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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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

A. Disregarding upcoming organizational changes is not advisable when developing a staffing budget. Organizational changes, such as shifts in policy, new technology implementations, or strategic initiatives, can significantly impact staffing needs
B. Measuring the amount of work performed by the unit (e.g., patient volume, acuity levels) and considering the services being offered (e.g., types of care, procedures) helps in determining the appropriate staffing levels required to meet the unit’s needs. This approach ensures that the budget reflects the actual demands and workload of the unit, leading to more accurate and effective staffing plans.
C. Understanding the competitive landscape can provide valuable insights into industry standards and practices. However, it is not the primary focus for developing a staffing budget. The staffing budget should be based on the specific needs and conditions of the unit rather than solely on what other organizations are doing.
D. Preparing work schedules several months in advance can help with planning and managing staffing levels, but it is not the primary factor in developing a staffing budget. The budget should be based on the expected workload, service demands, and overall resource needs rather than just on the timing of schedules.

A. Recruiting volunteers to assist with collecting vital signs and providing basic care needs B. Developing a centralized staffing pool of float nurses. C. Assigning nurses from less busy units to understaffed ones, regardless of differences in patient acuity. D. Implementing a mandatory overtime policy compelling nurses to cover staffing shortages.

Correct Answer is B

Explanation

A. Recruiting volunteers might seem like a cost-effective solution, it can be problematic in terms of patient safety and quality of care. Volunteers generally lack the clinical training required to perform medical tasks safely and competently. Their involvement in direct patient care could pose risks to patient safety and may not effectively address staffing shortages in a meaningful way.
B. Developing a centralized staffing pool of float nurses is a strong intervention for addressing staffing shortages while securing patient safety and managing costs. Float nurses are experienced and can be deployed to various units as needed. This strategy ensures that staffing needs are met in a flexible and efficient manner, without compromising patient care. It also helps to balance the workload and prevents burnout among regular staff.
C. Assigning nurses from less busy units to understaffed ones can be effective, but it must be done with consideration for patient acuity. Nurses need to be assigned based on their skills and the needs of the unit to ensure that patient safety is maintained. If nurses from less busy units are assigned to areas with higher acuity patients without proper training or experience, it could compromise patient care and safety.
D. Implementing a mandatory overtime policy can address short-term staffing shortages but often leads to staff dissatisfaction, burnout, and decreased quality of care. Compelling nurses to work extra hours can negatively impact their well-being and job satisfaction, potentially leading to higher turnover rates and increased costs associated with recruiting and training new staff.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

To develop an effective staffing budget, the nurse manager should:

Correct Answer is B

Explanation

An organization is developing a strategy to address recent staffing shortages. Which of the following interventions BEST secures patient safety and reduces cost?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

A nurse manager in the pediatric intensive care unit understands that when providing information to parents of a critically ill child, the following should be performed FIRST:

Which of the following are outcomes of a quality stamina (Select All that Apply.)

In reviewing the current delivery model, the nurse manager is aware that a demographic change that will have a significant effect on healthcare delivery systems of the future is:

A nurse is caring for a client who has a prescription for a referral for case management services. Which of the following actions should the nurse identify is the responsibility of case management services?

After arguing with a nurse, a disgruntled patient removes their peripheral venous catheter, gathers their belongings, and storms out of the room. Which of the following actions made by the nurse is most appropriate?