Question 1

A unit has lost many staff members,the unit now being 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:

Accepted Answer

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. A

Question 2

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:

Accepted Answer

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. A

Question 3

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

Accepted Answer

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. B

Question 4

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:

Accepted Answer

A)   Commitment,control,and challenge.
B)   Commitment,powerlessness,and passivity.
C)   Commitment,control,and passivity.
D)   Decreased isolation,challenge,and passivity.

Question 5

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:

Accepted Answer

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 6

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

Accepted Answer

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 7

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:

Accepted Answer

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.

Question 8

Which of the following statements would best define stress?

Accepted Answer

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 9

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

Accepted Answer

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 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

A)   The death of a loved one.
B)   Perfectionism.
C)   Getting married.
D)   Losing a job.

Question 12

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:

Accepted Answer

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 13

"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:

Accepted Answer

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 14

The one activity that a nurse manager should not overlook is:

Accepted Answer

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 15

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?

Accepted Answer

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

Question 16

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

Accepted Answer

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

Question 17

High levels of work-related stress affect all but which of the following? (Select all that apply.)

Accepted Answer

A)   Job satisfaction.
B)   Absenteeism and turnover.
C)   Nurses' health.
D)   Patients' welfare.
E)   None of above

Question 18

Keep the meeting focused and directed toward accomplishing the set objectives. Arrange these five steps in the correct order:

Accepted Answer

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 19

Jeffrey,an RN in his 30s,has lost a parent,just purchased a new home,and is laid off with 6 months' severance pay.At 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?

Accepted Answer

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 20

Which of the following statements is true?

Accepted Answer

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."

Exam 29: Self-Management: Stress and Time