After several months of heavy patient loads in the Emergency Department and inability to secure sufficient and experienced staff, the department is especially taxed by a train accident that brings in many seriously injured individuals. You observe that Rama ignores the requests of several of the injured, even when time is available to care for them and is rude to two older adult patients. You are concerned that Rama is evidencing which state?
depersonalization
role ambiguity
depression
hardiness
The Correct Answer is A
A. Depersonalization: Depersonalization involves feeling detached from one’s work and treating patients as objects rather than individuals, which matches Rama's behavior of ignoring patient requests and being rude.
B. Role ambiguity: Role ambiguity occurs when there is a lack of clarity about job responsibilities and expectations, which does not align with the described behaviors.
C. Depression: Depression involves persistent sadness and loss of interest in activities, which may not directly explain the specific behaviors of ignoring and being rude to patients.
D. Hardiness: Hardiness is a personality trait that involves resilience and the ability to endure stressful situations, which contrasts with Rama's negative behaviors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Encouraging the patient to attend group therapy: While group therapy is important for long-term recovery and psychological support, it is not the immediate priority in acute care.
B. Monitoring for thoughts of self-harm: This is a critical aspect of care, but maintaining physical health through stabilizing fluid and electrolyte balance takes precedence due to the immediate life-threatening risks associated with anorexia nervosa.
C. Preventing fluid and electrolyte imbalance: Addressing fluid and electrolyte imbalances is the highest priority as these imbalances can lead to severe complications, including cardiac arrest, which is a primary concern in clients with anorexia nervosa.
D. Fostering feelings of self-respect: This goal is essential for long-term recovery, but it is secondary to immediate physical health concerns that could pose life-threatening risks.
Correct Answer is B
Explanation
A. Avoiding: Avoiding conflict would involve not addressing the issue or avoiding the conversation, which is not the case here.
B. Compromising: Compromising involves making mutual concessions to reach a solution that is acceptable to both parties, which is demonstrated by the charge nurse agreeing to cover the nurse’s patients in exchange for help with the drug count.
C. Cooperating: Cooperating would involve working together to solve the problem, but without a clear exchange or compromise, which does not fully describe this situation.
D. Competing: Competing involves a win-lose approach, where one party’s needs are met at the expense of the other’s, which does not apply here as both parties are making concessions.
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