Deck 17: Personal and Workplace Safety

Question 1

Universal strategies to use in the presence of escalation of a potential violent situation include which of the following?

A)Demand that the potentially person back off.
B)Remain close to the patient to protect her.
C)Remain calm with a caring attitude.
D)Speak loudly with authority.

Answer 1

Remain calm with a caring attitude.

Question 2

In the workplace,violence may escalate as a result of many factors.Which of the following should the nurse be alert for in the escalation to violence?

A)Crying
B)Isolation
C)Asking for help
D)Pacing and using profanity

Answer 2

Pacing and using profanity

Question 3

Employees who are dependent on drugs or alcohol will exhibit signs that should not be ignored by the nurse manager and colleagues.Which of the following signs would alert the nurse manager that the employee may have a dependency problem?

A)Changes in behavior or appearance
B)Requesting time off to be with a family member
C)Scheduled overtime
D)Dieting

Answer 3

Changes in behavior or appearance

Question 4

Which of the following is a risk factor for hospital workplace violence?

A)Unlimited security coverage
B)Public availability 24 hours a day
C)Insecure medication access
D)Semiprivate rooms

Question 5

The nurse manager works regularly with a nurse who has recently gone through a custody battle with her ex-husband.The nurse manager has become concerned about some of the changes in appearance of the nurse.One evening the nurse comes to work and seems "giddy" and is acting inappropriately.The nurse manager understands that she must take which of the following actions?

A)Counsel the nurse on these observations.
B)Report this behavior to Human Resources and the state board of nursing.
C)Give her the evening off.
D)Work closely with her to prevent unsafe care to the patients.

Question 6

The AACN has addressed the issue of horizontal violence in the workplace and made recommendations for actions by the nurse manager.Which of the following are recommendations for action by the AACN against workplace horizontal violence?

A)Develop a culture that does not tolerate violence.
B)Report all incidences to upper management.
C)Separate the two people by not assigning them to work on the same shifts.
D)Ask the two people to sit down and work it out.

Question 7

A nurse is working the night shift with another RN who keeps disappearing without explanation.The nurse is caught napping in a patient's room.What is the best action by the discovery nurse to take?

A)Confront the nurse and ask what is wrong.
B)Report the behavior to the vice president of nursing.
C)Ask to not be scheduled on the same nights again.
D)Report the behavior to the nurse manager.

Question 8

When analyzing the sources for conflict,the nurse manager may identify which of the following as one of the most likely sources?

A)Different attitudes
B)Different facts or perception of the event
C)Different incomes
D)Different ages

Question 9

What is a recommendation from the Occupational Health and Safety Administration for prevention of violence in the workplace?

A)Assign different shifts.
B)Provide training and education.
C)Point out the issues to the people involved.
D)Arrange for the people involved to meet and discuss the issues.

Question 10

Horizontal conflict in the workplace is observed with which of the following situations?

A)Discussion with the manager before escalation occurs
B)Refusing to work on day off
C)Sharing views on patient care
D)Withholding information that will undermine the ability to perform his job

Question 11

The nurse working the night shift has concerns about the safety of the unit.What would cause security concerns for this nurse?

A)A visitor is sleeping in the recliner in the room with their family member.
B)A parent stays overnight with their teenage child.
C)No unit secretary is assigned for the night shift.
D)She is working with only one other employee.

Question 12

After reporting a nurse with a substance abuse problem to the State Board of Nursing (SBON),the next step that will most likely occur is:

A)Surrender of license if complaint is found to be valid.
B)Counseling and then the nurse can return to work.
C)The nurse is fired.
D)The nurse is prevented from ever working as a nurse again.

Question 13

Family members who have access to hospitals may present risks to the staff when which of the following is most likely present?

A)Family members are not doing well.
B)Family members are in the intensive care unit.
C)Family members are under the influence of drugs or alcohol.
D)Family members are unable to visit regularly.

Question 14

Workplace violence can be initiated by an employee in the workplace as well as by patients or family members.Which of the following would be cause for concern when observed in an employee?

A)Divorce
B)Personality changes
C)Death in the family
D)Miscarriage

Question 15

Most organizations provide assistance to employees with problems that can affect their work performance.They provide assistance with issues ranging from financial issues to personal relationship issues.Which of the following best describes these programs?

A)Faith-based initiatives
B)Free confidential employee assistance programs (EAPs)
C)Fee-for-service private counseling
D)The nurse manager fills this role in most institutions.

Question 16

When determining the basis for conflict,interpersonal sources as the basis would include which of the following?

A)Personality differences
B)Shift preferences
C)Staffing inconsistency
D)Assignments

Question 17

Human Resources is required to provide education on violence prevention and management,which is tracked by the state board of health and The Joint Commission.Which of the following would the nurse expect to find in an education program required by state and federal health care regulatory agencies about violence prevention in the workplace?

A)Location of all monitoring equipment
B)Schedule of security officers rounds
C)Early recognition and response plan
D)Identification of people most at risk for causing harm

Question 18

What methods can administration use for the prevention of workplace violence?

A)Separate staff entrance
B)Staff ID badges
C)Separate parking for staff
D)Visual presence of security at all times

Question 19

A nurse is confronted by a visitor and is threatened to be hurt when she gets to her car.What action is best for the nurse to take to protect herself?

A)Call security and notify them of the threat.
B)Ask security to escort you to your car.
C)Explain to the visitor that you carry a gun.
D)Assume that this was a joke.

Question 20

There are three steps to conflict management: determining the basis,analyzing the source,and conflict resolution.Which of the following may be the most likely source for conflict between a patient and the health care provider in the workplace?

A)Food served
B)Medication effects
C)Ethical dilemmas
D)Smoking withdrawal

Question 21

A student nurse is working with a preceptor who appears abrupt and disinterested in precepting students.What action by the student is most appropriate?

A)Notify the instructor.
B)Talk with the nurse to see what is wrong.
C)Identify this as lateral violence.
D)Nothing,he was having a bad day.

Question 22

In what ways is the environment controlled by the hospital safety committee to prevent workplace violence? Select all that apply.

A)Emergency alarms
B)Cameras and videos
C)Assigned patrol for each unit
D)Security provided for visitors in parking lots,etc.
E)Respond only when called

Question 23

What are some tools available for the nurse manager to use for conflict resolution? Select all that apply.

A)Prevention
B)Negotiation
C)Cooperation
D)Resentment
E)Rejection

Question 24

In an escalating situation,the nurse should observe certain rules to protect herself from violence.Which of the following are good rules to keep in mind if one is ever in a violent situation? Select all that apply.

A)Remove yourself from the situation.
B)Speak loudly with authority.
C)Call for help.
D)Do not allow the person to stand between you and the door.
E)Stand in a corner against a wall.

Question 25

What methods can the nurse manager use to address horizontal violence in the workplace? Select all that apply.

A)Provide training to staff.
B)Pick a side so that the assaults do not include you.
C)Name the problem "horizontal violence."
D)Observe and analyze the culture of the workplace.
E)Have the victim file a grievance.

Question 26

A male nurse is working with female nurses on a unit.One of the female nurses is overheard talking about how cute the male nurse is.The nurse overhearing this comment should be expected to do which of the following?

A)Notify the nurse manager.
B)Tell the male nurse that the female nurse was making inappropriate comments.
C)Nothing,this is not harassment.
D)Warn the nurse that the conversation was overheard.

Question 27

Personal and financial issues,as well as drugs or alcohol,can impair employees and can precipitate violence.The nurse manager and all staff must be aware of the signs of drug or alcohol use.Which of the following indicators should concern the nurse manager in an employee when addressing violence in the workplace? Select all that apply.

A)Recent divorce
B)Troubled adolescent
C)Tremors of the hands
D)House foreclosure
E)Religious counseling