A group of nurses are in a staff meeting on a medical-surgical ...

[awywial]

A group of nurses are in a staff meeting on a medical-surgical unit headed by the new unit nurse manager. The manager announces that nurses should not criticize and make fun of other nurses or there will be repercussions.
 
  Several nurses at the meeting suggest that the nurse manager talk to the individual nurses who are exhibiting this behavior. When assessing the staff's group dynamics, which action by the nurse manager is appropriate?
  A) Insist that this is an appropriate new policy.
  B) Recognize that the group has already defined behavioral norms.
  C) Discipline the staff nurses who spoke out.
  D) Request a transfer to another unit.

Question 2

The nurse is selected to participate on a committee to write critical pathways for a specific set of medical diagnoses. Which are advantages of using this approach when providing client care?
 
  Select all that apply.
  A) Link nursing diagnoses with specific assessment data
  B) Sequence the care that is to be given on a particular day
  C) Identify interventions, time frames, and expected outcomes
  D) List medical treatments to be performed by other providers
  E) Provide specific columns for diagnosis, interventions, and evaluation

[olderstudent]

Answer to Question 1

Answer: B

Behavioral norms are established by the group or the leader of the group. In this case, the manager should recognize that the group does not see this as an issue because it has already established behavioral norms for it. The new manager should simply offer support for any nurse who is unable to resolve such interpersonal conflicts. Insisting on initiating the new policy could be harmful to the goals of the group as a whole. Rather than transfer, the manager could observe the dynamics of the group and adapt to the findings. Disciplining those who spoke out would negatively affect the cohesiveness of the entire group.

Answer to Question 2

Answer: B, C, D

Clinical pathways sequence the care that must be given on each day during the projected length of stay for the specific type of condition. They include clinical interventions, time frames for completion, usual expectations of response, and expected outcomes. They are also sometimes called multidisciplinary plans because they include medical treatments to be performed by different types of healthcare providers. Concept maps link nursing diagnoses with specific assessment data. Column nursing care plans provide specific columns for diagnosis, interventions, and evaluation.