The nurse manager of a mental health unit is concerned that staff may develop burnout. Which situation is most likely to cause repeated stress arousal in the staff?
1. Administering medications daily to patients with schizophrenia
2. Responding to hospital psychiatric emergencies once per month
3. Working without enough nursing staff every day for 6 weeks during staff vacations
4. Performing cardiopulmonary resuscitation (CPR) on a patient on rare occasions
3. Working without enough nursing staff every day for 6 weeks during staff vacations
Explanation:
Burnout consists of 3 stages: stress arousal, energy conservation, and exhaustion. In general, it will occur after recurrent episodes of stress arousal such as working short-staffed every day for a long period of time. Administering medications to patients daily is a usual part of the job and should not cause undue stress. Rarely performing CPR and responding to an emergency once a month, though stressful, would not cause the repeated stress arousal responsible for initiating burnout.
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