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.

Accepted Answer

Stress relief techniques include 30 minutes of exercise five times a week,as well as techniques such as yoga that relieve mental stress.

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

Accepted Answer

Although all aspects of meeting management are important,planning for the meeting is a group leader's best strategy for a satisfactory experience.

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.

Accepted Answer

Some researchers have determined that stress is a person-environment process in which the person appraises the situation as taxing or not.Appraisal is an important concept that explains why two people react in different ways to the same situation.

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As a nurse manager,you observe that over the past few weeks,a staff nurse has become withdrawn and has had several absences because of minor ailments.Your best action would be to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

Accepted Answer

Stress can lead to emotional symptoms such as depression and a variety of ailments.Meeting with the nurse privately may assist in identifying stress and possible solutions.

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."

Accepted Answer

Stress is defined as a consequence or response to an event or stimulus.It is not inherently bad (distress),and whether highs and lows are seen as distress or eustress is dependent on each individual's interpretation of the event.

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

Accepted Answer

Personal stress triggers such as self-criticism are considered intrapersonal stressors; environmental factors such as change,work environment,and interactions with others are considered social stressors.

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.

Accepted Answer

Personal time management refers,in part,to "the knowing of self." Self-awareness is a critical leadership skill,and being self-aware and setting goals helps managers determine how their time is best spent.

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.

Accepted Answer

Time can be saved by using information technology effectively because it assists with effective data retrieval and information gathering and with communication related to a variety of needs in the management setting.

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

Accepted Answer

External stress occurs outside and is removed from the work setting,but it is considered work-related stress because of the effect that it has on the worker.

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.

Accepted Answer

The amount of stress is unpredictable.Responses to stress are affected by factors such as age,gender,personality,culture,lifestyle,health,and life experiences.

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

Accepted Answer

Five salient discursive strategies are used by meeting chairpersons in driving decision-making: bonding,encouraging,directing,modulating,and recommitting.In bonding,the leader uses the term we rather than I to cultivate group identity and promote consensus and shared decision-making.Encouraging stimulates the participation of members to explore new ideas and develop synthesis with existing ideas related to the current topic.Directing occurs after encouraging and is used to bring about closure and resolution by reducing the equivocality of ideas that have been discussed,whereas modulating allows the leader to achieve a balance between encouraging and directing.Recommitting moves the group from a consensual understanding of the issue toward a commitment to action.

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

Accepted Answer

Work-related stressors,such as workload,rotating shifts,high numbers of acutely ill patients,inadequate staffing,ethical conflicts,dealing with death and acute illness,role ambiguity,the intensity of complexity compression,and job insecurity have all been associated with increased stress and burnout.

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.

Accepted Answer

Free time and vacation time are needed for individuals to recharge.If time for work is more than 60% of wake time,or when self-time is less than 10% of wake time,stress levels increase.

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."

Accepted Answer

Research has shown that the perception of a stressor is unique for all individuals.

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.

Accepted Answer

Some people have the capacity to accept changes in life with good humour and resilience,which,in turn,influences behaviour that prevents illness.Hardiness involves the capacity to manage time and stress,to reframe situations positively,and to make commitments.

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.

Accepted Answer

Internal sources of stress usually stem from unrealistic self-beliefs (unrealistic expectations,taking things personally,all-or-nothing thinking,exaggerating,or rigid thinking),perfectionism,or the type A personality.Losing a job,the death of a loved one,and getting married are examples of external stress.

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.

Accepted Answer

Although all of the choices can cause stress in a patient,a personal stress trigger is the death of a spouse.Other triggers of personal stress are events or situations that have an effect on specific individuals.A personal trigger might be a specific event such as the death of a loved one,an automobile accident,losing a job,or getting married.

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.

Accepted Answer

Social support,in the form of positive work relationships,can be an important way to buffer the effects of a stressful work environment.Including all staff in the social event enables those who are not normally part of the team to experience this support and provides an opportunity for the staff as a whole to develop supportive relationships.

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.

Accepted Answer

Change can lead to feelings of being overwhelmed and powerless,especially if complexity compression,or rapid,intense changes,has been involved.When nurses experience change,they can experience considerable role conflict,frustration,and distress.

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

Accepted Answer

Eustress is defined as stress that is pleasant in nature,and distress is defined as stress of an unpleasant nature.Every interview has both of these types of stresses.

Quiz 28: Self-Management: Stress and Time

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

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

Which of the following statements would best define stress?

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 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

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

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?

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?

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

The one activity that a nurse manager should not overlook is

Which of the following statements is true?

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

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

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

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

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