Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
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Chapter 29: Self-Management: Stress and Time
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
As a nurse manager you observe that over the past few weeks a staff nurse has become w
ithdrawn and has had several absences because of minor ailments. Your best action wou l
d be to:
Ask the nurse if she is okay during report.
Refer the nurse to the employee assistance program.
Ask the nurse to meet with you for a few minutes before she leaves for the day.
Write a note to the nurse advising her that her work attendance must improve.
ANS: C
Stress can lead to emotional symptoms such as depression and a variety of ailments. Me
eting with the nurse privately may assist in identifying stress and possible solutions.
DIF: Cognitive Level: Understand REF:
Page 525 TOP:
Nursing Process: Implementation
A unit has lost many staff members, the unit now being staffed with a large number
of agency and travelling nurses. The nurse manager knows that the agency and trav
elling 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 andI include the Magency and travelling nurse staff members.
b. N R G B . C
Plan unit-based social e v e n ts f o r y our re m aini ng permanent staff members.
UHSvbNHTvb
c. Request hospital-based ―floating‖ nurses to substitute for the temporary staff.
d. Implement team nursing.
ANS: A
Social support, in the form of positive work relationships, can be an important way to buff
er the effects of a stressful work environment. Including all staff in the social event enabl
es 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.
DIF: Cognitive Level: Understand REF:
Page 526 TOP:
Nursing Process: Implementation
The one activity that a nurse manager should not overlook is:
Posting the yearly rotation schedule.
Reviewing vacation requests.
Scheduling staffing for holidays 6 months in advance.
Anticipating staff sick days.
ANS: B
Free time and vacation time are needed for individuals to recharge. If time for work is mo
r e than 60% of wake time, or when self-
time is less than 10% of wake time, stress levels increase.
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Understand REF:
Page 525 TOP:
Nursing Process: Assessment
A nurse manager has decided that she must institute some personal time management st
e ps to handle work and home life. Her first step should be to:
Determine what takes up so much of her time and energy.
Organize her personal and work spaces.
Purchase a handheld personal digital assistant to help remind her of import
a nt meetings.
Determine her personal and professional goals.
ANS: D
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.
DIF: Cognitive Level: Apply Page 53 REF:
3, Table 29.3 TOP: Nursing Proc
ess: Implementation
5.
A hospice nurse has been feeling very stressed at work because of both the physi
cal str ain and the emotional drain of working with patients with acquired immune defi
ciency syndrome (AIDS). She tries to walk 1 to 2 miles three times a week and to talk
regula rly 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 milNesHeRverHyIdaHGy.H B.CM v
UvbSvbNvbT O
d. Plan to go out for a drink with fellow nurses after work every day.
ANS: A
Stress relief techniques include 30 minutes of exercise five times a week, in addition to t
echniques such as yoga that relieve mental stress.
DIF: Cognitive Level: Understand Pag REF:
e 528, Table 29.2 TOP: Nursing
Process: Implementation
The nurse manager is implementing a shared governance model to help with communicati
on and decision-
making. Although staff members like the concept, change is difficult. Staff nurses feel:
More empowered.
More communicative.
Less stressed.
Frustration and role conflict.
ANS: D
Change can lead to feelings of being overwhelmed and powerless, especially if complexit
y, compression, or rapid, intense changes have been involved. When nurses experience ch
a nge, they can experience considerable role conflict, frustration, and distress.
DIF: Cognitive Level: Understand REF: Page 520
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
TOP: Nursing Process: Assessment
7.
The chief nursing officer listens to nurse managers verbalize their feelings of inter
nal stre ss. One common source of internal stress seems to be:
The death of a loved one.
Perfectionism.
Getting married.
Losing a job.
ANS: B
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 stre
ss.
DIF: Cognitive Level: Understand REF:
Page 532 TOP:
Nursing Process: Assessment
The staff development educator presents a series of programs on stress management to t
he nurse managers. Research has indicated that an individual‘s ability to deal with stres
is moderated by psychological hardiness. Psychological hardiness is a composite of:
Commitment, control, and challenge.
Commitment, powerlessness, and passivity.
Commitment, control, and passivity.
Decreased isolation, challenge, and passivity.
ANS: A NRIGB.CM
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O
UvbSvbNvbT
Some people have the capacity to accept changes in life with good humour and resilience,
which, in turn, influence behaviour that prevents illness. Hardiness involves the capacity
to manage time and stress, to reframe situations positively, and to make commitments.
DIF: Cognitive Level: Understand REF:
Page 522 TOP:
Nursing Process: Planning
During the regular monthly meeting of the unit clinical practice group, Isabel, the ch
airperson, continually refers to the members of the committee as ―we‖ rather than
―I.‖ Which discursive strategy is Isabel employing?
Directing.
Modulating.
Bonding.
Recommitting.
ANS: C
vb vb vb vb vb vb vb vb vb
Chapter 29: Self-Management: Stress and Time
Waddell/Walton: Yoder-
Wise’s Leading and Managing in Canadian Nursing, Third Edition
MULTIPLE CHOICE
As a nurse manager you observe that over the past few weeks a staff nurse has become w
ithdrawn and has had several absences because of minor ailments. Your best action wou l
d be to:
Ask the nurse if she is okay during report.
Refer the nurse to the employee assistance program.
Ask the nurse to meet with you for a few minutes before she leaves for the day.
Write a note to the nurse advising her that her work attendance must improve.
ANS: C
Stress can lead to emotional symptoms such as depression and a variety of ailments. Me
eting with the nurse privately may assist in identifying stress and possible solutions.
DIF: Cognitive Level: Understand REF:
Page 525 TOP:
Nursing Process: Implementation
A unit has lost many staff members, the unit now being staffed with a large number
of agency and travelling nurses. The nurse manager knows that the agency and trav
elling 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 andI include the Magency and travelling nurse staff members.
b. N R G B . C
Plan unit-based social e v e n ts f o r y our re m aini ng permanent staff members.
UHSvbNHTvb
c. Request hospital-based ―floating‖ nurses to substitute for the temporary staff.
d. Implement team nursing.
ANS: A
Social support, in the form of positive work relationships, can be an important way to buff
er the effects of a stressful work environment. Including all staff in the social event enabl
es 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.
DIF: Cognitive Level: Understand REF:
Page 526 TOP:
Nursing Process: Implementation
The one activity that a nurse manager should not overlook is:
Posting the yearly rotation schedule.
Reviewing vacation requests.
Scheduling staffing for holidays 6 months in advance.
Anticipating staff sick days.
ANS: B
Free time and vacation time are needed for individuals to recharge. If time for work is mo
r e than 60% of wake time, or when self-
time is less than 10% of wake time, stress levels increase.
,Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
DIF: Cognitive Level: Understand REF:
Page 525 TOP:
Nursing Process: Assessment
A nurse manager has decided that she must institute some personal time management st
e ps to handle work and home life. Her first step should be to:
Determine what takes up so much of her time and energy.
Organize her personal and work spaces.
Purchase a handheld personal digital assistant to help remind her of import
a nt meetings.
Determine her personal and professional goals.
ANS: D
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.
DIF: Cognitive Level: Apply Page 53 REF:
3, Table 29.3 TOP: Nursing Proc
ess: Implementation
5.
A hospice nurse has been feeling very stressed at work because of both the physi
cal str ain and the emotional drain of working with patients with acquired immune defi
ciency syndrome (AIDS). She tries to walk 1 to 2 miles three times a week and to talk
regula rly 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 milNesHeRverHyIdaHGy.H B.CM v
UvbSvbNvbT O
d. Plan to go out for a drink with fellow nurses after work every day.
ANS: A
Stress relief techniques include 30 minutes of exercise five times a week, in addition to t
echniques such as yoga that relieve mental stress.
DIF: Cognitive Level: Understand Pag REF:
e 528, Table 29.2 TOP: Nursing
Process: Implementation
The nurse manager is implementing a shared governance model to help with communicati
on and decision-
making. Although staff members like the concept, change is difficult. Staff nurses feel:
More empowered.
More communicative.
Less stressed.
Frustration and role conflict.
ANS: D
Change can lead to feelings of being overwhelmed and powerless, especially if complexit
y, compression, or rapid, intense changes have been involved. When nurses experience ch
a nge, they can experience considerable role conflict, frustration, and distress.
DIF: Cognitive Level: Understand REF: Page 520
, Yoder-Wise's Leading and Managing in Canadian Nursing 3rd Edition Yoder-
vb vb vb vb vb vb vb vb vb
TOP: Nursing Process: Assessment
7.
The chief nursing officer listens to nurse managers verbalize their feelings of inter
nal stre ss. One common source of internal stress seems to be:
The death of a loved one.
Perfectionism.
Getting married.
Losing a job.
ANS: B
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 stre
ss.
DIF: Cognitive Level: Understand REF:
Page 532 TOP:
Nursing Process: Assessment
The staff development educator presents a series of programs on stress management to t
he nurse managers. Research has indicated that an individual‘s ability to deal with stres
is moderated by psychological hardiness. Psychological hardiness is a composite of:
Commitment, control, and challenge.
Commitment, powerlessness, and passivity.
Commitment, control, and passivity.
Decreased isolation, challenge, and passivity.
ANS: A NRIGB.CM
vbvbvbvb vb
O
UvbSvbNvbT
Some people have the capacity to accept changes in life with good humour and resilience,
which, in turn, influence behaviour that prevents illness. Hardiness involves the capacity
to manage time and stress, to reframe situations positively, and to make commitments.
DIF: Cognitive Level: Understand REF:
Page 522 TOP:
Nursing Process: Planning
During the regular monthly meeting of the unit clinical practice group, Isabel, the ch
airperson, continually refers to the members of the committee as ―we‖ rather than
―I.‖ Which discursive strategy is Isabel employing?
Directing.
Modulating.
Bonding.
Recommitting.
ANS: C
