Rationale 2: This behavior is unprofessional, but this term is not the most specific one provided.
Rationale 3: This behavior is unacceptable, but this term is not the most specific one provided.
Rationale 4: This behavior likely does warrant a written warning, but this is not the statement that most
specifically describes the behavior.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 21-3: Explain how to manage staff with problem behaviors.
Question 14
Type: MCSA
A night shift nurse is assuming a day shift nurse’s assignment, which includes two clients whose pain is being
controlled with oral hydrocodone (Lortab). At shift assessment, both clients complain of pain. During shift report,
the day shift nurse reports that both clients had just received two hydrocodone (Loratab) tablets for pain. What
action should the night shift nurse take?
1. Repeat the medication.
2. Inform the manager of the situation.
3. Call the physician to obtain an order for IV narcotics.
4. Tell the clients that pain medication will be given at the next ordered time.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 21-5: Explain how to handle staff with a substance abuse problem.
Question 15
Type: MCSA
A nurse comes to the unit manager to report a coworker’s behavioral changes. The nurse has noticed that the
coworker’s handwriting has become shaky and illegible, that the coworker has mood swings, and that the
coworker has had increased tardiness. Which should be the manager’s first action?
1. Meet with the coworker in private and discuss the behaviors.
2. Meet with other staff to determine if the coworker has issues at home.
3. Meet with human resources (HR) to determine the best method to terminate the employee.
4. Collect additional information regarding behaviors, absenteeism, and/or tardiness.
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 16
Type: MCSA
A manager has documentation to suspect substance abuse by a nurse. The manager meets with the human
resources (HR) director to determine which course of action should be taken to abide by the organization’s
policies. Which statement by the HR director is appropriate?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. “We should meet with the nurse and offer access to the employee assistance program.”
2. “We should confront the employee and discuss involuntary or voluntary termination.”
3. “You need to meet with this nurse and confront these behaviors.”
4. “We need to set up a counseling session with a psychologist and this nurse.”
5. The morale of the unit may decline.
Rationale 4: By raising the possibility (and being very sure) that the other nurse was in charge, the nurse has
created a scapegoat. This is a form of lateral violence.
Global Rationale:
Cognitive Level: Applying
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 19
Type: MCMA
A nurse manager is struggling with two marginal nurses and goes to the supervisor for advice. How should the
supervisor advise the manager?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “Continue to be persistent in your work with these nurses.”
2. “You can fire them at any time.”
3. “Be fair and consistent with them.”
4. “You must continuously assess the rest of your staff as you work with these two nurses.”
5. “You must continue to address the issues with these nurses as they arise.”
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 21-4: Discuss how to handle marginal and disgruntled employees.
Question 20
Type: MCSA
Two staff members have a long-standing dislike of one another. Generally they hide their feelings, but
occasionally they engage in name-calling and derogatory remarks. Today their dislike erupted into a shoving
match in the break room. How should the manager handle this situation?
1. Tell the two staff members to go to the manager’s office immediately.
2. Send both of the employees off the unit.
3. Immediately call for security.
4. Stand between the employees and tell them to calm down.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 21-3: Explain how to manage staff with problem behaviors.
Question 21
Type: MCSA
A nurse constantly complains about employee policies and procedures and frequently mentions how “they” are
“out to get us.” The nurse is surprised when referred to by the manager as “disgruntled” during a discussion of this
behavior. What information should the manager provide this nurse?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. “People who are constantly complaining decrease the morale of the rest of the unit.”
2. “You have complained so long, it will be impossible to change your behavior.”
3. “Being a complainer is a character trait.”
4. “Your attitude problem makes everyone else in the unit miserable.”