Situation: A 30-bed adult medical ward admits many clients w… | 마이메르시 MyMerci
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Nursing Practice IV — Care of Clients with Problems in Nutrition and Gastrointestinal, Metabolism and Endocrine, Perception and Coordination
문제

Situation: A 30-bed adult medical ward admits many clients with diabetes, liver disease, and thyroid disorders. It uses team nursing: each team has a registered nurse team leader, one or two staff nurses, and a nursing attendant. The head nurse is working to improve how the teams work with the laboratory, pharmacy, and dietary services. In Filley's model, which stage is marked by emotions such as anger, anxiety, or mistrust before any open action?

해설
Filley's stages are antecedent (latent) conditions, perceived conflict, felt conflict, manifest (overt) conflict, resolution or suppression, and aftermath. After the parties recognize the disagreement (perceived), emotions such as anger, anxiety, or mistrust arise (felt), before any open action.
같은 주제 다음 문제Situation: The adult medical-surgical ward of a 150-bed provincial hospital has 28 clients…이 문제가 수록된 문제집PLNE Question Bank 150014,000원 · 무료 체험 가능

심화 해설

Filley's stages of conflict
Alan Filley described conflict as a process that moves through predictable stages. Antecedent (latent) conditions come first: situations, such as unclear roles or competition for resources, that set the stage. In perceived conflict, the parties recognize that a disagreement exists. In felt conflict, emotions arise. Manifest (overt) conflict is open action such as arguing, complaining, or withdrawing. The conflict then ends in resolution or suppression, followed by the aftermath. Felt conflict is the stage marked by emotions such as anger, anxiety, or mistrust before any open action.

StageWhat happens
Antecedent (latent) conditionsConditions that could lead to conflict
Perceived conflictThe parties recognize a disagreement
Felt conflictEmotions arise: anger, anxiety, hostility, mistrust
Manifest (overt) conflictOpen action: arguing, complaining, withdrawing
Resolution or suppressionThe conflict is settled or pushed aside
Conflict aftermathThe feelings and effects that remain afterward

Why the other stages are wrong
Latent conflict is the earliest stage, before the disagreement is even perceived, so it has no emotional content yet. Manifest conflict comes after the felt stage and involves visible behavior, not just feelings. Aftermath is the last stage, after resolution or suppression, and describes what remains, whether a better working relationship or lingering resentment.

Why the stages matter for the head nurse
Recognizing the stage helps the manager act early. Addressing conflict while it is felt, before it becomes manifest, is easier and less damaging to working relationships. A head nurse who notices tension, frustration, or distrust between a ward team and the laboratory, pharmacy, or dietary staff can open a discussion before arguments break out. The aftermath of one conflict becomes the antecedent of the next, so a well-managed resolution reduces future conflict.

Watch out! Perceived and felt conflict are easy to mix up. Perceived is thinking: we disagree. Felt is emotion: I am angry or anxious about it. Both occur before open action.

Exam takeaway
Key point! In Filley's model, perceived conflict is awareness, felt conflict is emotion, and manifest conflict is open behavior.

임상 시나리오

Filley's Stages of ConflictFrom latent to aftermath

Stages: latent conditions, perceived, felt, manifest, resolution or suppression, and aftermath.

Felt conflict is when emotions such as anger, anxiety, or mistrust arise after the disagreement is recognized but before open action.

Managing conflict at the felt stage prevents open arguments and protects working relationships between teams and departments.

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