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An emergency department (ED) has doubled its client visits within the past year. This has led to increased wait times and overcrowding in the ED waiting room. Which recommendation by the ED nurse manager to the chief nurse officer (CNO) would be most effective?


A) Increase the size of the waiting room and add more beds to the ED unit.
B) Hire more ED nursing staff to manage the increased volume of clients.
C) Hire another ED physician.
D) Hire another registration employee to improve the intake process and reduce the volume in the waiting areas.

Correct Answer

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A night shift supervisor has been called to the emergency department to assist in managing a violent situation with a visitor. Once the violent person has been contained and security and police have responded, what should be the supervisor's next action?


A) Notify staff on other nursing units.
B) Notify the violent person's physician.
C) Complete an incident report.
D) No action is necessary; the situation has been managed.

Correct Answer

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Incivility includes which of the following behaviors?


A) Laughing
B) Verbal abuse
C) Ignoring a person
D) Sexual harassment
E) Searching the room

Correct Answer

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A nurse manager is investigating a report made by a staff nurse. The nurse states that a visitor backed the nurse up against a wall and was verbally abusive but did not touch the nurse. How should the manager describe this incident to the human resources (HR) director?


A) Encounter with a disgruntled family member
B) Violence against the nurse
C) Incident with a family member
D) Physical attack against an employee

Correct Answer

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A newly formed task force is addressing the prevention of violence in the healthcare organization. Which group of employees is most likely to experience violence? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.


A) Private practice physicians
B) Nurses working in a geriatric unit
C) Nurses working in a pediatric clinic
D) Nurses whose work space includes large waiting rooms
E) Technicians working in the medical laboratory

Correct Answer

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A nursing supervisor is seeking staff input while developing policies regarding violence prevention. A staff nurse says, "We have lots of threatening behaviors on our unit." What is the most important question for the supervisor to ask?


A) "Why is so much threatening behavior happening on your unit?"
B) "Why haven't you reported that?"
C) "Where do you work?"
D) "When you report threats to your manager, is action taken quickly?"

Correct Answer

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The nurse is talking to a client who has a history of aggressive outbursts. What strategies should this nurse use? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.


A) When addressing the client, use powerful body language.
B) Remain calm and speak in a moderate tone.
C) Approach the client with an aggressive "I'm in charge" attitude.
D) Speak in simple terms.
E) Allow the client to speak.

Correct Answer

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The ICU staff has been dealing with several distractions over the last week. There was a scheduling error caused by a change in the staffing matrix and miscommunication between management and administration. The staff is also caring for a client whose family has been verbally abusive and threatening. The manager notes an increase in absenteeism with the staff during the past two days. To which of these distractions is the absenteeism most likely related?


A) The staffing dilemma caused by the scheduler
B) The change in the staffing matrix
C) The decline in staff morale due to a hostile environment
D) The miscommunication between management and nursing administration

Correct Answer

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The emergency department (ED) staff has been caring for a client who exhibited violent behavior when pain medication was denied. Once the situation was resolved, which action by the ED manager would be appropriate?


A) Arrange an agreement with law enforcement for rapid response on these incidents.
B) Post a sign stating that pain management medications are not given unless the client is admitted to the hospital.
C) Develop a team of staff who would be on call for these types of situations.
D) Organize a training program to educate staff on how to manage these types of situations.

Correct Answer

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A hospital's safety committee has been asked to make recommendations to administration regarding methods to improve employee safety. Which suggestions should be made? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.


A) Reserving parking spaces closest to the facility for staff
B) Security cameras throughout the facility
C) Curved mirrors in the corridors
D) Using restraints on all confused clients
E) Requiring all personnel to take physical self-defense training

Correct Answer

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A nurse manager has required that all nursing staff attend an in-service on dealing with verbal threats. A staff nurse wonders why this is necessary since, "Words don't hurt me. I just ignore them." What is the nurse manager's most appropriate response to this statement?


A) "Don't argue with me; I said everyone has to be in-serviced."
B) "Verbal threats often precede physical violence."
C) "I want my staff to be prepared to handle anything."
D) "This is a requirement from our accrediting agency."

Correct Answer

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