Author Question: Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse has ... (Read 16 times)

roselinechinyere27m · **on:** Jul 22, 2018

Despite working in a highly stressful nursing unit and accepting additional shifts, a new nurse has a strategy to prevent burnout. Which strategy will be best for the nurse to use?

a. Delegate complex nursing tasks to nursing assistive personnel.
b. Strengthen friendships outside the workplace.
c. Write for 10 minutes in a journal every day.
d. Use progressive muscle relaxation.

Question 2

An adult male reports new-onset, seizure-like activity. An EEG and a neurology consultant's report rule out a seizure disorder. It is determined the patient is using conversion. Which action should the nurse take next?

a. Suggest acupuncture.
b. Confront the patient on malingering.
c. Obtain history of any recent life stressors.
d. Recommend a regular exercise program.

amandanbreshears · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: B
Strengthening friendships outside of the workplace, arranging for temporary social isolation for personal recharging of emotional energy, and spending off-duty hours in interesting activities all help reduce burnout. Journaling and muscle relaxation are good stress-relieving techniques but are not directed at the cause of the workplace stress. Delegating complex nursing tasks to nursing assistive personnel is an inappropriate.

Answer to Question 2

ANS: C
Unconsciously repressing an anxiety-producing emotional conflict and transforming it into nonorganic symptoms (e.g., difficulty sleeping, loss of appetite) describes conversion. The nurse must assess the patient fully for emotional conflict and stress before implementing any nursing interventions (acupuncture or exercise program). Although the patient may be malingering, confrontation is nontherapeutic because the patient is using this type of defense mechanism in response to some type of stressor.