An experienced nurse is providing mentorship to a novice who is working with a depressed patient. Which of the following responses or feelings should the mentor anticipate in the novice? Select all that apply
a. Frustration and inadequacy
b. Accomplishment and pride
c. Unrealistic or unmet expectations
d. Avoidance of the patient
e. Anxiety and hopelessness
f. Confidence and objectivity
A, C, D, E
Nurses may have expectations for self and patients that are not wholly realistic, especially regarding the patient's progress toward health. As a result, their expectations often go unmet and can result in feelings of incompetence, anger, inadequacy, helplessness, and frustration. Anxiety and hopelessness are feelings common in depressed patients and may be experienced as well by staff who are overly empathetic or lack fully formed professional boundaries. Staff tend to avoid working with people about whom they feel anxious, frustrated, or powerless. Accomplishment and pride can occur when working successfully with any patient, but this is not a pattern characteristic of working with depressed persons. Confidence is uncommon in novices, and both confidence and objectivity are difficult for new nurses to maintain when working with depressed persons.
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One major focus of nursing research during the 1980s was:
a. communication of research findings. b. illness prevention. c. increased funding for nursing research. d. nurses' job satisfaction.
The nurse is executing a patient's care plan. The phase of the nursing process in which this nurse is functioning would be:
a. Assessment c. Implementation b. Planning d. Evaluation
To obtain subjective data about a burn client's self-concept, the nurse should do what?
A) Ask the client how she would describe herself. B) Observe the client's interactions with others. C) Document the client's lack of eye contact. D) Note how the client conceals her wound.
Which set of assessment data is consistent for a patient with severe infection that could lead to system failure?
a. Blood pressure (BP) 92/52, pulse (P) 56 beats/min, respiratory rate (RR) 10 breaths/min, urine output 1200 mL in past 24 hours b. BP 90/48, P 112 beats/min, RR 26 breaths/min, urine output 240 mL in past 24 hours c. BP 112/64, P 98 beats/min, RR 18 breaths/min, urine output 2400 mL in past 24 hours d. BP 152/90, P 52 beats/min, RR 12 breaths/min, urine output 4800 mL in past 24 hours