Delaney, one of your staff nurses, confides that Marjorie, another nurse, has been actively telling others that you are incompetent and do not know what you are doing in relation to patient care,
and that you lie to the staff about attempts to get more staffing. Delaney says that Marjorie is derogatory towards her in front of others and tells her "that she better shape up." Through telephone calls and conversations during breaks, she is recruiting other staff to her position. Delaney confides that most of the staff find you fair, honest, and knowledgeable. Marjorie's behavior can best be characterized as:
a. Political action.
b. Bullying.
c. Building alliances.
d. Disgruntlement.
ANS: B
Workplace bullying involves aggressive and destructive behaviors such as running a smear campaign, engaging in put-downs, and excluding team members from socialization opportunities.
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In addressing factors that contribute to poverty, homelessness, and the health of the community, the nurse should assess:
1. Employment and home environment. 2. Lack of affordable housing and social support. 3. Mental illness and social support. 4. Mobility and age of client.
A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:
1. The client must return within 24 to 36 hours to have the test assessed. 2. A positive reaction to the skin test is based upon redness around the injection site. 3. An induration area of 15 mm or greater is significant in this client. 4. An induration area of 10 mm or more is considered positive in this client.
Which of the following symptoms would lead you to suspect that a child is developing a common side effect of vincristine?
A) His cheeks are turning bright red. B) He says his fingertips feel numb. C) He says his teeth "ache." D) His hearing seems to be altered.
The nurse prepares the client to self-administer total parenteral nutrition (TPN) at home. Which does the nurse include in the teaching plan?
1. Change the tubing of the infusion every 72 hours. 2. Allow the TPN to infuse over 4 hours by gravity. 3. Perform daily weights every morning after voiding. 4. Report serum glucose value greater than 120 mg/dL.