Exam 25: Managing Stress

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A nurse manager is considering referring a nurse who is very stressed to the employee assistance program (EAP) offered by the institution. What does this consideration indicate?

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A staff nurse on a busy outpatient surgery unit comes to the manager and says, "I don't know what is going on. I just feel unsettled and anxious." How should the manager interpret this statement?

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The manager is watchful of compassion fatigue among the nursing staff of the emergency department. What is the best indicator to the manager that this disorder is occurring?

(Multiple Choice)
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The hospital has elected to initiate a rotating 8-hour shift schedule. Which strategy, taken by the nurse manager, will help staff cope with the stress associated with this staffing pattern?

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A staff nurse is late for work for the second time this week. When the manager mentions the tardiness, the nurse says, "I'm so sorry. I've just got so much going on with my impending wedding. I am so stressed." Which responses by the manager would help this nurse cope?

(Multiple Choice)
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A medical-surgical nurse manager has received a complaint by a client regarding the noise level on the unit. The manager reviews the schedule and harshly reprimands the nursing staff who cared for the client. What is the evaluation of this manager's action?

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A nurse manager notes that staff is struggling with caring for an increased client load while a new management system is being implemented. What managerial action would help reduce this stress?

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A charge nurse has been trying to please all the nurses, physicians, clients, and staff of the unit. This has caused considerable stress for this nurse. After a few days off the nurse decided to manage the role differently. What has occurred to the nurse over these days off?

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A hospital has been acquired by a new management company. As part of this acquisition, several different types of equipment have been introduced into the client care area. How can the manager best plan to reduce the stress of using this equipment?

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A busy ICU unit has a high noise level. This frustrates the charge nurse in part because it is difficult to focus when entering physician's orders into the electronic medical record. Which would be the most appropriate action by the ICU nurse manager?

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