A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?
Dementia
Burnout
Traumatic brain injury
Bipolar disorder
The Correct Answer is B
A. Dementia is a progressive cognitive decline that affects memory, reasoning, and behavior. While exhaustion and distraction could be seen in dementia, it is unlikely in an otherwise healthy nurse.
B. Burnout is a state of physical, emotional, and mental exhaustion caused by chronic workplace stress. Symptoms include fatigue, cynicism, reduced effectiveness, and dissatisfaction with work.
C. Traumatic brain injury (TBI) results from a head injury and leads to cognitive and physical symptoms like memory loss, headaches, and coordination issues, which do not align with the scenario.
D. Bipolar disorder involves episodes of mania and depression, not just exhaustion and dissatisfaction. It is a clinical mental health condition, whereas burnout is work-related stress.
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Correct Answer is C
Explanation
A. High energy: While high-energy nurses may take on demanding workloads, burnout is more related to chronic stress and lack of coping strategies.
B. Connects well with others: Building relationships does not directly lead to burnout. In fact, strong connections can act as a protective factor.
C. Compassion fatigue: Compassion fatigue is emotional exhaustion from prolonged exposure to client suffering, which can lead to burnout. Nurses who struggle with emotional detachment are particularly vulnerable.
D. Consistent self-care: Practicing self-care helps prevent burnout by promoting emotional resilience and work-life balance.
Correct Answer is D
Explanation
A. "PAD does not allow a client to choose someone to make healthcare decisions on their behalf if they are unable to do so." PADs can include the designation of a health care proxy or durable power of attorney for health care decisions.
B. "PAD is not a legally binding document, like a living will." PADs are legally recognized in many jurisdictions and serve a similar purpose to living wills for psychiatric care.
C. "PAD is used by the majority of clients who have a mental illness." While beneficial, PADs are not widely used by most individuals with mental illness.
D. "PAD can include preferences for treatment, such as medications and preferred providers." PADs allow clients to outline their treatment preferences, including medications and preferred health care providers, in case they lose decision-making capacity.
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