The nurse manager is conducting a performance review with a nurse who has worked on the unit for 10 years. During the review, the nurse begins to cry and tells the manager, "I just can't do this anymore. I can't sleep because I have such bad nightmares about patients. I can't eat and I've already lost 15 pounds." The nurse manager identifies these findings as being possible signs of which problem?
A) Moral distress
B) Too much focus on the patient
C) Developing incompetence
D) Problems at home

Question

Quizplus · Accepted Answer

Rationale 1: Signs and symptoms of moral distress include powerlessness, guilt, loss of self-worth, self-criticism, low self-esteem, and physiologic responses such as crying, depression, loss of sleep, nightmares, and loss of appetite.
Rationale 2: These statements do not indicate that the nurse has too much focus on patients.
Rationale 3: These comments by the nurse are a call for help and are not indicative developing incompetence.
Rationale 4: There is no evidence that this nurse is experiencing problems at home.

The Nurse Manager Is Conducting a Performance Review with a Nurse