A nurse manager is conducting an in-service session for a group of staff members on the topic of incivility. Which of the following scenarios should the nurse incorporate as an instance of lateral violence?

A charge nurse is rude to their nurse manager when speaking.

A nursing supervisor refusing to help a charge nurse with staffing.

A charge nurse speaks to an assistive personnel (AP) with a demeaning tone.

A nurse rolls their eyes at another nurse after providing a report.

Answer and Explanation

Correct Answer : E

Choice A Reason:

A charge nurse being rude to their nurse manager when speaking can be considered unprofessional and disrespectful behavior, but it does not necessarily constitute lateral violence. Lateral violence typically involves repeated, harmful actions between colleagues of similar status. This scenario might be an isolated incident of incivility rather than a pattern of lateral violence.

Choice B Reason:

A nursing supervisor refusing to help a charge nurse with staffing could be seen as a lack of support or poor teamwork. While this behavior is problematic, it does not fit the definition of lateral violence, which involves hostile and aggressive actions between peers. This scenario reflects a failure in collaboration rather than lateral violence.

Choice C Reason:

A charge nurse speaking to an assistive personnel (AP) with a demeaning tone is an example of lateral violence. This behavior demonstrates a lack of respect and can create a hostile work environment. Lateral violence includes verbal abuse, belittling, and other forms of non-physical aggression between colleagues. This scenario fits the definition of lateral violence as it involves harmful behavior directed at a colleague.

Choice D Reason:

A nurse rolling their eyes at another nurse after providing a report is a subtle form of lateral violence. Non-verbal gestures like eye-rolling can be dismissive and disrespectful, contributing to a toxic work environment. Lateral violence can include both overt and covert actions that undermine colleagues. This scenario illustrates a non-verbal form of lateral violence.

Choice E Reason:

Bullying is a clear example of lateral violence. It involves repeated, harmful behavior intended to intimidate or demean a colleague. Bullying can take many forms, including verbal abuse, exclusion, and sabotage. This scenario is the most direct and comprehensive example of lateral violence, encompassing various harmful behaviors.

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Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A Reason:

Identifying weaknesses in clinical knowledge. Identifying weaknesses in clinical knowledge is crucial for professional growth and ensuring high-quality patient care. By recognizing areas where improvement is needed, nurses can seek additional training and education to enhance their skills. This continuous self-assessment helps maintain competency and ensures that nurses are up-to-date with the latest medical practices and technologies.

Choice B Reason:

Identifying job responsibilities. Understanding job responsibilities is essential for effective performance in any role. The ROLES assessment helps nurses clarify their duties and expectations, which can reduce confusion and improve job satisfaction. Clear identification of responsibilities also aids in prioritizing tasks and managing time efficiently, leading to better patient outcomes.

Choice C Reason:

Role development. Role development is a key aspect of professional nursing practice. It involves expanding one’s skills, knowledge, and responsibilities over time. The ROLES assessment supports this by identifying areas for growth and development, enabling nurses to take on more advanced roles and responsibilities within their practice. This progression is vital for career advancement and personal fulfillment in the nursing profession.

Choice D Reason:

Identifying where to obtain support. Knowing where to obtain support is critical for managing the challenges of nursing. The ROLES assessment can highlight resources and support systems available to nurses, such as mentorship programs, peer support, and professional organizations. Access to these resources can help nurses cope with stress, improve their practice, and enhance their overall well-being.

Choice E Reason:

Determining job expectations. Determining job expectations is fundamental for aligning personal goals with organizational objectives. The ROLES assessment helps nurses understand what is expected of them in their roles, which can lead to better performance and job satisfaction. Clear expectations also facilitate effective communication between nurses and their supervisors, ensuring that everyone is working towards common goals.

A. Unacceptable patient care may result. B. It may encourage other team members to engage in absenteeism. C. Lower personnel numbers lead to reduced salary expenses, creating a positive variance. D. Introducing substitute staff with fresh perspectives can harm the unit’s culture.

Correct Answer is A

Explanation

Choice A Reason:

Unacceptable patient care may result from absenteeism because it leads to understaffing, which can compromise the quality of care provided to patients. When there are fewer nurses available, the remaining staff may be overworked, leading to fatigue, burnout, and errors in patient care. Studies have shown that absenteeism is linked to lower quality of care, increased patient safety incidents, and higher mortality rates. Ensuring adequate staffing levels is crucial for maintaining high standards of patient care and safety.

Choice B Reason:

While absenteeism may indeed encourage other team members to engage in similar behavior, this is not the primary consequence. The ripple effect of absenteeism can lead to a culture of non-compliance and reduced morale among staff, but the immediate and most critical impact is on patient care. The focus should be on the direct consequences of absenteeism on patient outcomes rather than the potential influence on team behavior.

Choice C Reason:

Lower personnel numbers leading to reduced salary expenses and creating a positive variance is a misleading statement. While it might seem that fewer staff would reduce salary expenses, the hidden costs of absenteeism, such as overtime pay for remaining staff, hiring temporary staff, and the potential for increased patient care costs due to errors and complications, often outweigh any perceived savings. Additionally, the quality of care suffers, which can lead to longer hospital stays and higher overall healthcare costs.

Choice D Reason:

Introducing substitute staff with fresh perspectives can harm the unit’s culture is not the primary consequence of absenteeism. While bringing in temporary or substitute staff can disrupt the established team dynamics and continuity of care, the immediate and most significant impact of absenteeism is on patient care. The focus should be on how absenteeism directly affects patient outcomes rather than the potential cultural impact on the unit.

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A nurse manager is conducting an in-service session for a group of staff members on the topic of incivility. Which of the following scenarios should the nurse incorporate as an instance of lateral violence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a result of Amy’s coaching, Sarah, a nursing graduate of 5 years, completes a ROLES assessment. This assessment is helpful in: (Select all that apply)

Correct Answer is ["A","B","C","D","E"]

Explanation

The nurse manager understands that the primary consequence of absenteeism on the nursing unit is:

Correct Answer is A

Explanation

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A nurse manager is conducting an in-service session for a group of staff members on the topic of incivility. Which of the following scenarios should the nurse incorporate as an instance of lateral violence?

In your role as the head nurse responsible for choosing patient surveillance systems for your unit, one of your objectives is to prevent adverse events by deploying suitable technology. This specific objective acknowledges that: