For the last several weeks, the nurse manager has felt as if ...

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For the last several weeks, the nurse manager has felt as if there is not enough time in the day to accomplish all the required tasks. The manager goes home exhausted and does not look forward to going to work in the morning.
 
  What strategy may help alleviate some of this stress? 1. Do tasks as quickly as possible.
  2. Hurry through work, hoping someone else will catch any mistakes that are made.
  3. Do not start any new tasks after lunch.
  4. Pick a simple task and complete it just before going home each day.

Question 2

An OB registered nurse is caring for a client who is in the first stage of labor. The client has requested an epidural, which the anesthesiologist is about to perform. The anesthesiologist is having difficulty in accessing the epidural space.
 
  The anesthesiologist states, You are too obese and that is why Im having trouble. The client is offended and the nurse determines a critical incident form must be completed. Which of the following would be appropriate to document on the form? 1. The anesthesiologist was rude to the client.
  2. The anesthesiologist was rude and incompetent when caring for the client.
  3. The client is obese, and epidural catheter placement was attempted but unsuccessful due to the clients
  size.
  4. Dr. ________ attempted to place an epidural catheter on this client and stated, You are too obese and that
  is why Im having trouble.

[Alyson.hiatt@yahoo.com]

Answer to Question 1

4
Rationale 1: Working faster is not likely to reduce this manager's stress.
Rationale 2: Hurrying through work often results in mistakes. Hoping that someone else will catch the mistakes is not fair to others and can be dangerous.
Rationale 3: The nature of nursing is unpredictable. The manager is unlikely to be able to stick to a plan of not starting any new projects after lunch.
Rationale 4: Completing a task just before the end of the day helps the manager go home with a sense of accomplishment.
Global Rationale:

Answer to Question 2

4
Explanation: 1. The critical incident form must communicate the event with accuracy and without judgment.
Documentation should include the facts and the sequence of events.