Nokea
Which of the following behaviors would be an early warning sign that you are not handling job stress in a healthy way?
- A. Focusing excessively on patient outcomes
- B. Needing to spend more time alone
- C. Juggling work, studies, and family responsibilities
- D. Awakening in the morning feeling unrested
Correct Answer: D
Rationale: The correct answer is D: Awakening in the morning feeling unrested. This behavior indicates potential poor sleep quality due to stress, impacting physical and mental well-being. Restful sleep is crucial for managing stress. A: Focusing excessively on patient outcomes may indicate dedication but not necessarily unhealthy stress management. B: Needing to spend more time alone could be a coping mechanism and not inherently unhealthy. C: Juggling work, studies, and family responsibilities may show a busy lifestyle but doesn't directly correlate with unhealthy stress management.
You may also like to solve these questions
A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the nurse discuss using for mealtime coverage?
- A. Lispro (Humalog)
- B. Glargine (Lantus)
- C. Detemir (Levemir)
- D. NPH (Humulin N)
Correct Answer: A
Rationale: The correct answer is A: Lispro (Humalog). Lispro is a rapid-acting insulin that is ideal for mealtime coverage in intensive insulin therapy because it mimics the body's natural insulin response after a meal, providing quick and effective blood sugar control. Lispro has a rapid onset of action, peaks quickly, and has a shorter duration of action compared to other types of insulin. This makes it suitable for covering the rise in blood sugar levels that occurs after meals.
Summary of why other choices are incorrect:
B: Glargine (Lantus) is a long-acting insulin used for basal coverage, not for mealtime coverage.
C: Detemir (Levemir) is an intermediate-acting insulin used for basal coverage, not for mealtime coverage.
D: NPH (Humulin N) is an intermediate-acting insulin with a slower onset and longer duration of action, making it less suitable for mealtime coverage in intensive insulin therapy.
A nurse manager needs to resolve a conflict between the staff nurses and the physical therapy department. What type of power might the manager utilize? (EXCEPT)
- A. Connection and referent power
- B. Reward and punishment power
- C. Legitimate power
- D. Information power
Correct Answer: C
Rationale: The correct answer is C: Legitimate power. In this scenario, the nurse manager can utilize legitimate power, which comes from their position of authority within the organization. They can use their formal authority to resolve the conflict between the staff nurses and the physical therapy department by making decisions and enforcing policies.
A: Connection and referent power are based on relationships and personal connections, which may not be as effective in this situation where formal authority is needed.
B: Reward and punishment power may not be the most appropriate in resolving conflicts as it can lead to resentment and may not address the underlying issues.
D: Information power is about having access to valuable information, which may be helpful but may not be the most effective in resolving conflicts that require formal authority.
What is the primary role of a nurse mentor?
- A. To supervise nursing staff
- B. To provide emotional support
- C. To guide new nurses in their roles
- D. To enforce policy compliance
Correct Answer: C
Rationale: The primary role of a nurse mentor is to guide new nurses in their roles (Choice C). This involves providing support, advice, and knowledge to help new nurses navigate their responsibilities and develop their skills. Mentors help new nurses adapt to the clinical environment, build confidence, and improve their clinical practice. Supervising nursing staff (Choice A) is typically the responsibility of nurse managers. Providing emotional support (Choice B) is important but not the primary role of a mentor. Enforcing policy compliance (Choice D) is important but does not encompass the full scope of a nurse mentor's role.
A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose control. Which behavior indicates that the nurse should implement additional teaching?
- A. The patient always carries hard candies when engaging in exercise.
- B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
- C. The patient has a peanut butter sandwich before going for a bicycle ride.
- D. The patient increases daily exercise when ketones are present in the urine.
Correct Answer: D
Rationale: The correct answer is D. Increasing exercise when ketones are present can worsen diabetic ketoacidosis. A patient should not exercise with ketones in urine. Carrying candies for exercise (A) helps manage low blood sugar. Going for a walk with a glucose of 200 mg/dL (B) can help lower blood sugar. Eating a sandwich before exercise (C) provides fuel.
The staff nurse is experiencing what type of conflict when the babysitter calls to cancel on the day of an important committee meeting?
- A. Intergroup conflict
- B. Perceived conflict
- C. Role conflict
- D. Structural conflict
Correct Answer: C
Rationale: The correct answer is C: Role conflict. Role conflict occurs when there are conflicting demands from different roles a person holds. In this scenario, the staff nurse faces a conflict between her roles as a nurse and as a committee member due to the babysitter canceling. The nurse must now balance attending the meeting and finding alternative childcare. Intergroup conflict (A) involves conflicts between different groups, not roles. Perceived conflict (B) refers to the perception of conflict, not conflicting roles. Structural conflict (D) involves conflicts within an organization's structure, not conflicting roles.