Nurse Jordan, a seasoned member of the team, has been openly belittled by Nurse Taylor, a newer nurse. During handoffs, Nurse Taylor makes sarcastic remarks about Nurse Jordan's decisions, saying, "I can't believe you thought that was the right approach." This behavior creates a tense atmosphere and affects team dynamics. What type of behavior is Nurse Taylor exhibiting in this scenario?

Supportive feedback.

Lateral violence.

Workplace violence.

Constructive criticism.

Answer and Explanation

The Correct Answer is B

A. Supportive feedback: This term refers to positive, constructive input that aims to help a colleague improve their practice or decision-making. Nurse Taylor's behavior does not reflect supportive feedback; rather, it is negative and undermining, contributing to a hostile work environment.
B. Lateral violence: This term describes aggressive or bullying behavior exhibited by colleagues at the same hierarchical level. Nurse Taylor's sarcastic remarks and belittling comments toward Nurse Jordan are clear examples of lateral violence, as they create a toxic atmosphere and negatively impact team dynamics. This behavior can lead to increased stress and decreased morale among team members.
C. Workplace violence: While Nurse Taylor's behavior can be considered a form of workplace violence in a broader sense, it is more specifically classified as lateral violence. Workplace violence generally encompasses physical threats or harm, while lateral violence focuses on verbal and emotional abuse among coworkers.
D. Constructive criticism: Constructive criticism involves providing feedback aimed at improving performance while maintaining respect and professionalism. Nurse Taylor's sarcastic remarks do not meet this definition, as they are not aimed at helping Nurse Jordan but rather serve to belittle and undermine her. Therefore, this behavior is not constructive and instead falls into the category of lateral violence.

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Free Nursing Study Resources

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

Explanation

A. Self-administer prescribed antibiotics on time and don't skip doses: This statement is not applicable for viral pharyngitis, as antibiotics are ineffective against viral infections. Teaching should clarify that antibiotics are only prescribed for bacterial infections. Therefore, this information should not be included in the teaching plan for viral pharyngitis.
B. Contact HCP promptly for drooling or inability to fully open mouth: This is an important teaching point, as these symptoms may indicate a severe throat infection or complications that require immediate medical attention. Prompt contact with the healthcare provider is essential for any signs of difficulty in swallowing or mouth opening, which may suggest a need for further evaluation and treatment.
C. Drink at least 2-3 liters of fluid/day unless contraindicated: Encouraging adequate hydration is critical for clients with viral pharyngitis, as it helps soothe the throat, thin mucus, and prevent dehydration. This recommendation is appropriate and should be included in the teaching plan, ensuring students understand the importance of hydration in managing symptoms.
D. Do not share beverage cups or food utensils with other individuals: This is a vital precaution to prevent the spread of the viral infection to others. Educating clients on the importance of hygiene and avoiding sharing personal items can help limit transmission and protect others from becoming infected.
E. Inspect body for skin rash development twice per day: While it is important to monitor for any unusual symptoms, this specific action may not be necessary for viral pharyngitis unless there are other clinical indicators that suggest a possible rash. Viral pharyngitis typically does not warrant routine skin inspections for rash development, making this point less relevant in the context of the teaching plan.

Correct Answer is ["4"]

Explanation

Formula:

Volume to administer (mL) = (Desired dose (mg) / Available concentration (mg/mL))

Desired dose = 1.6 mg

Available concentration = 2 mg / 5 mL

Calculate the concentration per mL:

2 mg / 5 mL = 0.4 mg/mL

Volume to administer = 1.6 mg / 0.4 mg/mL

= 4 mL

The nurse should administer 4 mL per dose.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A clinic nurse is preparing to teach student nurses about care of clients with viral pharyngitis. Which information should the nurse include in the teaching plan? Select all that apply.

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

Explanation

A nurse is preparing to administer albuterol syrup 1.6 mg PO tid. Available is albuterol 2 mg/5mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["4"]

Explanation

A nurse on a quality control committee is evaluating the results of recently implemented measures designed to reduce client medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

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A nurse is working with a colleague who frequently interrupts and takes over during client care discussions. The nurse wants to assertively address this behavior to ensure effective teamwork. Which response by the nurse demonstrates assertive behavior?

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A nurse is caring for a client diagnosed with pneumonia and assesses labored breathing and copious tracheobronchial secretions. What priority action should the nurse encourage with the client?

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