Question 1

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

Accepted Answer

Unlimited public access, mixed with other risk factor, makes the hospital an unsafe workplace.The other option are not risk factors for violence.

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?

Accepted Answer

Pacing and use of profanity may be signs of escalation of anger to violence.The other options do not represent a sign of escalation to violence.

Question 3

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

Accepted Answer

People under the influence of drugs or alcohol are more likely to be volatile and unpredictable.The other options are incorrect because these people are not as likely to present a problem.

Question 4

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

Accepted Answer

The differences in the facts or perception of the facts of the event may be a source of the conflict.The other options are not usually the source of conflict.

Question 5

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

Accepted Answer

Providing training and education is one of the major recommendations by all organizations for intervening to prevent workplace violence.The other options are not recommendations of the organization.

Question 6

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?

Accepted Answer

A change in personality may indicate substance abuse or mental health problems.The other options are not risk factors for employee violence.

Question 7

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

Accepted Answer

Withholding of information that can affect one's ability to perform professionally is a form of horizontal violence.The other options are not seen as part of horizontal conflict.

Question 8

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

Accepted Answer

Sometimes not reacting to the situation can calm the person down.Always present a caring attitude, not a threatening one.The other options are incorrect because they may cause the situation to escalate.

Question 9

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?

Accepted Answer

If the workplace is intolerant of horizontal violence, staff will not participate in that form of conflict.The other options are not actions that should be taken by the manager.

Question 10

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?

Accepted Answer

Treatment decisions that cause ethical dilemmas are likely sources of conflict between patient, family, and health care providers.The other options represent annoyance but usually does not lead to violence.

Question 11

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

Accepted Answer

Nurses working short staffed are at greater risk for violence from visitors or strangers in the hospital because they can easily be isolated from the other employee.The other options are not a cause for concern as long as sufficient staff is working.

Question 12

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?

Accepted Answer

EAPs assist employees in many areas of their lives.Options A and C are not services offered by the institution.Option D is not a responsibility of the nurse manager.

Question 13

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?

Accepted Answer

The nurse manager can talk with the nurse and find out what is going on, but if substance abuse is suspected, it must be reported.The other options do not address mandatory reporting of these actions.

Question 14

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?

Accepted Answer

The plan for employee early recognition and response to violent behavior is included in the orientation of new employees and annual skills day.The other options are not beneficial to the overall prevention plan.

Question 15

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?

Accepted Answer

Call security immediately whenever you feel threatened even if it has not been verbally stated.Option B is an incident that needs to be reported.Options C and D do not show good judgment.

Question 16

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

Accepted Answer

ID badges must be worn by all staff and temporary contract employees.The other options are not a form of administrative control.

Question 17

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?

Accepted Answer

Changes in behavior or appearance should alert the manager that something has changed in this employee and some type of intervention should occur.The other options are not a sign requiring follow-up for substance abuse.

Question 18

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?

Accepted Answer

The nurse must report this behavior to the nurse manager for further investigation.The other options do not address the legal issues of this behavior.

Question 19

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

Accepted Answer

Personality differences are a source for interpersonal conflict.The other options are incorrect because they are an intrapersonal source of conflict.

Question 20

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

Accepted Answer

If the complaint is found valid by the SBON, the nurse will have to surrender her license and will be monitored by the SBON.The other options are not the process for dealing with these issues.

Quiz 9: Personnel Policies and Programs in the Workplace