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Bullying in Nursing: Roots, Rationales, and Remedies

doi: 10.1097/CNJ.0b013e31827df334
CE Connection
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Bullying in Nursing: Roots, Rationales, and Remedies


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General Purpose Statement

To provide an overview of bullying in the healthcare workplace.

Learning Objectives

After reading this article and taking this test, the nurse will be able to:

  1. Describe types and causes of bullying.
  2. Identify strategies and responses to bullying.
  1. According to Cox, a reason for bullying is low
    1. self-image.
    2. self-esteem.
    3. social status.
    4. educational level.
  2. Bullying often presents as repetitive acts of
    1. verbal aggression.
    2. physical aggression.
    3. verbal abuse.
    4. physical abuse.
  3. Which term best describes bullying that occurs between people with a real or perceived power differential?
    1. incivility
    2. horizontal aggression
    3. vertical hostility
    4. aggression
  4. According to CAN, which term best describes overt and covert acts of verbal and nonverbal aggression between nurses in all types of work centers and at all levels of an organization?
    1. horizontal aggression
    2. lateral aggression
    3. horizontal violence
    4. lateral violence
  5. Bullying is a pattern of behavior that occurs
    1. as a single incident.
    2. intermittently.
    3. continuously over time.
    4. at opportune moments.
  6. Acts of bullying and lateral violence include all except
    1. belittling.
    2. withholding of information.
    3. ignoring.
    4. smiling.
  7. Kupperschmidt termed the wounds caused by hurtful actions as
    1. heart scars.
    2. personal scars.
    3. soul scars.
    4. mind scars.
  8. Which quality helps a person cope with bullying?
    1. caring
    2. trusting
    3. hardiness
    4. respectfulness
  9. According to Roberts, the primary reason for the occurrence of lateral violence has to do with nurses being
    1. in an oppressed state.
    2. overwhelmed.
    3. primarily women.
    4. primarily taught by other women.
  10. Which scripture encourages the act of rehumanization?
    1. Luke 6:27–28
    2. Mark 4:32
    3. John 3:15
    4. Matthew 10:19
  11. Which facilitates a more complete understanding of our actions and the repercussions that result?
    1. purposeful reflection
    2. purposeful communication
    3. considering the past
    4. considering the future
  12. Jesus story of which offers helpful insight toward reflecting about bullying?
    1. the Sheep and the Goats
    2. the Good Samaritan
    3. the Lost Sheep
    4. the Prodigal Son
  13. Which framework is used to guide self-reflection?
    1. the Smith model
    2. the Loads model
    3. the Wilding model
    4. the Gibbs model
  14. Which provision in the Code of Ethics for Nurses provides guidelines for nurses contributing to a moral environment that encourages respectful interaction with colleagues?
    1. 1.5
    2. 3.2
    3. 4.4
    4. 6.3
  15. To combat lateral violence and bullying in the workplace, researchers strongly support the inclusion of which type of training within nursing programs?
    1. assertiveness
    2. communication
    3. leadership
    4. management
  16. In 2007, the Joint Commission updated its leadership standards and included provisions to combat which in healthcare facilities?
    1. aggression
    2. disruptive behaviors
    3. violence
    4. assertiveness
  17. Broome addressed bullying and provided a set of assertiveness steps drawn from Cousteau's “How to Swim with
    1. Sea Turtles.”
    2. Whales.”
    3. Dolphins.”
    4. Sharks.”
  18. Which scripture lets us know how to be better neighbors to our fellow workers?
    1. Proverbs 6:25–29
    2. Proverbs 15:1
    3. Luke 6:27–28
    4. Luke 10:25–29


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