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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Providing companionship can help reduce feelings of isolation and agitation that may be exacerbated by sundown syndrome. Presence and interaction with a supportive person can provide comfort, reassurance, and a sense of security, which may help manage anxiety and agitation during the late hours.
B. Engaging in stimulating activities in the late afternoon or evening can sometimes worsen symptoms of sundown syndrome. Instead, activities should be calming and relaxing as excessive stimulation can
increase agitation and confusion. It’s better to plan stimulating activities earlier in the day.
C. Maintaining a familiar routine helps provide structure and predictability, which can be comforting for individuals with dementia. Consistent routines can help reduce confusion and anxiety, especially during the times when sundown syndrome symptoms are most pronounced.
D. While reminding the client about bedtime may seem like a good strategy, it can sometimes lead to frustration or increased agitation if the client is not ready for sleep or is confused. It is generally more effective to create a calming environment and use soothing routines rather than directly reminding the client of bedtime.
E. Reducing environmental stimulation, such as minimizing noise, bright lights, and other distractions, can help create a calm and peaceful environment. This approach can help prevent overstimulation, which is known to exacerbate sundown syndrome symptoms.
Correct Answer is A
Explanation
A. This is the defense mechanism where a person refuses to acknowledge a painful reality. In this case, the client is denying their illness and the need for hospitalization.
B. This involves reverting to childlike behaviors as a way to cope with stress. It doesn't fit the scenario.
C. This is attributing one's own unacceptable thoughts or feelings onto others. There's no evidence of this in the given situation.
D. This involves creating excuses to justify unacceptable behavior. The client is not justifying their behavior but denying it.
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