Isaac has worked as a staff nurse on the telemetry floor for over 15 years. He holds seniority in the unit. His patient care is satisfactory; however, his interpersonal behaviors are becoming an increasing issue for his coworkers. He throws papers around the unit, gives short answers to questions, and seems generally miserable. He tells the staff that they are lazy and stupid. He is constantly questioning their decisions. You have come from another local hospital in the role of the assistant nurse manager. Based on your observations, you have met with Isaac informally and discussed his behaviors, but they have not changed. Now three new nurses have already come to you saying that this unit is a great match for them, except for one problem. Although they have not identified Isaac by name, they have told you that one of the nurses is extremely abusive verbally, and they have been calling in sick on the days they are scheduled to work with this person.
1. What are your responsibilities as an assistant nurse manager in regard to Isaac’s behavior problem?
2. What is the next step in dealing with Isaac’s behaviors?
3. How will you, as the manager, have Isaac develop more effective people skills?
This is your first position as a nurse manager. The holidays are rapidly approaching, and the hospital policy states that each unit will negotiate holiday coverage individually. You are already getting requests via e-mail and on Post-it notes for holiday time. Several staff members have come to you stating that they “never” seem to get their requests for holidays. Discussion among the staff members is creating dissension and conflict.
1. Discuss the potential impact of this problem on you and the unit staff.
2. Describe a minimum of one positive consequence and one negative consequence of this conflict.
3. Select a model of conflict resolution and explain how you, as a nurse manager, might resolve this conflict.
Case scenario to be completed:
–APA Format.
-Introduction or abstract page
-Summary or Conclusion page
–Four Pages Minimum, not included Introduction or abstract, Conclusion or Summary , and Bibliographic pages.
–Completely unacceptable Copy and Paste from Internet, or other resources.
– Bibliographic have to be in APA Format, minimum 3 references citations with 3 years old  or less.

To prepare:

 

•Review Chapters 207, 208, and 241 of the Buttaro et al. text, as well as the Adams et al. and Assadi articles in this week’s Learning Resources.

 

•Select one of the following electrolyte disorders: hyperkalemia and hypokalemia; hypercalcemia and hypocalcemia; hypernatremia and hyponatremia; hypermagnesemia and hypomagnesemia. Reflect on signs and symptoms of this disorder.

 

•Consider potential causes of the disorder that you selected. Reflect on whether that disorder is iatrogenic or a result of prescribed drugs.

 

•Think about the impact of this electrolyte disorder on patients. Consider how the disorder affects other body systems.

 

 

 

Post 1 to 2 pages on a description of the electrolyte disorder that you selected as well as signs and symptoms. Then, explain potential causes of the disorder including whether it is iatrogenic or a result of prescribed drugs. Finally, describe the impact of the disorder on patients and their body systems.

 

 

 

References

 

Readings

 

•Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2013). Primary care: A collaborative practice (4th ed.). St. Louis, MO: Mosby

 

Chapter 207, “Hypercalcemia and Hypocalcemia” (pp. 1090–1095

 

Chapter 208, “Hypernatremia and Hyponatremia” (pp. 1095–1101)

 

Chapter 241, “Oncology Complications and Paraneoplastic Syndromes” (pp. 1303–1308)

 

 

 

• Adams, D., de Jonge, R., van der Cammen, T., Zietse, R., & Hoorn, E. J. (2011). Acute kidney injury in patients presenting with hyponatremia. Journal of Nephrology, 24(6), 749–755.

Assadi, F. (2010). Hypomagnesemia: An evidence-based approach to clinical cases. Iranian Journal of Kidney Diseases, 4(1), 13–19.

 

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