Exam 26: Workplace Violence and Incivility

Your health care organization places a high value on workplace safety and integrates this into all aspects of administrative and patient care processes.As a unit manager,you thoroughly endorse this direction,and during the selection and hiring of new staff,you consistently:

A poll conducted by the Canadian Federation of Nurses Unions (CFNU)there were 16,617 claims between the years 2006-2015.This is over double the rate reported by police and correctional service officers in the same time period.The two most often reported incidences of violence are? (Select all that apply.)

The Canadian Nurses Association (CNA)cites studies that suggest that intimidating and disruptive behaviours in the nursing profession contribute to:

Caroline asks family members to leave while she cares for the 16-year-old victim of a recent car accident.The father screams at her and tells her that she has no right to ask his family to leave,and that if she continues to do so,he will "throw her out of the room." Caroline is shaken and tells her head nurse,who tells her that this kind of thing is just part of the job.The guidance of the head nurse:

In which of the following situations would you,as the head nurse,be concerned about potential safety issues?

According to the Government of Ontario,Ministry of Labour health care report (2017),workplace violence "accounted for what percentage for all lost-time injuries in the health care sector?

In the emergency department waiting room,you notice a patient sitting,with his head in his hands,who has been waiting for about 5 hours for relief of his headache.When you approach him to ask him how he is doing,he says,"I can't believe that I have to wait this long for help! Do you know what it is like to be in pain for 10 hours?" Your response to him would be:

You are part of a multidisciplinary team that is charged with designing a workplace safety plan for your health care organization.This team has been established in response to increases in reports of violence and aggression.You begin designing the safety plan by:

Many theories exist as to why horizontal violence takes place in nursing.Which of the following are thought to be contributing factors to violence in nursing? (Select all that apply.)

A patient who has a history of involvement with drugs and weapons comes up to you in the hallway and asks you a question regarding directions in treatment.When you respond,he moves closer in to you and puts both hands up on either side of your neck.No one else is in the hallway.Your best response at this point is to:

A safety and security plan is important to a health care organization because it:

Residents in a new long-term care facility attend meals in a large dining hall.In reviewing reports of aggression and violence,you note that behaviours such as hitting or attempts to hit staff are increasing.Further investigation suggests that this behaviour occurs most often at mealtimes.A possible intervention would be to:

Delaney,one of your staff nurses,confides that Marjorie,another nurse,has been actively telling others that you are incompetent,you do not know what you are doing in relation to patient care,and that you lie to the staff about attempts to get more staffing.Through telephone calls and conversations during breaks,she is recruiting other staff to her position.Delaney confides that most staff members find you fair,honest,and knowledgeable.Marjorie's behaviour can best be characterized as:

Sabotage is an example of which type of violence?

Reza,RN,works as a staff nurse in the mental health department; Sharon works as a data entry clerk in the admissions department; Sarah is an emergency room physician; and Donna is a housekeeper in the geriatrics department.Which of the four is most likely to be a perpetrator of violence?

Reza,RN,works as a staff nurse in the mental health department; Sharon works as a data entry clerk in the admissions department; Sarah is an emergency room physician; and Donna is a housekeeper in the geriatrics department.Which of these four is most at risk for violence: and aggression?

During coffee and other breaks,Rosalie,the new RN,is excluded from conversations with the other staff.When she approaches other staff on the unit to ask questions,they turn and walk off in the other direction.The behaviour of the staff is characteristic of:

Various descriptions of types of violence are available.Which form includes the use of power which differentiates itself from other terms?

Canadian knowledge of the scale of workplace violence in health care remains incomplete because:

At 3 a.m., a man walks into your emergency department. He paces back and forth in the waiting area before he approaches staff to ask if he can see his wife, who is a patient on another floor. He speaks rapidly, his face is flushed, he glances around often, and he keeps his hand in his jacket pocket. A best initial response would be to: