Deck 6: Personal Health Promotion: a Role Model for Patients

Question 1

The LPN/LVN tells the charge nurse, "You can be glad I'm on duty today to pick up the slack for the staff member who called in sick. It's lucky that I came in early. Oh, and by the way, I can stay late, if necessary. You know how the next shift is. They expect everything to be caught up, even if they aren't that efficient themselves." These remarks suggest that the LPN/LVN may be

A) a chronic complainer.
B) a team player.
C) co-dependent.
D) chemically dependent.

Answer 1

co-dependent.

Question 2

Which statements are relevant to the problem that use of proper body mechanics does not wholly protect nurses from back injuries? (Select all that apply.)

A) Small workspaces may contribute to injuries.
B) There is increased obesity among nurses and patients.
C) Some musculoskeletal injuries are the result of cumulative stress.
D) Body mechanics studies were performed on men, providing results that may not be true for women.
E) Some nursing tasks require unnatural positions, such as bending from the torso, twisting, and so on.
F) None of the above

Answer 2

Small workspaces may contribute to injuries.
There is increased obesity among nurses and patients.
Some musculoskeletal injuries are the result of cumulative stress.
Body mechanics studies were performed on men, providing results that may not be true for women.
Some nursing tasks require unnatural positions, such as bending from the torso, twisting, and so on.

Question 3

During report, the LPN/LVN relates that although her assigned patient was ambulatory, she provided a bed bath, special foot care, and nail care; she justified the care by saying that the patient seemed very tired. The nurse also mentioned that the patient had a number of personal problems for which she provided counseling. The charge nurse recognizes these behaviors as suggesting

A) conscientious nursing.
B) empathetic response.
C) conflict avoidance.
D) co-dependence.

Answer 3

co-dependence.

Question 4

The nurse who works in the ICU leaves the room of a patient and bursts into tears. She tells a co-worker, "I have to touch the patient to provide care, but when I was turning her, a big piece of skin just sloughed off her back. How can I justify giving care when it seems to do more harm than good?" The nurse is most likely experiencing

A) burnout.
B) detachment.
C) negative outcomes.
D) secondary traumatic stress.

Question 5

The nurse in the workplace has little opportunity to receive positive feedback from peers or supervisors. What can be substituted?

A) A revisit from a former nursing instructor
B) Self-evaluation
C) Seeking compliments from the patient
D) An alcoholic beverage after work

Question 6

The student nurse states, "I don't have time for the bending and stretching routines the textbook advises." A peer student nurse could be most helpful by saying

A) "We each have to decide what's best for ourselves."
B) "I agree; the time could be better spent studying."
C) "You know how textbooks are heavy on theory."
D) "The idea of warm-ups preventing injury seems valid."

Question 7

Health promotion for patients is facilitated when the nurse encourages changes based on information that diabetes, heart disease, and breast and colon cancer are causally linked to

A) environmental toxins.
B) hypolipidemia.
C) overactivity.
D) obesity.

Question 8

How does co-dependence relate to nursing?

A) It is a necessary quality to develop a mutually rewarding relationship with the patient.
B) It is potentially destructive, because the nurse's co-dependency may prevent meeting the patient's needs.
C) Co-dependent nurses find nursing a healthy way to expand on nursing learned during school.
D) Co-dependency is the long-term goal of nursing instructors for nursing students.

Question 9

How can nurses avoid burnout?

A) Put patients' needs before their own needs.
B) Accept that as nurses, their vocational and personal lives are one.
C) Understand their own needs and maintain balance between work and personal life.
D) Use sympathy for the patient as a key to personal growth and professional development.

Question 10

A nurse is overheard telling a patient, "No, you do not need to bathe yourself. It doesn't make any difference if that's what the other nurses have you do. I will do that for you. I enjoy doing things for others, and I know you'll appreciate my taking this time with you." The most accurate assessment of this nurse's behavior is that she's

A) weird.
B) a good nurse.
C) hoping for a raise.
D) co-dependent.

Question 11

Which cycle is associated with being a co-dependent individual?

A) Experience fear, resort to manipulation, develop angry feelings toward victim
B) Rescue someone, view the rescued individual disrespectfully, experience feelings of victimization
C) Abuse a loved one, feel remorse, try to undo, experience increasing tension, abuse again
D) Express love, experience dissatisfaction, engage in violence

Question 12

A student nurse asks a peer, "What's the difference between recreation and relaxation?" The best response would be

A) "They're essentially the same."
B) "Relaxation usually lowers stress, but recreation can create stress."
C) "Relaxation exercises and recreation activities always lower stress."
D) "Relaxation requires knowledge of special techniques, but recreation takes no special skills."

Question 13

A nursing assistant tells the nurse, "I'm feeling negative about my job and just about everything else these days. Like today, I found myself feeling angry with Mrs. X. because she's overweight. I felt like telling her if she didn't eat so much, she'd make my life a lot easier. I need a vacation or a new job." The nurse can correctly determine that the nursing assistant is experiencing feelings associated with

A) spitefulness.
B) home conflicts.
C) burnout.
D) detachment.

Question 14

When a patient inquires about the 2010 MyPlate recommendations the nurse responds

A) "Protein is the largest part of the plate."
B) "Delete starch from the plate."
C) "Half of the plate should be fruits and vegetables."
D) "2% milk is recommended."

Question 15

The LPN/LVN notices that another nurse has made errors in practice and judgment over the past few weeks. In addition, the nurse's personality has undergone changes, such as irritability and unpredictability when responding to others. A patient mentioned to the LPN/LVN that when the nurse administered medication for pain relief, it didn't work as well as it had earlier in the day. Based on this information the LPN/LVN should

A) notify the state board of nursing.
B) confront the nurse with the observations.
C) call Employee Health and discuss the matter.
D) report these findings to the nurse in charge.

Question 16

A patient tells a student nurse, "I unwind by going to a quiet place, sitting in a comfortable chair, closing my eyes, and concentrating on my breathing." The patient is describing use of

A) imagery.
B) meditation.
C) relaxation.
D) recreation.

Question 17

A telltale sign of a chemically impaired nurse is

A) an increasing number of practice errors.
B) an objective, assertive manner.
C) willingness to admit to substance abuse.
D) an effort to seek treatment.

Question 18

The nurse is to present a mini-class on burnout prevention strategies at a nursing team meeting. Which topics would be appropriate to include? (Select all that apply.)

A) Use sympathetic responses to patients.
B) Seek daily evaluation from other health care team members.
C) Practice time management.
D) Use humor to reduce tension.
E) Keep nursing skills current.
F) Maintain perspective about work.

Question 19

The key to modifying co-dependent behavior is

A) recognition.
B) recreation.
C) intensive therapy.
D) establishing vulnerability.

Question 20

A student nurse tells a peer, "I find myself constantly thinking about patient X and the problems she's experiencing. Sometimes, it makes me want to cry. If only I had a magic wand and could make things better for her!" The peer to whom this is revealed can correctly determine that the student nurse is experiencing

A) empathy for the patient.
B) sympathy for the patient.
C) therapeutic involvement.
D) burnout.

Question 21

Telltale signs of chemical dependency in nurses include which of the following behaviors? (Select all that apply.)

A) Complaints by staff, students, and patients
B) A greater number of injuries caused while moving patients
C) Arriving early or staying late to assist in the narcotic count
D) Frequent absenteeism after days off and for personal emergencies
E) Increased visits to the employee health department or emergency room
F) Work performance that consistently exceeds the expectations of the supervisor