The nurse manager is conducting a performance review with a nurse who has worked on the unit for 10 years. During the review, the nurse begins to cry and tells the manager, "I just can't do this anymore
I can't sleep because I have such bad nightmares about patients. I can't eat and I've already lost 15 pounds." The nurse manager identifies these findings as being possible signs of which problem? 1. Moral distress
2. Too much focus on the patient
3. Developing incompetence
4. Problems at home
1
Rationale: Signs and symptoms of moral distress include powerlessness, guilt, loss of self-worth, self-criticism, low self-esteem, and physiologic responses such as crying, depression, loss of sleep, nightmares, and loss of appetite.
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The nurse is assessing a critically ill patient's abdomen. What is the most appropriate order of this examination? Rank the answers from first to last
A) Palpate over painful areas B) Inspect for bruising C) Auscultate bowel sounds D) Percuss border of liver
What fundamental principle must the nurse first observe when confronted with an ethical decision?
a. Autonomy b. Beneficence c. Respect for people d. Nonmaleficence
During a health history the nurse is concerned that a male patient is at risk for developing bladder cancer. Which information from the history caused the nurse to have this concern?
Select all that apply. 1. Plays tennis twice a week. 2. Smokes 1 ppd of cigarettes. 3. Sleeps 7 to 8 hours each night. 4. Eats a salad several times a week. 5. Works in a steel manufacturing plant.
After several weeks of outpatient care, a patient with a badly burned hand has been referred for rehabilitation. The patient asks the nurse what the purpose of rehabilitation is. The best answer would be
a. "It will help you get back the function of your hand and will prevent further disability." b. "It's a way of keeping you under direct supervision while healing continues." c. "You'll need to learn new ways of eating and dressing using your good hand." d. "In your case, I don't know what the purpose is. Why not ask your doctor?"