Incivility

Which action by a nurse can result in disciplinary action by a State Board of Nursing? (Select all that apply.)

Release of a client's diagnosis to a neighbor, Refusal to care for a pediatric client who has not been immunized, Caring for patients in an intoxicated state

Which statement best defines insubordination?

The refusal to comply with a directive of a superior or manager.

A new graduate nurse has successfully completed orientation and has also been successfully oriented to the role of charge nurse. Over the course of several weeks, she has noticed that tasks she has delegated to a long-term, experienced certified nursing assistant (CNA) have not been completed by the end of the shift, leaving her to complete them. Which action by the new charge nurse is best?

Approach the CNA in private to discuss the tasks that were not completed.

Which response by the nurse manager is expected when an employee continuously reports late for work?

Coming in late to work has got to stop. Please schedule an appointment with me so we can sit down and discuss why it's happening and what you can do to correct it.

Which statement is the most appropriate for a nurse manager to use when counseling an employee about repeated absences for the first time?

I am concerned about your attendance because you have called in sick every Monday for the last few weeks.

A new graduate nurse believes that a work schedule developed by the nurse manager is unfair, with more weekend shifts assigned to the new nurse than any of the other nurses. The nurse has mentioned these concerns to the manager several times, but the schedule has not changed. Which is the most appropriate action for the RN to take?

Make an appointment to formally discuss this with the nurse manager, bringing previous and current examples of concerning work schedules.

The nurse overhears two nursing assistants in the breakroom discussing their plans to call in sick to work on an upcoming Friday in order to attend a family party. Which action by the nurse is best?

Privately ask to speak to them and let them know you overheard their plans and are concerned about the impact on staffing since you will be working that shift.

A nursing student is discussing incivility in a leadership class. Which behaviors or statements, if demonstrated by students, would be considered incivility in a classroom setting? (Select all that apply.)

Telling the instructor, 'These are awful exam questions. I can't believe someone would actually write them!', Stating, 'I don't know and I don't care,' when asked a question about the assigned reading., Rolling eyes when the instructor praises another student for a task done well., Telling the instructor, 'I've never failed a test before, so it must be your fault for not covering the material better.'

Which verbal response by the nurse manager is most appropriate when working with an employee whose communication skills are consistently identified as uncivil?

We need to sit down privately in my office so we can talk about this inappropriate work behavior.

Which response by the nurse would be correctly identified by the nurse manager as insubordination?

You're asking me to ambulate that patient? She hit me yesterday, so sorry, no way!