The nurse has been verbally and physically attacked by a physician in the Emergency Department. The nurse is meeting with the nurse manager
Which of the following responses by the nurse indicate that more education is necessary regarding how to react during these types of situations? Select all that apply.
1. "I should not have continued to discuss the issue with the physician."
2. "I was wrong to have stood up for myself during the discussion with the physician."
3. "I should've stated that I didn't like the physician's behavior."
4. "I did the right thing when I got you involved with the situation."
5. "I should not have told the physician to call me by name and not ‘Idiot'."
Answer: 2; 5
Rationale:
• "I should not have continued to discuss the issue with the physician." During a physical or verbal altercation with another person, nurses should be taught to set some boundaries. One thing the nurse can do is to refuse to discuss the situation further. This can help prevent the situation from escalating.
• "I was wrong to have stood up for myself during the discussion with the physician." When dealing with difficult or hostile people, it is important for nurses to learn how to stand up for themselves and set boundaries. Behaviors that can increase the likelihood of victimization should be reviewed with the nurse.
• "I should've stated that I didn't like the physician's behavior." During a physical or verbal altercation with another person, nurses should be taught to set some boundaries. It is appropriate for the nurse to point out to the person that is verbally or physically attacking the nurse that he or she is uncomfortable with the other person's behavior, attitude, tone, or words.
• "I did the right thing when I got you involved with the situation." It is appropriate for the nurse to report the incident to the nurse manager. There are avenues that can be utilized by the nurse manager to ensure that the situation does not occur again.
• "I should not have told the physician to call me by name and not ‘Idiot'." During a physical or verbal altercation with another person, nurses should be taught to set some boundaries. It is important for the nurse to tell the attacker that he or she is uncomfortable with the person's behavior, attitude, tone, or words.
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