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: Difficulty hearing low pitch is not a typical age-related change. Presbycusis, common in older adults, primarily affects high-frequency hearing, making it hard to discern high-pitched sounds like consonants. Low-pitch hearing is generally preserved. This choice does not reflect a normal sensory change, as it misaligns with the expected auditory decline in aging.

Choice B reason: Increased taste discrimination is incorrect, as aging typically reduces taste sensitivity due to fewer taste buds and altered salivary function. Older adults often report diminished flavor perception, impacting appetite. This choice is not a normal sensory change, as it contradicts the expected decline in gustatory function associated with aging.

Choice C reason: Impaired night vision is a normal age-related change due to presbyopia and reduced pupil dilation, decreasing retinal light sensitivity. Older adults struggle with low-light conditions, increasing fall risk. This change, linked to lens yellowing and slower dark adaptation, is expected and aligns with typical visual decline in aging populations.

Choice D reason: Heightened sense of smell is not typical in older adults. Aging reduces olfactory sensitivity due to fewer olfactory neurons and mucosal changes, impairing smell detection. This can affect safety, like detecting gas leaks. This choice is incorrect, as it opposes the normal decline in olfactory function seen in aging.

A. Believes there is no known ultimate reality. B. The patient is devoid of spirituality. C. Finds no meaning through relationship with others. D. Is certain there is no such entity as God.

Correct Answer is A

Explanation

Choice A reason: Agnosticism is the belief that the existence of ultimate reality or God is unknown or unknowable. The nurse should consider this when planning care, respecting the patient’s uncertainty about spiritual matters and avoiding assumptions about religious practices, ensuring care aligns with their belief system.

Choice B reason: Assuming the patient is devoid of spirituality is incorrect, as agnosticism does not preclude spiritual beliefs or practices. Agnostics may find meaning in non-religious spirituality. This assumption risks alienating the patient, making it an inappropriate consideration for care planning.

Choice C reason: Agnosticism does not imply finding no meaning in relationships. Patients may value human connections despite uncertainty about ultimate reality. This assumption misrepresents the patient’s beliefs and could lead to insensitive care, making it incorrect for planning based on their agnosticism.

Choice D reason: Agnostics are uncertain about God’s existence, not certain of its absence, which aligns with atheism. This misinterpretation of agnosticism could lead to inappropriate care assumptions, dismissing potential spiritual needs. The nurse should focus on the patient’s uncertainty, making this incorrect.

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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

A nurse is caring for an older adult. Which sensory change will the nurse identify as normal during the assessment?

Correct Answer is C

Explanation

The nurse is caring for a patient who professes to being an agnostic. Which information should the nurse consider when planning care for this patient’s belief system?

Correct Answer is A

Explanation

During a follow-up visit, a female patient is describing new onset of marital discord with her terminally ill spouse to the hospice nurse. Which Kübler-Ross stage of dying is the patient experiencing?

A nurse is called into the supervisor’s office regarding deteriorating work performance since the loss of a spouse 2 years ago. The nurse begins sobbing and says, “I’m falling apart at home as well.” Which type of grief is the nurse experiencing?

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?

A nurse is teaching the staff about the sleep cycle. Which period lasts 10 to 30 minutes?

A home care nurse is inspecting a patient’s house for safety issues. Which findings will cause the nurse to address the safety problems? (Select all that apply)

The nurse is caring for a patient in the intensive care unit who is having trouble sleeping. The nurse explains the purpose of sleep and its benefits. Which information will the nurse include in the teaching session? (Select all that apply)

A nurse makes a connection with the patient when providing spiritual care. Which type of connectedness did the nurse experience?

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