exam 1 Flashcards
how can care be organized according to client care needs and priorities?
- what must be done immediately
- what must be done by a specific time to ensure client safety
- what must be done by the end of the shift
- what can the nurse delegate?
what are examples of what must be done immediately?
administration of analagesic or antiemetic and assessment of unstable client
what are examples of what must be done by a specific time?
routine medication administration, vital signs, and blood glucose monitoring
what are task factors to think about before delegating?
- will the completion of task have a predictable outcome?
- is there chance that something negative can happen to the client
- are complex tasks required as a part of the client’s care?
- is nursing judgment/assessment required while performing the task?
- is there a need to provide education during the task?
what is the right task?
repetitive, requires little supervision, and is relatively non invasive
what is the right circumstance?
assess the complexity of care of patient and match that with demands of health care team member
what is the right person?
verify the competency of health care team member and task must be within scope of practice
what is the right direction/communication?
data is needed in writing or orally and has to have patient specific instruction
what is the right supervision/evaluation?
monitor performance and provide feedback to health care member
what is intrapersonal conflict?
conflict within oneself
example: nurse wants to move up the career ladder but sees time with family is compromised
what is interpersonal conflict?
conflict between 2 or more people with differing thoughts. contribute to burnout and stress in new nurses
example: new nurse is given heavier patient assignment than others and is denied help when asked
what is intergroup conflict?
between 2 or more groups
example: confusion as to whether it is the responsibility of the nursing unit or dietary department to pass meal trays
what are the stages of conflict?
Lots of People Felt Mad Afterwards
Latent, Perceived, Felt, Manifest, Aftermath
what is the latent stage?
actual conflict has not developed but factors are present that can develop into conflict
what is the perceived stage of conflict?
someone perceives a problems is present even if conflict is not happening
example: nurse thinks that the nurse manager is unfair with scheduling but this could be because the nurse manager misunderstood the nurse’s request
what is the felt stage of conflict?
those involved begin to have an emotional response
what is the manifest stage?
parties involved are aware of conflict and action is taken, best case is both come toward a conflict resolution
what is the aftermath stage?
completion of the conflict process so best case is that both nurse manager and nurses on unit are satisfied with the new scheduling system
what is the avoiding/withdrawing strategy?
each party knows there is a conflict but they refuse to face it
what is the smoothing strategy?
one party attempts to smooth another party by trying to satisfy that party
what is the competing/coercing strategy?
one party pursues a desired solution at the expense of the other
example: managers use this when a quick or unpopular decision must be made
what is the cooperating/accommodating strategy?
one party sacrifices something allowing the other party to get what it wants (opposite of competing)
what is the compromising strategy?
each party gives up something and compromises equally
what is the collaborating strategy?
both parties work together to achieve a new common goal and this is a win-win situation for both
