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.

Answer and Explanation

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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Correct Answer is B

Explanation

A. This description fits a patient classification system, but it doesn’t specifically define a prototype evaluation system. Patient classification systems, like the Resource Utilization Groups (RUGs) or the Patient Classification System (PCS), categorize patients to predict care needs and allocate resources.

B. This description fits an advanced scheduling or staffing system, which uses algorithms to manage schedules based on certain rules. While it involves evaluation and planning, it’s focused on staffing and scheduling rather than evaluating prototypes specifically. Prototype evaluation systems generally involve assessing and refining models or systems, not just scheduling.
C. A formula-driven approach to calculating nursing productivity involves measuring efficiency and performance based on predefined formulas. While this relates to evaluation, it is not specifically about prototype evaluation
D. This describes a system that rates patient care activities based on workload, which can be part of a classification or workload measurement system. However, it does not directly relate to a prototype evaluation system, which is more focused on assessing and refining prototypes rather than rating individual activities.

A. first begins when you are formally recognized by a higher authority. B. does not require any additional learning. C. is an innate quality that cannot be taught. D. is a lifelong process.

Correct Answer is D

Explanation

A. Leadership does not begin solely with formal recognition or a title. While being formally recognized or promoted can give you authority, true leadership is about influence, actions, and the ability to inspire and guide others.
B. Effective leadership involves continuous learning and development. As a nurse manager, you need to stay updated with evolving practices, enhance your skills, and adapt to changes within the healthcare environment.
C. While some people may have natural leadership traits, leadership skills can be taught and developed. Leadership involves a range of skills, including communication, problem-solving, and emotional intelligence, which can be learned and refined through training, experience, and education.
D. Leadership is indeed a lifelong process. It involves ongoing personal and professional growth, learning from experiences, adapting to changes, and continuously improving one’s skills. Effective leaders engage in self-assessment, seek feedback, and invest in their development throughout their careers.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following descriptions best describes a prototype evaluation system?

Correct Answer is B

Explanation

As a new nurse manager, you understand that leadership:

Correct Answer is D

Explanation

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