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. Problems at home
4. Developing incompetence
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. These comments by the nurse are a call for help and are not indicative of too much focus on the patient or developing incompetence. There is no evidence that this nurse is experiencing problems at home.
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A) Antispasmodics are often prescribed to decrease urinary incontinence. B) Restricting fluid intake is recommended. C) Reflux incontinence is common in the elderly. D) Urinary incontinence is not a consequence of aging.
What is the best research approach for investigating the actual representation of Hispanic managers within health care institutions, and the workplace beliefs and prejudices that perpetuate their disproportionate representation?
a. Triangulated approach b. Quantitative approach c. Qualitative approach d. Outcomes approach
Prior to administration of interferon alpha, the nurse will administer which medications?
a. Acetaminophen and diphenhydramine b. Heparin and meperidine c. Lorazepam and furosemide d. Narcotic analgesics and loratadine
During a nurse's visit to the client's home, the client states, "I have pain in my right knee." The nurse assesses the client's right knee. This is a
A) Focused assessment B) Spiritual assessment C) Social assessment D) Comprehensive assessment