Deck 13: Promoting a Healthy Work Environment

Question 1

Which of the following is true regarding horizontal violence?

A)Horizontal violence is a sentinel event.
B)Horizontal violence is rare on nursing units.
C)Bullying only occurs as horizontal violence.
D)New graduates often experience incivility from their superiors.

Answer 1

Horizontal violence is a sentinel event.

Question 2

Which of the following is a way to assist the health-care team to manage stress effectively?

A)Create a peaceful breakroom far from the unit.
B)Provide a private room away from the hearing of patients and families, but nearby for nurses to collaborate with one another.
C)Encourage new nurses to quickly move into the mentor role.
D)Remind the team they are in control.

Answer 2

Provide a private room away from the hearing of patients and families, but nearby for nurses to collaborate with one another.

Question 3

A new nurse on a busy intensive care unit thinks constantly about potential mistakes and has started dreading going to work.This nurse uses alcohol to relax.Which of the following is most likely true?

A)The nurse's stress level is too high.
B)The nurse is a victim of bullying.
C)The nurse is a victim of sexual harassment.
D)The nurse is unprepared to be on a high acuity unit.

Answer 3

The nurse's stress level is too high.

Question 4

Which of the following is the best way to address bullying behaviors?

A)Report bullying to the bully's nurse manager.
B)Establish a minimal tolerance policy for incivility.
C)Avoid confronting bullies.
D)Look to managers to model appropriate behavior.

Question 5

A nurse in an adult step-down unit at a small community hospital has noticed increased stress in the staff's work life.The hospital has been seeing patients with increased acuity ever since an economic downturn in the community.Which of the following is the most likely reason?

A)Dealing with inexperienced medical residents
B)The death of young patients
C)Aggression from patients
D)Increased frequency of patients needing resuscitation

Question 6

Which of the following can help a nurse cope with high stress at work?

A)Increasing sleep time
B)Work toward a higher degree
C)Work hard at completing everything asked of him or her
D)Teach others how to treat themselves

Question 7

Which of the following is true regarding sexual harassment?

A)Men are not harassed by women.
B)Quid pro quo is the most common sexual harassment claim.
C)Sexual harassment is prohibited by the Civil Rights Act of 1964.
D)A work environment must be proven to be psychologically injurious to be considered hostile.

Question 8

A nurse develops a relationship with a patient through respect.The nurse uses culturally appropriate touch and eye contact.Which of the following factors in understanding cultural diversity is this nurse demonstrating?

A)Social organization
B)Space
C)Internal control
D)Communication

Question 9

If a nurse is the victim of sexual harassment, which of the following must be done within 180 days of the incident?

A)Documentation
B)Confronting the harasser
C)Reporting the incident up the chain of command
D)Reporting the incident to the Equal Employment Opportunity Commission

Question 10

Which of the following is an example of incivility in the workplace?

A)Giving one nurse, who is suffering a family crisis, a light assignment, which means the other nurses have to do more
B)Discussing an error that occurred with a group of nurses on the unit
C)Reprimanding a nurse who made an error in front of staff so that everyone can learn from the mistake
D)Workgroup cohesion

Question 11

Which of the following is a way a nurse manager can reduce stress for the nursing team?

A)Use cognitive behavioral training.
B)Address the staff member's spiritual concerns.
C)Provide directions for exercise routines.
D)Establish peer support groups.

Question 12

Which of the following is the best way for a nurse to become a culturally competent practitioner?

A)Immerse himself or herself in other cultures.
B)Reflect on one's own culture, values, and biases.
C)When assigned a patient with a different culture, take some time to read about the culture.
D)Promote minority representation at all levels of the organization.

Question 13

Which of the following best contributes to job satisfaction?

A)Efforts to achieve a peaceful end of life for patients
B)Teaching patients behaviors that promote health
C)Pay and advancement opportunities in the profession
D)Learning to manage stress

Question 14

Which of the following best describes why health care is stressful?

A)Outside demands can be a major source of stress.
B)Continued intensive contact occurs with noncompliant patients.
C)Most nurses learn how to manage stress.
D)Small stressors may accumulate quickly.

Question 15

Which of the following scenarios most likely is sexual harassment?

A)Asking a coworker out on a date
B)Commenting on a coworker's gender
C)Telling jokes
D)Asking about a coworker's family