Download RNSG 2221 Modules 1-6 Midterm Study Guide: Role Transitions & NCLEX and more Exams Nursing in PDF only on Docsity!
RNSG 2221: Modules 1-6 (midterm
exam) Study Set
term used to describe the reaction experienced when one moves into the workforce after several years of educational preparation - ANSWER Reality shock Phase of reality shock: Sees the world of nursing looking quite rosy. Often fascinated with the thrill of "arriving" in the profession. - ANSWER Honeymoon phase Phase of reality shock: Beginning to have a sense of humor (first sign) Decrease in tension. Increase in ability to be objective. - ANSWER Recovery phase Phase of reality shock: Has excessive mistrust. Experiences increased concern over minor pains/ illnesses. Feels like a failure & blames self for every mistake. Bands together/ depends on people who hold the same values. Has a hypercritical attitude. Feels moral outrage. - ANSWER Shock & Rejection phase A nurse with 15 years' experience has been working in the intensive care unit (ICU) for two months. The nurse's preceptor is expressing frustration to the unit manager because the new nurse follows all the rules "to the letter" and is inflexible. Which action by the manager is most helpful? A. Encourage the preceptor to be patient and give the new nurse easier assignments. B. Explain that as a nurse new to the ICU setting, this rule-bound practice is expected. C. Discuss the situation with the new nurse and emphasize the nurse's years of experience.
D. Mediate a conversation with the nurses where performance expectations are reviewed. - ANSWER B) A nurse manager is teaching a seminar for managers on reality shock experienced by new graduates. What information does the nurse manager provide? (Select all that apply.) A. Honeymoon phase: seems energetic and fascinated with nursing B. Shock and rejection phase: blames everyone else for any mistakes C. Shock and rejection phase: nurses may complain of minor illnesses D. Shock and rejection phase: uses black humor to cope with work E. Recovery phase: no longer catches contagious illnesses to which he or she is exposed - ANSWER A, C Role transition: conscientious, deliberate planning. begins to see nursing actions in the light of patient's long term plans. demonstrates ability to cope with & manage different & unexpected situations that occur. - ANSWER Competent [2-3 yrs clinical experience] Role transition: no clinical experience in situation where experience is expected. needs rules to guide performance. experiences difficulty in applying theoretical concepts to patient care. - ANSWER Novice [nursing student OR experienced nurse in a new setting] Role transition: demonstrates ability to delivery marginally acceptable care. requires previous experience in an actual situation to recognize it. begins to understand the principles that dictate nursing interventions. continues to concentrate on rules & absorbs minimum info regarding a situation. - ANSWER Advanced beginner [last semester nursing student OR graduate nurse] Role transition: demonstrates ability to recognize & understand the situation as a whole. demonstrates ability to anticipate events in a given situation.
periodic check-ups by supervisors - ANSWER Informal Type of mentoring relationship: brief contact/ often casual a one-time event results assessed later - ANSWER Situational In reference to the mentee checklist, what score would mean you have good mentee interaction skills? - ANSWER 80 or above A new graduate nurse is paired with a registered nurse during work shifts. The registered nurse understands the professional role to be focused on socialization, role transition, clinical decision-making, and prioritization. What relationship does this describe? A. Coaching B. Mentoring C. Precepting D. Role Modeling - ANSWER c) A registered nurse has been mentoring a new graduate for four weeks out of a five-week formal mentoring program. The graduate nurse is caring for a group of patients, including one with complex needs, and is having trouble organizing the required tasks. Which action by the mentor is most helpful? A. Give the graduate a schedule of the activities that the graduate must complete B. Have the graduate work with the complex patient only as a good learning experience. C. Let the graduate work through the process unless patient care is compromised D. Offer advice on different methods of organizing a shift with a complex patient - ANSWER c) A student nurse wishes to participate in a mentee-mentor relationship with a senior nursing student. According to the mentee checklist, the student has a score of 82. Which statement by the nursing faculty best describes the student's mentoring ability? A. "A score of 82 shows you will interact positively with a mentor." B. "I can help find a senior student to work with you on skills." C. "This lack of flexibility will probably hinder a mentoring relationship." D. "You should work on your listening skills prior to becoming a mentee." - ANSWER a)
A score of 80 or higher indicates that the student probably has good interaction skills that will be needed in a mentoring relationship. Helping the student find a mentor is helpful, but does not give information about the score. The score does not indicate a lack of flexibility or poor listening skills.
The nursing manager is looking for nurses to assign as mentors to new graduates. Which of the following nurses would the manager choose? (Select all that apply.) A. Charge nurse with over 10 years' experience B. Nurse who is enthusiastic about nursing; able to laugh at self C. Nurse who gives meticulous care using a standard approach D. Nurse who is known for being an out of the box thinker E. Nurse who is planning to remain at the facility another 6 months - ANSWER B, D
Describe the 3 phases of the interview process. - ANSWER 1) Intro = first few minutes, designed to put you somewhat at ease
- Finding facts = questions about you are going to be asked at this point. The interviewer expects the applicant to talk about 90% of the time.
- Closing = Interview will summarize what has been discussed & possibly ideas for the next step. Time for you to ask questions.
transferring of nursing licenses between states is called ______. - ANSWER licensure by endorsement
A nurse wants to take a job in a non-compact state. What action by the nurse is best? A. Apply to take the NCLEX-RN exam in the new state B. Do not take the job in the non-compact state. C. Request licensure by endorsement from the new state D. Schedule an interview with the state board of nursing - ANSWER c)
Who prepares the NLCEX and why do we have it? - ANSWER National Council of State Boards of Nursing (NCSBN)
A faculty member explains to a group of nursing students about the functions of the National Council of State Boards of Nursing (NCSBN). Which item does the faculty member include in this description? (Select all that apply.) A. Determines application and registration process B. Negotiates passing scores in different states C. Provides equipment and sites for testing D. Schedules, administers, and scores the exam E. Sets specific deadlines for testing in each state - ANSWER A, E The NCSBN determines the application and registration processes, and sets deadlines related to testing in each state. The passing score is the same in all states. Pearson VUE is a vendor selected by the NCSBN to provide equipment and testing sites; and to schedule, administer, and score the exams.
A student nurse is learning about different theories of management. Which of the following is a correct description of a management theory? A. Behavioral: Manager sets strict rules, with defined rewards and punishments for action B. Bureaucratic: Manager decides how procedures will be done on a unit C. Contingency: Manager makes decisions after considering what motivates people D. Systems: Manager makes decisions without considering the impact on the entire facility - ANSWER C) The contingency theory (or motivational theory) is a blend of other theories; it and seeks to determine the what motivations motivates causing people to work effectively in order to do the job at hand. The systems theory considers a work unit as part of a whole, influenced by and influencing inputs, transformation of material, outputs, and feedback. The behavioral theory states that to maintain a stable and satisfied work force, the humanistic needs of workers must be considered. The Bureaucratic bureaucratic theory uses strict adherence to rules and a defined chain of command and hierarchy to accomplish work goals.
theory of management: considers inputs, transformation of the material, outputs & feedback. When
consideration is given to the impact of decisions made by one manager on other managers or on parts of the system as a whole - ANSWER systems theory
theory of management: focuses on the manager being able to blend the elements of earlier theories using those elements to determine what motivates people to make choices leading to the most effective methods to complete the work that needs to be done - ANSWER contingency/ motivational theory
theory of management: employees seeking recourse from some of the rules of hierarchy; looked for assistance outside of their place of work (labor unions). - ANSWER behavioral theory
theory of management: a need to have the highest productivity level possible from each worker - ANSWER traditional theory
theory of leadership: leadership should be flexible enough to address varying situations; compared to your approach as a nurse for patient care - ANSWER contingency leadership
theory of leadership: the leader attempts function more closely in the situation being addressed; one who analyzes the needs of the most current situation & then selects the most appropriate leadership style to address that particular situation - ANSWER situational leadership
theory of leadership: focus is on the development of trust in the relationship; leaders are made not born because the needed behaviors can be taught & learned - ANSWER interactional leadership
type or power: individuals who have knowledge that is needed by others to function effectively in their roles - ANSWER information power
type of power: capacity to create order from conflict, contradictions & chaos - ANSWER leadership power
A staff nurse on the unit has a great deal of influence on others' opinions and actions. What type of power does this nurse have? A. Information B. Legitimate C. Referent D. Reward - ANSWER c) A person with referent power is liked and admired by others; this positive feeling helps shape others' opinions and actions. Reward power is the ability to give or withhold rewards. Some people in positions with legitimate power also have reward power, but not all. A person with information power has some knowledge that is needed by others so they can do their jobs. Legitimate power comes from a position, such as charge nurse or manager.
What is the correct way to take orders from a physician? - ANSWER 1) Order communicated verbally (If a physician is present, a verbal order should only be accepted during an emergency or during a procedure; otherwise, ask the physician to write it)
- Order is written down verbatim
- Written order is read directly back to the person who gave it for confirmation that it is accurate
Read back and repeat all written orders to verify accuracy!
type of conflict: when two people have same or related responsibilities with ambiguous boundaries - ANSWER role conflict
type of conflict: failing to discuss differences with one another can lead to problems with communication
- ANSWER communication conflict
type of conflict: when one nurse places his or her personal achievement and advancement above everyone else's - ANSWER goal conflict
Name 2 other types of conflict not discussed previously. - ANSWER Personality and Ethical/ values conflict
What are 5 ways/ examples to resolve conflict (in reference to the Win/ Lose theories)? - ANSWER The key to managing conflict successfully is tailoring your response to fit each conflict situation instead of just relying on one particular technique:
- Win/Lose: Example — competition
- Lose/Lose: Example — avoidance
- Lose/Win: Example — accommodation
- Modified Win/Lose: Example — compromise
- Win/Win: Example — collaboration
type of difficult person: attackers; come out charging and are often abusive, abrupt, and intimidating; have a strong need to prove themselves; their view of the situation is right - ANSWER Sherman tanks
- Evaluation and feedback : Was the delegation successful and effective?
What are the 5 Rights of Clinical Delegation? - ANSWER 1. The right task
- Under the right circumstances
- To the right person
- With the right directions and communication
- Under the right supervision and evaluation
The registered nurse delegates the following task to an unlicensed assistive personnel: "Mr. Smith in room 408 is very unsteady on his feet. Each time you are in the room, please make sure the call light is in reach and his bed alarm is turned on." Four hours later, the nurse asks the aide if Mr. Smith is doing all right and goes on break. While at dinner, Mr. Smith falls and breaks his hip. When reviewing this incident, the nurse determines that which part of the delegation process was not done correctly?
A. Right circumstance B. Right directions and communication C. Right supervision and evaluation D. Right task - ANSWER C)
A charge nurse provides directions for patient care to a nursing assistant who has floated from another unit for the shift. The charge nurse gives the assistant patients for whom to do a list of tasks and parameters for reporting specific items to the assigned registered nurse. Which other action by the charge nurse is important?
A. Ask if the directions are clear and understood. B. Determine if the aide has taken vital signs before. C. Inform the aide of his or her break time for the shift. D. Tell the aide to call if he has any further questions. - ANSWER A)
Delegation: RN and LPN - ANSWER LPN: collects data during H&P. Contributes to development of POC, reinforces POC, teaching and discharge info.
RN:completes comprehensive phys assessment and plan of care. Teaches, discharge planning, evaluates pt response to plan of care. *Nurses: assessment, eval, and nursing judgment can not be delegated.
4 C's of Initial direction - ANSWER Clear: does the team member understand what Im saying? Concise: Have i confused the direction by giving too much info? Correct: is the direction according to policy, and the law? Complete: Does the delegate have all the info necessary to complete the task?
Feedback formula: - ANSWER -Ask for the other persons input first -Give credit for accomplishments and efforts -Ask the other to come up with steps for resolving the issue
