A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?

Dementia

Burnout

Traumatic brain injury

Bipolar disorder

Answer and Explanation

The Correct Answer is B

A. Dementia is a progressive cognitive decline that affects memory, reasoning, and behavior. While exhaustion and distraction could be seen in dementia, it is unlikely in an otherwise healthy nurse.

B. Burnout is a state of physical, emotional, and mental exhaustion caused by chronic workplace stress. Symptoms include fatigue, cynicism, reduced effectiveness, and dissatisfaction with work.

C. Traumatic brain injury (TBI) results from a head injury and leads to cognitive and physical symptoms like memory loss, headaches, and coordination issues, which do not align with the scenario.

D. Bipolar disorder involves episodes of mania and depression, not just exhaustion and dissatisfaction. It is a clinical mental health condition, whereas burnout is work-related stress.

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Correct Answer is B

Explanation

A. Resolving insurance issues : Insurance issues are typically handled by social workers or case managers, not bedside nurses.

B. Providing case management: General mental health nurses can provide case management, which includes coordinating care, making referrals, and advocating for resources.

C. Determining a mental health diagnosis : Only advanced practice registered nurses (APRNs), psychiatrists, and psychologists can diagnose mental health conditions.

D. Securing affordable housing for clients: Securing housing is a role of social workers, not nurses. Nurses may refer clients to resources but do not secure housing directly.

A. Upon admission B. While administering chemical or physical restraints C. When a client becomes agitated D. During debriefing after restraint removal

Correct Answer is A

Explanation

A. Upon admission: The best time to discuss policies on restraints and seclusion is at admission, when clients are calm and able to understand their rights.

B. While administering chemical or physical restraints : Explaining the policy during restraint use can increase client distress and agitation.

C. When a client becomes agitated: Discussing restraint policies while a client is already agitated is ineffective and could escalate distress.

D. During debriefing after restraint removal : While debriefing is important, waiting until after restraints are removed does not allow for proactive education.

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A nurse notes that a colleague seems exhausted, discouraged, distracted, and expresses dissatisfaction with being a nurse. The nurse should identify these as manifestations of which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing the scope of practice and responsibilities of mental health nurses who are not advanced practice registered nurses with a peer. Which of the following responsibilities is within the nurse's scope of practice?

Correct Answer is B

Explanation

A nurse in a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?

Correct Answer is A

Explanation

A nurse in a mental health unit is discussing the concepts of competency and capacity with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the concepts?

During what phase of the nurse-client relationship does the mutual level of trust and comfort occur? The patient is more accepting of the nurse's intervention and sees the nurse as a source of aid.

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A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?

A nurse is working to build rapport and trust with new clients. Which of the following actions should the nurse take?

A nurse in an inpatient mental health unit attends a training session about nurse burnout. The nurse should identify that burnout is most common in nurses who have which of the following traits?

A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?

A nurse is reinforcing teaching with a newly licensed nurse about the effects of adverse childhood experiences (ACES) across the lifespan. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?