Exam 24: Understanding and Resolving Conflict

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In trying to achieve Magnet status for the hospital,the chief nursing officer establishes a shared governance model to help nurses experience job satisfaction.However,some nurses who have enjoyed working with less autonomy resist this change,which thus creates organizational conflict.Organizational conflict arises from which of the following?

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D

A nurse educator is giving a workshop on conflict.During the sessions he makes various statements regarding conflict.All of the following statements are true except:

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A

Lee,the head nurse in ER,has attempted to meet Jillian,one of her staff RNs,for several days to discuss concerns about Jillian's relationships with her team members.Lee hopes to offer Jillian coaching so that Jillian's relationships can be more satisfying with her team members.Each time Lee and Jillian set a time to meet,Jillian phones in sick.In this situation,Lee and Jillian are demonstrating:

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C

Kala,a unit manager,in discussing a role the hospital's chief executive officer would like her to perform,makes the following statement,"I will sit on the hospital task force on improving morale if you send me to the hospital's leadership training classes next week,so I can further develop my skills and thus be more effective." Which of the following conflict management styles is Kala using?

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A nursing instructor is teaching a class on conflict and conflict resolution.She relates to the class that conflict in an organization is important and that an optimal level of conflict will generate which of the following?

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Nurses entering into the workforce today are faced with which of the following relationships that could create organizational conflict? (Select all that apply.)

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Two nurses on a psychiatric unit come from different backgrounds and have graduated from different universities.They are given a set of new orders from the unit manager.Each nurse displays different emotions in response to the orders.Nurse A indicates that the new orders include too many changes; Nurse B disagrees and verbally indicates why.This step in the process is which of the following in Thomas's (1992)four stages of conflict?

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A group of staff nurses is dissatisfied with the new ideas presented by the newly hired nurse manager.The staff members want to keep their old procedures,and they resist the changes.Conflict arises from:

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The way in which nurses respond to conflict has changed very little in the past 20 years.What are the two most often (based on research)ways nurses use when faced with conflict? (Select all that apply.)

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The nurse manager performs his role in a way that he believes empowers his staff; however,the staff feel smothered by his micromanagement approach.This is a good example of which of the following conditions that propel a situation toward conflict?

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Jane has transferred from the intensive care unit to the critical care unit.She is very set in the way she makes assignments and encourages her new peers to adopt this method without sharing the rationale for why it is better.This is a good example of a process and procedure that creates ________ conflict.

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There are time when avoiding conflict can be effective.Which of the following are appropriate for avoiding conflict? (Select all that apply.)

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Two staff nurses are arguing about working on holidays.In trying to resolve this conflict,the nurse manager understands that interpersonal conflict arises when:

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Jill is the head nurse on a unit in a large hospital.Two of the staff nurses are constantly arguing and blaming each other for mistakes,and a resolution has not occurred in months.To solve the existing conflict,which is the most desirable conflict resolution?

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Successful resolution of conflict yields constructive outcomes and leads to:

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Which of the following exemplifies the preferred conflict management style of nurse managers?

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The head nurse and a staff nurse are having a conflict over how to use and apply a new procedure for dressings in the medical/surgical unit.The staff nurse wishes to use the new procedure,which is based on newly released nursing research.The head nurse wishes to use a protocol that has been used in the department for a number of years.The head nurse later makes comments to other staff on her unit about the credibility of the staff nurse.This behaviour is associated with:

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Which of the following best exemplifies the accommodation style of conflict management for staff nurses?

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Congruence is described as an alignment of one's real and ideal self,resulting in a greater ability to be authentic and self-actualize/thrive in one's life roles (Rogers,1959).Self-compassion is: (Select all that apply.)

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Mrs.Gordon,aged 68,was hospitalized after a stroke.The speech therapist recommended that oral feeding be stopped because of her dysphagia.During visiting hours,Mr.Gordon fed his wife some noodles.The nurse noticed this and stopped Mr.Gordon from feeding his wife,telling him it was the doctor's decision.An hour later,the nurse returned and found Mr.Gordon feeding his wife again.The nurse tried to stop him again.Mr.Gordon refused and claimed that the clinical staff was trying to starve his wife; he also threatened to get violent with the nurse.The nurse decided to walk away and documented the event in Mrs.Gordon's chart.According to Thomas's (1992)four stages of conflict,in which stage could the nurse have been more effective?

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