Question 1

A group of nurses are working on an obstetrical unit and are discussing how the Nurses' Bill of Rights can be incorporated into the day-to-day operations of the nursing unit.Which suggestion could be implemented that would reflect compliance?

A)Protocols on nursing unit are based on physician preference.
B)Nurses act as patient advocates.
C)Compensation for work is based on personal preference recommendations of management.
D)Nurses are not involved in collective bargaining conversations.

Nurses act as patient advocates.

Accepted Answer

The Nurses' Bill of Rights includes the right to act as patient advocates. This means that nurses are empowered to speak up for their patients, advocate for their needs, and ensure their safety and well-being. By incorporating this principle into the day-to-day operations of the nursing unit, the nurses are complying with the Nurses' Bill of Rights. The other choices do not reflect compliance with the Nurses' Bill of Rights. Protocols should be based on evidence-based practice, not physician preference. Compensation should be based on objective criteria, not personal preference recommendations of management. Nurses should have the right to engage in collective bargaining conversations to ensure fair and safe working conditions.

Question 2

A nurse observes a nurse and patient having a loud conversation.The nurse is yelling at the patient and is pointing a raised finger at the patient stating that "he'd better behave." How would the nurse who is observing this interaction categorize this type of behavior in terms of violence?

A)Lateral
B)Third party
C)Vertical
D)Horizontal

Third party

Accepted Answer

Third party

Question 3

Which situation would constitute an example of &#34;bullying&#34; in the nursing environment?&#10;A)The nurse manager instructs a member of the nursing staff in a better way to perform a nursing task.&#10;B)The unit secretary repeatedly talks to nurses and staff in a rude manner.&#10;C)The unlicensed assistive personnel (UAP)on the unit continues to make jokes about another staff member in the presence of others as well as when alone in the staff member's presence.&#10;D)The nurse on the unit gossips about another staff nurse on the unit.&#10;

Accepted Answer

This situation constitutes bullying because the UAP is repeatedly making jokes about another staff member in a manner that is humiliating or intimidating, which creates a hostile work environment. This behavior is not constructive and does not serve to benefit patient care.

Question 4

Which action supported by current research contributes to the existence of workplace violence in the clinical setting?&#10;A)Most nurses report incidents that have occurred without fear of retaliation.&#10;B)Nurses are more aware of the likelihood that workplace violence will occur.&#10;C)There are strong organizational support and zero tolerance policies for bullying.&#10;D)There is no support from administration.&#10;

Accepted Answer

According to the question, the action that contributes to the existence of workplace violence in the clinical setting is asked. Thus, the best choice based on the options provided is D - "There is no support from administration." This is supported by research that highlights the role of organizational factors such as lack of leadership, inadequate staffing, and poor communication contributing to workplace violence in healthcare settings (OSHA, 2015).

Question 5

A nursing unit is being educated on methods to prevent workplace violence from occurring on the nursing unit.Which statement by a nursing staff member indicates that adequate instruction has been provided?

A)"I will work on maintaining a culture of incivility."
B)"The responsibility for whether or not workplace violence occurs rests with management."
C)"I will remain accountable for all of my behaviors and actions while working on the nursing unit."
D)"I will keep to myself and focus only on my immediate environment while at work."

Accepted Answer

This statement indicates that the nursing staff member understands the importance of personal accountability in preventing workplace violence. A culture of incivility (A) would contribute to violence, and shifting responsibility solely onto management (B) may lead to apathy or lack of action from staff members. Keeping to oneself and ignoring the environment (D) may prevent one from recognizing potential warning signs or intervening in situations that could escalate into violence.

Question 6

A nurse manager is described by the nursing staff as having a keen insight into the day-to-day operations of the nursing unit.What is the best description of the nurse manager's communication skill?&#10;A)Candid&#10;B)Authentic&#10;C)Mindful&#10;D)Reflective&#10;

Accepted Answer

The nurse manager's ability to have a keen insight into the day-to-day operations of the nursing unit suggests that they are mindful in their communication approach. Mindful communication involves actively listening, being present in the moment, and being aware of one's own biases and assumptions. This skill allows the nurse manager to effectively communicate with their staff, understand their needs and challenges, and make informed decisions to improve the nursing unit's operations.

Question 7

Which action would contribute to nurse fatigue in a staff nurse who is working a 12-hour shift on a medical unit and who has been assigned to take care of five patients based on a primary care model?&#10;A)Nurse eats lunch meal at the nurse's station while answering unit phone&#10;B)Nurse leaves the unit on time at the end of the scheduled shift&#10;C)Nurse does not sign up for additional shifts to cover unit vacancies&#10;D)Nurse states she typically sleeps 8 hours a night&#10;

Accepted Answer

Eating lunch at the nurse's station while answering unit phone would contribute to nurse fatigue as it does not provide a true break from patient care and can lead to constant interruptions and multitasking. Leaving on time, not signing up for additional shifts, and sleeping enough hours per night are actions that can help prevent nurse fatigue.

Question 8

Which situations would help to promote a healthy work environment in the clinical setting? Select all that apply.&#10;A)Staff nurses complain of fatigue with having to work additional hours&#10;B)The nurse manager has received complaints of bullying occurring on the unit arising from one staff member&#10;C)Nurses perceive that a culture of physiological safety exists on the nursing unit&#10;D)Staff adhere to the American Nurses Association (ANA)Nurses Bill of Rights as part of nursing unit policy&#10;E)Staff feel that their efforts are valued by management&#10;

Accepted Answer

A healthy work environment is one where staff feel safe, valued, and supported. A culture of psychological safety, where staff feel comfortable speaking up without fear of retribution, is essential to creating a healthy work environment. Adhering to the ANA Nurses Bill of Rights helps to promote fair and just treatment of nurses, which can improve staff morale and satisfaction. Staff feeling valued by management can improve job satisfaction and motivation. Complaints of bullying and staff burnout can indicate an unhealthy work environment, so A and B are not the best choices.

Deck 13: Creating and Sustaining a Healthy Work Environment