NR 222 CHAMBERLAIN UNIVERSITY
1. The Chamberlain Care model of nursing practice
emphasizes that caring for others begins with:
a) Clinical competence
b) Caring for oneself
c) Advanced technology
d) Physician collaboration
Answer: b) Caring for oneself
Rationale: The Chamberlain Care model is our way of being:
Caring for ourselves informs and sustains caring relationships with
our colleagues, students, patients, and the community we touch.
Nurses and nursing students must learn first the importance of
caring for self before caring for others physically, mentally,
emotionally, and spiritually.
2. Scenario: A nurse works 60 hours per week, skips meals,
and feels constantly exhausted. According to Chamberlain
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Care, this nurse is at risk for:
a) Professional advancement
b) Compassion fatigue and burnout
c) Increased clinical competence
d) Higher patient satisfaction
Answer: b) Compassion fatigue and burnout
Rationale: Compassion fatigue is described as physical, emotional,
and spiritual exhaustion resulting from seeing patients suffer,
leading to a decreased capacity to show compassion. Burnout
occurs when perceived demands outweigh perceived resources.
Self-care is essential to prevent these conditions.
3. Which of the following are appropriate Chamberlain Care
self-care strategies? (Select all that apply)
a) Increase daylight exposure
b) Drink coffee for energy
c) Practice meditation
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d) Maintain good hydration
e) Work extra shifts
Answer: a) Increase daylight exposure, c) Practice meditation,
d) Maintain good hydration
Rationale: Appropriate self-care behaviors include increasing
daylight exposure, meditation, good hydration, and other healthy
habits. Coffee is not a substitute for rest, and working extra shifts
without adequate self-care increases burnout risk.
4. A nurse notices a colleague becoming irritable, calling in
sick frequently, and expressing dread about work. The nurse
should:
a) Ignore the behavior to respect privacy
b) Report the colleague to the manager immediately
c) Express concern and suggest self-care resources
d) Take over the colleague's assignments
Answer: c) Express concern and suggest self-care resources
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Rationale: These are signs of compassion fatigue and burnout. A
caring response includes expressing concern and suggesting
resources such as counseling, debriefing sessions, and self-care
practices. Early intervention can prevent worsening symptoms.
5. Which hormone is produced in excess during periods of
chronic stress and contributes to weight gain?
a) Adrenaline
b) Cortisol
c) Serotonin
d) Dopamine
Answer: b) Cortisol
Rationale: Cortisol is released during the alarm stage of Selye's
stress adaptation theory. Chronic stress leads to sustained elevated
cortisol levels, which can increase appetite, promote abdominal fat
storage, and contribute to weight gain.