Question 1

Jeffrey,an RN in his 30s,has lost a parent,just purchased a new home,and is laid off with 6 months' severance pay.At the same time,Miles,an RN in his 50s,is financially secure and is asked to take early retirement with a buyout.How will the two men react to the emotional and physical influences and the sequence of stress?

Accepted Answer

Stress is subjective and can be influenced by a variety of factors, such as personality, coping mechanisms, and social support. Therefore, it is not possible to predict how each individual will react to their specific situations. Both men may experience varying levels of emotional and physical stress, and their reactions will depend on their individual circumstances and coping strategies.

Question 2

Which of the following statements would best define stress?

Accepted Answer

Stress is not just a negative experience. It can also be a positive response to an event or stimulus, such as excitement or motivation. Option A is incorrect as stress is not necessarily comfortable. Option B is too general and does not provide an accurate definition. Option D is incorrect as stress is not always negative or distressing.

Question 3

"Stress-buffering" behaviours can be elicited to reduce stress.All of the following behavioural coping responses can be used by nurse managers to reduce and manage stress except:

Accepted Answer

Distancing oneself from work may not be the best coping strategy for nurse managers, as they may need to stay engaged and present in their work responsibilities. The other options (B, C, and D) are all effective stress-buffering techniques that nurse managers can use to manage stress.

Question 4

In a job interview for a nursing position,Marley can be assured that which of the following will occur?

Accepted Answer

Job interviews can be both exciting and stressful experiences for any individual. As a nursing position is a highly competitive and demanding job, Marley can expect to experience both eustress (positive stress) and distress (negative stress) during the interview process. Eustress may occur when Marley feels excited about the opportunity and confident about their qualifications. Distress may occur when Marley feels nervous, overwhelmed, or unsure about how to answer certain questions. It is important for Marley to recognize and manage both types of stress during the interview process to perform their best.

Question 5

Both Mr.Jiang and Mr.Goldstein are going to become residents in Sunny Haven Lodge.Mr.Jiang views it as an opportunity to socialize and meet new friends.Mr.Goldstein views this as abandonment by his family and is worried that the care will be inadequate.Each man perceives the situation differently.This is a good example of stress that is:

Accepted Answer

Mr. Jiang views moving into Sunny Haven Lodge as a positive experience, while Mr. Goldstein views it as a negative experience. Therefore, this is an example of stress that is both a positive stressor (for Mr. Jiang) and a negative stressor (for Mr. Goldstein).

Question 6

A staff nurse approaches the unit manager and indicates to her that because of her father's death in the previous month,she is now finding it very difficult to do her work effectively.This would be considered which type of stress?

Accepted Answer

The answer of A staff nurse approaches the unit manager...

Question 7

A unit has lost many staff members,the unit now being staffed with a large number of agency and travelling nurses.The nurse manager knows that the agency and travelling nurses are all contracted to stay on the unit for the next 3 months.One way to improve morale and decrease stress in the unit would be to:

Accepted Answer

Planning a social event that includes the agency and travelling nurse staff members will help to improve morale and foster a sense of unity within the unit. It will also help to decrease stress by allowing staff to interact and get to know each other outside of work. Additionally, planning unit-based social events for permanent staff members alone may only further divide the staff and lead to feelings of exclusion among the agency and travelling nurses. Requesting hospital-based floating nurses may not be feasible or available, and implementing team nursing may not necessarily address the morale and stress issues that the unit is currently facing.

Question 8

In helping nurse managers manage their time,the chief nursing officer suggests that they:

Accepted Answer

The answer of In helping nurse managers manage their time,the...

Question 9

Rama,a psychiatric nurse,is assigned to four patients.The patient who is experiencing a personal stress trigger is the patient who has experienced:

Accepted Answer

The death of a spouse is a significant life event that can cause personal stress and potentially impact one's mental health.

Question 10

Which area of meeting management is a group leader's best strategy for contributing to a satisfactory meeting experience?

Accepted Answer

Planning is the best strategy for contributing to a satisfactory meeting experience because it involves setting clear goals and objectives, preparing an organized agenda, and ensuring that participants are adequately informed and prepared for the meeting. By focusing on planning, group leaders can help to create a productive and engaging meeting environment that encourages participation and fosters collaboration.

Question 11

The nurse manager is implementing a shared governance model to help with communication and decision-making.Although staff members like the concept,change is difficult.Staff nurses feel:

Accepted Answer

Whenever a change is introduced, there is often some level of frustration and anxiety. As the staff adjusts to this new model of communication and decision-making, there may be some initial confusion and resistance. Furthermore, some staff members may feel a sense of role conflict, particularly if they are accustomed to a hierarchical style of management. Over time, however, staff members may feel more empowered and involved in decision-making, which could ultimately lead to less stress and improved job satisfaction.

Question 12

Which of the following statements is true?

Accepted Answer

This statement is true as stressors can have different effects on different individuals due to differences in coping mechanisms and past experiences.

Question 13

During the regular monthly meeting of the unit clinical practice group,Isabel,the chairperson,continually refers to the members of the committee as "we" rather than "I." Which discursive strategy is Isabel employing?

Accepted Answer

Isabel is employing the discursive strategy of bonding by using the inclusive pronoun "we" to create a sense of unity and shared goals among the members of the committee.

Question 14

Social stressors are considered a major factor in the stress nurses experience in the health care system.Which of the following is not considered to be a social stressor?

Accepted Answer

Personal stress triggers such as self-criticism and overanalyzing are not considered to be social stressors. The other options listed (high amounts of stress in the nurse's home environment, changes in the current health care system, and disruptive behaviour by physicians and other health care workers) are all social stressors commonly experienced by nurses in the health care system.

Question 15

A hospice nurse has been feeling very stressed at work because of both the physical strain and the emotional drain of working with patients with acquired immune deficiency syndrome (AIDS).She tries to walk 1 to 2 miles three times a week and to talk regularly with her husband about her work-related feelings.Another reasonable stress management strategy would be to:

Accepted Answer

The best choice for the hospice nurse would be to start taking yoga lessons. Yoga is a proven stress-reducing activity that can help deal with both physical and emotional stressors. Additionally, it can help with relaxation, breathing techniques, and overall well-being. Meeting with a psychiatrist should be considered if the nurse is experiencing symptoms of depression, anxiety, or other mental health issues. Jogging 5 to 6 miles every day can be physically demanding and may add more strain to an already physically demanding job. Finally, while socializing with colleagues can be beneficial, it may not be the best option for managing stress every day as it may not provide enough time for personal reflection and self-care.

Question 16

A nurse manager has decided that she must institute some personal time management steps to handle work and home life.Her first step should be to:

Accepted Answer

The answer of A nurse manager has decided that she...

Question 17

The chief nursing officer listens to nurse managers verbalize their feelings of internal stress.One common source of internal stress seems to be:

Accepted Answer

Perfectionism is a common source of internal stress for many individuals, including nurse managers. The pressure to always be perfect and meet impossibly high standards can lead to feelings of burnout and dissatisfaction. The chief nursing officer should recognize this and provide resources for stress management and self-care.

Question 18

As a nurse manager you observe that over the past few weeks a staff nurse has become withdrawn and has had several absences because of minor ailments.Your best action would be to:

Accepted Answer

Meeting with the nurse privately before she leaves for the day allows for a confidential and supportive conversation, where the nurse manager can express concern, offer support, and discuss any issues the nurse may be facing.

Question 19

The staff development educator presents a series of programs on stress management to the nurse managers.Research has indicated that an individual's ability to deal with stress is moderated by psychological hardiness.Psychological hardiness is a composite of:

Accepted Answer

Psychological hardiness is composed of three specific qualities: commitment, control, and challenge. Commitment refers to a sense of purpose and involvement in life, control refers to the belief that one can influence outcomes, and challenge refers to the belief that change and new experiences are opportunities for growth rather than threats. Therefore, option A is the correct answer. Option B includes powerlessness and passivity, which are incorrect components of psychological hardiness, while option C includes passivity, which is also incorrect. Option D includes decreased isolation, which is not a component of psychological hardiness.

Question 20

The one activity that a nurse manager should not overlook is:

Accepted Answer

The answer of The one activity that a nurse manager...

Quiz 29: Self-Management: Stress and Time