ATI LEADERSHIP AND MANAGEMENT
ETHICAL AND LEGAL RESPONSIBILITIES
ASSESSMENT SCRIPT 2026
◉ damaging effects of horizontal violence
Answer: poor teamwork, work environment, cliques, low quality of
care, increased burn out, suppresses development of nursing
profession, errors in pt care
◉ Incivility/Bullying
Answer: abusive/aggresive-intimidate, diminish, devalue, disrespect
--persist/unreasonable critisism, spread rumors/gossip, verbal
attacks, set up to fail, withhold info
◉ Joint Commission Sentinel Event Alert
Answer: Rude, disruptive behavior among health care professionals
can
-pose a serious threat to patient safety and the overall quality of care
-foster medical errors
-increase cost of care
◉ Why do nurses use uncivil behavior
,Answer: -culturally accepted
-relational aggression
-power to powerless
-learned in nursing school
◉ Student-to-faculty incivility
Answer: disrupt class/clinicals-rude comments, cell use, late
anger/excuse for poor performance
inadequate preparation
pressuring until you get what you want
bad mouthing
◉ Faculty to student incivility
Answer: superiority demonstrated by- control over student,
unrealistic expectations, know it all attitude, rigid, unapproachable
ineffective-cant manage classroom
condescending
favoritism
refuse/reluctant to answer questions
◉ Consequences of incivility to Nurses
Answer: depression/anxiety
,failure
low self-worth
self-blame
ptsd
Joy stealing
loss of productivity
commitment to work environment
◉ Consequences of incivility to Patients
Answer: impacts safety
-self worth, self confidence, clinical judgement
increased mistakes
preventable complications
patient death
◉ Do/Dont do with incivility
Answer: Dont stay invisible, dont avoid
Do: find supportive staff, go to management, go to human resources
Commit to non-hostile work environment
◉ cognitive rehearsal
Answer: Power of practicing response to Incivility
, --be prepared
--address immediately
Deliver message respectfully
--greatest success when occurs
--in private, bully unprepared
--be Assertive!
◉ Create culture of Civility
Answer: Civility-respect/dignity
Honor differences
seek common ground
Teamwork
◉ Commitment to coworkers
Answer: I will accept responsibility
I will talk to you promptly
My relationships will be equally respectful
I will not engage in bickering, back-biting, blaming
I will practice caring, committing, collaboration
I will not complain
I will accept you as you are today, forgive past
ETHICAL AND LEGAL RESPONSIBILITIES
ASSESSMENT SCRIPT 2026
◉ damaging effects of horizontal violence
Answer: poor teamwork, work environment, cliques, low quality of
care, increased burn out, suppresses development of nursing
profession, errors in pt care
◉ Incivility/Bullying
Answer: abusive/aggresive-intimidate, diminish, devalue, disrespect
--persist/unreasonable critisism, spread rumors/gossip, verbal
attacks, set up to fail, withhold info
◉ Joint Commission Sentinel Event Alert
Answer: Rude, disruptive behavior among health care professionals
can
-pose a serious threat to patient safety and the overall quality of care
-foster medical errors
-increase cost of care
◉ Why do nurses use uncivil behavior
,Answer: -culturally accepted
-relational aggression
-power to powerless
-learned in nursing school
◉ Student-to-faculty incivility
Answer: disrupt class/clinicals-rude comments, cell use, late
anger/excuse for poor performance
inadequate preparation
pressuring until you get what you want
bad mouthing
◉ Faculty to student incivility
Answer: superiority demonstrated by- control over student,
unrealistic expectations, know it all attitude, rigid, unapproachable
ineffective-cant manage classroom
condescending
favoritism
refuse/reluctant to answer questions
◉ Consequences of incivility to Nurses
Answer: depression/anxiety
,failure
low self-worth
self-blame
ptsd
Joy stealing
loss of productivity
commitment to work environment
◉ Consequences of incivility to Patients
Answer: impacts safety
-self worth, self confidence, clinical judgement
increased mistakes
preventable complications
patient death
◉ Do/Dont do with incivility
Answer: Dont stay invisible, dont avoid
Do: find supportive staff, go to management, go to human resources
Commit to non-hostile work environment
◉ cognitive rehearsal
Answer: Power of practicing response to Incivility
, --be prepared
--address immediately
Deliver message respectfully
--greatest success when occurs
--in private, bully unprepared
--be Assertive!
◉ Create culture of Civility
Answer: Civility-respect/dignity
Honor differences
seek common ground
Teamwork
◉ Commitment to coworkers
Answer: I will accept responsibility
I will talk to you promptly
My relationships will be equally respectful
I will not engage in bickering, back-biting, blaming
I will practice caring, committing, collaboration
I will not complain
I will accept you as you are today, forgive past
