Deck 25: Workplace Issues

Question 1

A nurse manager is educating a new nurse on how to prevent back injuries in the workplace.The teaching has been effective when the new nurse states which of the following? (Select all that apply.)

A)"Back injuries can be caused by lifting."
B)"Back injuries can be caused by transferring."
C)"Back injuries are not common in the workplace."
D)"Back injuries can occur when reaching for something."
E)"Back injuries only occur when performing work incorrectly."

Answer 1

"Back injuries can be caused by lifting."
"Back injuries can be caused by transferring."
"Back injuries can occur when reaching for something."

Question 2

A nurse is working on a unit with short staffing.The nurse has voiced concerns to the charge nurse,who appears to brush them off.Which action would be the most appropriate for the nurse to take?

A)Document the concerns.
B)Raise a voice to get the point across.
C)Talk about the charge nurse to coworkers.
D)Keep the issues to him/herself.

Answer 2

Document the concerns.

Question 3

A nurse manager is evaluating her computer chair.What should the nurse manager look for to make sure the chair is a good ergonomic design? (Select all that apply.)

A)Appropriate padding
B)Arm rests that are locked into place
C)Strong lumbar support
D)Easily adjustable
E)Wheels that allow easy movement

Answer 3

Appropriate padding
Strong lumbar support
Easily adjustable
Wheels that allow easy movement

Question 4

Ergonomic hazards are a major safety risk for nurses,causing serious musculoskeletal injuries.To reduce the risk,nurses should

A)use assistive devices.
B)take up weight lifting.
C)never lift or move patients.
D)stretch out after pulling or reaching.

Question 5

A nurse has been floated to another department,and things are not going well.What should the nurse do?

A)Leave the unit.
B)Refuse to provide care to the patients.
C)Tell the immediate supervisor.
D)Keep any problems to him/herself.

Question 6

What action can the nurse take to reduce the risk of repetitive motion disorders? (Select all that apply.)

A)Avoid frequent position changes.
B)Frequently alternate between standing and sitting.
C)Have a good understanding of ergonomic principles.
D)Engage in routine stretching of shoulders,neck,arms,hands,and fingers.
E)Attend training on how to reduce injury.

Question 7

Which statement by the nurse indicates an adequate understanding of violence in the health care setting?

A)"Violence is a new problem."
B)"Violence can occur anytime and anywhere."
C)"Violence is a problem in the acute care setting."
D)"Violence occurs mostly in mental health settings."

Question 8

A nurse feels bullied at work.Which of the following actions should the nurse take first?

A)Ignore the bullying.
B)Report the bullying.
C)Take action against the bully him/herself.
D)Take time off from work.

Question 9

A nurse believes he/she is being bullied at work.Which of the following actions by the perpetrator could have led the nurse to believe this?

A)Offering to help with an assignment
B)Asking the nurse to switch a shift
C)Asking the nurse to cover for a break
D)Being given the "silent treatment"

Question 10

A nurse is passing medications when interrupted by a colleague.Upon resuming work,the nurse realizes a medication was given to the wrong patient.What should the first action be?

A)Document the medication error according to hospital policy.
B)Keep the medication error to him/herself.
C)Tell the immediate supervisor or charge nurse.
D)Keep the medication error to him/herself,but assess the patient every hour.

Question 11

The Occupational Safety and Health Administration (OSHA)provides guidelines to protect health care workers from needlesticks.Which action by the nurse manager shows the use of the guidelines in practice?

A)Purchasing safety devices
B)Providing a safe working environment
C)Working with the local health department
D)Establishing guidelines for safe nursing practice

Question 12

What can be suggested to a nurse wanting to protect back health while caring for patients? (Select all that apply.)

A)Use proper body mechanics.
B)Use assistive patient-handling devices.
C)Use ergonomic equipment.
D)Only care for patients who can move independently.
E)Be aware of potential risk.

Question 13

The Needlestick Safety and Prevention Act of 2000 was implemented to prevent health care workers from experiencing needlestick injuries.Which of the following is required to be documented regarding a needlestick injury?

A)Notification of the patient's physician
B)Informing the hospital risk management department
C)Documenting the department or work area in which the exposure occurred
D)Sending the injured staff person to the emergency room for documentation of the incident

Question 14

Which statement by the nurse manager indicates understanding of Magnet status?

A)"Hospitals are granted Magnet status by the National League of Nursing."
B)"The American Nurses Association grants Magnet status."
C)"Hospitals are granted Magnet status by the American Nurses Credentialing Center."
D)"The National Council of State Boards of Nursing grants Magnet status."

Question 15

A nurse professor is educating nursing students on the American Nurses Association's recommendation to use assistive devices for safe patient handling.The nurse professor judges the teaching to be effective when one of the students states

A)"Research indicated that patients were being injured by falls during transfers."
B)"Research indicated that back injuries in staff nurses were occurring even with good body mechanics."
C)"Research showed an increased number of lawsuits resulted from patient falls."
D)"Research uncovered reports from state boards of nursing showed increased back injuries."

Question 16

A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers.The nurse manager judges the teaching to be effective when the coworker states

A)"The National Council of State Boards of Nursing has a role in overseeing any environmental hazard."
B)"The American Nurses Credentialing Center oversees all environmental hazards in the United States."
C)"Ambulatory Care Nursing Administration and Practice oversees only local environmental hazards."
D)"The Occupational Safety and Health Administration oversees all environmental hazards at ambulatory care centers."

Question 17

The staff nurse,in the tenth hour of a 12-hour shift,is told by the house supervisor that the nurse replacement will be 2 hours late and the staff nurse must work these extra 2 hours.The nurse is unable to stay over.What is the best action for the nurse to take?

A)Talk to the person over the house supervisor.
B)Refuse and go home on time because of being too tired to work.
C)Fix some strong coffee and call home to explain the situation.
D)Ask if the supervisor could work a double because the supervisor needs the money.

Question 18

How does the federal government affect environmental safety in the hospital setting?

A)Requires employers to provide a safe working environment
B)Identifies those nurses who are not implementing standard precautions
C)Works with the state boards of nursing in disciplining nurses
D)Requires employers to establish guidelines for safe nursing practice

Question 19

After completing a crisis intervention course,the nurse recognizes the signs of escalating violence as which of the following?

A)Pacing and cursing
B)Repeatedly pushing the call bell
C)Crying and complaining of no pain relief
D)Staring out the window and not responding to questions

Question 20

A nurse manager is educating a group of new nurses on workplace violence.The nurse judges the teaching to be effective when one of the nurses states (Select all that apply.)

A)"Workplace violence is uncommon in today's society."
B)"Workplace violence does not include threats of assault."
C)"Workplace violence includes physical assaults."
D)"Workplace violence includes unwanted sexual advances."
E)"Many nurses have experienced workplace violence."

Question 21

A manager told a nurse to float to another unit.The nurse is nervous about floating.Which of the following actions would be the best to take? (Select all that apply.)

A)Remain calm.
B)Refuse to float.
C)Focus on the patients.
D)Ask for a quick tour of the unit.
E)Inquire about the unit's standards of care.

Question 22

A new nurse is preparing to start a new job.What actions should the nurse take to be prepared in case workplace violence occurs? (Select all that apply.)

A)Take a crisis intervention course to understand signs of escalating violence.
B)Become familiar with the organization's policy regarding violence.
C)Be prepared to handle any violent situation alone.
D)Be aware of procedures that can be used to defuse situations.
E)Appear intimidating so that the violent person will back down.

Question 23

A nurse manager is brainstorming creative solutions to mandatory overtime.Which of the following actions would help prevent the occurrence of mandatory overtime? (Select all that apply.)

A)Create an on-call system with one or two extra nurses on per shift.
B)Create an incentives system for part-time nurses to pick up extra shifts.
C)Ask the nurses to take on extra patients during the short shifts.
D)Reward nurses who put forth an extra effort for the organization.
E)Create shifts for high-volume times.

Question 24

The new nurse has an adequate understanding of bullying when stating which of the following? (Select all that apply.)

A)"The purpose of bullying is to control the target."
B)"Bullying can be verbal or nonverbal in nature."
C)"Bullying usually occurs as a single event."
D)"Bullying is initiated by the perpetrator."
E)"The victim usually deserves the bullying."

Question 25

A nurse manager is educating new hires on the different perpetrators of bullying.The teaching has been effective when the new hires state (Select all that apply.)

A)"A perpetrator can be a manager."
B)"A perpetrator can be coworker."
C)"A perpetrator always has the same licensure as the victim."
D)"A perpetrator is never someone in management."
E)"Perpetrators are sometimes supervisors."