A nurse who has worked on an acute psychiatric unit for 5 years has begun describing patients in insensitive ways and is less creative when dealing with patient problems. What is the most likely explanation for the nurse's behavior?
a. Marginalization
b. Depersonalization
c. Secondary traumatization
d. Poor conflict management skills
C
Secondary traumatization occurs as a result of listening to and empathizing with other people's traumas. Synonyms include compassion fatigue and helper stress. The individual becomes less able to help others. Clinical supervision is indicated.
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During an ultrasound, two amnions and two placentas are observed. What will be the most likely result of this pregnancy?
a. Dizygotic twins b. Monozygotic twins c. Conjoined twins d. High birth-weight twins
During the bimanual examination of a patient's uterus, the nurse notes that the uterus is tilted toward the back. What should the nurse explain to the patient about this finding?
1. The uterus of a patient who has carried a child to term is frequently in a tilted-back position. 2. The uterus may be tilted backward (retroverted) or angled backward (retroflexed). 3. The uterus of a patient with fibroid tumors frequently tilts back under the weight of the tumors. 4. The backward tilt of the uterus is consistent with pregnancy in the second or third trimester.
Which of the following definitions best describes community-based nursing?
A) a focus on populations within the community B) a focus on older adults living in nursing homes C) care provided in the patient's home for chronic illnesses D) care centered on individual and family healthcare needs
Of the following guidelines, which would not be recommended to a person who has sustained an orthopedic injury during exercise?
A) ice B) warmth C) rest D) elevation