A new grad who has been only working for 2 months in the ICU was given 2 highly acute patients by the charge nurse. After talking to the charge nurse about his concerns, his assignments remained the same. The charge nurse told him, "You are a RN and can handle it on your own." The assignments has made the workload even more challenging on the new grad. This is an example of
Workplace bullying
Workplace violence
Ageism
Normal and expected of the new grad
The Correct Answer is A
A. Workplace bullying includes repeated, unreasonable actions directed toward an employee intended to intimidate, degrade, or undermine. In this scenario, the charge nurse dismisses the new grad’s valid concerns and gives a difficult assignment without support, contributing to an unsafe and unsupportive environment — classic signs of bullying.
B. Workplace violence typically refers to physical acts of aggression or threats. This situation, while harmful, does not involve violence.
C. Ageism refers to discrimination based on a person’s age, which is not a factor in this scenario.
D. While new grads are expected to learn and grow into their roles, being overwhelmed with unsafe assignments and receiving no support is not normal or acceptable.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Memory impairment is a common symptom of mild cognitive impairment (MCI). People with MCI often experience forgetfulness or difficulty with memory, but the impairment is typically not severe enough to interfere with daily functioning.
B. Does not interfere with ADLs and socialization is also true for MCI. While individuals with MCI may notice some cognitive decline, it typically does not interfere significantly with activities of daily living (ADLs) or social interactions.
C. Does not interfere with general cognitive functioning is true for MCI as well. Cognitive decline in MCI is typically more subtle and does not significantly impair overall cognitive function in the way that more severe dementias do.
D. Interferes with navigation of daily life is more characteristic of dementia, especially in later stages. In MCI, the cognitive decline does not typically interfere to the extent that it impedes one's ability to navigate daily life independently.
Correct Answer is C
Explanation
A. "I think you need more medication. I will be right back." While medication is an important aspect of managing Alzheimer's disease, this response dismisses the patient's feelings and does not address the emotional content of the statement. The goal is to engage with the patient in a compassionate way, not to assume the medication is the solution.
B. "Your wife passed away last year. Who's your date?" This response may be truthful, but it could be very distressing for the patient. Alzheimer's disease often causes memory loss and confusion, so correcting the patient in this blunt manner may cause unnecessary emotional distress or frustration.
C. "Today is (today's date). Tell me about the other dances you've been to." This is the most appropriate response. It gently redirects the patient to reality by providing the correct date, but it also shows empathy and invites the patient to share pleasant memories. This approach validates the patient's emotions and encourages conversation, which is beneficial for maintaining dignity and engaging the patient in meaningful dialogue.
D. "You're confused. Today is not Valentine's Day." This response may make the patient feel invalidated or upset. Alzheimer's disease often causes confusion and disorientation, so harshly correcting the patient can lead to increased agitation and emotional distress.
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