A nurse is seeking consultation on strategies to cope with the potential for burnout while working on a psychiatric unit. Which of the following strategies demonstrates the nurse's ability to reduce the occurrence of burnout?
1. Focus on paperwork when the stress of listening to the clients becomes too much.
2. Pursue personal needs for social interactions during days off.
3. Take breaks often to relieve internal stress signals.
4. Maintain an accurate awareness of each client's needs throughout inpatient stays.
2
Rationale: Nurses who recognize that personal needs are an integral part of professional practice will be able to maintain concern and feeling for their clients. Maintaining an accurate awareness of client needs is not realistic and implies that the nurse can provide perfect care. Nurses who focus on paperwork tend to cope with stress by distancing themselves from the clients. Taking frequent breaks is an attempt to escape from one's stress rather than attend to it.
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A) Full disclosure of unit-specific policies B) Lack of cultural understanding C) Inability to communicate across cultural differences D) Informed consent
The patient who has had surgery this morning for cataracts is now going home. Discharge instructions include that the patient should (select all that apply):
1. sleep on the operated side. 2. use stool softeners. 3. avoid bending over. 4. not lift anything heavier than 5 pounds. 5. not wear an eye shield at night.
A newborn is experiencing episodes of hyperthermia. The nurse would expect to find signs of which of the following?
A) Agitation B) Restlessness C) Increased metabolic rate D) Hypoglycemia
A pregnant woman at 10 weeks of gestation jogs three or four times per week. She is concerned about the effect of exercise on the fetus. The nurse informs her:
1. "You do not need to modify your exercising any time during your pregnancy.". 2. "Stop exercising because it will harm the fetus.". 3. "You may find that you need to modify your exercise to walking later in your pregnancy around the seventh month.". 4. "Jogging is too hard on your joints; switch to walking now.".