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 ["B","D","E"]
Explanation
Rationale:
A. The Harvard Implicit Association Test (IAT) measures implicit biases and is not used specifically for assessing suicide risk.
B. The PHQ-9 (Patient Health Questionnaire-9) is a validated tool for screening, diagnosing, monitoring, and measuring the severity of depression, which is closely related to suicide risk.
C. The Altman Self-Rating Mania Scale is used to assess the severity of manic symptoms in clients with bipolar disorder, not for suicide risk assessment.
D. The SAD PERSONS scale is a tool specifically designed to assess suicide risk based on key risk factors.
E. The SAFE-T (Suicide Assessment Five-Step Evaluation and Triage) is a comprehensive framework for assessing suicide risk, making it an appropriate tool to include in suicide risk assessments.
Correct Answer is ["A","B","E"]
Explanation
Rationales:
A. The client's statement, "I can't go on living without my child," indicates a potentially serious risk to their safety and well-being. This statement suggests that the client may be experiencing suicidal ideation or extreme despair, which requires immediate attention and intervention.
B. While sadness and anger are expected components of grief, the intensity of these feelings and their persistence need to be assessed for any signs of complicated grief or potential for self-harm. Addressing these emotions is critical to ensuring the client’s safety and providing appropriate support.
C. While understanding the expectations during group meetings is important for therapy, it is not as immediately critical as addressing the client's statements about their outlook on living and their medication adherence.
D. Knowledge about the therapist’s role is important for therapeutic alliance, but it is less urgent compared to addressing the client’s potentially dangerous outlook on living and their medication issues.
E. The client’s refusal to take the prescribed medication, with the belief that it "will not help," indicates a possible issue with medication adherence or effectiveness. This needs to be addressed to ensure that the client is receiving appropriate treatment for their mental health needs.