The Point Quiz #4

A nursing unit in a busy hospital is planning to undergo a major restructuring, and several staff members have expressed anxiety about the impending change. What type of conflict exists in this situation? Latent conflict Perceived conflict Felt conflict Manifest conflict

Felt conflict

A new nurse manager is learning about fiscal planning. Which are barriers for nurse managers' participation in fiscal planning? (Select all that apply.) Nursing input in fiscal planning is undervalued. Nurses lack the intuition necessary for fiscal planning. Nurses are directly involved in fiscal planning. Nursing education lacks preparation in fiscal planning. Many nurses perceive that fiscal planning is difficult.

Nursing education lacks preparation in fiscal planning. Many nurses perceive that fiscal planning is difficult.

Who is responsible for cost-containment? Nurses Doctors Hospitals All of the above

All of the above

The nurse manager on a busy unit that has recently been experiencing shift conflicts. As the staff can have different opinions on conflicts, what is the best first step to take to resolving conflict? Determining the difference between intrapersonal, interpersonal, and intergroup conflict Assessing what factors are affecting the judgment of the people involved in the conflict Assessing the extent of competition occurring within the workplace Showing preference to the day shift as this shift has more experienced staff

Assessing what factors are affecting the judgment of the people involved in the conflict

A new nurse on a medical-surgical unit has an uncomfortable encounter with one of the RNs. Both the RN and the new nurse realize that the encounter was trivial and decide to ignore that it occurred. What type of conflict strategy management is being used? Avoidance Smoothing Competing Cooperating/Accommodating

Avoidance

A nurse manager is considering how to gain more staff involvement in meeting budgetary goals. Which activity is most likely to result in staff understanding and participating in budgetary goals? Communicating budgetary planning goals to staff Comparing actual expenses with budgeted expenses Being held accountable for the unit's financial results Forecasting or estimating needs using current data

Communicating budgetary planning goals to staff

The nurse-manager of a surgical unit must hire travel RNs to work during busy times. Knowing that travel nurses typically receive higher hourly salaries as well as completion bonuses for the 13-week assignment, the manager anticipates regular staff will have animosity toward these nurses. The manager has a plan to allow the regular staff to have every weekend off (because part of the travel nurse's contract states that the nurse may be required to work each weekend during the contracted time frame). What type of conflict resolution strategy is the manager using? Competing Compromising Avoiding Smoothing

Compromising

Nurse leaders understand that there are various stages of conflict. What is the final stage? Conflict aftermath Latent conflict Manifest conflict Conflict resolution

Conflict aftermath

For a nurse leader, what is the optimal goal in resolving conflict between team members? Create a win-win solution for all Demonstrate managerial skills Prevent further conflict on the same issue Prevent violence

Create a win-win solution for all

For the nurse leader to be effective in their role, the leader does not need to identify the stages of conflict but only acknowledge its existence to begin the resolution. TRUE FALSE

FALSE

Negotiation closure ends with restating the final decision in order to assess individual understanding of the resolution. TRUE FALSE

FALSE

Workplace violence is decreasing among health care workers. TRUE FALSE

FALSE

Choose the method of reimbursement that creates higher rates as more services are provided. Diagnosis-related group (DRGs) Fee-for-service (FFS) Prospective payment system Managed Care

Fee-for-service (FFS)

The RN on a medical-surgical unit that has experienced several changes in its administrative structure due to conflicts with the mission of the hospital. The RN realizes that conflict should be managed to allow for what outcomes? (Select all that apply.) Growth within the organization Reduced employee satisfaction Enhanced productivity Diminished productivity Innovation

Growth within the organization Enhanced productivity Innovation

A nurse manager is considering the reasons for the current problems with the health care system. Which are negative consequences of higher spending in health care? (Select all that apply.) Higher spending may result in duplication of services. Higher spending may result in overuse of technology. Higher spending may result in overutilization of services. Higher spending may result in higher quality of care. Higher spending guarantees a higher quality of care.

Higher spending may result in duplication of services. Higher spending may result in overuse of technology. Higher spending may result in overutilization of services

The members of a nursing staff claim that the lab department is not reporting patients' critical values fast enough, but the lab department claims that it is. The nursing manager and the lab department director are sent to conflict resolution to come to a solution that will be in the best interest of patient continuity. Based upon this scenario, which type of conflict exists? Interpersonal conflict Intrapersonal conflict Transpersonal conflict Intergroup conflict

Intergroup conflict

Conflicts resulting from differing or contradictory beliefs among two or more individuals are known as _____. Intergroup conflicts External conflicts Interpersonal conflicts Organizational conflicts

Intergroup conflicts

A new graduate nurse has been assigned to a RN preceptor with a history of being tough, uncivil, and intimidating to new nurses. During the first day on the job, the graduate nurse has a harsh exchange with the RN. What type of conflict is this? Interpersonal conflict Resolution conflict Intergroup conflict Intrapersonal conflict

Interpersonal conflict

The nurse leader must be aware of barriers that can prevent effective mediation. These include which of the following? (Select all that apply.) Intimidation Manipulation Ridicule Active listening Negative body language

Intimidation Manipulation Ridicule Negative body language

A new graduate RN has a desire to work in a trauma hospital facility located in Los Angeles but has an aging mother who lives in small town in Pennsylvania and is reluctant to leave her alone. What type of conflict is this? Intergroup Interfunctional Interpersonal Intrapersonal

Intrapersonal

The nurse is the manager of a telemetry unit that is undergoing restructuring, resulting in the need for the nursing staff to accommodate both the telemetry unit and the medical rehab unit. Most of the staff on the telemetry unit have worked there for many years, and this change will create conflict. At what stage does this conflict exist? Perceived conflict stage Felt conflict stage Manifest conflict stage Latent conflict stage

Latent conflict stage

Why is conflict an expected occurrence on a large medical-surgical unit? (Select all that apply.) People with different values People of comparable beliefs People of similar backgrounds People who have different goals People with shared interests

People with different values People who have different goals

Two nurses were selected to learn about a new piece of technology that could improve the accuracy of patient assessments. This training was to be provided at a long distance from the hospital, and the nurses' employer could only afford travel expenses for one nurse. The hospital chose to send the nurse who had historically shown more proficiency in teaching others about new technology. This displeased the nurse who was not selected, who was then unfriendly to the nurse who was selected. What is the likely source of conflict between these nurses? Cultural Personal/professional beliefs Professional competition Lack of resources

Professional competition

Conflict can have a negative or positive influence on those involved. TRUE FALSE

TRUE

Conflict is needed to promote organizational growth. TRUE FALSE

TRUE

Health care is not only financed by private insurance, government funding, and private donations but also by individual out-of-pocket expenses. TRUE FALSE

TRUE

The negotiation strategies mirror that of the nursing process. TRUE FALSE

TRUE

A nurse manager is preparing a presentation to be delivered to a group of nurses in a nursing unit about the current U.S. health care system. Which statement about resource utilization is most accurate? Currently, there is a scarcity of resources available in the U.S. health care system. The health care resources that are available in the United States are not used cost-effectively. Additional funding for health care resources would improve the status of U.S. health. Limiting spending for health care resources will improve the quality of U.S. health.

The health care resources that are available in the United States are not used cost-effectively.

A nurse manager believes that the nursing unit is experiencing too little conflict. What signs within the organization would indicate that this is true? The organization has become static. The organization has become less effective. Employees have become immobilized. Employees feel motivated.

The organization has become static.

A nurse manager is considering the use of critical pathways for a nursing unit. Which statement regarding critical pathways is most accurate? They can be used to monitor quality of care. They reduce the need for documentation. They reduce the need for utilization review. They accurately predict patient progress.

They can be used to monitor quality of care.

A nurse manager is faced with a conflict situation. One of the nurse manager's team members is confused about their hospital responsibilities. This team member is shy and doesn't ask for direction, leading to a lack of communication that decreases the quality of patient care. What questions should the nurse manager ask to analyze the situation? (Select all that apply.) What individual factors are involved? What environmental factors are involved? Who are the people involved? What learning opportunities can be introduced? Which individuals need to be fired?

What individual factors are involved? What environmental factors are involved? Who are the people involved?

The unit manager of a medical-surgical unit undergoing restructuring changes realizes that to create a more controlled transition for your staff, it will be necessary to incorporate the conflict resolution strategy known as 'smoothing'. Smoothing is best defined as: slang for avoiding. the transfer of an aggressive employee to another unit. looking toward something that the parties in conflict are in agreement about. declaring a resolution to the strategy that may be perceived as lose-lose but is in the best interest of the unit.

looking toward something that the parties in conflict are in agreement about.