Sullivan, Effective Leadership and Management, 8/e
Chapter 21
Question 1
Type: MCSA
A hospital administrator is investigating why the turnover rate is so high and why it is difficult to attract new
nursing employees. Which situation is most likely to have resulted in this problem?
1. The hospital is in a poorer part of town and offers a great deal of charity care.
2. The hospital pays about $.25 per hour less than other hospitals as a starting wage for nurses.
3. The hospital has a reputation for allowing bullying behavior to occur.
4. The other hospital in town has a more modern building and campus.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.
Question 2
Type: MCSA
The nurse executive works hard to create a civil workplace that does not tolerate harassing behaviors. How would
this nurse best explain the reason for this emphasis on civility?
1. “Bullying behaviors make nurses uncomfortable.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. “Physicians do not want to admit clients to hospitals with an uncivil atmosphere.”
3. “Bullying and incivility are just not proper work practices.”
4. “Bullying and incivility are dangerous to client care.”
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.
Question 5
Type: MCMA
A group of nursing students have just arrived on the unit. Which actions by staff would be considered uncivil to
these students?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The unit clerk groans when the instructor enters the nursing station with the students.
2. A nurse quietly says, “Please do not assign a student to me today. I have two very sick clients who are going to
require my full attention.”
3. A nurse whispers, “Not students again today.”
4. A nursing assistant asks the students how long they have been in school.
5. A transport worker says, “Just great, more students to get in the way today.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Learning Outcome: 21-1: Identify harassing behaviors, including bullying, incivility, and lateral violence.
Question 6
Type: MCMA
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.
Standard Text: Select all that apply.
1. “I know. It’s a shame that all the old ways are changing.”
2. “Why would you want to bully a new nurse? They are all so naïve and cute.”
3. “The Joint Commission does not tolerate disruptive or abusive behavior.”
4. “The American Nurses Association does not approve of bullying behaviors.”
5. “New nurses bring new ideas. Why would you bully them?”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 21-2: Describe strategies to deal with bullying behaviors.
Question 7
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
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.
Standard Text: Select all that apply.
1. Tell the nurse to go home for the rest of the day.
2. Have the nurse call the physician back and demand an apology.
3. Document the facts of the encounter.
4. Privately tell the physician that the behavior was bullying.
5. Confront the physician during rounds and demand an explanation.
2. “We don’t want to run off good nurses.”
3. “If you let bullying go, it just gets worse and more frequent.”
4. “A bully makes the work environment unpleasant for everyone.”
Rationale 3: Asking for staff perceptions about the missing drugs might be warranted, but is not the first step in
assessment.
Rationale 4: Legal issues should be considered before planning to search employee lockers.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 21-5: Explain how to handle staff with a substance abuse problem.
Question 10
Type: MCSA
Which assignment would be in the best interest of a nurse reentering practice following treatment for abuse of
mood-altering drugs?
1. Place the nurse on a different unit and allow the administration of all drugs.
2. Reassign the nurse for a period of time to a unit where no mood-altering drugs are given.
3. Retain the nurse on the original unit and allow the administration of mood-altering drugs.
4. Return the nurse to the original unit at a less stressful time, such as night shift.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 21-5: Explain how to handle staff with a substance abuse problem.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 11
Type: MCMA
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.
Standard Text: Select all that apply.
1. The employee works only when client census calls for additional staff.
2. The employee’s work does not improve with coaching.
3. The employee just made an error for which discipline has already been done twice.
4. The employee has worked at the facility for less than 1 month.
5. The employee does not mix well with the other staff, but stays on the margins of the group.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 21-4: Discuss how to handle marginal and disgruntled employees.
Question 12
Type: MCSA
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?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. Lateral violence
2. Unprofessionalism
3. Lack of civility
4. Bullying