Which of the following is an example of incivility in the workplace in nursing?
Collaborating with a multidisciplinary team
Gossiping about a coworker's personal life
Seeking clarification from a coworker about a task
Respecting and acknowledging the contributions of colleagues
The Correct Answer is B
Rationale:
A. Collaborating with a multidisciplinary team is incorrect because collaboration reflects professional and civil workplace behavior. Effective collaboration involves open communication, mutual respect, and shared decision-making among nurses, physicians, therapists, and other healthcare staff. These behaviors enhance patient care outcomes and contribute to a positive work environment, rather than creating conflict or tension.
B. Gossiping about a coworker's personal life is correct because it is a clear example of incivility in the workplace. Incivility encompasses behaviors that are disrespectful, demeaning, or disruptive, such as gossiping, spreading rumors, mocking, or undermining colleagues. Such behaviors can harm workplace morale, decrease trust among team members, increase stress, and ultimately compromise patient care. Gossiping about a coworker’s personal life, in particular, violates professional boundaries, can lead to conflict, and may contribute to a hostile or toxic work environment. Recognizing and addressing these behaviors is essential for maintaining professional standards and fostering a safe, respectful work culture.
C. Seeking clarification from a coworker about a task is incorrect because this demonstrates professionalism and patient safety awareness. Asking questions when unsure about a procedure, medication, or care plan ensures accurate care delivery and reduces errors. This behavior promotes collaboration, learning, and accountability, and it is considered civil and constructive rather than uncivil.
D. Respecting and acknowledging the contributions of colleagues is incorrect because this behavior supports a positive and professional work environment. Recognizing coworkers’ skills, efforts, and achievements encourages teamwork, morale, and effective communication, all of which are the opposite of incivility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Adjust the water temperature to feel hot is incorrect because water that is too hot can cause skin irritation or damage. The correct practice is to use warm or lukewarm water to maintain skin integrity while effectively removing pathogens.
B. Rub hands and arms to dry is incorrect because vigorous rubbing can damage the skin. Proper hand hygiene involves patting hands and forearms dry with a clean paper towel to prevent skin irritation and maintain hygiene.
C. Apply 4 to 5 mL of liquid soap to the hands is correct because this amount is sufficient to create a lather that covers all hand surfaces, including palms, backs, fingers, and thumbs. Adequate soap volume ensures effective removal of microorganisms during handwashing.
D. Hold the hands higher than the elbows is incorrect because the hands should be positioned lower than the elbows during handwashing. This allows water and soap to flow from the fingertips toward the elbows, preventing contamination from water running back onto clean hands.
Correct Answer is A
Explanation
Rationale:
A. “Prescription received for MSO44.0 mg PRN pain” requires intervention because it is ambiguous and contains unsafe abbreviations and formatting. “MSO4” is commonly used to abbreviate morphine sulfate, but in this entry it is written as “MSO44.0 mg,” which could be misread as 440 mg or another incorrect dose. Such ambiguity increases the risk of a serious medication error, including overdose, which could result in respiratory depression or death. The Institute for Safe Medication Practices (ISMP) and The Joint Commission specifically recommend avoiding dangerous abbreviations like MSO4 and instead spelling out the full drug name (“morphine sulfate”) and writing the dose clearly. Documentation should also include the route, frequency, and purpose when appropriate to ensure clarity for all members of the healthcare team.
B. “Urine collected for UA and C & S” is correct. This entry clearly indicates that a urine specimen was collected for urinalysis (UA) and culture & sensitivity (C&S). It is concise, unambiguous, and provides essential information for laboratory processing and clinical follow-up.
C. “Client assisted OOB, instructed to splint ABD” is correct because it documents both the nursing intervention and patient education. OOB (out of bed) indicates mobility assistance, and “instructed to splint ABD” shows the nurse provided guidance to protect the abdomen postoperatively or post-injury. The entry is clear, clinically relevant, and reflects proper nursing documentation.
D. “12 units of regular insulin administered subcut” is correct because it includes the dose, type of insulin, and route of administration. This meets safe medication documentation standards and ensures clarity for all providers reviewing the record. Additional details such as time and site of administration could further enhance completeness, but the entry is fundamentally safe and accurate.
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