Linda, a staff nurse on nights, yells at Ali, another RN, and tells Ali that she is stupid and can't get anything right. In responding to this situation as head nurse, it is critical that you:
a. Require that Linda attend anger management classes.
b. Investigate to see if Ali did anything to aggravate Linda.
c. Call both immediately into the office to discuss the situation.
d. Respond to Linda in a way that is consistent with organizational processes and with similar situations.
Question 2You are part of a multidisciplinary team that is charged with designing a workplace safety plan for your healthcare organization. This team has been established in response to increases in reports of violence and aggression. You begin by:
a. Surveying staff about levels of satisfaction with the workplace and management, collegial, and patient relations.
b. Offering training sessions in self-defense.
c. Developing a policy that outlines zero tolerance for bullying.
d. Offering education sessions on recognizing behaviors with potential for violence.
Question 3While working with an aggressive patient, it is important for the nurse to:
a. Speak firmly.
b. Call the individual by name.
c. Place herself between the patient and the door.
d. Ignore threats against her.
Question 4The nurse manager is setting up the room assignments for the unit. She has one critical patient on the unit, who is going to require more care than the others. Before delegating a task, a nurse manager should:
a. Delegate the admission assessment to the LPN.
b. Review the employee's performance assessment for the most recent period.
c. Assess the amount of guidance and support needed in a particular situation.
d. Create a task analysis of critical behaviors for the individual.
Question 5Delaney, one of your staff nurses, confides that Marjorie, another nurse, has been actively telling others that you are incompetent and do not know what you are doing in relation to patient care,
and that you lie to the staff about attempts to get more staffing. Delaney says that Marjorie is derogatory towards her in front of others and tells her that she better shape up. Through telephone calls and conversations during breaks, she is recruiting other staff to her position. Delaney confides that most of the staff find you fair, honest, and knowledgeable. Marjorie's behavior can best be characterized as:
a. Political action.
b. Bullying.
c. Building alliances.
d. Disgruntlement.
Question 6Your healthcare organization places a high value on workplace safety and integrates this into all aspects of administrative and patient care processes.
As a unit manager, you thoroughly endorse this direction, and during the selection and hiring of new staff, you consistently:
a. Refuse to hire applicants who are pushy during interviews.
b. Thoroughly follow up with all references before offering a position.
c. Ask applicants during the interview if drug or alcohol abuse is a problem.
d. Refuse to interview applicants with sporadic work histories.
Question 7In which of the following situations would you, as the head nurse, be concerned about potential safety issues?
a. Jordan comes to your office to complain about inadequate staffing on the unit. He says that he is concerned because he attributes a recent incident to the staffing levels.
b. Henry, a long-standing RN on the unit, has begun to miss work regularly. He calls in but is vague about his reasons for the absences.
c. Carla, RN, has just ended an abusive relationship with Jake, RN, and he will not leave her alone. You are meeting with Jake today because colleagues on nights have reported that Jake seems to have been intoxicated last night and the previous night.
d. Sarah is very quiet and says almost nothing in team meetings. Lately, she has been much more animated since becoming friendly with a couple of other RNs on the unit.
Quick Reply
