# Situation: The nurse is a staff nurse on an inpatient psychiatric unit. The unit team of psychiatrist, nurses, psychologist, social worker and occupational therapist meets weekly to review care plans and to settle disagreements about unit routines. Two nurses disagree about whether a client with mania should join the 1-hour afternoon group session. One wants him to attend the full hour; the other wants him kept out. They settle on his attending the first 20 minutes and then spending time in a low-stimulation area. Neither nurse is fully satisfied, but both accept the plan. How is this approach classified?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630157  
> language: ko  
> subject: Nursing Practice V — Care of Clients with Maladaptive Patterns of Behavior; Care of Clients with Life-Threatening Conditions, Acute Multi-Organ Problems, High Acuity and Emergency Situations

## 문제

Situation: The nurse is a staff nurse on an inpatient psychiatric unit. The unit team of psychiatrist, nurses, psychologist, social worker and occupational therapist meets weekly to review care plans and to settle disagreements about unit routines.

Two nurses disagree about whether a client with mania should join the 1-hour afternoon group session. One wants him to attend the full hour; the other wants him kept out. They settle on his attending the first 20 minutes and then spending time in a low-stimulation area. Neither nurse is fully satisfied, but both accept the plan. How is this approach classified?

## 보기

1. Accommodating
2. Avoiding
3. Compromising **✔ 정답**
4. Collaborating

**정답: 3**

## 해설

Each nurse gives up part of the original position to reach a middle ground that neither fully wanted, which is compromising: moderate assertiveness and moderate cooperation, a partial win for each. Collaborating would require working through both nurses' underlying interests to a new solution that fully satisfies both.

## 심화 해설

Conflict Management Style Classification

The scenario describes two nurses holding opposing positions about a client with mania attending a group session. One nurse wants full-hour attendance; the other wants complete exclusion. The final plan—attending the first 20 minutes followed by time in a low-stimulation area—represents a middle ground. Neither nurse achieved their original goal fully, yet both accepted the solution. This is the defining feature of compromising.

Compromising reflects moderate assertiveness and moderate cooperation, where each party gives up part of their original position to reach a mutually acceptable, though not fully satisfying, outcome. In nursing practice, this style is frequently used when time is limited, the issue is moderately important, or both parties hold equal power and temporary resolution is needed. The integrative review by Labrague and colleagues notes that compromising is one of the commonly identified conflict management styles among nursing professionals, often selected when maintaining relationships matters but a quick, workable solution is also required [1].

Key point! The critical distinction from collaborating is that collaboration seeks a new solution that fully satisfies both parties by exploring underlying interests and generating creative options. Here, no new solution was created; each nurse simply conceded part of their stance. The systematic review by Nikitara et al. reinforces that collaborating demands higher time investment and open communication, whereas compromising is a faster partial-win approach [3].

From a clinical standpoint, the compromise itself is clinically sound for a client with mania. Limiting group exposure to 20 minutes and then transitioning to a low-stimulation environment aligns with reducing sensory overload, a core nursing intervention for manic episodes. However, the question asks about the *conflict resolution process*, not the clinical appropriateness. The nurses did not fully explore why one favored full attendance or why the other favored exclusion; they simply split the difference.

Watch out! Accommodating would involve one nurse yielding entirely to the other’s position. Avoiding would mean postponing or sidestepping the disagreement altogether. Neither occurred here—both nurses actively adjusted their positions and accepted a partial solution. Losa Iglesias and Becerro de Bengoa Vallejo emphasize that conflict resolution styles in nursing are influenced by workplace context and interpersonal dynamics, and compromising often emerges when neither party wants prolonged friction .

The scenario’s outcome—neither nurse fully satisfied but both accepting the plan—is the hallmark of compromising. It trades full satisfaction for expediency and partial goal attainment, which is appropriate when the stakes are moderate and time or resources are constrained. Principled negotiation training, as described by Pham and colleagues, would instead encourage separating people from the problem and focusing on interests to generate mutual-gain options—an approach closer to collaborating than compromising .References (research sources)

- [1]An integrative review on conflict management styles among nursing professionals: implications for nursing management.Research articleLabrague LJ, Al Hamdan Z, McEnroe-Petitte DM (2018) · DOI: 10.1111/jonm.12626

- [3]Conflict Management in Nursing: Analyzing Styles, Strategies, and Influencing Factors: A Systematic Review.Meta-analysis/systematic reviewNikitara M, Dimalibot MR, Latzourakis E, Constantinou CS (2024) · DOI: 10.3390/nursrep14040304

## 임상 시나리오

Conflict Management: Compromising in Inpatient PsychiatryRecognizing a middle-ground solution when neither party is fully satisfied
Compromising reflects moderate assertiveness and moderate cooperation. Each party gives up part of the original position to reach a mutually acceptable, partial win. In this scenario, the 20-minute group attendance followed by a low-stimulation area is a negotiated middle ground.

Use compromising when time is limited, the issue is moderately important, or both parties hold equal power and a temporary, workable solution is needed. It preserves the working relationship while moving care forward.

CautionDo not confuse compromising with collaborating. Collaboration requires exploring underlying interests to create a new solution that fully satisfies both parties. Here, no new solution was created; each nurse simply conceded part of their stance. If neither party is fully satisfied, it is compromising, not collaborating.

## 핵심 개념

- **Compromising** — Conflict style with moderate assertiveness and cooperation where each party gives up part of their position to reach a mutually acceptable middle ground.
- **Collaborating** — Conflict style that works through underlying interests to create a new solution fully satisfying both parties.
- **Accommodating** — Conflict style where one party yields to the other's wishes, showing low assertiveness and high cooperation.
- **Avoiding** — Conflict style where the conflict is sidestepped or postponed, showing low assertiveness and low cooperation.

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