Rationale 4: Compassion fatigue has much more serious symptoms than anxiety.
Rationale 5: There is no evidence of post-traumatic stress disorder.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-3: Explain the consequences that result from stress, including burnout and compassion
fatigue.
Question 14
Type: MCSA
A staff nurse finds a newly licensed, newly hired staff nurse crying in the break room halfway through a shift. The
new nurse says, “I am just not getting this. I had no idea nursing would be this hard.” The experienced nurse says,
“Reality shock is terrible, but you will get through it.” What does the nurse mean by reality shock?
1. A period of time when it becomes clear the new nurse is not able to function as a registered nurse
2. A period of surprise and disequilibrium about the nursing role
3. A period when expectations of the role are unclear
4. A period of time when managers determine if the new nurse is a good fit for the profession of nursing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-2: Describe the organizational, interpersonal, and individual factors that cause stress.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 15
Type: MCSA
The unit nurses take turns filling the charge nurse role. Which statement reveals risk for development of role
conflict in these nurses?
1. “I think I do a better job as charge nurse than the other nurses.”
2. “I like being charge nurse better than being a staff nurse.”
3. “Sometimes it is just faster to do things myself.”
4. “I have difficulty with understanding report from the previous shift.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-2: Describe the organizational, interpersonal, and individual factors that cause stress.
Question 16
Type: MCSA
A nurse manager praises a staff nurse by saying, “You are such a perfectionist and it clearly shows in your work.”
The supervisor who hears this praise is concerned for which reason?
1. Giving such high praise to a staff nurse may result in the nurse asking for a raise.
2. The manager should not praise a staff nurse so highly in front of other nurses.
3. The manager may be promoting a trait that often leads to constant stress.
4. This type of praise often leads to the nurse behaving in a superior manner when around the other nurses.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 25-2: Describe the organizational, interpersonal, and individual factors that cause stress.
Question 18
Type: MCSA
An assistant nurse manager has relieved a staff nurse for lunch. After the nurse leaves, the assistant manager
realizes there is a nursing administration meeting at noon. Which stress-producing event does this exemplify?
1. Poor leadership
2. Mismanagement of the unit
3. Role conflict
4. Miscommunication
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 25-2: Describe the organizational, interpersonal, and individual factors that cause stress.
Question 19
Type: MCSA
A nurse who had advanced to assistant nurse manager was demoted back to staff nurse last month. The manager
gives the nurse low-acuity client assignments. The nurse is efficient, unhappy, and bored. The nurse’s response is
most likely related to which phenomena?
Sullivan, Effective Leadership and Management, 8/e Test Bank
1. Low self-esteem
2. Low morale
3. Mismanagement
4. Underutilization
Rationale 3: Physicians may complain about lack of good care for a number of reasons.
Rationale 4: Compassion fatigue is secondary traumatic stress experienced by caregivers. It is similar to
posttraumatic stress disorder, but the term originated in nursing. It affects individuals who care for others who are
experiencing physical and/or emotional pain and has symptoms similar to those of severe burnout.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-3: Explain the consequences that result from stress, including burnout and compassion
fatigue.
Question 21
Type: MCSA
A charge nurse has been trying to please all the nurses, physicians, clients, and staff of the unit. This has caused
considerable stress for this nurse. After a few days off the nurse decided to manage the role differently. What has
occurred to the nurse over these days off?
1. Role conflict
2. Role definition
3. Role redefinition
4. Interrelated conflict
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 25-4: Discuss how individuals can manage stress.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 22
Type: MCSA
A nurse who transferred from the medical-surgical unit completed orientation to the ICU 6 weeks ago, but is
stressed and unsure of personal skill competency. The nurse manager learns of this lack of confidence. Which
action by the manager would best benefit this nurse and the unit?
1. Reduce the nurse’s client assignment.
2. Transfer the nurse back to the medical-surgical unit.
3. Provide written instruction regarding the desired unit specific skills.
4. Provide additional weeks to orientation with a focus on skill development.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 25-5: Discuss how managers can help themselves and their staff manage stress.
Question 23
Type: MCSA
The nursing unit has experienced high stress and a higher than normal turnover rate. The manager asks a longtime
member of the nursing staff to analyze the manager’s job performance. What is most likely the reason for this
request?
1. The manager is questioning his or her leadership style and its effectiveness.
2. The manager is required to ask for input on his or her personal job evaluation.
3. The manager is attempting to show concern about unit conditions.
Sullivan, Effective Leadership and Management, 8/e Test Bank