During a team meeting, a head nurse (the superior) and a staff nurse (the subordinate) are having a disagreement over the unit's dressing change procedure. The staff nurse wishes to use a new procedure based on newly released nursing research. The head nurse disagrees. The head nurse later makes comments to other staff members questioning the credibility of the staff nurse. This behavior is associated with:

horizontal violence.

bullying

confrontation.

mediation.

Answer and Explanation

The Correct Answer is B

A.   Horizontal violence, also known as lateral violence, refers to aggressive or disruptive behavior between colleagues at the same level, such as between nurses. Since the head nurse is in a superior position and the staff nurse is a subordinate, the behavior described does not fit the definition of horizontal violence.
B.   Bullying involves repeated, intentional actions that undermine or belittle another person. The head nurse’s comments about the staff nurse’s credibility to other staff members could be considered a form of bullying, especially if this behavior is persistent and aims to undermine the staff nurse’s professional reputation or confidence.
C.   Confrontation is a direct approach to addressing disagreements or conflicts between individuals. It involves discussing differing views openly and is intended to resolve issues through dialogue. In this
case, the head nurse’s behavior does not involve direct confrontation with the staff nurse about the disagreement but rather involves undermining the staff nurse's credibility behind their back.
D.   Mediation is a process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a resolution. The behavior described does not involve mediation; instead, it involves negative comments and undermining behavior without seeking resolution or involving a mediator.

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Correct Answer is A

Explanation

A. “Read the room” is not one of the four agreements presented by Don Miguel Ruiz. This phrase is often used in everyday language to describe the act of understanding the mood or dynamics of a situation, but it is not one of the agreements outlined in the book. The four agreements focus more on personal conduct and attitudes rather than interpreting social situations.
B. This is one of the four agreements. It encourages individuals to avoid assuming things about others or situations without clear evidence. Making assumptions can lead to misunderstandings and conflicts. The agreement advocates for clear communication and asking questions rather than making unfounded assumptions.
C. This is also one of the four agreements. It advises people not to take the actions or opinions of others personally, as these are often reflections of the other person's own issues and not a direct reflection of oneself. This agreement helps in reducing unnecessary emotional suffering and maintaining inner peace.
D. This is another of the four agreements. It emphasizes the importance of speaking with integrity, saying only what you mean, and avoiding using words to harm others or yourself. Being impeccable with your word fosters trust and respect in communication.

A. The student educates the patient about their diagnosis. B. The student advises the patient as to which treatment options they should choose. C. The student arranges for the doctor to visit the patient and the family to assist them in make treatment decisions. D. The student asks the patient about their preferences concerning treatment decisions.

Correct Answer is B

Explanation

A. Educating the patient about their diagnosis is an important aspect of promoting patient engagement. It helps the patient understand their condition and empowers them to participate in their care.
B. Advising the patient on which treatment options to choose can be problematic. While the student might have the best intentions, making specific recommendations about which treatment options the patient should choose crosses into the realm of providing medical advice, which is typically the role of the healthcare provider or physician. This action may undermine the patient's autonomy and their ability to make informed decisions about their own care.
C. Arranging for a doctor to visit the patient and family to assist in making treatment decisions is a supportive and appropriate action. It helps ensure that the patient and family have the necessary information and support to make informed decisions about treatment options.
D. Asking the patient about their preferences concerning treatment decisions is a key aspect of promoting patient engagement. It involves respecting the patient's autonomy and involving them in their care decisions. This action supports patient-centered care and engagement, so it does not indicate a need for further teaching.

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Naxlex Comprehensive Predictor Exams

The core of leadership is awareness. The text by Don Miguel, The Four Agreements, presents a set of agreements to enhance p awareness. What is NOT one of the four agreements?

Correct Answer is A

Explanation

A clinical instructor is assessing a student nurse's ability to promote patient engagement. Which of the following interventions made by the student suggests a NEED FOR FURTHER TEACHING?

Correct Answer is B

Explanation

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