During coffee and other breaks, Rosalie, the new RN, is shut out of conversations with the other staff. When she approaches other staff on the unit to ask questions, they turn and walk off in the other direction. The behavior of the staff is characteristic of:

Correct Answer: C

Rationale: Shutting out a colleague is an example of horizontal violence among peers.

Correct Answer: B

Rationale: Pain tolerance in an elderly cancer patient would be lowered , per the document, due to diminished adaptive capacity from aging and disease. Normal tolerance ignores these factors. Increased tolerance contradicts physiological decline. No effect dismisses cancer's impact. Reduced tolerance reflects heightened sensitivity and fatigue, necessitating tailored pain management, making it correct.

Correct Answer: D

Rationale: Not discussing bowel habits indicates missing information, per the document, as prior habits and illness-related changes are critical for a tailored regimen. High-bulk diet , adequate fluids , and exercise support training, but without habit history, planning is incomplete. D hinders effective assessment, making it the gap needing attention.

Correct Answer: C

Rationale: Frequent oral care with a tooth sponge provides the most comfort post-ventilation with an NG tube. Extubation dries the mouth, and bile drainage adds irritation; sponges clean and moisten effectively, easing discomfort. A and B are unclear (OCR errors), offering no comfort. Glycerin dries mucosa long-term, less effective. C directly improves comfort, aligning with post-surgical care, making it the best measure.

Correct Answer: B

Rationale: Determining if care aligns with the plan best assesses quality. It ensures clinical goals are met, beyond satisfaction , which may miss gaps. Timeliness and documentation support but don't measure outcome. B objectively evaluates effectiveness, making it the top method.