Several novice nurses share lunch breaks and have comments such as, "I have insomnia from worrying about what I forgot to do for my patient," and "I have no energy," and "I can't believe I can't do my job correctly." These novice nurses are experiencing:

a. burnout.
b. self-worth.
c. confidence.
d. resilience.


ANS: A
Correct: Symptoms of burnout include extreme fatigue, headaches, difficulty sleeping, mood swings, anxiety, poor work quality, depression, and anger.
Incorrect:
b. These novice nurses are demonstrating low self-esteem.
c. These novice nurses are uncertain about their abilities as nurses.
d. These novice nurses feel defeated and lack flexibility to overcome feelings of inadequacy.

Nursing

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During the physical assessment of a hospitalized client, the client stated, "I've been under an incredible amount of stress after the healthcare provider diagnosed me with colon cancer 2 days ago."

Which of the following findings are associated with increased stress? Standard Text: Select all that apply. 1. Apical heart rate is 104 beats per minute. 2. Respiratory rate is 16 breaths per minute. 3. Pupils were equal, dilated, and round. 4. Client is hypoglycemic. 5. Blood pressure is 158/94.

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Which of the following should the nurse do first when introducing a feeding to a client with an indwelling gavage tube?

1. Irrigate the tube with normal saline solution. 2. Check to see that the tube is properly placed. 3. Place the client in a supine position. 4. Introduce some water before giving the liquid nourishment.

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An example of secondary prevention is

a. Rehabilitation b. Avoidance of high-risk behaviors c. Immunization d. Mammogram

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Hospital managers have emphasized the need for care providers to adhere to the provisions of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Which of the following actions may violate HIPAA?

A) A nurse communicates a client's medical history to another care provider electronically. B) A nurse discusses a client's treatment plan without first eliciting the client's input. C) A nurse discusses a client's prognosis with a visitor without obtaining the client's permission. D) A nurse fails to make copies of a client's medical record before transferring the client to a new care facility.

Nursing