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. Make a copy of the incident report for the provider. B. Document in the chart that an incident report has been filed. C. Place the incident report in the client’s chart. D. Submit the incident report to the risk manager.

Correct Answer is D

Explanation

Choice A Reason:

Making a copy of the incident report for the provider is not necessary. Incident reports are typically used for internal documentation and risk management purposes. They are not part of the patient’s medical record and should not be shared with the provider in this manner. The provider should be notified of the incident through appropriate channels, but a copy of the report is not required.

Choice B Reason:

Documenting in the chart that an incident report has been filed is inappropriate. The patient’s medical record should contain factual, objective information about the patient’s condition and care. Mentioning that an incident report has been filed can be seen as an admission of liability and is not recommended. The focus should be on documenting the patient’s condition and any care provided as a result of the fall.

Choice C Reason:

Placing the incident report in the client’s chart is incorrect. Incident reports are not part of the patient’s medical record and should be kept separate. They are used for internal purposes to improve patient safety and care processes. Including them in the patient’s chart can lead to legal complications and is against best practices.

Choice D Reason:

Submitting the incident report to the risk manager is the appropriate action. The risk manager is responsible for reviewing incident reports to identify potential risks and implement measures to prevent future occurrences. This process is crucial for maintaining patient safety and improving healthcare quality.

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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

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and completes an incident report, which of the following actions should the nurse take?

Correct Answer is D

Explanation

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