A newly licensed nurse is experiencing bullying from another staff nurse. Which of the following actions should the newly licensed nurse take?

File a transfer request to be assigned to a different unit.

Discuss the matter with the facility's quality improvement team.

Introduce a no-tolerance policy for incivility at the next unit meeting.

Calmly address the coworker's behavior as soon as it occurs.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Filing a transfer request might be considered if the bullying behavior persists despite attempts to address it, but it's important for the newly licensed nurse to initially address the behavior directly.

Choice B rationale:

Discussing the matter with the facility's quality improvement team might be necessary if the situation escalates, but addressing the behavior directly with the coworker is the initial step.

Choice C rationale:

Introducing a no-tolerance policy for incivility is a good idea, but addressing the specific behavior with the coworker is important in the moment.

Choice D rationale:

Calmly addressing the coworker's behavior as soon as it occurs is a proactive way to assert boundaries and address the bullying behavior directly.

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Correct Answer is D

Explanation

Choice A rationale:

Other family members or close contacts may consider immunization, but it is not directly related to the client's ALS diagnosis.

Choice B rationale:

Since the client has a new diagnosis of ALS, the immediate focus should not be on selling their home, but rather on understanding and managing the disease.

Choice C rationale:

Requiring hospice care immediately is not a standard recommendation for a client with ALS. The client's disease progression and needs will be assessed to determine the appropriate level of care.

Choice D rationale:

Creating a living will is important for clients with a terminal illness like ALS, as it allows them to express their wishes for medical treatment and care preferences in advance.

A. "I feel guilty that my fellow soldiers died in combat and I survived." B. "I keep having flashbacks about when I was attacked by my neighbor." C. "I prefer to go through the recovery process independently." D. "I think my experience has affected my ability to trust others."

Correct Answer is B

Explanation

Choice A rationale:

Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.

Choice B rationale:

Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.

Choice C rationale:

The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.

Choice D rationale:

Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.

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A newly licensed nurse is experiencing bullying from another staff nurse. Which of the following actions should the newly licensed nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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