Deck 28: Self-Management: Stress and Time

Question 1

A hospice nurse has been feeling very stressed at work because of both the physical strain and the emotional drain of working with patients with acquired immune deficiency syndrome (AIDS).She tries to walk 1 to 2 miles three times a week and to talk regularly with her husband about her work-related feelings.Another reasonable stress management strategy would be to

A) start taking yoga lessons.
B) make an appointment to meet with a psychiatrist.
C) start jogging 5 to 6 miles every day.
D) plan to go out for a drink with fellow nurses after work every day.

Answer 1

start taking yoga lessons.

Question 2

Which area of meeting management is a group leader's best strategy for contributing to a satisfactory meeting experience?

A) Assessment
B) Planning
C) Implementation
D) Evaluation

Answer 2

Planning

Question 3

Both Mr.Jiang and Mr.Goldstein are going to become residents in Sunny Haven Lodge.Mr.Jiang views it as an opportunity to socialize and meet new friends.Mr.Goldstein views this as abandonment by his family and is worried that the care will be inadequate.Each man perceives the situation differently.This is a good example of stress that is

A) both a positive stressor and a negative stressor.
B) occurring only because of age.
C) positive in both cases.
D) harmful in both cases.

Answer 3

both a positive stressor and a negative stressor.

Question 4

As a nurse manager,you observe that over the past few weeks,a staff nurse has become withdrawn and has had several absences because of minor ailments.Your best action would be to

A) ask the nurse if she is okay during report.
B) refer the nurse to the employee assistance program.
C) ask the nurse to meet with you for a few minutes before she leaves for the day.
D) write a note to the nurse advising her that her work attendance must improve.

Question 5

Which of the following statements would best define stress?

A) "Stress is the comfortable gap between how we like our life to be and how it actually is."
B) "Stress is everyday life, both the highs and the lows."
C) "Stress is a consequence or response to an event or stimulus that can be positive or negative."
D) "Stress is identical to distress."

Question 6

Social stressors are considered a major factor in the stress nurses experience in the health care system.Which of the following is not considered to be a social stressor?

A) High amounts of stress in the nurse's home environment
B) Changes in the current health care system such as nursing strategies
C) Disruptive behaviour by physicians and other health care workers
D) Personal stress triggers such as self-criticism and overanalyzing

Question 7

A nurse manager has decided that she must institute some personal time management steps to handle work and home life.Her first step should be to

A) determine what takes up so much of her time and energy.
B) organize her personal and work spaces.
C) purchase a handheld personal digital assistant to help remind her of important meetings.
D) determine her personal and professional goals.

Question 8

In helping nurse managers manage their time,the chief nursing officer suggests that they

A) maintain a perfectionistic attitude.
B) set up a complaint list.
C) have good negotiation skills.
D) have good information literacy skills.

Question 9

A staff nurse approaches the unit manager and indicates to her that because of her father's death in the previous month,she is now finding it very difficult to do her work effectively.This would be considered which type of stress?

A) Internal source
B) Familial
C) Burnout
D) External

Question 10

Jeffrey,an RN in his 30s,has lost a parent,just purchased a new home,and is laid off with 6 months' severance pay.A the same time,Miles,an RN in his 50s,is financially secure and is asked to take early retirement with a buyout.How will the two men react to the emotional and physical influences and the sequence of stress?

A) The younger man will feel more stress.
B) The two men may or may not feel the same amount of stress.
C) The older man will feel more stress.
D) Neither man will experience any stress.

Question 11

During the regular monthly meeting of the unit clinical practice group,Isabel,the chairperson,continually refers to the members of the committee as "we" rather than "I." Which discursive strategy is Isabel employing?

A) Directing
B) Modulating
C) Bonding
D) Recommitting

Question 12

Sources of occupational stress in nursing include all except which of the following?

A) Authoritarian leadership
B) Concern about moral wrongdoing by colleagues
C) Multiple changes in a short time
D) Job insecurity

Question 13

The one activity that a nurse manager should not overlook is

A) posting the yearly rotation schedule.
B) reviewing vacation requests.
C) scheduling staffing for holidays 6 months in advance.
D) anticipating staff sick days.

Question 14

Which of the following statements is true?

A) "Recent research has demonstrated that women do not have a unique physiologic response to stress."
B) "Both men and women interpret the same stressor in the same manner without regard to past experiences."
C) "Stress influences the immune system in one complex manner."
D) "Stressors that are identical do not have the same effect on each individual."

Question 15

The staff development educator presents a series of programs on stress management to the nurse managers.Research has indicated that an individual's ability to deal with stress is moderated by psychological hardiness.Psychological hardiness is a composite of

A) commitment, control, and challenge.
B) commitment, powerlessness, and passivity.
C) commitment, control, and passivity.
D) decreased isolation, challenge, and passivity.

Question 16

The chief nursing officer listens to nurse managers verbalize their feelings of internal stress.One common source of internal stress seems to be

A) the death of a loved one.
B) perfectionism.
C) getting married.
D) losing a job.

Question 17

Rama,a psychiatric nurse,is assigned to four patients.The patient who is experiencing a personal stress trigger is the patient who has experienced

A) the death of a spouse.
B) a recent relocation to the city.
C) a job promotion.
D) a loss of driver's license.

Question 18

A unit has lost many staff members,and the unit is now staffed with a large number of agency and travelling nurses.The nurse manager knows that the agency and travelling nurses are all contracted to stay on the unit for the next 3 months.One way to improve morale and decrease stress in the unit would be to

A) plan a social event and include the agency and travelling nurse staff members.
B) plan unit-based social events for your remaining permanent staff members.
C) request hospital-based "floating" nurses to substitute for the temporary staff.
D) implement team nursing.

Question 19

The nurse manager is implementing a shared governance model to help with communication and decision-making.Although staff members like the concept,change is difficult.Staff nurses feel

A) more empowered.
B) more communicative.
C) less stressed.
D) frustration and role conflict.

Question 20

In a job interview for a nursing position,Marley can be assured that which of the following will occur?

A) Both eustress and distress
B) Only eustress
C) Only distress
D) Neither eustress nor distress

Question 21

"Stress-buffering" behaviours can be elicited to reduce stress.All of the following behavioural coping responses can be used by nurse managers to reduce and manage stress except

A) distancing oneself from work.
B) using cognitive reframing to change irrational thoughts.
C) journalling and keeping an informal diary of daily events and activities.
D) exercising regularly.

Question 22

High levels of work-related stress affect all but which of the following?

A) Job satisfaction
B) Absenteeism and turnover
C) Nurses' health
D) Patients' welfare

Question 23

Time management is very essential for the nurse manager.Which of the following is not a good time management technique?

A) Deciding what not to do
B) Learning to say "No"
C) Learning to delegate
D) Breaking down your workload into large, manageable tasks

Question 24

As a unit manager,you chair the unit meetings.For each meeting,you consider and establish the purpose of the meeting.Second,you prepare an agenda.The following steps would make the meetings productive and successful.
1)Distribute an agenda.
2)Control the flow of interactions.
3)Select team members.
4)Start on time.
5)Keep the meeting focused and directed toward accomplishing the set objectives.
Arrange these five steps in the correct order:

A)1,2,4,5,3
B)4,1,2,5,3
C)3,1,4,5,2
D)3,4,2,1,5

Question 25

The education consultant at St.Joseph's Hospital is giving a workshop on cognitive reframing.The consultant explains that reframing reduces stress by

A) aiding individuals in identifying positive stressors.
B) helping people realize that negative thinking causes emotional distress.
C) eliminating negative stressors.
D) replacing positive self statements with negative irrational beliefs.