lOMoAR cPSD| 47061011
Chapter 20: Prevention of Workplace Violence
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. What percentage of assaults in the workplace are committed against health care workers? a.
50%
b. 20%
c. 15%
d. 40%
ANS: A
Although health care workers incur less than 20% of all workplace injuries, health care
workers nevertheless suffer 50% of all assaults in the workplace.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
2. A long-standing mental health nursing tool may be used in an aggressive or violent situation.
The use of verbal and physical expressions of empathy, alliance, and non-confrontational limit
setting is known as: a. de-escalation.
b. chemical restraint.
c. stress management.
d. emergency assistance programs.
ANS: A
De-escalation is a long-standing mental health nursing tool. De-escalation is defined as “a
gradual resolution of a potentially violent and/or aggressive situation through the use of verbal
and physical expressions of empathy, alliance and non-confrontational limit setting that is
based on respect” (Cowin et al., 2003, p. 65).
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
3. The chief operations officer of a local hospital has issued a memorandum indicating that the
modular waiting room furnishings will be replaced with stationary units. This is an example of
which type of strategy for preventing workplace violence? a. Administrative controls
b. Behavior modification
c. Environmental design
d. Fixture adaptation
.
, lOMoAR cPSD| 47061011
ANS: C
NIOSH recognizes that workplace violence is a particular issue in the health care industry and
recommends the following violence prevention strategies for employers: environmental
designs, administrative controls, and behavior modifications. Environmental designs include
signaling systems, alarm systems, monitoring systems, security devices, security escorts,
lighting, and architectural and furniture modifications to improve worker safety.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
4. A nurse executive is a member of a collaborative committee assigned to revise the violence
prevention program. After reviewing the program, the committee has determined that the
following components already were included in the existing program: a written plan available to
all employees, a system for tracking work-related assaults, and specific strategies for reducing
the severity of violent injuries. A primary revision recommended by the committee should be
the inclusion of a:
a. detailed description of last year’s injuries.
b. list of preferred work injury health care providers.
c. method for evaluating the effectiveness of the program.
d. way to determine whether an employee is at fault.
ANS: C
According to the Occupational Safety and Health Administration (OSHA), the main
components in a violence prevention program are a written plan, a worksite analysis, hazard
prevention and control, safety and health training, and record keeping and evaluation of the
program.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
5. Staff nurses may be able to avoid bullying behavior through:
a. increasing time spent with patients at the bedside.
b. ignoring the assaults.
c. filing a grievance.
d. cognitive rehearsal training.
ANS: D
On an individual level, cognitive rehearsal training can help nurses avoid bullying behavior. It
can also teach nurses how to intervene in situations where they see others bullying (Stagg et
al., 2013).
.
Chapter 20: Prevention of Workplace Violence
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. What percentage of assaults in the workplace are committed against health care workers? a.
50%
b. 20%
c. 15%
d. 40%
ANS: A
Although health care workers incur less than 20% of all workplace injuries, health care
workers nevertheless suffer 50% of all assaults in the workplace.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
2. A long-standing mental health nursing tool may be used in an aggressive or violent situation.
The use of verbal and physical expressions of empathy, alliance, and non-confrontational limit
setting is known as: a. de-escalation.
b. chemical restraint.
c. stress management.
d. emergency assistance programs.
ANS: A
De-escalation is a long-standing mental health nursing tool. De-escalation is defined as “a
gradual resolution of a potentially violent and/or aggressive situation through the use of verbal
and physical expressions of empathy, alliance and non-confrontational limit setting that is
based on respect” (Cowin et al., 2003, p. 65).
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Assessment
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
3. The chief operations officer of a local hospital has issued a memorandum indicating that the
modular waiting room furnishings will be replaced with stationary units. This is an example of
which type of strategy for preventing workplace violence? a. Administrative controls
b. Behavior modification
c. Environmental design
d. Fixture adaptation
.
, lOMoAR cPSD| 47061011
ANS: C
NIOSH recognizes that workplace violence is a particular issue in the health care industry and
recommends the following violence prevention strategies for employers: environmental
designs, administrative controls, and behavior modifications. Environmental designs include
signaling systems, alarm systems, monitoring systems, security devices, security escorts,
lighting, and architectural and furniture modifications to improve worker safety.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
4. A nurse executive is a member of a collaborative committee assigned to revise the violence
prevention program. After reviewing the program, the committee has determined that the
following components already were included in the existing program: a written plan available to
all employees, a system for tracking work-related assaults, and specific strategies for reducing
the severity of violent injuries. A primary revision recommended by the committee should be
the inclusion of a:
a. detailed description of last year’s injuries.
b. list of preferred work injury health care providers.
c. method for evaluating the effectiveness of the program.
d. way to determine whether an employee is at fault.
ANS: C
According to the Occupational Safety and Health Administration (OSHA), the main
components in a violence prevention program are a written plan, a worksite analysis, hazard
prevention and control, safety and health training, and record keeping and evaluation of the
program.
DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Planning
MSC: Client Needs: Physiological Integrity: Reduction of Risk Potential
5. Staff nurses may be able to avoid bullying behavior through:
a. increasing time spent with patients at the bedside.
b. ignoring the assaults.
c. filing a grievance.
d. cognitive rehearsal training.
ANS: D
On an individual level, cognitive rehearsal training can help nurses avoid bullying behavior. It
can also teach nurses how to intervene in situations where they see others bullying (Stagg et
al., 2013).
.
