A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip.
What should she do?
Confront the bullying behavior and discuss strategies for responding to it.
Model this bullying behavior so that staff can see how it affects people.
Ignore it because it is not physical violence and will not hurt anyone.
Keep a log of observed bullying behavior to discuss during the employees' annual evaluation.
The Correct Answer is A
Choice A rationale
Confronting bullying behavior directly establishes clear professional boundaries and expectations within the unit. This approach fosters a psychologically safe environment, which is crucial for team cohesion and optimal patient care. Addressing the issue promptly prevents escalation and demonstrates leadership commitment to a respectful workplace, promoting accountability and encouraging healthier communication patterns among staff.
Choice B rationale
Modeling bullying behavior is counterproductive and unethical, as it normalizes and perpetuates harmful actions within the workplace. Such actions undermine trust, decrease morale, and can lead to increased stress, burnout, and higher staff turnover rates. A nurse manager's role is to promote a positive and supportive work environment, not to emulate detrimental behaviors.
Choice C rationale
Ignoring horizontal violence, even if not physical, can have significant negative psychological and professional consequences for staff members and the unit. Verbal abuse and gossip erode trust, create a toxic work environment, and can lead to increased anxiety, depression, and decreased job satisfaction, ultimately impacting patient care quality.
Choice D rationale
While logging observed behavior is a useful documentation tool, waiting for an annual evaluation to address horizontal violence delays necessary intervention. Prompt and direct confrontation is essential to mitigate immediate harm and prevent further escalation. Addressing the issue in a timely manner demonstrates a commitment to a safe workplace and supports a healthy team dynamic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["9.5"]
Explanation
Step 1 is: Calculate the total units in 1 mL. 25,000 units ÷ 250 mL = 100 units/mL.
Step 2 is: Calculate the mL/hour. 950 units/hr ÷ 100 units/mL = 9.5 mL/hr. The infusion pump would be set at 9.5 mL/hr.
Correct Answer is ["C"]
Explanation
Choice A rationale: A heart rate of 75/min in a 7-year-old child falls within the normal pediatric range of 70 to 110 beats per minute. Heart rate variability can be influenced by activity, anxiety, or health status. Since this child is alert and cooperative with no signs of distress, this heart rate is physiologically appropriate and does not indicate an urgent cardiovascular problem requiring immediate follow-up.
Choice B rationale: A pulse oximetry reading of 98% on room air is considered within normal limits for a child. Normal oxygen saturation ranges from 95% to 100% in healthy individuals, indicating adequate oxygenation and effective pulmonary gas exchange. Since the child shows no respiratory distress and oxygen saturation is stable, no immediate intervention is necessary based on this value.
Choice C rationale: A blood pressure of 148/88 mm Hg in a 7-year-old is significantly elevated. Pediatric hypertension is defined as systolic or diastolic BP at or above the 95th percentile for age, sex, and height. For this age and height, normal systolic BP is approximately 90–112 mm Hg, and diastolic is 55–75 mm Hg. This reading suggests stage 2 hypertension, requiring urgent evaluation to prevent end-organ damage.
Choice D rationale: Height of 154.9 cm (61 inches) at age 7 is above average but not concerning by itself. Growth charts indicate the 95th percentile for 7-year-old boys is around 128 cm (50 inches). This height is unusually tall, likely indicating early growth spurt or familial tall stature but does not require immediate clinical follow-up unless accompanied by other symptoms.
Choice E rationale: Weight of 44.5 kg (98 lb) at age 7 is significantly above the typical weight range, with the 95th percentile approximately 34 kg. This child is likely obese, which predisposes to hypertension and metabolic complications. However, obesity alone is not an immediate threat requiring urgent follow-up, but it warrants lifestyle counseling and monitoring.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.