Factors that may contribute to workplace violence in a health care setting include:

Correct Answer: B

Rationale: The correct answer is B because continuous loud noises and poorly monitored entrances can create a stressful environment, leading to heightened emotions and potential triggers for violence. Loud noises can increase agitation, while poorly monitored entrances can allow unauthorized individuals to enter, posing a security risk. The other choices are incorrect because lack of armed security (A) is not a direct cause of workplace violence, poor staff interactions (C) may contribute to a negative work environment but not necessarily violence, and tense shoulders and clenched fists (D) are physical signs of stress but do not directly cause workplace violence.

Correct Answer: B

Rationale: The correct answer is B: Fear of failure. Working in a high-volume, noisy emergency room with a high incidence of assault victims can lead to staff experiencing fear of failure due to the intense and high-pressure nature of the work environment. Staff may feel overwhelmed by the constant influx of critical cases and the need to make quick decisions, which can contribute to a fear of not being able to save every patient. This fear can impact their confidence and increase stress levels. Incorrect choices: A: Feelings of extreme overload - While staff may feel overwhelmed, the specific impact mentioned in this choice is not directly related to the work environment described. C: A pessimistic sense about the world - This choice is too broad and not necessarily tied to the specific challenges of working in this type of emergency room. D: Inability to separate intense work situations from personal situations - While this can be a challenge, it is not the primary effect discussed in the question stem.

Correct Answer: C

Rationale: The correct answer is C because seeking another position within the healthcare organization and applying for a transfer allows you to address the issue of tension and stress while staying within the organization. This option demonstrates a proactive approach to resolving the conflict and shows a commitment to finding a solution rather than just quitting. By transferring to a different position, you can potentially avoid the negative environment while still utilizing your skills and experience within the organization. Choices A, B, and D are incorrect because they do not address the underlying issue effectively. Option A of submitting a resignation and leaving within 30 days is a hasty decision without exploring potential solutions within the organization. Option B of complaining to staff about the nurse manager may create more conflict and worsen the situation. Option D of informing the chief nursing officer about leaving does not provide a constructive solution to the tension and stress between staff nurses and the nurse manager.

Correct Answer: A

Rationale: The correct answer is A: Attendance. This is because being consistently late for work due to unreliable transportation directly impacts one's ability to be present at work on time, affecting attendance. It is not voluntary (B) as the individual is not choosing to be late, nor is it related to motivation (C) as it is an external factor beyond their control. It is also not involuntary (D) as the lateness is a result of a specific issue rather than a lack of intention.

Correct Answer: A

Rationale: The correct answer is A: Desire to leave. Voluntary turnover occurs when an employee chooses to leave the organization. This choice could be due to personal reasons, career advancement, or dissatisfaction with the current job. Termination (B) is involuntary, forced resignation (C) is also not voluntary as it involves external pressure, and floating (D) is not a recognized term in the context of turnover. Therefore, A is the correct choice for voluntary turnover.