A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?

Asking for the day off

Delegating appropriate care assignments to unlicensed assistive personnel

Writing down long lists of needed interventions before starting the day's work

Asking a coworker to take one of her patients

Answer and Explanation

The Correct Answer is B

A.   This is a temporary solution and doesn't address the underlying issue of workload.
B.   This is a healthy coping mechanism as it involves effective time management and prioritization. Delegating tasks that can be safely performed by others allows the nurse to focus on more complex patient care needs.
C.   This can be helpful but doesn't necessarily reduce the overall workload.
D.   While this might provide temporary relief, it's not a sustainable solution and can create resentment among colleagues.

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Correct Answer is A

Explanation

A. Lithium has a narrow therapeutic index, meaning the difference between a therapeutic dose and a toxic dose is small. Frequent monitoring allows for early detection of rising lithium levels, preventing toxicity.
B. While monitoring lithium levels is important for overall treatment, it's not primarily used to identify relapse.
C. Lithium primarily affects the kidneys, not the liver. Liver function tests are important for overall health monitoring but are not the primary reason for frequent lithium level checks.
D. While this is a goal, the primary reason for such frequent monitoring is to prevent toxicity, which can occur rapidly.

A. A physical disease process B. Periods of crisis C. Lack of a support system D. Nutritional deficits

Correct Answer is A

Explanation

A. A physical disease, especially a chronic one, can significantly impact a person's physical and mental well-being, leading to a decline in functional capacity.
B. While crises can be challenging, they are often temporary and do not necessarily lead to a long-term decline in functional capacity.
C. While a support system is crucial for overall well-being, its absence does not always lead to a significant decline in functional capacity. Many people can cope with challenges without a formal support system.
D. While essential for overall health, nutritional deficits typically lead to a gradual decline in functional capacity unless they are severe and prolonged.

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A nurse tearfully confides to the head nurse that being assigned to care for eight patients is stressful and overwhelming. What demonstrates the use of a healthy coping mechanism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary reason for monitoring lithium levels every two to three days until a therapeutic level is obtained?

Correct Answer is A

Explanation

The majority of people function in a relatively healthy manner. What can most strongly diminish their functional capacity?

Correct Answer is A

Explanation

Suicide attempts by are more successful because one out of every two attempts results in death.

A 75-year-old man finds that he continually misplaces items he uses every day. In addition, his wife becomes annoyed when he asks the same question several times because he does not remember the answer. What advice is the most appropriate for his health care provider to give him?

Which client would be a candidate for Electroconvulsive Therapy (ECT)?

The caregiver works with suicidal clients to establish therapeutic rapport. The focused communications and concerned actions encourage suicidal persons to

A nurse is assisting with the development of a community health education class about suicide prevention. Which of the following information should th nurse identify as risk factors for suicide? (Select all that apply.)

A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?

The goal of treatment during the first phase of depression is to:

A client is admitted to a psychiatric unit for treatment of a psychotic disorder. The client is at the locked exit door and is shouting. "Let me out! There's nothing wrong with me! I don't belong here!" The nurse identifies this behavior as which defense mechanism?