An experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management
However, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. Which source of energy is missing in this nurse?
a. Physical
b. Mental
c. Spiritual
d. Emotional
ANS: B
Correct: Mental energy is the ability to maintain sustained concentration on a task, to move flexibly between broad and narrow issues, and to be internally and externally focused, as needed by the situation. It includes mental preparation, visualization, positive self-talk, effective time management, and creativity.
Incorrect:
a. Physical energy consists of the key components of successful transition to a productive, highly energizing experience by paying attention to physical energy through routine or proper eating, adequate sleep and exercise, and frequent breaks during long shifts, as well as by drinking plenty of water and focusing on one activity while collecting thoughts about what to prioritize next.
c. Spiritual energy requires presence in a quiet place, often to help one identify his or her vision of life as well as purpose and direction.
d. Emotional energy is dependent on physical, mental, and spiritual energy for building emotional capacity. Managing emotions skillfully in the service of high positive energy and full engagement is called emotional intelligence.
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A nurse cares for a client who has chronic cirrhosis from substance abuse. The client states, "All of my family hates me." How should the nurse respond?
a. "You should make peace with your family." b. "This is not unusual. My family hates me too." c. "I will help you identify a support system." d. "You must attend Alcoholics Anonymous."
The nursing assistant reports to the nurse that an African-American client's pulse oximetry reading is 93%. The client has no complaints. Which action by the nurse is most appropriate?
a. Replace the sensor probe of the oximeter. b. Place the probe on another finger. c. Assess other signs of respiratory adequa-cy. d. Prepare to obtain arterial blood gases.
A client is in the emergency department with a burn calculated to be 35% TBSA. The nurse prepares the client for an IV insertion in which location?
What will be an ideal response?
The nurse is caring for the patient after general anesthesia. How often does the nurse perform routine patient assessment and documentation in the postanesthesia care unit (PACU)?
a. Every 5 minutes b. Every 5 to 15 minutes c. Every 15 to 30 minutes d. Every 30 minutes to 1 hour