As a nurse manager, you realize that your unit has become a toxic environment in which horizontal violence and incivility has become common. In addressing the problem, you decide to implement which of the following?
a. Increased education in clinical skills
b. Follow-up of all reports of violence
c. Training in conflict resolution and team-building
d. Posting of the institutional policy on vi-olence at the nursing station
C
Encouragement to report violence in all its forms is crucial to understanding the root of the problem and implementing plans to eradicate it. Acts of good faith by organizational manage-ment in supporting staff include a policy of non-retaliation for reporting. Making sure that re-porting is easier and doing an impartial investigation are critical. Addressing a toxic culture also requires training in conflict management, leadership, communication, and team-building.
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Nursing knowledge that is needed in order to enable empowerment includes:
a. ethical principles and decision-making process. b. values development and their impact on choices. c. scientific principles and evidence-based practice. d. a and b. e. all of the above.
The nurse is caring for several patients postoperatively following abdominal surgery. Which patient will benefit the least from the use of incentive spirometry?
a. Middle-aged male with a history of smoking since high school b. Elderly female with type 2 diabetes c. Middle-aged female with a history of chronic respiratory disease d. Adolescent female with atelectasis
According to the health-belief model, which factors influence whether a person will engage in a particular health-promoting behavior?
a. Feeling susceptible to a severe disease b. Being told to do so by a significant other on a frequent basis c. Believing that high-income persons engage in such behavior d. Viewing posters emphasizing the behavior in an area that the person frequents
A 32-year-old man is recovering from a sickle cell crisis. His discomfort is controlled with pain medications, and he is to be discharged. What medication does the nurse expect to be prescribed for him before his discharge?
A. Heparin (Heparin) B. Hydroxyurea (Droxia) C. Tissue plasminogen activator (t-PA) D. Warfarin (Coumadin)