Which situation on a psychiatric-mental health unit is most ...

[Wadzanai]

Which situation on a psychiatric-mental health unit is most likely to cause repeated stress arousal leading to burnout in nursing staff?
 
  1. Administering medications to schizophrenic patients daily
  2. Responding to hospital psychiatric emergencies once per month
  3. Working without enough nursing staff every day for 6 weeks during staff vacations
  4. Performing cardiopulmonary resuscitation (CPR) on a patient on rare occasions

Question 2

The nurse is subpoenaed to provide information about a patient's injuries sustained in a criminal case. The hospital's attorney tells her she must comply. Which statement best describes how the nurse should respond?
 
  1. Plead the Fifth Amendment in this case.
  2. Refuse to give any information about the patient.
  3. Disclose any information she knows about the patient.
  4. Answer questions with the minimum information needed.

[sultana.d]

Answer to Question 1

Answer: 3
Explanation: Burnout consists of 3 stages: stress arousal, energy conservation, and exhaustion. In general, it will occur after recurrent episodes of stress arousal such as working short-staffed every day for a long period of time. Administering medications to patients daily is a usual part of the job and should not cause undue stress. Rarely performing CPR and responding to an emergency once a month, though stressful, would not cause the repeated stress arousal responsible for initiating burnout.

Answer to Question 2

Answer: 4
Explanation: When disclosing any patient information, the nurse should only disclose the minimum amount and nothing additional. This protects the nurse. In this case, it is in the nurse's best interest to comply with a subpoena and not refuse to give information. It is not appropriate to plead the Fifth Amendment, which is a protection against self-incrimination.

[Wadzanai]

TY

[sultana.d]

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