Author Question: A difference in opinion has arisen regarding methods to care for clients who are on mechanical ... (Read 28 times)

Metfan725 · **on:** Jul 8, 2018

A difference in opinion has arisen regarding methods to care for clients who are on mechanical ventilators. The nurse manager asks a group of nurses to meet and review evidence-based practice related to this client care situation.

Each nurse volunteers to gather data prior to the next meeting. This is an example of which type of problem solving? 1. Negotiation
2. Collaboration
3. Compromise
4. Forcing

Question 2

The nurse manager of an ICU unit has several open shifts that require an RN to fill. Several ICU nurses have taken overtime shifts but there are still several uncovered shifts.

The CNO (chief nurse officer) decides to fill these vacancies with agency nurses. The CNO realizes the agency staff must have these requirements prior to working in the facility. Select all that apply. 1. Current licensure to practice within the state
2. Orientation and required organizational competencies validated
3. Past work experience in an emergency room
4. Documentation of licensure, malpractice insurance, and certifications prior to working the shift

ryrychapman11 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

2
Rationale 1: Negotiation implies differences in opinions. There is no evidence that negotiation will be necessary in the work outlined.
Rationale 2: Collaboration occurs when all parties use their expertise to problem solve. The group focuses on problem solving as opposed to competition.
Rationale 3: Compromise means that neither party gets what he or she wants. Rewards are divided between both parties. There is not yet any compromise indicated in this scenario.
Rationale 4: Forcing provides an immediate end to the conflict but fails to resolve the cause of the conflict. An example of forcing would be the nurse manager making a decision on the client care and telling nurses that is how it is to be done.
Global Rationale:

Answer to Question 2

1, 2, 4
Explanation: 1. An agency nurse must have a current license to practice in the state in which the requesting
organization resides. The agency nurse must be oriented and complete the organizational
annual competencies for the environment in which they are to work. The requesting
organization must have all documentation, licensure, malpractice insurance, and necessary
certifications, prior to working in the organization. The past work experience is information
the agency in which the nurse is employed would require. This information is available to the
requesting organization but is not required upon employment.