A novice nurse apprehensively reflects on what she considers to be an impossible task of delivering quality care on her ward as it is assigned to her. What is the name of this phenomenon first coined by Marlene Kramer?
A) Burnout
B) Reality shock
C) Culture shock
D) Job disorientation
Ans: B
One problem confronted by the new graduate is the seeming impossibility of
delivering quality care within the constraints of the system as it exists. Kramer characterized
this phenomenon as reality shock, not burnout, culture shock or job disorientation.
3. A counselor diagnoses a critical care nurse with having the syndrome known as burnout.
Which of the following is a characteristic of this condition?
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A patient has significantly decreased creatinine clearance and an elevated serum creatinine. What does this value indicate to the nurse?
A) Improved renal function B) Kidney damage from disease C) Muscle wasting D) Rhabdomyolysis
An incident report is completed by a nurse to include all pertinent information. Which action should take place NEXT?
a. The report is channeled to the facility's risk management department. b. The nurse makes a verbal apology to the client. c. The report is placed in the affected client's chart. d. The nurse makes an appointment with the immediate supervisor.
A client has failed to respond to medication therapy for depression. The physician has ordered electroconvulsive therapy (ECT). Which of the following is most important to include in the teaching plan for this client?
A) This type of therapy will induce a seizure. B) ECT will cure your depression. C) A registered nurse will perform the procedure. D) There will be no memory impairment postprocedure.
The patient is being admitted to the emergency department with complaints of shortness of breath. The patient has had chronic lung disease for many years but still smokes. The nurse should
a. Administer high levels of oxygen. b. Use oxygen cautiously in this patient. c. Place a paper bag over the patient's face to allow rebreathing of carbon dioxide. d. Administer CO2 via mask.