A newly licensed nurse accepts a position on a medical-surgical unit.
Which of the following is an example of the nurse displaying confidence?
Delaying documentation of clinical findings until approved by the charge nurse.
Gathering supplies before entering a client's room to insert an indwelling urinary catheter.
Redirecting the conversation when a client who is terminal asks about the dying process.
Asking a colleague to perform a skill the nurse is unfamiliar with.
The Correct Answer is B
Choice A rationale
Delaying documentation until approved by a charge nurse suggests a lack of confidence in one's own clinical judgment and assessment skills. Confident nurses document findings accurately and promptly based on their independent assessments, taking accountability for their observations and interventions within their scope of practice.
Choice B rationale
Gathering supplies before entering a client's room to insert an indwelling urinary catheter demonstrates preparedness, efficiency, and confidence. This action reflects proactive planning and a clear understanding of the procedure, minimizing interruptions and ensuring a smooth, competent execution of the task, thereby exhibiting self-assurance in one's abilities.
Choice C rationale
Redirecting the conversation when a client asks about the dying process indicates discomfort or a lack of confidence in addressing sensitive topics. A confident nurse would engage in open, empathetic communication, providing accurate information and emotional support, even when discussing difficult subjects, demonstrating professional composure and compassion.
Choice D rationale
Asking a colleague to perform a skill the nurse is unfamiliar with is a responsible and ethical action, reflecting an awareness of one's limitations, but it does not demonstrate confidence in performing the skill itself. Confidence is shown in the willingness to learn and seek guidance, but directly performing the unfamiliar skill is not implied.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Advocacy in nursing involves supporting and protecting a client's rights, preferences, and well-being, particularly when they may be vulnerable or unable to do so themselves. Assisting a client to articulate their desires regarding breast reconstruction directly empowers them to participate in shared decision-making with their healthcare provider, upholding their autonomy and promoting patient-centered care.
Choice B rationale
Teaching carbohydrate counting is a crucial educational intervention aimed at disease management and health promotion for clients with diabetes mellitus. While essential for improving health outcomes and self-management skills, this activity primarily falls under the nursing role of educator rather than directly representing client advocacy in the context of upholding their expressed wishes.
Choice C rationale
Offering advice to families of clients with cancer, while a supportive gesture, can be problematic if it oversteps professional boundaries or infringes on the family's right to seek diverse opinions. Advocacy focuses on empowering the client and family to make their own informed decisions, not on providing unsolicited advice which may compromise their autonomy.
Choice D rationale
Accurate and thorough documentation is a fundamental aspect of professional nursing practice and is essential for continuity of care, legal protection, and quality assurance. While good documentation indirectly supports client safety and effective care delivery, it does not directly embody the act of speaking or acting on behalf of a client's specific wishes or rights.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale
Criticizing a colleague's professional judgment, such as pain management, exemplifies lateral violence. This behavior undermines professional competence and can create a hostile work environment, leading to increased stress and decreased team cohesion. Such actions violate principles of collegiality and respect, potentially impacting patient care indirectly due to a breakdown in communication and trust among healthcare providers.
Choice B rationale
A provider raising her voice to the charge nurse demonstrates an abuse of power and constitutes lateral violence. This aggressive communication style disrupts the professional environment, intimidates staff, and can lead to a sense of disrespect and powerlessness among nurses. Such behavior inhibits open communication and collaboration, essential for effective patient care delivery and a healthy work culture.
Choice C rationale
Complaining about a colleague at the nurses' station is a form of passive-aggressive lateral violence, often termed "gossiping.”. This behavior erodes trust, fosters a negative work environment, and can isolate the targeted individual, diminishing morale and professional relationships. It creates an atmosphere of distrust and hinders effective teamwork and communication among nursing staff.
Choice D rationale
Attending an in-service regarding lateral violence is an educational and proactive measure to address and prevent such behaviors. It is not an example of lateral violence itself. Instead, it represents a positive step towards fostering a healthier work environment by increasing awareness and providing strategies for identifying and mitigating disruptive behaviors within the healthcare team.
Choice E rationale
Deliberately avoiding a newly hired nurse to make them feel isolated is a clear instance of lateral violence. This ostracizing behavior aims to exclude and disempower the new individual, hindering their integration into the team and potentially impacting their confidence and performance. Such actions create an unwelcoming and hostile environment, undermining team cohesion and support systems.
Choice F rationale
Teaching a nurse about proper procedure after a medication error is a constructive, supportive, and educational response. This action promotes learning and professional development, aiming to improve practice and prevent future errors. It is an example of a supportive peer interaction focused on patient safety and professional growth, not lateral violence, which is disruptive and harmful.
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