During a team meeting, a head nurse (the superior) and a staff nurse (the subordinate) are having a disagreement over the unit's dressing change procedure. The staff nurse wishes to use a new procedure based on newly released nursing research. The head nurse disagrees. The head nurse later makes comments to other staff members questioning the credibility of the staff nurse. This behavior is associated with:
horizontal violence.
bullying
confrontation.
mediation.
The Correct Answer is B
A. Horizontal violence, also known as lateral violence, refers to aggressive or disruptive behavior between colleagues at the same level, such as between nurses. Since the head nurse is in a superior position and the staff nurse is a subordinate, the behavior described does not fit the definition of horizontal violence.
B. Bullying involves repeated, intentional actions that undermine or belittle another person. The head nurse’s comments about the staff nurse’s credibility to other staff members could be considered a form of bullying, especially if this behavior is persistent and aims to undermine the staff nurse’s professional reputation or confidence.
C. Confrontation is a direct approach to addressing disagreements or conflicts between individuals. It involves discussing differing views openly and is intended to resolve issues through dialogue. In this
case, the head nurse’s behavior does not involve direct confrontation with the staff nurse about the disagreement but rather involves undermining the staff nurse's credibility behind their back.
D. Mediation is a process where a neutral third party helps facilitate communication and negotiation between conflicting parties to reach a resolution. The behavior described does not involve mediation; instead, it involves negative comments and undermining behavior without seeking resolution or involving a mediator.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Escalating healthcare costs are a significant concern and will impact how healthcare is delivered.However, they are more a consequence of various factors rather than a demographic change. This option addresses financial aspects rather than population shifts or changes in demographics.
B. Increasing reports of violence in the workplace are a serious issue but are not a demographic change. This issue affects the safety and working conditions of healthcare workers rather than the overall structure or delivery of healthcare systems.
C. The increasing percentage of the population that will be over age 65 is a significant demographic change. This shift will greatly impact healthcare delivery systems as the older population typically requires more medical care, including management of chronic conditions, long-term care, and geriatric services. The aging population will necessitate adjustments in healthcare resources, staffing, and care models to meet the needs of this growing demographic.
D. Changes in staffing patterns can affect healthcare delivery, but they are more about operational adjustments within the healthcare system rather than a demographic change. Staffing patterns are influenced by various factors, including demand for services, technology, and policy changes, rather than being a direct demographic shift.
Correct Answer is A
Explanation
A. Assessing the parents' preferences regarding the amount and type of information they want is crucial because it helps tailor the communication to their needs and emotional state. This initial step ensures
that the information provided is appropriate for the parents’ level of understanding and readiness. By understanding their preferences, the nurse manager can offer information in a manner that is most supportive and useful for the family.
B. Arranging for a specialist to speak with the family might be necessary. However, it is not the first step in the process. This step would be more relevant after understanding the family’s needs and preferences, as the specialist can then provide more targeted and relevant information based on the family's specific questions or concerns.
C. Directing the family to online resources might be useful, but it is not the first priority. Providing online resources should come after assessing the family's needs and preferences to ensure that the resources are relevant and appropriate.
D. Having patient education brochures available is important but it should come after assessing the family's preferences. The brochures alone might not address the family's immediate concerns or preferences for the amount of information they wish to receive.
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