Exam 5: Managing Time and Stress

Max is a nurse on the 7 PM to 7 AM shift on the orthopedic floor. He is the most experienced nurse on the unit during this shift, with 6 years of nursing experience. Max usually acts as charge nurse during his shift while caring for a group of patients. Recently there has been an influx of new graduates working on his shift. Some nights, he is expected to orient a new nurse, act as the charge nurse, and mentor other new nurses working on the floor. He is concerned that with all the new nurses, there are not enough mentors for all of them, resulting in less-than-optimal care delivery. Which factors have been shown to decrease stress for nurse leaders? (Select all that apply.)

The first critical step in creating an environment to prevent and address work-related stress is:

Managers have a key role in mitigating stress in the workplace. Which strategies will assist the manager in creating a more healthy work environment? (Select all that apply.)

A staff nurse has a concern about a co-worker who may be diverting medications. The staff nurse would like to report the concern to a supervisor, but she is fearful of retaliation from her colleagues. The staff nurse knows that the ethical thing to do is report the concern for the sake of patient safety. This nurse is experiencing:

Creating a safe, empowering, and satisfying work environment can be accomplished through implementation of:

Nurse managers are in a position of impacting the stress levels of employees through improving work environments and creating a culture of enhanced staff satisfaction. Having structures and processes in place to prevent work-related stress from happening in the first place requires:

There is evidence of a link between _____ employees with higher productivity and more satisfied customers.

Which of the following statements are true regarding job stress? (Select all that apply.)

A new nurse manager is provided with a smartphone in order to efficiently manage her time. What is the most effective method of managing stress related to e-mail?

Definitions of stress are: (Select all that apply.)

In setting boundaries it is important to do which of the following?

A staff RN is writing an article for a prestigious nursing journal. The deadline is in 1 week, and she is feeling overwhelmed about completing her work. She is unable to keep up with home management, and she is beginning to procrastinate on the project. She also has other responsibilities, such as taking her elderly mother grocery shopping and to health care appointments. She is married to a busy executive and has three children, all of whom are active in high school sports. Which of the following stress management strategies would be helpful? (Select all that apply.)

Nurses who must manage unplanned and regular responsibilities simultaneously may experience:

Jay, a nurse in the intensive care unit, has been caring for a patient with end-stage renal disease, congestive heart failure, and a stroke. The client has had four cardiac arrests in 4 days. Despite the grave prognosis, the client's family continues to want resuscitation at all cost. Jay knows that further medical care is futile. Jay is at risk for:

An internal obstacle that may contribute to moral distress is:

What are some methods that nursing staff can use to manage personal stress levels? (Select all that apply.)

Job stress can accumulate into: (Select all that apply.)

A new nursing manager is falling behind on the staffing schedule, the monthly budget, and employee evaluations. She says to her director, "I'm working 60 hours per week and I still don't have enough time to do it all." The nursing director suggests which of the following to her?

_____ is defined as the accomplishment of specified activities during the time available.

Nurses who are successful at time management: