Author Question: Nursing students take turns being the team leader for the group of clients, their assigned students ... (Read 93 times)

geodog55 · **on:** Jul 17, 2018

Nursing students take turns being the team leader for the group of clients, their assigned students and team members.

The team leader evaluates the followership qualities of the team members during the past clinical experience. Which followership behavior exhibited by the four team members should the team leader discuss with the individual team member to improve teamwork?
A) Asks for help to reposition an immobile client who slid down in bed in order to maintain proper body mechanics, to prevent any back injuries, and to provide safe and efficient care for the client
B) Asks the team leader for clarification on her assignment, and after receiving the clarification carries out the assignment, charting it according to the institution's policy and procedure
C) Attempts to place a nasogastric (NG) tube while the client is lying flat, and after the team leader discussed the best way to insert the NG tube. Then the student inserted an NG into another client while the client was lying flat in bed
D) Offers suggestions to the team leader making the team member assignments to provide the same clients the nursing students had during their last clinical in order to better provide continuity of care

Question 2

A licensed practical/vocational nurse (LP/VN) is frustrated with a physician who consistently yells at her while the nurse is in the client's room to drop everything and gather supplies, so he can perform a sterile procedure.

Which is the best possible next action for the nurse to take to handle this conflict?
A) Yell back at the physician that she is busy and for the physician to get the supplies on his own
B) Calmly in front of the physician ask the unlicensed assistive personnel (UAP) to get the items the physician wants
C) Assertively confront the physician in private regarding his behavior and seek a resolution to the matter
D) Report the physician's inconsiderate actions to the nurse manager and ask him to deal with the issue

djofnc · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

Ans: C
Feedback:
The team leader needs to discuss with the student who has problems with constructive criticism the value of following the advice to improve the quality of care delivered to clients. Team members should ask for help when moving or repositioning clients. A team member should ask for clarification from the team leader in order to provide safe efficient care for clients. A team member with appropriate followership skills provides suggestions to improve the effectiveness of the health care team members.

Answer to Question 2

Ans: C
Feedback:
The nurse wanting to resolve the conflict should meet privately with the physician and calmly and assertively confront the physician with his behaviors and seek a resolution to the situation. When a nurse is confronted with an angry aggressive individual using a calm voice in an assertive manner will help diffuse the other person's anger. The nurse should not yell back at the physician because the client should not have to witness two healthcare professionals aggressively yelling at each other. The nurse should not ask the UAP to get items in front of the physcian because it does not address the conflict of open aggression to the nurse in front of a client; it is a passive action from a busy LP/VN delegating the gathering of supplies to the UAP. The nurse should not report the physician's inconsiderate actions because the nurse manager did not witness the event, has no vested interest in the conflict, and may not resolve the issue so both the nurse and physician may work together professionally.