg/mL
Step 3 — Calculate mcg/hr: 15 mL/hr × 16 mcg/mL = 240 mcg/hr
Step 4 — Convert to mcg/min: 240 mcg/hr ÷ 60 min = 4 mcg/min
Explanation
Correct Answer: 10.5 mL/hr
Step 1 — Find the concentration: 25,000 units/250 mL = 100 units/mL
Step 2 — Calculate the rate: 1,050 units/hr ÷ 100 units/mL = 10.5 mL/hr
The nurse will set the infusion pump to 10.5 mL/hr.
Explanation
Correct Answer: 5 mL/hr
To solve this, use the formula:
Desired dose ÷ Available concentration = Volume to administer
Available concentration = 20 mg/100 mL = 0.2 mg/mL
1 mg/hr ÷ 0.2 mg/mL = 5 mL/hr
The nurse will program the IV pump to deliver 5 mL/hr.
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