A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Breathing techniques

Work extended shifts

Facilitate discussion on vicarious trauma

Take sleep aids at night

Guided imagery

Answer and Explanation

Correct Answer : A,C,E

A. Breathing techniques. Deep breathing exercises help reduce stress, promote relaxation, and lower anxiety, making them an effective strategy to mitigate burnout among healthcare staff.

B. Work extended shifts. Long shifts contribute to burnout by increasing physical and emotional exhaustion. Encouraging shorter shifts and adequate rest periods is more beneficial for staff well-being.

C. Facilitate discussion on vicarious trauma. Caring for terminally ill children can lead to compassion fatigue and secondary trauma. Providing a safe space for staff to discuss their experiences helps in processing emotions and reducing emotional distress.

D. Take sleep aids at night. While sleep is essential, relying on sleep aids is not a recommended long-term strategy for managing burnout. Encouraging healthy sleep hygiene and relaxation techniques is a safer approach.

E. Guided imagery. This stress-reduction technique involves visualizing calming and peaceful scenes, helping healthcare staff manage emotional strain and maintain resilience in a high-stress environment.

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Correct Answer is A

Explanation

A. Complete a screening test for autism spectrum disorder (ASD). By 18 months, most toddlers have said their first word, and a lack of speech development can be an early sign of ASD or other developmental delays. The M-CHAT (Modified Checklist for Autism in Toddlers) is a common screening tool used at this age to assess for autism. Early identification allows for timely interventions.

B. Ask the parent about recent immunizations. While immunization history is important for overall health, there is no connection between vaccines and delayed speech development. This question does not directly address the developmental concern at hand.

C. Educate the parent that toddlers do not typically say their first word until 18-20 months of age. This is incorrect. Most toddlers say their first word around 12 months, and by 18 months, they typically have a vocabulary of several words. A lack of speech at this age warrants further assessment.

D. Ask the parent if the toddler has a history of hospitalizations or surgeries. While medical history is important, hospitalizations or surgeries are not the most common causes of delayed speech. Developmental screening is the most appropriate next step in evaluating speech delays.

A. Mood changes B. Swollen knees C. Frequent falls D. Dental caries

Correct Answer is B

Explanation

A. Mood changes. While mood changes can occur due to various health conditions, they are not a direct indicator of a bleeding disorder. Bleeding disorders typically present with physical symptoms like easy bruising or joint swelling.

B. Swollen knees. Joint swelling (hemarthrosis) is a key sign of bleeding disorders such as hemophilia. In children with a bleeding disorder, even minor trauma can cause bleeding into the joints, leading to pain, stiffness, and swelling, particularly in weight-bearing joints like the knees and ankles.

C. Frequent falls. While frequent falls may result in bruising, they are not a direct indicator of a bleeding disorder. However, children with a bleeding disorder may bruise excessively or experience prolonged bleeding after minor falls.

D. Dental caries. Dental caries (tooth decay) is not a symptom of a bleeding disorder but rather results from poor oral hygiene, dietary factors, or bacterial infection. Bleeding disorders may cause prolonged bleeding after dental procedures, but they do not directly cause cavities.

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A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is collecting data while caring for a school-age child. Which of the following findings may indicate an undiagnosed bleeding disorder?

Correct Answer is B

Explanation

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A nurse manager is preparing to discuss methods to mitigate burnout with their staff who care for terminally ill children. Which of the following information should the nurse plan to include in the discussion? (Select All that Apply.)

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