During an annual performance review, the staff nurse admits to being very stressed by the demands of the job, marriage, and four teenage children. Which comment by the nurse manager is indicated?
1. "We need to figure out what you can give up in your personal life to help decrease your stress."
2. "You need to be more flexible with the hours you work."
3. "You should not let your personal problems affect your work."
4. "Let's talk about how we can help you develop some resiliency."
4
Rationale 1: The nurse manager would look to the nurse's professional life for areas to decrease stress and should only make global statements regarding personal life.
Rationale 2: Asking the nurse to be more flexible with work hours, when there are the family's demands on time, would only increase stress.
Rationale 3: It is not reasonable to think that the nurse's personal life can be completely disregarded while the nurse is at work. Even if the nurse is not focusing or thinking about personal issues, the stress is still there.
Rationale 4: To manage the demands of a job, family, and society effectively and keep stress at levels that enhance performance, the key is to develop resiliency.
Global Rationale:
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What might the nurse experience as a result of this improper preparation of staff nurses? 1. Reduction in overtime and fewer payroll mistakes 2. Effective use of the time clock and reduced staff morale 3. Vandalism to the time clocks and poor morale 4. Effective use of time clocks and complaints at staff meetings
An 83-year-old patient with type 2 diabetes presents to the emergency room with a blood glucose level of 623 mg/dL
The patient's daughter reports that the patient recently had a gastrointestinal virus and has been confused for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) is made. The nurse gives priority to which nursing action? A) Administration of antihypertensive medications B) Administering sodium bicarbonate intravenously for low bicarbonate levels C) Reversing acidosis by administering insulin D) Fluid and electrolyte replacement