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?

Delegate complex nursing tasks to nursing assistive personnel.

Write for 10 minutes in a journal every day.

Use progressive muscle relaxation.

Strengthen friendships outside the workplace.

Answer and Explanation

The Correct Answer is C

Choice A reason: Delegating complex tasks to assistive personnel is inappropriate, as it may compromise patient safety and violate scope of practice. While delegation reduces workload, it does not address emotional or physiological stress directly. This strategy is less effective for burnout prevention compared to relaxation techniques.

Choice B reason: Journaling for 10 minutes daily can help process emotions but is less immediate in reducing physiological stress. Burnout involves physical and emotional exhaustion, and while reflective writing is beneficial, it is not as effective as progressive muscle relaxation in directly alleviating stress-related tension.

Choice C reason: Progressive muscle relaxation reduces burnout by systematically tensing and relaxing muscles, lowering cortisol and promoting calmness. This evidence-based technique directly addresses the physical and emotional toll of a stressful nursing unit, making it the best strategy for a new nurse to prevent burnout effectively.

Choice D reason: Strengthening friendships outside work supports social well-being but does not directly alleviate acute stress or physical exhaustion from extra shifts. While valuable, it is less immediate than progressive muscle relaxation in addressing burnout’s physiological effects, making it a less optimal strategy.

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Correct Answer is C

Explanation

Choice A reason: A belief tool is not a standardized method for spiritual assessment. The FICA tool specifically evaluates faith, importance, community, and action, including questions about God and purpose. Assuming a vague belief tool risks incomplete assessment, missing critical spiritual needs that influence patient coping and well-being in holistic care settings.

Choice B reason: The spiritual well-being scale measures general spiritual health but is not structured for detailed questions about God or life purpose, unlike the FICA tool’s targeted approach. Using this risks missing specific spiritual concerns, limiting the nurse’s ability to address existential needs critical for patient support in illness or end-of-life care.

Choice C reason: The FICA assessment tool (Faith, Importance, Community, Action) involves structured questions to evaluate spiritual beliefs, including relationships with God and life purpose. Its comprehensive 20-question format assesses spiritual needs, guiding holistic care. This method ensures tailored interventions, supporting emotional and spiritual well-being, critical for patients facing serious health challenges.

Choice D reason: The hope scale measures optimism but not specifically the relationship with God or life purpose, unlike the FICA tool’s broader spiritual focus. Assuming this method risks overlooking religious or existential concerns, reducing the effectiveness of spiritual care in addressing patient needs for meaning and satisfaction during health crises.

A. “Meditation alters the chemical composition of pain neuroregulators, which closes the gate.” B. “Meditation stops the occurrence of pain stimuli.” C. “Meditation will help me sleep through the pain because it opens the gate.” D. “Meditation controls pain by blocking pain impulses from coming through the gate.”

Correct Answer is D

Explanation

Choice A reason: Meditation does not alter the chemical composition of pain neuroregulators. The gate control theory posits that non-painful stimuli, like meditation, modulate pain signals in the spinal cord. This statement inaccurately describes the mechanism, as meditation affects neural gating, not chemical changes, making it incorrect.

Choice B reason: Meditation does not stop pain stimuli from occurring; it modulates pain perception. The gate control theory explains how cognitive techniques like meditation reduce pain signal transmission, not eliminate the stimulus. This statement misrepresents the theory’s mechanism, making it an incorrect reflection of understanding.

Choice C reason: Meditation does not open the pain gate or promote sleeping through pain. The gate control theory suggests meditation closes the gate, reducing pain signals. Opening the gate would increase pain perception, contradicting the theory’s principles, making this an incorrect understanding of meditation’s role.

Choice D reason: Meditation controls pain by blocking pain impulses, as per the gate control theory. It activates non-painful stimuli, closing the spinal “gate” to reduce pain signal transmission to the brain. This statement accurately reflects how meditation modulates pain perception, demonstrating correct understanding of the theory.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In caring for the patient’s spiritual needs, the nurse asks 20 questions to assess the patient’s relationship with God and a sense of life purpose and satisfaction. Which method is the nurse using?

Correct Answer is C

Explanation

A nurse teaches the patient about the gate control theory. Which statement made by a patient reflects a correct understanding about the relationship between the gate control theory of pain and the use of meditation to relieve pain?

Correct Answer is D

Explanation

A nurse is discussing the changing demographics of the US population. What is expected to be the fastest growing racial/ethnic group by 2060?

The nurse is completing an assessment on an older-adult patient who is having difficulty falling asleep. Which condition will the nurse further assess for in this patient?

A patient is diagnosed with obstructive sleep apnea. Which assessment is the priority?

The nurse is caring for a patient in the sleep lab. Which assessment finding indicates to the nurse that the patient is in stage 4 NREM?

The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?

A nurse is caring for a patient in the last stages of dying. Which finding indicates the nurse needs to prepare the family for death?