Which of the following is a sign of burnout among new nurses?

• A. Enhanced autonomy
• B. Rapid promotion
• C. Improved patient care
• D. Emotional exhaustion

Answer: (D)

Emotional exhaustion is the sign that best fits burnout in new nurses. Burnout stems from ongoing, unrelenting workplace stress and shows up as feeling drained, overwhelmed, and emotionally depleted. When someone is emotionally exhausted, their ability to connect with patients and respond with empathy fades, energy wanes, and mood and sleep patterns can be disrupted. This state can also undermine attention to safety and quality of care because the nurse has fewer emotional resources to invest in each patient.

Enhanced autonomy signals growing independence and responsibility, not burnout. Rapid promotion indicates advancement rather than a response to chronic stress. Improved patient care would not be expected with burnout; in fact, burnout typically erodes the quality of care over time, even if it isn’t immediately obvious.