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other staff members seem to avoid the nursing students and reply to their questions with annoyed,
short answers. Shawna is feeling alone and overwhelmed and goes home at night worrying about
the patients, who need more care and attention. She is afraid to ask Tina for more help because she
does not want to be considered incompetent or a complainer. When she confided in Lynn about
her concerns, Lynn replied, “Get real—no one here cares about the patients or us. All they care
about is the bottom line! Why did a smart girl like you choose nursing in the first place?”
1. What is happening on this unit in leadership terms?
2. Identify the major problems and the factors that contributed to these problems.
3. What factors might have contributed to the behaviors exhibited by Tina, Lynn, and Sheila?
4. How would you feel if you were Shawna?

5. Is there anything Shawna can do for herself, for the patients, and for the staff members?
6. What do you think Tina, the nurse manager, should do?
7. How is the nurse manager reacting to the changes in her staff members?

8. What is the responsibility of administration?
9. How are the patients affected by the behaviors exhibited by all staff members?

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