Deck 13: Creating and Sustaining a Healthy Work Environment

Question 1

A group of nurses are working on an obstetrical unit and are discussing how the Nurses' Bill of Rights can be incorporated into the day-to-day operations of the nursing unit.Which suggestion could be implemented that would reflect compliance?

A)Protocols on nursing unit are based on physician preference.
B)Nurses act as patient advocates.
C)Compensation for work is based on personal preference recommendations of management.
D)Nurses are not involved in collective bargaining conversations.

Answer 1

Nurses act as patient advocates.

Question 2

A nurse observes a nurse and patient having a loud conversation.The nurse is yelling at the patient and is pointing a raised finger at the patient stating that "he'd better behave." How would the nurse who is observing this interaction categorize this type of behavior in terms of violence?

A)Lateral
B)Third party
C)Vertical
D)Horizontal

Answer 2

Third party

Question 3

Which situation would constitute an example of "bullying" in the nursing environment?

A)The nurse manager instructs a member of the nursing staff in a better way to perform a nursing task.
B)The unit secretary repeatedly talks to nurses and staff in a rude manner.
C)The unlicensed assistive personnel (UAP)on the unit continues to make jokes about another staff member in the presence of others as well as when alone in the staff member's presence.
D)The nurse on the unit gossips about another staff nurse on the unit.

Answer 3

The unlicensed assistive personnel (UAP)on the unit continues to make jokes about another staff member in the presence of others as well as when alone in the staff member's presence.

Question 4

Which action supported by current research contributes to the existence of workplace violence in the clinical setting?

A)Most nurses report incidents that have occurred without fear of retaliation.
B)Nurses are more aware of the likelihood that workplace violence will occur.
C)There are strong organizational support and zero tolerance policies for bullying.
D)There is no support from administration.

Question 5

A nursing unit is being educated on methods to prevent workplace violence from occurring on the nursing unit.Which statement by a nursing staff member indicates that adequate instruction has been provided?

A)"I will work on maintaining a culture of incivility."
B)"The responsibility for whether or not workplace violence occurs rests with management."
C)"I will remain accountable for all of my behaviors and actions while working on the nursing unit."
D)"I will keep to myself and focus only on my immediate environment while at work."

Question 6

A nurse manager is described by the nursing staff as having a keen insight into the day-to-day operations of the nursing unit.What is the best description of the nurse manager's communication skill?

A)Candid
B)Authentic
C)Mindful
D)Reflective

Question 7

Which action would contribute to nurse fatigue in a staff nurse who is working a 12-hour shift on a medical unit and who has been assigned to take care of five patients based on a primary care model?

A)Nurse eats lunch meal at the nurse's station while answering unit phone
B)Nurse leaves the unit on time at the end of the scheduled shift
C)Nurse does not sign up for additional shifts to cover unit vacancies
D)Nurse states she typically sleeps 8 hours a night

Question 8

Which situations would help to promote a healthy work environment in the clinical setting? Select all that apply.

A)Staff nurses complain of fatigue with having to work additional hours
B)The nurse manager has received complaints of bullying occurring on the unit arising from one staff member
C)Nurses perceive that a culture of physiological safety exists on the nursing unit
D)Staff adhere to the American Nurses Association (ANA)Nurses Bill of Rights as part of nursing unit policy
E)Staff feel that their efforts are valued by management