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

Answer and Explanation

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. Bias: Bias is a personal or systemic prejudice, not an ethical principle.

B. "Duty to Warn": “Duty to Warn” is a legal obligation to report harm, but it is not an ethical principle—it falls under legal mandates like Tarasoff laws.

C. Justice: Justice is an ethical principle that ensures fair and equitable treatment for all clients.

D. HIPAA: HIPAA (Health Insurance Portability and Accountability Act) is a legal regulation, not an ethical principle.

A. To create a safe and healing environment for the client B. To repair and resolve the client's trauma C. To focus solely on the client's trauma history D. To minimize the client's trauma manifestations

Correct Answer is A

Explanation

A. To create a safe and healing environment for the client: Trauma-informed care (TIC) focuses on providing a supportive, safe, and empowering environment for clients who have experienced trauma. The goal is not to force resolution but to foster trust, autonomy, and recovery.

B. To repair and resolve the client's trauma: While healing may occur, TIC does not aim to "resolve" trauma directly. Instead, it emphasizes understanding the impact of trauma and reducing retraumatization.

C. To focus solely on the client's trauma history: TIC considers the trauma history but also focuses on the present needs, coping strategies, and overall well-being of the client. It does not exclusively dwell on past trauma.

D. To minimize the client's trauma manifestations: The goal is not to suppress trauma symptoms but to acknowledge them, provide appropriate care, and promote a sense of safety and control for the client.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?

Correct Answer is C

Explanation

What is the goal of trauma-informed care?

Correct Answer is A

Explanation

During the working phase of the nursing relationship, the nurse and client work together to achieve the client's goals. What is the primary focus of this phase?

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Which situation is an exception to the rule of maintaining patient confidentiality?

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