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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Leadership does not begin solely with formal recognition or a title. While being formally recognized or promoted can give you authority, true leadership is about influence, actions, and the ability to inspire and guide others.
B. Effective leadership involves continuous learning and development. As a nurse manager, you need to stay updated with evolving practices, enhance your skills, and adapt to changes within the healthcare environment.
C. While some people may have natural leadership traits, leadership skills can be taught and developed. Leadership involves a range of skills, including communication, problem-solving, and emotional intelligence, which can be learned and refined through training, experience, and education.
D. Leadership is indeed a lifelong process. It involves ongoing personal and professional growth, learning from experiences, adapting to changes, and continuously improving one’s skills. Effective leaders engage in self-assessment, seek feedback, and invest in their development throughout their careers.
Correct Answer is A
Explanation
A. Discharge planning should start as soon as the client is admitted to the facility. Early planning helps anticipate and address the patient’s needs and ensures that all necessary arrangements for post- discharge care are made well in advance.
B. Starting discharge planning 48 hours before discharge is generally too late. Effective discharge planning requires more time to coordinate care, education, and resources. Beginning the process 48 hours before discharge may not allow enough time to address all aspects of the plan adequately, potentially leading to issues in the transition.
C. Waiting for insurance approval before starting discharge planning can lead to delays and may not be in the best interest of the patient. Discharge planning should be initiated based on the patient’s needs rather than insurance coverage. Waiting for approval can also disrupt the timeline for arranging follow- up care and services.
D. Waiting until the discharge order is written is too late for effective discharge planning. By the time the discharge order is written, many elements of the discharge plan should already be in place. Waiting until this point can lead to rushed arrangements and potentially inadequate preparation for the patient’s needs after leaving the facility.
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