Author Question: A nurse in a rural community is employed in a facility that has had a shortage of nurses for several ... (Read 59 times)

sdfghj · **on:** Jun 25, 2018

A nurse in a rural community is employed in a facility that has had a shortage of nurses for several years. As a result, several nurses have left the institution citing burnout.

To avoid risking burnout, the nurse regularly works out, practices yoga, socializes with friends once or twice a week, and participates in at least one annual national or state nursing conference. This approach to work-life balance reflects which concept within the framework of Caring Interventions?
A) Self-compassion
B) Self-care
C) Self-control
D) Self-actualizing

Question 2

The hospital's nurse case manager has been extensively involved with a shooting victim and members of the client's family in coordinating care of providers from many disciplines as the client progressed from the emergency department (ED)

to the intensive care unit (ICU) and then onto the medical-surgical unit. After 3 weeks of hospitalization, the case manager is helping to prepare the client for discharge to a rehabilitation center where treatment will continue. Which outcomes have been documented in the literature as benefits of such collaboration?
Select all that apply.
A) Improved client outcomes
B) Reduction in duplication of healthcare services
C) Increased overall cost of health care services
D) Decreased client morbidity and mortality
E) Higher level of job satisfaction

djofnc · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: B

Given the circumstances in which the nurse finds himself, he has initiated the Caring Intervention of self-care to help him better cope with a stressful work environment. A major goal of adequate and appropriate self-care activity is to help the nurse avoid professional burnout, which contributes to moral distress and has been shown to have an adverse effect on nurse-client interactions and the quality of patient care. Although self-care involves aspects of having compassion for the self, exercising self-control, and can be self-actualizing, self-care is the term included as part of the Caring Interventions framework that enhances nurses' professional practice and helps them to avoid burnout.

Answer to Question 2

Answer: A, B, D, E

Research findings suggest that collaboration in health care among clients, family members, caregivers, and communities leads to improved client outcomes, a reduction in duplicated healthcare services, and a decrease in client morbidity and mortality. Collaborative efforts have also been found to decrease, rather than increase, the overall cost of healthcare services, and to contribute to an enhanced, rather than diminished, sense of autonomy. This increase in sense of autonomy has been linked to nurses' greater job satisfaction.