A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions?
Compassion fatigue
Adventitious stress
Prolonged grief disorder
Post-traumatic stress disorder (PTSD)
The Correct Answer is A
A. Compassion fatigue: Correct. Compassion fatigue is characterized by emotional exhaustion and a reduced ability to empathize due to prolonged exposure to others' suffering, which fits the nurse’s experience of feeling overwhelmed and difficulty feeling sympathy.
B. Adventitious stress: Incorrect. Adventitious stress refers to stress caused by external, unexpected events such as natural disasters or accidents, not by ongoing exposure to clients' suffering.
C. Prolonged grief disorder: Incorrect. Prolonged grief disorder involves intense and persistent grief following a loss, not the emotional exhaustion or empathy issues described by the nurse.
D. Post-traumatic stress disorder (PTSD): Incorrect. PTSD is characterized by severe anxiety, flashbacks, and intrusive thoughts related to trauma, not primarily by empathy fatigue or feeling overwhelmed by others' suffering.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Tell the client there is nobody else in the room: This action is not appropriate as it does not address the immediate clinical needs of the client. Providing comfort and managing symptoms is a priority at the end of life.
B. Turn the client on their side: This action helps in relieving pressure, preventing aspiration, and improving respiratory function, which is particularly beneficial when a client is experiencing irregular and shallow breathing.
C. Place a fan to blow lightly toward the client: A fan can help alleviate discomfort from labored breathing and provide a cooling effect, which can be soothing for the client and improve their comfort.
D. Administer an opioid narcotic to the client: Opioids can help manage pain and dyspnea in end-of-life care, improving the client's comfort and quality of life by relieving symptoms of distress.
E. Provide deep nasotracheal suctioning for the client: This action is typically not recommended at the end of life as it can cause discomfort and distress without significant benefit. Gentle suctioning, if necessary, should be performed cautiously and with attention to the client's comfort.
Correct Answer is B
Explanation
A. Change in marital status: This is a psychological and social stressor rather than a physiological one.
B. Burn injury: A burn injury is a physiological stressor because it directly affects the body's physical systems and functions, causing a stress response.
C. Academic pressure: This represents a psychological and emotional stressor, impacting mental health and well-being, rather than physical systems.
D. Financial difficulties: Financial difficulties are psychological and social stressors, affecting emotional and mental health rather than physiological processes.
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