Deck 2: Stress Management

Question 1

The house supervisor is attempting to maximize his managerial time.Which of the following techniques can he use to maximize his time?

A)Delegation
B)Abdominal breathing
C)Compartmentalization
D)Anchoring

Answer 1

Delegation

Question 2

The charge nurse finished assessing the clients.In making assignments,which would be a priority?

A)Assign a nursing assistant to stay with a preoperative surgical client who was crying
B)Assign a licensed practical nurse/vocational nurse (LPN/VN)to start an intravenous line in a client who was bleeding rectally
C)Assign an LPN/VN to perform an initial assessment of a newly admitted client
D)Assign a nursing assistant to remove stitches from a postoperative client who is preparing to be discharged

Answer 2

Assign a licensed practical nurse/vocational nurse (LPN/VN)to start an intravenous line in a client who was bleeding rectally

Question 3

The nurse manager delegated the task of making client assignments to the staff nurse.How would the nurse manager evaluate the results of the delegation?

A)Ask other staff to supervise the nurse manager's work
B)Ask personnel if they are happy about the assignments
C)Correct the staff nurse's work
D)Use performance standards to evaluate

Answer 3

Use performance standards to evaluate

Question 4

The nurse manager was orienting a new staff nurse to the unit.The nurse manager identified the staff nurse's stress level when the staff nurse said:

A)"I'm so excited about this new job!"
B)"Is my license on the line if the equipment malfunctions?"
C)"I realize I'm just out of school,but I'm willing to learn."
D)"How long is orientation?"

Question 5

A physician referred a client to the pain management clinic for biofeedback treatments to help with migraine headaches.The nurse teaches the client that biofeedback:

A)Helps to get rid of negative thinking
B)Is the process of shouting "I feel …" inside one's head
C)Is a method of changing jobs
D)Is a method of gaining self-regulation to control autonomic responses

Question 6

What could a registered nurse (RN)delegate to a licensed practical nurse/vocational nurse (LPN/VN)that the RN could not delegate to a nursing assistant?

A)Making beds
B)Ambulating the client
C)Administering oral medications
D)Obtaining a urinary specimen

Question 7

The nurse manager stayed 2 hours late each night for a week developing new policies and procedures for the unit.This is an example of:

A)Shared governance
B)Underdelegating
C)Overdelegating
D)Procrastination

Question 8

A confused,agitated client was placed in the seclusion room on the psychiatric unit.The client requested to see a doctor.Which of the following actions taken by the nurse manager would be most likely to prevent possible workplace violence?

A)Having a nursing assistant stay with client in the seclusion room
B)Placing the client in a semiprivate room
C)Trying to orient the client to time and place
D)Prohibiting employees from entering the seclusion room alone

Question 9

Which of the following is one reason a staff nurse might not accept a delegated task?

A)Lack of guidelines to complete the task
B)Lack of confidence in the nurse manager.
C)Lack of understanding of organizational objectives
D)Lack of cooperation of other staff nurses

Question 10

A staff nurse complained that she was being a "gofer" for the nurse manager without any recognition for doing the extra work of developing policies.So the staff nurse decided not to continue working on the policies.This is an example of:

A)Underdelegation
B)Overdelegation
C)Procrastination
D)Lack of self-confidence

Question 11

A staff nurse felt anger about the poor care an elderly client received at a long-term care facility.The nurse probably used what technique to identify this anger?

A)Time blocking
B)Value clarification
C)Goal setting
D)Feeling pause

Question 12

After delegating to the staff nurse the task of scheduling,the nurse manager plans to provide support by:

A)Sharing information
B)Criticizing how the staff nurse completes the task
C)Assuming authority over the project
D)Maintaining liability

Question 13

The nurse manager was reprimanding the nursing assistant for clocking in late 3 days in a row.Which statement indicates the greatest source of stress for the nursing assistant?

A)"I'm sorry I am late.I have no excuse."
B)"I'm not the only one who clocks in late."
C)"I'm getting married this weekend."
D)"I need to get my cup of coffee."

Question 14

Which of the following people is more likely to experience burnout?

A)A nurse who just celebrated her fifth year with the agency
B)A nurse manager who works 50 hours a week
C)A nursing assistant who just returned from vacation
D)A unit secretary who would like to return to school

Question 15

A staff nurse was ordering supplies for the unit.After several interruptions,the nurse put down the order form and walked away from the task.This is an example of:

A)Underdelegating
B)Nonemotional procrastination
C)Emotional procrastination
D)Planning

Question 16

In teaching a stress management workshop,the nurse educator emphasizes that which of the following determines how one responds to stress?

A)State in life (e.g. ,single versus married)
B)Age
C)Job occupation
D)Person's perceptions

Question 17

An alcoholic client is being discharged.To help enhance the client's self-esteem,it would be most appropriate for the staff nurse to provide information about:

A)Taking a vacation alone
B)Self-help support groups
C)Referral sources
D)Nutritional support

Question 18

Which of the following indicates that the nurse is culturally sensitive?

A)Allowing a Hispanic-American client's extended family into the room
B)Talking loudly to an Asian-American staff nurse
C)Firmly shaking hands with a Native American client
D)Standing face to face with an African-American staff nurse

Question 19

A nurse manager complains to another nurse about a new graduate who just began working on the unit.The nurse manager's behavior can best be described as:

A)Workaholism
B)Chronic fatigue
C)Burnout
D)Eustress

Question 20

A staff nurse was promoted to unit manager.Which technique can the staff nurse use to manage the stress associated with this change?

A)Become more authoritative
B)Request a pay raise
C)Set aside time to observe respected leaders or managers
D)Set aside time to inventory the unit's weaknesses

Question 21

An important way for nurse managers to maximize organizational time is to:

A)Use passive-aggressive communication with others
B)Delegate all aspects of nursing care to nursing assistants
C)Teach others how to do the work instead of doing it themselves
D)Look the other way when conflict arises

Question 22

A nurse manager wants to ensure appropriate delegation to a staff member.To do that,the manager should be familiar with all but which of the following?

A)The job description for the staff member
B)The educational background of the staff member
C)The skills checklist or certifications of the staff member
D)The attitudes of other staff toward that staff member

Question 23

A staff nurse put off charting until near the end of the shift change.To stop the procrastination,the nurse manager suggested that the staff nurse:

A)Make a commitment to finish
B)Needs to choose a pleasant task
C)Delegate the charting to other staff nurses
D)Depend on the nurse manager to chart

Question 24

To implement a new staffing schedule based on acuity levels,the nurse manager established time estimates for nursing duties.This is an example of maximizing organizational time by:

A)Planning
B)Organizing
C)Staffing
D)Directing

Question 25

Organizational charts help clarify who is responsible to whom and for what.Which of the following is an example of the use of an organizational chart?

A)Nurse's aide giving a report to the physician
B)Nurse's aide giving a report to the team leader
C)LPN/VN giving a report to the pharmacist
D)LPN/VN giving a report to the house supervisor