Exam 22: Dealing With Disruptive Staff Problems

Which assignment would be in the best interest of a nurse reentering practice following treatment for abuse of mood-altering drugs?

A nurse comes to the unit manager to report a coworker's behavioral changes. The nurse has noticed that the coworker's handwriting has become shaky and illegible, that the coworker has mood swings, and that the coworker has had increased tardiness. Which of the following should be the manager's first action?

A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new nursing employees. This problem is likely the result of which of the following situations?

A hospital administrator has attended a conference on bullying and wishes to address the most likely bullies in the organization. Whom would the administrator invite to the first meeting about bullying behaviors? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A nurse manager has been working with a disgruntled employee for several weeks. Today the employee comes to the manager's office with yet another complaint about a new hospital policy. The manager says, "I am sick of your complaining. Leave me alone so I can get some work done." What should the manager do now?

A nurse says, "I don't see what all the fuss is about bullying. Every new nurse has to go through it. It's just a part of the history of nursing." How should the manager respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

________, is the harassment between employees of equal rank.

A nurse who has been abusing narcotics is in the nurse executive's office discussing the charges. The nurse executive is trying to convince the nurse to seek treatment for the abuse. Which statement should the nurse executive make?

A nurse comes to a mandatory education session wearing a shirt with a picture and slogan that is degrading to nursing. What should the manager do first?

Two staff members have a long-standing dislike of one another. Generally, they hide their feelings, but occasionally they engage in name-calling and derogatory remarks. Today their dislike erupted into a shoving match in the break room. How should the manager handle this situation?

A nurse makes a medication error and notifies the client's physician. The physician berates the nurse over the phone and states, "You are an idiot." How should the manager deal with this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A manager has documentation to suspect substance abuse by a nurse. The manager meets with the human resources (HR) director to determine which course of action should be taken to abide by the organization's policies. Which statement by the HR director is appropriate?

A night shift nurse is assuming a day shift nurse's assignment, which includes two clients with pain that is being controlled with oral hydrocodone (Lortab). At shift assessment, both clients complain of pain. During shift report, the day shift nurse reports that both clients had just received two hydrocodone (Loratab) tablets for pain. What action should the night shift nurse take?

An error made in client care last week has just been discovered. A nurse who cared for the client during that period is asked about the error and states, "That probably happened when the nurse covering for me at noon or for my breaks was in charge." How should the manager interpret this statement?

Lack of civility includes behaviors that are what?

A night shift charge nurse frequently points out nurses' faults in front of coworkers. The manager of the unit has submitted a written warning to the charge nurse. What term should the manager use to label this behavior?

The chief nurse officer (CNO) has received numerous complaints by staff regarding their manager. The staff describes behaviors such as not granting requested days off, favoring other staff members, and allowing lateral violence in the department. Which statement by the CNO to the manager would specifically describe a lack of civility?

A nurse writes some scathing remarks about another nurse's professionalism on a social media site. A complaint of bullying is lodged with the nurse manager. Which statement by the manager is appropriate?

What characteristics would cause the manager to classify an employee as marginal? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A group of nursing students have just arrived on the unit. Which staff actions would be considered uncivil to these students? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.