Archer, J.
We granted leave to consider whether plaintiffs were entitled to a new trial as a consequence of the trial judge’s denial of plaintiffs’ challenge of a juror for cause, where the juror was subsequently dismissed peremptorily.
We hold that a trial court commits error requiring reversal when the record reveals that: (1) the court improperly denied a challenge for cause, (2) the aggrieved party had exhausted all peremptory challenges, (3) the party demonstrated a desire to excuse another subsequently summoned juror, and (4) the juror whom the party wished later to excuse was objectionable. Accordingly, because the plaintiffs satisfied all of these factors, we affirm the holding of the Court of Appeals and remand the case to the trial court for a new trial.
FACTS
On July 18, 1983, appellees Barbara, Jeffrey, and Matthew Poet brought a medical malpractice suit in Grand Traverse Circuit Court against defendant-appellant Traverse City Osteopathic Hospital and defendants M. A. Houghton, Jr., D.O., and the Empire Clinic.1_
[232]*232Specifically, the action was based on the charge that Dr. Houghton, an employee of the Empire Clinic, was negligent in the prenatal treatment of Barbara and in the delivery of Matthew. Further, the complaint charged that the hospital was negligent in its failure to monitor, supervise, and provide appropriate hospital procedures relating to birth and delivery. The Poets’ chief argument was that these negligent acts resulted in Matthew being born with significant, permanent brain damage.
The trial commenced January 6, 1986. Voir dire opened routinely with the court explaining the nature of the case to the venire. Initially six persons were chosen from the venire, and each was questioned first by the court, and then by the attorneys. Early in the questioning, Mr. Ward, counsel for the Poets, addressed the notion of damages as an element of negligence. Likewise, Mr. Hayes, counsel for the hospital, addressed the venire as to their feelings on the substantial damages which might be presented during the course of the trial. There were no significant responses by the venire during this exchange.
Eventually, juror Kathleen Primo was called from the array. She revealed that she was a registered nurse at Munson Medical Center,2 who worked in utilization management reviewing "neonatal intensive care unit for quality-of-care issues.” Ms. Primo responded negatively when asked by the court whether her profession or particular work in the hospital would cause her to be biased. However, when the court asked if there were any inquiries posed earlier to which she would respond differently than the other jurors, she stated, "I [233]*233might have different feelings about the elements about compensation.”
What followed was a discourse involving juror Primo, the court, and both attorneys, in which Ms. Primo revealed her feelings that there should be a ceiling on damages sought in civil cases. However, after further questioning by all concerned, she resolved that she could be impartial.
Mr. Ward requested that juror Primo be challenged for cause, citing MCR 2.511(D)(5)3 for support. Mr. Hayes opposed, stating that Ms. Primo’s assertion of impartiality rendered her an appropriately fair-minded juror. The court denied the challenge for cause and Mr. Ward excused Ms. Primo peremptorily.
Mr. Ward had exhausted his peremptory challenges,4 when juror James Bennett was called. Juror Bennett’s occupation was that of a medical-surgical supply salesman. During questioning, he revealed that appellant hospital was one of his clients and that several of the witnesses were either personal or business acquaintances. Mr. Ward challenged juror Bennett for cause under MCR 2.511(D)(10) and (12),5 and was again denied. [234]*234As a result, Bennett remained on the jury and became the foreman. The jury returned a verdict of no cause of action.
On January 24, 1986, the Poets filed a motion for a new trial, which was denied. They appealed, arguing that the trial court erred in refusing to excuse jurors Primo and Bennett for cause. The Court of Appeals reversed, holding that Kathleen Primo should have been excused for cause, and, because the Poets were thereby precluded from subsequently dismissing James Bennett from the jury by way of peremptory challenge, the trial court’s ruling regarding Primo constituted error requiring reversal.6 We subsequently granted leave to appeal.7
i
The guidepost for every trial court procedure is the Due Process Clause of the Fourteenth Amendment of the United States Constitution. It is well settled that due process is primarily concerned with providing a full and fair trial on the merits. See Ridenour v Bay Co, 366 Mich 225, 240; 114 NW2d 172 (1962), citing Grannis v Ordean, 234 US 385, 394; 34 S Ct 779; 58 L Ed 1363 (1914).
Encompassed within this mandate of fairness and due process is the right of a civil litigant to request, in certain cases,8 that legal matters be [235]*235heard by a panel of impartial jurors. Michigan Const 1963, art 1, § 14. Hence,
[fairness to the parties litigant demands that the jury should be free from bias and prejudice in all cases, and that they enter upon the trial of the cases with the single desire and purpose of doing equal and exact justice between the parties, and that according to the law and the evidence given them in open court .... [Theisen v Johns, 72 Mich 285, 292; 40 NW 727 (1888), citing Monaghan v Agricultural Fire Ins Co, 53 Mich 238, 246; 18 NW 797 (1884).]
With these fundamental principles in mind, we turn to the difficult task of the trial litigator in accomplishing the selection of a jury. Specifically, at issue is the link between the trial lawyer and the trial judge in procuring an impartial group of jurors; the challenge for cause.
A challenge for cause is defined as
[a] request from a party to a judge that a certain prospective juror not be allowed to be a member of the jury because of specified causes or reasons. [Black’s Law Dictionary (5th ed), p 209.]
In exercising a challenge, the litigator must ascertain the general and perhaps specific disposition of the venire person toward the subject matter of the case. The success of a challenge depends upon eliciting information from the juror, as well as from other sources, as to the juror’s state or condition of mind, as will enable a discretionary judgment to be formed by the court as to the juror’s competency. Monaghan, supra at 246.
Michigan common law provided that a juror was [236]*236presumed qualified. People v Collins, 166 Mich 4, 9; 131 NW 78 (1911). The challenging party had the burden of showing that the challenged juror
ha[d] preconceived opinions or prejudice, or such other interests or limitations as would impair his capacity to render a fair and impartial verdict. [15 Mich Law & Practice, Jury, § 68, p 64, citing 2 Honigman & Hawkins, Michigan Court Rules Anno (2d ed), p 466.]
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Archer, J.
We granted leave to consider whether plaintiffs were entitled to a new trial as a consequence of the trial judge’s denial of plaintiffs’ challenge of a juror for cause, where the juror was subsequently dismissed peremptorily.
We hold that a trial court commits error requiring reversal when the record reveals that: (1) the court improperly denied a challenge for cause, (2) the aggrieved party had exhausted all peremptory challenges, (3) the party demonstrated a desire to excuse another subsequently summoned juror, and (4) the juror whom the party wished later to excuse was objectionable. Accordingly, because the plaintiffs satisfied all of these factors, we affirm the holding of the Court of Appeals and remand the case to the trial court for a new trial.
FACTS
On July 18, 1983, appellees Barbara, Jeffrey, and Matthew Poet brought a medical malpractice suit in Grand Traverse Circuit Court against defendant-appellant Traverse City Osteopathic Hospital and defendants M. A. Houghton, Jr., D.O., and the Empire Clinic.1_
[232]*232Specifically, the action was based on the charge that Dr. Houghton, an employee of the Empire Clinic, was negligent in the prenatal treatment of Barbara and in the delivery of Matthew. Further, the complaint charged that the hospital was negligent in its failure to monitor, supervise, and provide appropriate hospital procedures relating to birth and delivery. The Poets’ chief argument was that these negligent acts resulted in Matthew being born with significant, permanent brain damage.
The trial commenced January 6, 1986. Voir dire opened routinely with the court explaining the nature of the case to the venire. Initially six persons were chosen from the venire, and each was questioned first by the court, and then by the attorneys. Early in the questioning, Mr. Ward, counsel for the Poets, addressed the notion of damages as an element of negligence. Likewise, Mr. Hayes, counsel for the hospital, addressed the venire as to their feelings on the substantial damages which might be presented during the course of the trial. There were no significant responses by the venire during this exchange.
Eventually, juror Kathleen Primo was called from the array. She revealed that she was a registered nurse at Munson Medical Center,2 who worked in utilization management reviewing "neonatal intensive care unit for quality-of-care issues.” Ms. Primo responded negatively when asked by the court whether her profession or particular work in the hospital would cause her to be biased. However, when the court asked if there were any inquiries posed earlier to which she would respond differently than the other jurors, she stated, "I [233]*233might have different feelings about the elements about compensation.”
What followed was a discourse involving juror Primo, the court, and both attorneys, in which Ms. Primo revealed her feelings that there should be a ceiling on damages sought in civil cases. However, after further questioning by all concerned, she resolved that she could be impartial.
Mr. Ward requested that juror Primo be challenged for cause, citing MCR 2.511(D)(5)3 for support. Mr. Hayes opposed, stating that Ms. Primo’s assertion of impartiality rendered her an appropriately fair-minded juror. The court denied the challenge for cause and Mr. Ward excused Ms. Primo peremptorily.
Mr. Ward had exhausted his peremptory challenges,4 when juror James Bennett was called. Juror Bennett’s occupation was that of a medical-surgical supply salesman. During questioning, he revealed that appellant hospital was one of his clients and that several of the witnesses were either personal or business acquaintances. Mr. Ward challenged juror Bennett for cause under MCR 2.511(D)(10) and (12),5 and was again denied. [234]*234As a result, Bennett remained on the jury and became the foreman. The jury returned a verdict of no cause of action.
On January 24, 1986, the Poets filed a motion for a new trial, which was denied. They appealed, arguing that the trial court erred in refusing to excuse jurors Primo and Bennett for cause. The Court of Appeals reversed, holding that Kathleen Primo should have been excused for cause, and, because the Poets were thereby precluded from subsequently dismissing James Bennett from the jury by way of peremptory challenge, the trial court’s ruling regarding Primo constituted error requiring reversal.6 We subsequently granted leave to appeal.7
i
The guidepost for every trial court procedure is the Due Process Clause of the Fourteenth Amendment of the United States Constitution. It is well settled that due process is primarily concerned with providing a full and fair trial on the merits. See Ridenour v Bay Co, 366 Mich 225, 240; 114 NW2d 172 (1962), citing Grannis v Ordean, 234 US 385, 394; 34 S Ct 779; 58 L Ed 1363 (1914).
Encompassed within this mandate of fairness and due process is the right of a civil litigant to request, in certain cases,8 that legal matters be [235]*235heard by a panel of impartial jurors. Michigan Const 1963, art 1, § 14. Hence,
[fairness to the parties litigant demands that the jury should be free from bias and prejudice in all cases, and that they enter upon the trial of the cases with the single desire and purpose of doing equal and exact justice between the parties, and that according to the law and the evidence given them in open court .... [Theisen v Johns, 72 Mich 285, 292; 40 NW 727 (1888), citing Monaghan v Agricultural Fire Ins Co, 53 Mich 238, 246; 18 NW 797 (1884).]
With these fundamental principles in mind, we turn to the difficult task of the trial litigator in accomplishing the selection of a jury. Specifically, at issue is the link between the trial lawyer and the trial judge in procuring an impartial group of jurors; the challenge for cause.
A challenge for cause is defined as
[a] request from a party to a judge that a certain prospective juror not be allowed to be a member of the jury because of specified causes or reasons. [Black’s Law Dictionary (5th ed), p 209.]
In exercising a challenge, the litigator must ascertain the general and perhaps specific disposition of the venire person toward the subject matter of the case. The success of a challenge depends upon eliciting information from the juror, as well as from other sources, as to the juror’s state or condition of mind, as will enable a discretionary judgment to be formed by the court as to the juror’s competency. Monaghan, supra at 246.
Michigan common law provided that a juror was [236]*236presumed qualified. People v Collins, 166 Mich 4, 9; 131 NW 78 (1911). The challenging party had the burden of showing that the challenged juror
ha[d] preconceived opinions or prejudice, or such other interests or limitations as would impair his capacity to render a fair and impartial verdict. [15 Mich Law & Practice, Jury, § 68, p 64, citing 2 Honigman & Hawkins, Michigan Court Rules Anno (2d ed), p 466.]
Currently the Michigan Court Rules implicitly provide that upon a demonstration by counsel that a prospective juror fits one of the categories enumerated in MCR 2.511(D)(4)-(13), a trial court is required to excuse such juror for cause. This showing is equivalent to proving a biased or prejudicial state of mind. See, e.g., McNabb v Green Real Estate Co, 62 Mich App 500, 507; 233 NW2d 811 (1975); Brownell v Brown, 114 Mich App 760, 766; 319 NW2d 664 (1982); Bishop v Interlake, Inc, 121 Mich App 397, 401; 328 NW2d 643 (1982); Willoughby v Lehrbass, 150 Mich App 319, 331; 388 NW2d 688 (1986); People v Lamar, 153 Mich App 127, 134-135; 395 NW2d 262 (1986); Cocora v General Motors Corp, 161 Mich App 92, 95-96; 409 NW2d 736 (1987); People v Walker, 162 Mich App 60, 63-64; 412 NW2d 244 (1987).
Ultimately, however, the decision to grant or deny a challenge for cause is within the sound discretion of the trial court. Monaghan, supra at 245, citing Atlas Mining Co v Johnston, 23 Mich 36; 2 Browns 62 (1871); People v Carrier, 46 Mich 442; 9 NW 487 (1881). Nevertheless, in exercising this discretion, the trial judge is not without constraint.
When [discretion is] invoked as a guide to judicial action it means a sound discretion, that is to [237]*237say, a discretion exercised not arbitrarily or wilfully, but with regard to what is right and equitable under the circumstances and the law, and directed by reason and conscience of the judge to a just result. [Langnes v Green, 282 US 531, 541; 51 S Ct 243; 75 L Ed 520 (1931).]
In addressing the present circumstance, where a venire person has expressed a strong opinion, yet has resolved that she can be impartial, we believe the trial court’s discretionary function should be balanced against its obligation to fulfill each litigant’s right to a fair trial. By achieving this balance in each case, the act of a trial judge in granting or denying a request to remove a potential juror should represent a decision ever mindful of the constitutional seriousness involved.
ii
In this instance, we are charged with analyzing the exercise of discretion specifically within the context of challenges for cause. In addressing this narrow issue, the Court in Glasgow v Metropolitan Street R Co, 191 Mo 347, 356; 89 SW 915 (1905), offered the following:
[T]he authority of the court [in the challenge for cause context] is not limited to a decision of the strict legal question of the qualifications of a juror; it has a discretion to be exercised in the administration of justice in which it may excuse a juror who although not legally disqualified yet whose sitting is reasonably liable to fill either party with an apprehension of unfairness. A court in the exercise of that discretion will not attempt to allay an unreasonable suspicion, but when it can remove a cause of reasonable apprehension on the one side without injuring in any degree the rights of the other or giving the other cause for similar [238]*238reasonable apprehension, it is the right and duty of the court to do so, and when in that respect the court exercises a sound judicial discretion its ruling will not be disturbed. [See also Lee v Misfeldt, 1 Mich App 675, 679; 137 NW2d 753 (1965), citing 2 Honigman & Hawkins, Michigan Court Rules Anno (2d ed), p 466.]
We agree that a trial judge’s exercise of discretion in ruling on challenges for cause should be made with regard for both the parties and their respective claims. When balancing discretionary power with a litigant’s right to a fair trial, a trial judge should, in cases where apprehension is reasonable, err on the side of the moving party.9 For our purposes, apprehension is "reasonable” when a venire person, either in answer to a question posed on voir dire or upon his own initiative, affirmatively articulates a particularly biased opinion which may have a direct effect upon the person’s ability to render an unaffected decision.
As expressed by the Missouri Supreme Court in Glasgow, supra, we, likewise, opine that if reasonable apprehension may be alleviated from the mind of the movant, and a nonmovant’s rights will not be prejudiced, a challenge for cause should be granted. There are simply too many unbiased and otherwise qualified individuals eligible to sit on any given jury to quibble over persons who have [239]*239voluntarily articulated a grave potential for bias. This is not to suggest that challenges for cause should be freely or liberally granted but,
[w]here there is a sufficient reason to believe that at the beginning of the trial the prospective juror is not indifferent, but favors one of the litigants over the other or may be unconsciously influenced by considerations in addition to the evidence presented at trial and the instructions of law, the juror must be dismissed for cause. [Blades v DaFoe, 704 P2d 317, 324 (Colo, 1985). Emphasis added.]
In addition to the initial challenge for cause quagmire, the case at bar presents the additional problem arising when a trial court’s exercise of discretion in denying a challenge for cause creates the situation where a peremptory challenge is necessarily forfeited without choice. The Court of Appeals in Bishop v Interlake, supra at 403, espoused the following in addressing the predicament:
In situations where a challenge for cause is improperly denied, a party has been "prejudiced,” if at all, simply by being improperly compelled to use a peremptory challenge. He is thus denied an opportunity to act on his intuitions at a later time during voir dire by having prematurely exhausted his peremptory challenges.[10]_
[240]*240We agree that a degree of prejudice can be presumed when a party is improperly compelled to use a peremptory challenge. The very purpose of this challenge is to provide an unrestricted opportunity to excuse any juror without assigning a reason. We also concur that the peremptory challenge was not designed to function as an alternate mode of dismissal in the event of improperly denied challenges for cause. Nonetheless, presumed prejudice does not, in our view, necessarily rise to the level of actionable prejudice. As previously noted, the nature of the trial court’s duty here is discretionary. Therefore, in order to give due deference to decisions made in this context, we believe additional proof of prejudice should be required.11 Thus, in order to uniformly determine when a trial court’s error in overruling a challenge for cause requires reversal, we will henceforth focus on the causal relationship between an erroneous denial, its effect upon the availability of allotted peremptory challenges, and how each of [241]*241these factors influenced the ultimate composition of the jury in question.
Accordingly, in the interest of requiring an independent and objective manifestation of actionable prejudice,12 we hold that in order for a party to seek relief in this instance, there must be some clear and independent showing on the record that: (1) the court improperly denied a challenge for cause,13 (2) the aggrieved party exhausted all peremptory challenges,14 (3) the party demonstrated the desire to excuse another subsequently summoned juror, and (4) the juror whom the party wished later to excuse was objectionable.15_
[242]*242III
A
The primary contention of appellees Barbara and Jeffrey Poet is that but for the trial court’s error in refusing to excuse juror Primo for cause, juror Bennett would have been excused peremptorily. Conversely, the appellant hospital maintains that Ms. Primo’s assertion that she could be impartial was sufficient to support the trial court’s discretionary decision to deny dismissal for cause.
In order to properly determine whether the trial judge has abused his discretion, "[a] reading of the entire voir dire is essential . . . .” Andrews v Mosley Well Service, 514 So 2d 491, 497 (La App, 1987). "[WJhile individual factors considered separately may not require that a challenge for cause be granted, the combination of factors may compel dismissal of the jurors.” Blades, supra at 324. Accordingly, the trial judge’s exchange with juror Primo revealed the following:
Bailiff: Kathleen Primo, Number Fifty-Five.
The Court: Kathleen Primo, have you ever been a juror before?
Juror Primo: No, I have not.
The Court: Do you have any acquaintances among any of the persons that we have introduced and expect to see as part of this trial?
Juror Primo: Yes, I do. I work at Munson Hospital. I’m an r.n. there and so I’m familiar with some of the physicians, not personally, but I’m acquainted with them. I am also an acquaintance with [sic] the representative of Osteo who is here.
[243]*243The Court: I must inquire further what unit of the hospital do you work.
Juror Primo: I work in utilization management, and I work very closely with the wife of the representative of Osteo. I also am responsible for reviewing cases in the neo-natal intensive care unit for quality-of-care issues.
The Court: I would take it then that you would have some independent knowledge of procedures, standards of conduct in both the obstetric procedures and in the — as well as in the neo-natal unit.
Juror Primo: Yes.
The Court: Perhaps first we should deal with the matters of personal acquaintance. Do you feel that any of the acquaintances that you have identified would be of such nature that you would have a preconceived notion of how to receive or how to accept their testimony or would identify in such a fashion that you would give greater or lesser weight to any of that testimony because of your past relationship with them?
Juror Primo: No, I do not.
The Court: And then the more general question, because of your employment, your association with a hospital and particularly the type of hospital, do you feel it would impart to you any [tendency] of bias one way or the other in terms of the evaluation of the standards which will become part of this case?
Juror Primo: No, I don’t.
The Court: Has your work in Munson brought you into any contact with the Plaintiffs or the care and treatment of the infant, Matthew?
Juror Primo: No. I was in a completely different department at that time and so I wasn’t doing the type of work then that I am now.
The Court: So you had not, prior to today, heard anything of the name or treatment of Matthew Poet?
Juror Primo: No, I hadn’t.
The Court: We have covered a number of subjects, including those of the considerations, the [244]*244philosophy that goes into the type of case, the liability considerations and basis upon which liability might or might not exist. Are there any of those inquiries where you feel that your response to the questions of the Court or Counsel would have been signifícantly different than the persons seated around you, the other persons seated in the jury box?
Juror Primo: I might have different feelings about the elements about compensation.
The Court: You may have some difficulty with the concept of compensation as predicated upon fault?
Juror Primo: I don’t think it would affect my feelings regarding the judgment of fault. It’s just the amount of compensation I might have different feelings about.
The Court: I see, and if in that regard the proofs were such that it established to the satisfaction of you and your fellow jurors that there was liability and that a certain number — a certain dollar amount of damages was appropriate, would you feel your hesitation is such that you would not be able to award that type of verdict?
Juror Primo: It might. I guess if it meant that you make a judgment that it’s guilty, then it’s eight million dollars, or can somebody be guilty and be a lesser amount — I’m not familiar with how cases like this—
The Court: Allright [sic]. I guess there are a couple of areas of terminology that might be troublesome to us who deal with this on a daily basis. When we speak of someone being at fault, we generally would not use the term guilty, because we think of that in terms of a criminal case. The Jury will have the responsibility of determining the issues of fault and causation, as well as then if they arrive at the point of fault and causation, then of determining damages, and so it is conceivable that the Jury could, based upon [sic] those findings, be called upon to make an award of damages in whatever amount that the Jury finds is appropriate, or the Jury could be, on that rea[245]*245sorting, called upon to award nothing on a finding of no fault or cause. Those choices then, based upon [sic] the evidence as presented and the Court’s instruction, will be the decision of the Jury. Now, knowing that those are the possibilities, do you feel that you have preconceived notions that would interfere with your fairly assessing and judging those facts?
Juror Primo: No, I do not.
The Court: Generally then, from any of the inquiries made by the Court or Counsel, are you aware of anything that would impair your ability to fairly sit as a juror in this case?
Juror Primo: No, I don’t. [Emphasis added.]
At the conclusion of the court’s inquiries, Mr. Ward, counsel for the Poets, posed the following:
Mr. Ward: Mrs. Primo, you said you are involved in reviewing cases for the hospital in neonatal?
Juror Primo: Currently in-patient.
Mr. Ward: Does that cause you to review any obstetrical matters?
Juror Primo: Infrequently I have, but not on a routine basis.
Mr. Ward: Have you ever worked as an obstetrical nurse?
Juror Primo: No.
Mr. Ward: Have you ever had any training in obstetrics?
Juror Primo: Just in nursing school.
Mr. Ward: Do you have a working relationship at all with anybody from Traverse City Osteopathic Hospital?
Juror Primo: No.
Mr. Ward: Do you discuss medical matters with anybody from Traverse City Osteopathic Hospital?
Juror Primo: No.
Mr. Ward: How is it that you know — you said you knew someone from Traverse City Osteopathic?
[246]*246Juror Primo: I work closely in the same department with the representative from Osteopathic Hospital, Mr. Hooper’s wife, and I have met Mr. Hooper on occasion very briefly.
Mr. Ward: Would it cause you any difficulty in that relationship if you decided after the close of the proofs that a verdict in favor of the Plaintiffs was warranted and that’s what you came back with? Would you have difficulty in dealing with these people?
Juror Primo: No, I would not.
Mr. Ward: Do you have an opinion somehow that damages should be limited to a certain ceiling?
Juror Primo: Yes, I do.
Mr. Ward: You do. Allright [sic]. Some of the elements of damage that will be claimed by the Plaintiffs include pain and suffering. Is that an area in which you might feel there should be a certain ceiling?
Juror Primo: Yes, I do.
Mr. Ward: Do you have strong personal feelings about that or professional feelings?
Juror Primo: Fairly, yes.
Mr. Ward: Would it be difficult then for you to come back with an extensive award for those elements of damage?
Juror Primo: I think I would have to be presented with everything first to really say that for sure.
Mr. Ward: But you might have a problem in that area?
Juror Primo: I might have a problem.
Mr. Ward: And you might have difficulty now, not knowing what the evidence is going to be — you know, now you might have difficulty being objective in that area?
Juror Primo: In the amount, yes. I don’t think I would be — I think I’ll be very objective in the decision of whether there was fault.
Mr. Ward: But if we — when you make that fínding and if we get to the amount, you may or may not have problems being objective?
[247]*247
Juror Primo: Yes.
Mr. Ward: And it’s difficult to tell right now until you’ve heard everything?
Juror Primo: Yes.
Mr. Ward: But you know you might have that problem?
Juror Primo: I might, yes.
Mr. Ward: Nothing further, Your Honor. [Emphasis added.]
Mr. Hayes, counsel for the hospital, countered:
Mr. Hayes: I take it that it’s just as possible, without knowing what you are asked to make a judgment on, that you might not have a problem too, is that correct?
Juror Primo: That’s true.
Mr. Hayes: Do you have any feeling to the effect that if something does go wrong, that somebody must be at fault?
Juror Primo: No, I don’t.
Mr. Hayes: Do you have any feeling to the effect that sometimes things happen without fault for reasons that nobody really knows anything about and can’t do anything about?
Juror Primo: I can see that that does happen sometimes.
Mr. Hayes: Thank you, ma’am. I have nothing further, Your Honor.
At the close of questioning juror Primo, the court entertained Mr. Ward’s challenge for cause.
Mr. Ward: Plaintiff challenges Mrs. Primo for cause based on [sic] MCR 2.511(D)(5) in that she’s indicated she has opinions or conscientious scruples that would improperly influence her verdict and that she’s indicated she might be unable to be objective when it comes to the issue of damages, and, therefore, having that concern, I think it encumbant [sic] she be excused in that she might [248]*248not be able to render a fair and impartial verdict on all the elements in this matter.
Mr. Hayes opposed, stating:
Mr. Hayes:,! would oppose that, Your Honor. I would compliment Mrs. Primo on her candor on freely acknowledging to all that she might have that problem, but she also said that she might not. She’s going to do exactly what she’s supposed to do, wait and see, and she’s honest enough to tell us she might and she might not. She won’t know until she gets there. I don’t think anybody can ask for more than that. She’s not said she does have a definite problem. She acknowledges only that she might or might not have some; she would have to wait until she got to that point.
Mr. Ward’s rebuttal:
Mr. Ward: Your Honor, I do think what she stated falls within the challenge I’ve cited and that she has opinions that would improperly influence her verdict and make her unobjective. She has stated she has opinions regarding awards of damages, and that’s the purpose of selecting the jury ahead of time, to find these things out, rather than when it’s time for deliberations, to have a juror say wait a minute; I can’t be objective. We don’t think we want to wait until we find that out at that point in time.
At this time, the court engaged in one final colloquy with juror Primo:
The Court: I guess, without intending to pick on you, I’m prompted to make some further inquiry, if I may. You’ve indicated some difficulty in your consideration of damage amount if you arrive at a consideration of damage. Is that predicated upon some prior position in your mind that there is an [249]*249absolute limit or that there should be a fíxed limit of damages that might be awarded in such a case?
Juror Primo: I have feelings that there should be a ceiling on damages.
The Court: Knowing that that does not exist within our frame-work of law and if the case were one which proved to you damages of an amount that exceeded what you have a belief should be a fixed limitation, would you be able to fairly address the subject, consider the damages, and make an award, even though it might be above or below the figure that you believe should be a fixed limitation?
Juror Primo: It would not affect my feelings as far as the decision of who is at fault, and once that decision is made, then, from what I understand, it’s the members of the Jury who decide on the amount.
The Court: Right.
Juror Primo: I think I would have to listen to everything that was presented before I could say that, yes, I could say eight million dollars. I don’t know that. It would just depend on all of the evidence.
The Court: But if the evidence were such that it were persuasive enough to you and your fellow jurors that there was both liability and an amount which exceeded what you feel should be a limitation, but was established by the evidence, you could award that amount?
Juror Primo: This is not a decision I would make by myself, anyway.
The Court: Right. You would do so collectively.
Juror Primo: I would probably have strong feelings about awarding eight million dollars, yes, even if liability were established and everything.
The Court: I think it would be fair to state that anyone would have certain reluctance, but to go back to your prior indication, would it be difficult, because of the size of that figure or because it— would you be limited by what you believe should be an absolute limitation?
[250]*250Juror Primo: The size of the figure. [Emphasis added.]
Following the denial of this challenge for cause, counsel removed Mrs. Primo peremptorily, his second peremptory challenge. Another potential juror replaced Ms. Primo and following the questioning, Mr. Ward peremptorily excused juror Robert Keller, his third and final challenge.
Replacing Mr. Keller was juror James Bennett, a medical-surgical supply salesman. During his questioning, he revealed that the appellant hospital was one of his clients; that he was acquainted through his business with witness Walter J. Hooper, vice president of the hospital; and finally that he was personal friends with witnesses Drs. Houghton and Sprunk, as well as other testifying physician witnesses.16 When asked whether these business and personal relationships would impair his objectivity or cause him to give special consid[251]*251eration to certain testimony, Mr. Bennett replied, "No sir, I don’t believe so.”
B
Our duty here is to determine whether the trial court abused its discretion and whether such abuse, if present, warranted a new trial. Consequently, our analysis turns to the standard set forth in Spalding v Spalding, 355 Mich 382, 384-385; 94 NW2d 810 (1959):
In order to have an "abuse” . . ., the result must be so palpably and grossly violative of fact and logic that it evidences not the exercise of will but perversity of will, not the exercise of judgment but defiance thereof, not the exercise of reason but rather of passion or bias.
We find that the line separating abuse from properly exercised discretion was, in this particular instance, crossed. We stress that our singular, most important concern in cases where there is an objection to the exercise of discretion by trial courts in the challenge for cause context is whether the resulting jury could, without significant question,17 provide the parties with a fair trial.18
[252]*252In the present case, juror Primo was required to be excused under MCR 2.511(D)(5). The failure of the court to do so denied the Poets the use of a later peremptory challenge to excuse juror Bennett, who became the foreman of this six-person jury. Despite the fact that the jury’s verdict in this case was six to zero, there is, of course, no way for this Court or the lower courts to know how juror Bennett’s general presence, personal knowledge, or expertise in the area explored at this trial, affected the other jurors during their deliberations.19 We maintain, however, that the risk of influence was unacceptably high, if not imminent.
The court’s error in refusing to excuse juror Primo was an abuse of its discretion principally because her own admissions on voir dire rendered her presence on the jury objectionable per se.20 Thus, we indeed find that the trial court’s action opposed any exercise of reason and was "so palpably and grossly violative of fact and logic that it evidences not the exercise of will but perversity of [253]*253will.”21 Spalding, supra at 385.22
IV
The totality of the following factors further supports our finding of abuse here. In satisfying the first requirement, that the court improperly denied the challenge for cause, the totality of Primo’s profession as a registered nurse, her special skill in reviewing quality-of-care issues in neonatal intensive care cases, her close working relationship with the wife of the hospital vice-[254]*254president, her acquaintance with the vice-president himself, a witness in this case, and her conceded "fairly” "strong personal feelings about” damages,23 render the risk of uncompromising bias clear. As we stated in Fisher v Bernard, 386 Mich 182, 186; 191 NW2d 323 (1971), "[t]he scruples of conscientious jurors can be as debilitating as any other impediment to impartiality.” Further, these characteristics produced a taint of bias too great to be reasoned away with bare assertions of impartiality.24
[255]*255B
Turning to the question whether the error in failing to excuse juror Primo requires reversal, we conclude it does. The record reveals that the plaintiffs met the second requirement of the test in that they had exhausted their peremptory challenges.25 When juror Bennett was summoned to the venire, the peremptory challenge which the plaintiffs were compelled to use on juror Primo would have been available for use but for the improper denial of the challenge for cause.
After the voir dire questioning of juror Bennett, the plaintiffs’ motion to remove him for cause under MCR 2.511(D)(10) and (12), was denied. The plaintiffs, therefore, satisfied the third requirement.26 Lastly, because juror Bennett admitted having personal relationships with multiple defense witnesses in this case, in addition to his business relationships with appellant hospital as a medical supply salesman, the fourth requirement was satisfied.
We believe there were two injuries here, one primary and one secondary. The primary injury, of [256]*256course, was the failure to excuse juror Primo for cause, which denied the later use of a peremptory challenge. We further believe, however, that the facts of this case clearly illustrate the secondary danger that inherently exists when such an injury befalls a party, i.e., the fact that the challenge to juror Primo was denied forced the Poets’ counsel to use a peremptory challenge to excuse her, and, as a result of that aifront, the Poets’ right to an impartial jury was immediately placed in jeopardy. Although there is no constitutional right to a certain number of peremptory challenges,27 the practical matter here is that the resulting jury was not impartial because of the relationship between the trial court’s denial of the challenge for cause and the later objectionable presence of juror Bennett.28
Finally, the appellant hospital asserts that because juror Primo was excused from the venire by way of peremptory challenge, any error committed by the trial court in overruling her challenge for cause was harmless.29 In support of this position, [257]*257Pearce v Quincy Mining Co, 149 Mich 112; 112 NW 739 (1907) is cited.
Pearce involved a trial court’s denial of a party’s challenge for cause where the juror in question was later excused peremptorily. In addressing how the exercise of the later peremptory challenge effected the case, we held:
An impartial jury is all that a party is entitled to, and when he has obtained that he has no valid ground for complaint.[30]
We do agree with the general theory operating in Pearce, that all litigants are constitutionally entitled to an impartial jury. However, the specific rationale in Pearce is flawed in that the court did not, at that time, recognize that a degree of prejudice can be presumed even when an impartial jury results. Thus, in light of the viability and logic found in Bishop and its cross-jurisdictional counterparts, we find that Pearce neither reflects the subsequent evolution of the law involving the [258]*258peremptory challenge as a substantial right,31 nor indicates factually whether the aggrieved party wished to later challenge another juror and could not, as in the instant case. For these reasons, we find that Pearce is not completely dispositive of the questions presented here.
Indeed, the sum total of Mr. Bennett’s personal and business relationships with several testifying witnesses, including the hospital itself, jeopardized the integrity of the entire trial.32 Consequently, in the interest of fulfilling our duty to insure that litigants in this state are given the opportunity to have their disputes heard by a fair and impartial jury, we conclude that the trial court erred so as to require reversal in failing to excuse juror Primo for cause because the record supports that the effect of the failure was to deny the later use of a peremptory challenge, which, in this case,33 forced the endurance of an objectionable juror.
CONCLUSION
In light of our consideration above, we hold that a trial court commits error requiring reversal when the record reveals that: (1) the court improperly denied a challenge for cause, (2) the aggrieved party exhausted all peremptory challenges, (3) the [259]*259party demonstrated a desire to excuse another subsequently summoned juror, and (4) the juror whom the party wished later to excuse was objectionable.
Accordingly, because the party in the case at bar satisfied all these factors, we affirm the result of the Court of Appeals and order a new trial.
Levin, Brickley, and Cavanagh, JJ., concurred with Archer, J.