Self- Care As A Nurse
Evaluation of Sleep Strategies: Which statements by Samuel indicate an understanding of teaching on how to improve sleep? Select all that apply.
1. "I will avoid caffeine within two hours of bedtime." 2. "I will sleep with earplugs and an eye mask during the day." 3. "I will not watch videos on my phone while in bed." 4. "I will exercise daily."
Taking Action Diego works on stress elimination but fails to get adequate sleep and rest due to his busy schedule. On the way home this morning, Diego fell asleep while driving and was involved in a motor vehicle accident. What actions can the nurse take to facilitate sleep while Diego is in the hospital? Select all that apply.
1. Close the shades to darken the room while Diego prepares for bed. 2. Encourage elimination prior to bedtime to avoid nocturia. 3. Place Diego in a room farthest from the nurses' station.
Evaluating Outcomes Diego is discharged from the hospital after suffering a concussion and returns to work a few weeks later. For each reported change in behavior, identify if the change is beneficial or not beneficial for Diego.
1. Diego returns to work on day shift. / Beneficial 2. Diego quits school. / Not Beneficial 3. Diego reduces time with his daughters. / Not Beneficial 4. Diego picks up overtime shifts / Not Beneficial . 5. Diego moves closer to work. / Beneficial
According to the National Institute of Mental Health (n.d.), identify five things you should know about stress.
1. Long-term stress can harm your health. 2. Stress affects everyone. 3. There are ways to manage stress. 4. Not all stress is bad. 5. If you feel overwhelmed by stress, ask for help from a health professional.
A nurse is having difficulty sleeping due to rotating shifts. Which herbal supplements may promote rest and sleep? Select all that apply.
1. Melatonin 2. Chamomile 3. Valerian root
A 55-year-old nurse is slightly overweight and reports walking about 2 times weekly on days off. The nurse has poor muscle strength but good coordination and a normal gait. After reviewing this article about the top 10 things to know about physical activity guidelines, select the recommendations the nurse should follow. Select all that apply.
1. Move more during the work shift and sit less. 2. Walk vigorously at least 50 minutes daily three times per week. 3. Perform muscle-strengthening exercises twice weekly.
Safe Body Mechanics: The nurse is preparing to safely reposition a client from lying to sitting on the edge of the bed. Place the steps in the correct order.
1. Roll the client onto the side closest to where they will be sitting. 2. Place one arm under the client's shoulders and one arm behind the client's knees. 3. Bend your knees. 4. Use momentum to assist the client into a sitting position. 5. Move the client to the edge of the bed. 6. Lower the bed so the client's feet are close to or touching the ground.
Generating Solutions Though it is not possible to eliminate Diego's risk factors entirely, match each risk factor to a possible mitigation strategy.
1. Rotating shifts : Ask to work the day shift first, followed immediately by the two-night shifts. 2. Commuting: Stay with family that live closer to the hospital during working shifts. 3. Childcare responsibilities : Work out a plan to care for daughters during days off. 4. Attending university : Plan to complete school assignments during days off. 5. Lack of time to exercise : Find an accountability partner at work and exercise on days off.
Identify the situations that require a nurse to seek additional assistance to transfer a client from the stretcher to a bed. Select all that apply.
1. The client received narcotic medication 30 minutes ago. 2. The client is returning to the unit following a procedure requiring conscious sedation.
Case Study: Self-Care Analyzing Cues For each finding, indicate if the finding is most consistent with a sleep, activity, or stress problem.
1. Working in a busy Emergency Department / Stress Problem 2. Working rotating shifts / Sleep Problem 3. Commuting one hour to work each way / Activity Problem 4. Attending local university / Stress Problem 5. Being a single dad / Stress Problem 6. Caring for young daughters part-time / Sleep Problem
Case Study: Self-Care Recognizing Cues Select the findings that may be detrimental to sleep and exercise and contribute to Diego's stress level.
1. busy Emergency Department 2. rotating shifts 3. commutes one hour each way 4. attending a local university 5. single dad 6. daughters who live with him part-time
Approximately how many hours of sleep per day does a middle-aged nurse require?
7 to 9 hours daily
Recommendations for Physical Activity Adults should get at least ________ minutes of ________ intensity ________ activity each ________. Examples include brisk walking or fast dancing.
Adults should get at least 150 minutes of moderate intensity aerobic activity each week. Examples include brisk walking or fast dancing.
Stress Adaptation Theory Selye's stress adaptation theory has three stages. Match each stage to its description.
Alarm stage: The body releases hormones that prepare it to either defend itself (fight) or run away (flight). Resistance stage: All coping skills and defense mechanisms are used to stabilize the body. Exhaustion stage: The body becomes overwhelmed and resources are depleted.
Dealing With Maturational Stressors Match the maturational stressors with an appropriate coping mechanism.
Loss of a parent / Support system Physical appearance / Cognitive restructuring Birth of a child / Regular rest and sleep
Prioritizing Hypotheses Diego is at highest risk for __________ deprivation as a result of long work hours and rotating shift work.
Prioritizing Hypotheses Diego is at highest risk for situational crisis as a result of long work hours and rotating shift work.
