A charge nurse is concerned by a nurse's recent behaviors. Which of the following behaviors by the nurse indicates that they are is experiencing burnout?
Does not report known medication error
Frequently calls in sick
Takes regular lunch breaks
Sets firm professional boundaries
The Correct Answer is B
Rationale:
A. Not reporting a medication error could be indicative of various issues, but it is not specific to burnout.
B. Frequently calling in sick can be a sign of burnout, as it may reflect chronic stress, exhaustion, or a lack of engagement with work.
C. Taking regular lunch breaks is a healthy practice and does not indicate burnout.
D. Setting firm professional boundaries is a positive behavior and helps prevent burnout rather than indicating it.
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Correct Answer is D
Explanation
Rationale:
A. Platelets at 150,000/mm3 are within the lower range of normal but not immediately concerning.
B. A positive Western blot test is confirmatory for HIV but is not an immediate concern compared to other lab values.
C. A WBC count of 5,000/mm3 is within normal limits and not a primary concern for an HIV-positive client.
D. A CD4-T-cell count of 180 cells/mm3 indicates advanced immunosuppression, which is critical to monitor in HIV-positive clients to assess the progression of the disease and the risk for opportunistic infections.
Correct Answer is C
Explanation
Rationale:
A. Denial involves refusing to accept reality but is not as characteristic of borderline personality disorder as splitting.
B. Reaction formation involves behaving in a manner opposite to one's true feelings, which is not the primary defense mechanism in borderline personality disorder.
C. Splitting is a common defense mechanism in borderline personality disorder where the client views people or situations as all good or all bad, potentially causing conflict within the healthcare team.
D. Regression involves reverting to earlier developmental stages but does not typically cause division among healthcare providers.