TERM 3- MY NOTES MENATL HEALTH NURSING CARE CH.4 "MENTALLY HEALTHY NURSING"

Question 1

Caring is concern for the well-being of another. It is a universal human phenomenon that exists in all cultures.
A)true
B)false

Answer 1

A

Question 2

Attributes of Caring

Answer 2

,

Question 3

Caring forms the foundation of nursing practice
A)true
B)false

Answer 3

A

Question 4

The attributes of caring are “the five Cs”

These attributes of caring include commitment, which is a personal pledge to a course of action, such as the choice to be a professional nurse or to provide the care necessary to meet each client’s needs.

Compassion involves sharing in the emotional stare of another. It includes empathy (trying to understand how another feels) and acceptance of others as they are (not necessarily as we wish them to be).

Competence is proficiency in understanding the principles underlying professional nursing practice and applying this knowledge to problem solving and decision making. It includes the ability to apply the nursing process.

Confidence (belief in oneself) fosters a trusting relationship. A nurse must have self-confidence in order to foster the trust of clients. When clients trust that the nurse has the ability to help with their problems, they have confidence in the nurse.

Finally, conscience is having an ethical conviction or belief about what is right and wrong and acting in accord with the ethics of the nursing profession

Answer 4

True

Question 5

NURSES UNDER STRESS

Answer 5

,

Question 6

Working as a nurse has always been challenging. Some of the challenges/stressors for nurses include the following:

Answer 6

,

Question 7

The work- Nursing is hard work. Luckily we are not scrubbing floors anymore, but we work 8- to 12-bour shifts, around the clock (not to mention double shifts when we work overtime). The hospital is open and staffed by nurses 24 hours a day, 7 days a week. We lift, turn, and ambulate people who may be twice our size.

As the healrhcare delivery system changes, nurses are being expected to take responsibility for more clients who are more seriously ill and to delegate parts of their care to others. We also use more and more complex equipment to care for them.The work is exhilarating and rewarding. It can also be exhausting.

Answer 7

True

Question 8

The profession-As healthcare professionals, we expect ourselves not only to “be there” for our clients, but to do an excellent job of caring for them. Our nursing role involves caring, applying the nursing process, reaching, participating in the therapeutic environment, cooperating with others, promoting prevention activities, humanizing client care, and advocating for clients. Meanwhile, our employer and our peers are evaluating us. They might say, “He is a really good nurse,” or on a bad clay they might say something else. Their opinions marrer to us

Answer 8

True

Question 9

The people-Nurses love people, of course. They are why we went into nursing. But people can be challenging. Physicians and coworkers can be demanding, impatient, critical, and frustrating. Sick people can be all these things also and so can their families. Sometimes family members feel powerless to help the client. They may become demanding and critical of nurses in an attempt to exert some control over the situation. Even when nurses know this, it is not easy to endure complaints and demands when we are working so hard to do our best. We know that we see clients at their worse, when they are in pain, anxious, or afraid. We try to make it easier for them, but they do not always recognize the contributions of nurses. Nurses are trying to please clients, families, coworkers, and supervisors. It is not easy (or possible) to keep everyone happy all the time.

Answer 9

True

Question 10

The feelings-Nursing can be a heartbreaking profession. We see people die who should be alive and people for whom life itself seems a burden. Nurses work with people who are in the depths of suffering and grief. The clients see us, and we see ourselves, as the ones who come in to make a difficult or painful situation easier or more comfortable. Nurses ease human suffering, save lives, welcome babies into the world, and ease dying people our of it. Nurses really make a difference to people. What a great job! What a great responsibility!

Answer 10

True

Question 11

PERSONAL BOUNDARIES

Answer 11

,

Question 12

We may lose our personal boundaries, the healthy limits people set on what is appropriate for them ro do. Without healthy boundaries, nurses do things for people that they should do for themselves.

An example is the nurse who calls in with an excuse for why her husband is sick when he really is drunk.

Another is the nurse who works several double shifts in a row because the hospital asks him to, even though he is exhausted. Saying “no” to unreasonable requests from others requires boundaries.

Answer 12

True

Question 13

Another reason that nurses need healthy personal boundaries is for the maintenance of professional relationships. Potential areas of boundary crossing with clients are as follows ():

l. Touching
2. Gift giving
3. Self-disclosure

Answer 13

True

Question 14

CODEPENDENCY

Answer 14

,

Question 15

Codependency, paraphrasing Beattie (1992), is letting another person’s behavior affect you and becoming obsessed with controlling that person’s behavior. Codependents make it possible for others to avoid the consequences of their own maladaptive behavior, thus encouraging the behavior to continue.
A)true
B)false

Answer 15

A

Question 16

Who are codependents? They are people who are in relationships with people who have substance abuse problems; they are people who love, care about, or work with troubled people
A)true
B)false

Answer 16

A

Question 17

you may be in trouble wirh codependency:

• If concern has turned into obsession
• If compassion has turned into unhealthy care-taking
• If you are taking care of other people and not yourself

Answer 17

True

Question 18

Codependents take on other people’s responsibilities or enable people to avoid responsibility for their own behavior. In the classic example of codependency, a person worsens the substance dependency of a partner by making excuses, covering up problems, trying to control the partner, and allowing the habit to continue
A)true
B)false

Answer 18

A

Question 19

The first step toward communicating and thinking in a healthy way is to recognize where the control is. Whose behavior can you control? Your child’s? Your partner’s? Your client’s? The answer is none of these. Each of us only has real control over our own behavior.
A)true
B)false

Answer 19

A

Question 20

Characteristics of Codependency

Answer 20

,

Question 21

Codependents may:
• feel responsible for other people’s feelings, actions, well-being, and destiny.

• feel pity, anxiety, and guilt when other people have a problem.
• feel compelled to help other people solve their problems by giving unwanted advice, lots of suggestions, or”fixing their feelings.”
• say yes when they mean no, do what they do not want to do, do more than their fair share of the work, and do things for other people that they can do for themselves.
• not know what they want or need or what their feelings are.
• try to please others instead of themselves.
• feel safest when giving and feel insecure and guilty when others give to them, rejecting compliments or praise.
• find themselves attracted to emotionally needy people and needy people attracted to them. • feel bored or useless if they do not have a crisis or problem to solve.
• feel stressed, pressured, and overcommitted.
• feel angry, victimized, and used and blame others for their difficult position and their feelings.
• come from troubled or dysfunctional families.
• think they are not good enough and expect themselves to be perfect.
• fear rejection, especially if they show anger.

Answer 21

True

Question 22

• have difficulty making decisions. • get artificial feelings of self-worth from helping others.
• wish other people would like and love them and settle for being needed.
• focus all their energy on other people and their problems.
• wonder why they never get things done.
• feel controlled by events and people, especially other people’s anger.
• ignore problems or pretend they are not happening.
• overeat, or cry a lot, get depressed, get sick, act hostile, or have temper outbursts.
• believe lies.
• not love or feel content with themselves.
• lie to protect and cover up for people they love.
• have difficulty asserting their rights and expressing their feelings honestly and openly.
• let others hurt them.
• not trust themselves or others.
• have difficulty having fun.
• not seek help because they tell themselves that the problem is not bad enough or they are not important enough.

Answer 22

True

Question 23

These codependent characteristics contribute to problems with dependency, low self-esteem, unhealthy caregiving, obsessiveness, weak personal boundaries, poor communication, lack of trust, anger, and problems with intimacy, including sex.
A)true
B)false

Answer 23

A

Question 24

SICK ORGANIZATIONS

Answer 24

,

Question 25

Sick organizations undervalue the caregiver and emphasize financial and administrative functions. They demand more and more of nurses, who, because of their nature, give more and more. Codependency and weak personal boundaries set nurses up to be used and abused
A)true
B)false

Answer 25

A

Question 26

Nurses’ workload is directly associated with the mortality rate of clients
A)true
B)false

Answer 26

A

Question 27

Burnout

Answer 27

,

Question 28

What do you get when you combine caregivers, codependency, weak personal boundaries, unhealthy organizations, and ever-increasing demands? The answer is burnout
A)true
B)false

Answer 28

A

Question 29

Burnout is a state of physical, emotional, and mental exhaustion caused by long-term involvement in situations that are emotionally demanding. It happens when people who srarced their caregiving careers with high hopes lose their spirit.
A)true
B)false

Answer 29

A

Question 30

When nurses feel that their work is insignificant or that they make no difference in their clinical settings, they burnout
A)true
B)false

Answer 30

A

Question 31

Risk factors for nursing burnout include high workload, poor social or insrirurional support, a sense of putting in more than they receive back, perception of high scress, role conflict, and helplessness
A)true
B)false

Answer 31

A

Question 32

Nurses have always worked hard. It is not the workload itself that makes nurses lose their spirit for nursing. It is a loss of hope that they can make a difference to clients or that they will have the time and resources to do the kind of nursing they hoped to do. Nurses struggle when they work in “toxic” environments where they are not able to practice according to their own personal philosophies of nursing care.
A)true
B)false

Answer 32

A

Question 33

NURSING CARE

Answer 33

,

Question 34

ASSESSING

Answer 34

,

Question 35

How do you know if someone is burned out? The signs and symptoms of burnout are as follows:
• Decreased efficiency and productivity
• Perception that there is never enough time or staff to do the work right
• Dissatisfaction
• Increased illness and absenteeism
• Reduced sense of personal accomplishment

Answer 35

True

Question 36

the development of burnout: enthusiasm for the job, loss of enthusiasm, continuous deterioration, crisis, and finally devastation and inability to work effectively.
A)true
B)false

Answer 36

A

Question 37

DIAGNOSING, PLANNING, AND IMPLEMENTING

Answer 37

,

Question 38

An old attitude in nursing is that “I am here to serve, period.” Now we must add to this, “and my own needs must be met so I can meet the needs of my clients.” Nurses must be their own advocates in the workplace
A)true
B)false

Answer 38

A

Question 39

Develop Self-Understanding

Answer 39

,

Question 40

Self-understanding (known as insight) is the best first step on the path to healthy nursing. Acknowledging your own feelings is important. Many people who become nurses have spent so much time responding to the feelings of others that they have trouble even recognizing or naming their own feelings.
A)true
B)false

Answer 40

A

Question 41

When negative feelings are not expressed or even acknowledged, they tend to build up. Built-up feelings can result in outbursts, or “emotional bingeing. “ An emotional binge might involve not expressing feelings at work, and then exploding in anger toward people at home, where you yell at your partner, kick the dog, burn the dinner, and send the kids to bed early. Sometimes unacknowledged feelings surface in physical disorders, such as headaches, anxiety, or gastroinresrinal problems
A)true
B)false

Answer 41

A

Question 42

It is healthy to have a wide range of genuine feelings, both positive and negative.
A)true
B)false

Answer 42

A

Question 43

It is very important for nurses to recognize what they can and cannot control, beginning with the fact that the clients behavior is only under the client’s control. He can help by making sure that the client has all the information and encouragement she needs, so the client can make informed decisions about her behavior. Then he can let his frustration go. The nurse will not go home from work with his usual headache today.
A)true
B)false

Answer 43

A

Question 44

NURSING CARE CHECKLIST

Ways to Care for the Caregiver (Yourself)

Answer 44

,

Question 45

Balance is a key- Balance your work, family, and personal needs.

Be as healthy as you can be. Nurture your body, mind, . and spirit.

Have realistic expectations for yourself.

Recognize and accept your limitations, while striving for improvement.

Every human makes mistakes. Solving problems is more important than blame.

Be flexible. The only constant thing is change.

Focus on the accomplishments of your work.

Be competent. Be a lifelong learner. Keep up with changes. with your coworkers. Everything goes better with teamwork.

Understand yourself and your feelings.

Recognize and value each person as an individual.

Be proud of yourself and your work.

Have a sense of self-efficacy.

Answer 45

True

Question 46

Use Teamwork

Answer 46

,

Question 47

Help others with their work when you can, and equally important, ask for help when you need it. You are not in nursing alone. Most work is easier when people cooperate to ger ir done.
A)true
B)false

Answer 47

A

Question 48

Use Healthy Professional Communication

Answer 48

,

Question 49

State the problem in a nonthreatening way. Make it clear that the problem is the behavior not the person. For example, when a coworker frequently comes to work late, you could say, “You are such a slacker,” or you could say, “When you come to work late, I have to stay after my shift. I wish you would come on time.” The latter example is much more professional and effective than calling the person names
A)true
B)false

Answer 49

A

Question 50

People talk about each others personal problems, which is unprofessional and unproductive. Try to avoid becoming involved in workplace gossip.
A)true
B)false

Answer 50

A

Question 51

Use the chain of command appropriately. Talk directly to the person involved in a problem, and do not go to a higher level until you have tried a solution at lower levels first without success. Starting at lower levels promotes problem solving and decreases misunderstandings.
A)true
B)false

Answer 51

A

Question 52

Nurses need a strong sense of self-efficacy to maintain job satisfaction. If it is not possible to do a job well, the nurse has no self-efficacy and no job sarisfaction.
A)true
B)false

Answer 52

A

Question 53

CULTURAL PULSE POINTS

The Culture of Nursing

Answer 53

,

Question 54

Leininger and McFarland (2002) described the following current trends in the culture of nursing:

• Transition from a patriarchal system (nurses serve physicians) to one of “female empowerment” with more autonomy for nurses.
• Male nurses are asserting their rights.
• Clients are served with high-tech skills, with less emphasis on interpersonal relationships. Nursing is becoming more “high-tech and low-touch.”
• Nurses are more interested in financial, personal, and professional gains.
• Nurses have more knowledge and interest in politics and legal aspects of health care.
• There is a transition from nurses providing all client care to more emphasis on self-care by clients or client empowerment.
• More information is available about transcultural nursing. Nursing students are still not consistently prepared for the care of the multicultural clients they will be responsible for in the healthcare workplace.

Answer 54

True

Question 55

Think Positively

Answer 55

,

Question 56

Know what gives you satisfaction. If relieving a client ‘s pain is what makes you feel like you make a difference in the world, choose a job that will include this intervention. Do not lose sight of the important and powerful things that nurses do to relieve the suffering of people. Even on a bad day, if you eased someone’s suffering, the day was not wasted. Keep the successes in mind and try to learn from the failures. Set yourself up for success. Expect yourself to succeed.
A)true
B)false

Answer 56

A

Question 57

Take Care of Yourself

Answer 57

,

Question 58

The following are some strategies for achieving balance and health in your life:

Answer 58

,

Question 59

Start with realistic expectations. Compromise. Schedule school and your life on the same calendar so you can see if you are double-scheduled. Learn to say “no.” Know your limits. Set healthy boundaries. Develop your resources and use them (maybe Mom can pick the kids up from school).
Decide on your priorities: the kids are more important than studying tonight. Tomorrow I’ll study. Major house projects can wait until summer. Do your best on the important things. Nobody can do it all. Remember, Martha Stewart has a whole staff!

Answer 59

True

Question 60

• Plan fun into your· schedule. All fun activities do not have to cost too much time and money. Some nurses are so focused on service to others that they are unable to even answer the question “What do you like to do?” Think about it. If this is difficult for you, it is even more important that you do it. In a study of student nurses, those who regularly engaged in recreational acriviries were less depressed and scored lower on assessments of depression, burnout, and codependency. Find a hobby. Go outside. Have you been to a museum lately? Talk to a friend or neighbor about nature, nectarines (have you ever had one?), or Nancy’s new shoes, but not nursing (that is work, not fun)

Answer 60

True

Question 61

Be physically healthy. The behaviors that promote physical health can promote mental health as well. Exercise promotes a sense of well-being. Does this advice sound familiar?

1. Exercise regularly (aerobic exercise; do it on most days for 30 minutes).
2. Eat right. (Eat a variety of foods and limit salt, sugar, refined foods, saturated and trans fats, and cholesterol; eat plenty of fiber, fresh fruit, and vegetables. Remember the food pyramid?)
3. Limit your alcohol intake. Never use it to solve problems.
4. Listen to your body. Eat when you are hungry. Drink when you are thirsty. Rest when you are tired. This sounds obvious, but many nurses ignore their body signals so often that they lose the ability to hear them any more.

Answer 61

True

Question 62

• Nurture your spiritual self. The holistic view of people says that we are made of body, mind, and spirit. The spirit is sometimes overlooked , but is necessary to a whole view of health. Spirituality includes religion, bur is not limited to religious perspectives. Spirituality is really a broader idea that includes the meaning a person finds in life. Some ways you can nurture your spirituality are by appreciating nature, reading poetry, thinking about meaning and purpose in life, meditating, helping other people, volunteering in an area that is important to you, reading religious or philosophical writings, or participating in religious services.
A)true
B)false

Answer 62

A

Question 63

Free Fun Things

Answer 63

,

Question 64

• Go to a park.
• Play with a dog (or cat or hamster).
• Play with kids.
• Take your lunch and eat it outside on a blanket for a little picnic.
• Go for a walk (alone or with a friend; in your neighborhood or in an interesting new place).
• Sit on the porch and watch the neighborhood. Make up silly stories about where the people are going.
• listen to music, maybe even some kind that is different for you.
• Call an old friend, or somebody you miss.
• Make a new friend (try to make some friends who are not nurses; it makes the conversations more interesting).
• Invite some friends over for a potluck dinner (not free, but you were going to eat anyway, and you only provide one dish).
• Take out your old basketball and shoot some hoops.
• Read, anything but nursing.
• Start writing a journal or short stories. Include all your nursing school stories. Maybe someday you can sell them for a soap opera TV show.
• Find that old hobby you started (painting, crocheting, or the rocket you never finished building) and work on it.

Answer 64

True

Question 65

• Draw some pictures that don’t have to be good. Patterns are fun.
• Play a game like cards or checkers.
• Just hang out and talk with your friends.
• Take a bath until your skin shrivels.
• Write a poem.
• Go for a bike ride if you have one (bring a friend if you want to).lf you need to, borrow a bike.
• Sing. Do it in the shower or to your dog if you can’t carry a tune, but sing anyway because it makes you feel good. Dogs like it.
• Do anything in nature. The sunsets and sunrises are a good show.
• Tell stories.
• Walk to a place where you usually drive.
• Put ice cubes in your glass of water; they are quite luxurious.
• Look through a cookbook for things you’d like to cook some day-no pressure to cook it tonight.
• Call someone to tell him or her a joke.
• Write a letter. Remember letters? People love to receive them.
• Go to the library when you have several hours to spend. Sit around and read magazines, or a novel, or children’s books, or watch the people go by.
• Do anything that seems like it would be relaxing, amusing, or fun to you. Maybe write your own list of free fun things.

Answer 65

True

Question 66

EVALUATING

Answer 66

,

Question 67

Your goal is to have balance in your life: to live as well as work. Look back on the things you do to make this goal happen. Are you more satisfied at work and at home? Can you express your feelings. Does the exercise make you feel better. Do you feel challenged but nor overwhelmed? Are you receiving as well as giving?
A)true
B)false

Answer 67

A

Question 68

KEY TERMS

Answer 68

,

Question 69

codependency-Letting another person’s behavior affect you and becoming obsessed with controlling that person’s behavior, also, reinforcing another person addictive behavior by allowing that person to avoid consequences of behavior
A)true
B)false

Answer 69

A

Question 70

commitment-Personal pledge to some course of action
A)true
B)false

Answer 70

A

Question 71

conscience- Having an ethical conviction or belief about what is right and wrong
A)true
B)false

Answer 71

A

Question 72

KEY Points

Answer 72

,

Question 73

• Caring, regard for the well-being of others, is the foundation of nursing.
• Codependency is common in nursing. Nurses can recognize it, recover from it, and be healthy while they promote the health of their clients.
• Healthcare organizations may undervalue nurses and prioritize the financial and administrative aspects of the organization. Nurses must be their own advocates.
• When nurses are healthy, they can provide better client care.
• The only person you have control over is yourself.
• Burnout is physical, mental, and emotional exhaustion caused by prolonged exposure to certain stressors. It is an occupational hazard of nursing.
• Burnout is preventable and treatable.
• Nurses must decide on realistic expectations for functioning in the workplace.
• Nurses can plan strategies for their own good mental and physical health. Health does not occur accidentally; it responds to behavioral choices.

Answer 73

True

Question 74

NCLEX PREP

Answer 74

,

Question 75

Which of the following is an example of a nurse who has lost her boundaries?

1. A nurse who insists that her husband call his employer for himself when he is going to be absent from work.
2. A nurse who apologizes to her son for forgetting to telephone him at home to wake him for his graduation practice.
3. A nurse who promises herself to work only one overtime shift per week.
4. A nurse who confronts a sexually aggressive client with his inappropriate behavior.

Answer 75

2

Question 76

Which of the following is characteristic of the behavior of the codependent nurse?

1. He suspects a fellow nurse of substance abuse, so he finishes the nurse’s tasks to prevent her getting into trouble.
2. He confronts a client about unhealthy practices and works with the client to develop an acceptable new lifestyle.
3. He does not offer advice to fellow employees but helps them to see their options.
4. He accepts praise graciously.

Answer 76

1

Question 77

Which of the following is most likely to be a comment by a code· pendent nurse?

1. “I have plans to take my daughter to lunch tomorrow. I can’t work extra.”
2. “Fried chicken, mashed potatoes, and gravy are not on your low-fat diet.”
3. “Having a chronic illness must get very tiresome. Let’s look for some ways to make life a little easier for you.”
4. “If I had to be on dialysis, I think I’d want to skip the diet, too. I understand why you want to enjoy the life you have left to its fullest.”

Answer 77

4

Question 78

Which of the following work scenarios is the most likely to cause burnout?

1. The manager speaks to the nurse about ways to improve work performance.
2. There is one nurse who consistently”calls in sick” only on weekends and suffers no disciplinary action.
3. The manager plans to change the tardiness policy and calls the staff together for suggestions.
4. The nurse consistently works in an environment where there is a nurse-client ratio of 1 :4.

Answer 78

2

Question 79

Which of the following could indicate burnout on the part of the nurse? The nurse:

1. Refuses to work more than one overtime shift a week.
2. Organizes a group of nurses to approach the unit manager concerning some time-saving approaches to care that might be initiated.
3. Gossips with other nurses about the poor working conditions on the unit and suggests that they all just call in sick until things
   change.
4. Receives a commendation for being “Employee of the Month.”

Answer 79

3

Question 80

Which of the following would be the best way to prevent professional burnout? The nurse should:

1. Quit and find another line of work.
2. Make a date with a spouse or significant other to go out to dinner and a movie once a week.
3. Treat self to ice cream after work each day as a reward for staying with the job.
4. Keep feelings about work inside, knowing it will make it worse to discuss them.

Answer 80

2

Question 81

Which of the following is a good way to promote mentally healthy nursing? The nurse should:

1. Identify the client’s feelings and respond to them above all else.
2. Work independently to enhance feelings of pride in the work.
3. Ask for help when it is needed.
4. Leave notes on the time cards of other coworkers who are doing their jobs poorly.

Answer 81

3

Question 82

To solve a problem at work that is affecting staff morale, the nurse’s best action would be to:

1. Take the problem straight to the Director of Nursing.
2. Go to the person directly involved in the problem and try to find a solution.
3. Gather the staff together and have them write anonymous complaints to be presented to the supervisor.
4. Meet with the rest of the staff and plan to refuse to work until the problems are solved.

Answer 82

2

Question 83

Which of the following statements about spirituality is true?

1. It involves only the practice of an organized religion.
2. It is unimportant in one’s total sense of well-being.
3. It is too abstract to be of much use to anyone’s physical and emotional health.
4. It can be nurtured by nature walks and reading literature as well as by participating in religious services.

Answer 83

4

Question 84

The nurse has a home health client who is seen once a week. Her daughter-in-law is the caregiver. Which of the following would
indicate to the nurse that the daughter-in-law might be experiencing caregiver role strain? (Select all that apply.) The daughter·
in-law:
1. Tells the nurse she’s lost 10 lbs. this month because she has no appetite.
2. Has asked a neighbor to come in one afternoon a week, so she can go shopping.
3. Talks continuously about how her mother-in-law is ruining her marriage.
4. States proudly that she was able to get hermother-in-law to feed herself at least once a day.
5. Has the smell of alcohol on her breath at 10 A.M.

Answer 84

1 3 5

Question 85

The codependent helps people avoid the consequences of their actions
A)true
B)false

Answer 85

A

Question 86

When a nice experiences a situation where morale and efficiency of staff is affected by the poor performance of another staff member who suffers no disciplinary action,
is set for burnout
A)true
B)false

Answer 86

A

Question 87

Getting out and doing something fun away from nursing is a good way to prevent professional burnout
A)true
B)false

Answer 87

A

Question 88

A student nurse is caring for an elderly client in the convalescent center. The client tells the student that she has smoked for 60 years and it is one of the things she enjoys the most in life. The client picks up a cigarette and asks the student to take her to the smoking area. Which of the following responses would be best on the part of a student nurse who is caring for the client?

A)Try to understand how the client feels and accept her as she is
B)false

Answer 88

A

Question 89

A client in the substance abuse program asks the nurse to make some calls to apartment complexes to see how much the rent is in preparation for having a place to go when he is discharged next week. The nurse will have to give up part of her lunchtime in order to do this and also get the rest of her work done by end of shift. Which of the following actions would be best on the part of the nurse?

A)Ask social services or the activity therapy staff if one of them can make the calls.

B)Advise client look up apartment phone numbers and to start the calls tonight.

Answer 89

B

Question 90

Nurses need to place healthy limits on what they will do for others. When those boundaries are lost, nurses often do things for clients that clients should do for themselves
A)true
B)false

Answer 90

A

Question 91

A nurse is frequently absent from work on Mondays. A co-worker has seen her drinking a lot at weekend parties. The co-worker is sure the nurse drinks only on weekends and avoids alcohol during the week. The hospital has a rule that if an employee misses the same day of the week three weeks in a row, a reprimand is placed in the personnel file. After three reprimands, the employee is terminated. Which of the following actions would be an appropriate response by the co-worker?

A)Talk with the nurse, but let her suffer the consequences of her own actions
B)false

Answer 91

A

Question 92

A nurse wants to find employment in a healthy organization. Which of the following practices would clue the nurse that a particular organization is somewhat sick and that she should interview for employment elsewhere?

A)The organization provides bonuses for managers who increase patient to staff ratios.

B)There is no overtime pay for supervising nurses who work over 40 hours

Answer 92

B

Question 93

A sick organization is one that does not value the work of the caregiver. Providing no overtime pay for nurses who work over 40 hours shows a lack of caring about staff and more of a focus on making more money for the organization.
A)true
B)false

Answer 93

A

Question 94

A nurse was assigned five clients to care for on the medical unit this morning. Another nurse became ill, and one of her clients was added to the first nurse’s workload. A physician just wrote a number of orders on three of that nurse’s six clients. It is time for the nurse’s lunch break. What would a healthy nurse do?

A)Take a minute and acknowledge his/her feelings.
B)false

Answer 94

A

Question 95

Which of the following statements by a nurse are most indicative of burnout?

A)”This has been a very stressful day. I think I will call in tomorrow
B)false

Answer 95

A

Question 96

A nurse’s spouse is having difficulty dealing with the nurse’s behavior when she returns home at night after work. She immediately becomes angry with him and begins complaining that the house is a mess and many things have not been done. What does this nurse first need to do to remedy this situation?

A)Express her feelings at work when feeling them.
B)false

Answer 96

A

Question 97

A nurse is serving on a committee at work to develop a unit in-service. He finds that he is doing most of the work, some people are doing a share of the work, and one co-worker is doing nothing. Which of the following is the most appropriate action for this nurse? Select all that apply

A)Report the problem to the person who assigned this committee.

B)Speak to each individual on the committee stating the problem and requesting that you each do more.

C)Tell the group that you will quit if everyone else does not do more.

Answer 97

B C

Question 98

The way to professionally handle this problem is to communicate to each individual on the committee how the nurse is feeling. The nurse should make it clear that he is upset by the behavior and not by the people. He should speak directly to the people involved on the committee and not go to a higher level unless speaking to them produces no results.
A)true
B)false

Answer 98

A

Question 99

The work day has been exhausting. The nurse thought she was doing everything right, but the supervising nurse talked to her about getting more organized. Which of the following thoughts would most match that of a healthy nurse?

A)”I really helped a client today, so I know I’m a good nurse. I will work on my organization skills.”
B)false

Answer 99

A

Question 100

Which of the following are ways for the nurse to prevent burnout? Indicate all that apply.

A)Have realistic expectations of one’s self.

B)Nurture one’s spiritual self.

C)Accept one’s limitations.

D)Think positively

Answer 100

A B C D

Question 101

MENTALLY HEALTHY NURSING

Answer 101

,