Exam 1

Novice

A beginner in nursing with no prior experience, focused on learning rules and guidelines.

Advanced Beginner

A nurse who demonstrates acceptable performance and begins to form principles from experiences requiring some supervision.

Competent

A nurse with 2-3 years of experience who develops long-term goals and practices with greater efficiency.

Proficient

A nurse who integrates knowledge and experience into holistic decision-making and adapts plans fluidly.

Expert

A highly experienced nurse with intuitive responses in clinical situations and strong clinical judgment.

Reality Shock

Feelings of overwhelm new nurses may experience due to the gap between academic training and practical workplace expectations.

Anticipatory Socialization

Educational settings designed to ease new nurses’ transition into practice roles.

Role Overload

High expectations from employers faced by new graduates, potentially leading to burnout.

Preceptorship

A structured practice environment where experienced nurses guide new nurses through learning and skill development.

Mentoring

A supportive relationship designed to guide nurses towards professional growth through intentional interactions.

Coaching

A structured process of performance enhancement and skill refinement through goal-oriented sessions.

Common Warning Signs of Mental Health Issues

Indicators such as prolonged sadness, mood changes, and risk-taking behaviors among youth.

What to Do If You Are Worried about Mental Health

Speak to a trusted person and express feelings or concerns to get support.

Gratitude Practices

Daily activities that enhance emotional well-being and foster a positive mindset.

Five Rights of Delegation

Guidelines that ensure safe delegation: right task, circumstances, person, direction, and level of supervision.

Maslow's Hierarchy of Needs

A framework prioritizing basic physiological needs over psychological ones in client care.

ABC Framework

A priority-setting model emphasizing Airway, Breathing, and Circulation in patient care.

Evidence-Based Practice (EBP)

Clinical decision-making guided by current, empirical evidence to achieve optimal patient outcomes.

Decision-Making Process

A systematic approach involving identifying the decision, collecting data, identifying criteria, generating alternatives, selecting and implementing the best option, and evaluating outcomes.

Identify the Decision

Clearly articulate the specific problem or choice that needs to be addressed.

Collect Data

Gather relevant data from various sources, including patient history and clinical indicators, to support informed decisions.

Identify Criteria for Decision

Define the criteria that will guide the decision-making process, including ethical considerations and clinical guidelines.

Identify Alternatives

Generate a range of possible solutions to the identified problem.

Choose Alternative

Evaluate each alternative against established criteria and select the most appropriate option.

Implement Alternative

Develop a plan to put the chosen alternative into action, outlining roles and timelines.

Evaluate Steps in Decision

Assess the effectiveness of the decision and its impact on patient outcomes post-implementation.

Simplified Nursing Process

A streamlined nursing approach consisting of assessment, planning, implementation, and evaluation of patient care.

Assess (Nursing Process)

Conduct a comprehensive assessment of the patient through physical exams and medical records.

Plan (Nursing Process)

Create an individualized care plan based on assessment findings.

Implement (Nursing Process)

Execute the planned interventions focusing on protocols and patient needs.

Evaluate (Nursing Process)

Continually assess patient responses to interventions and modify the care plan as necessary.

Data Gathering Questions

Key questions to examine data, such as identifying the setting, problem, and stakeholders involved.

Decision Grids

Tools for comparing options based on multiple criteria to visualize pros and cons.

Payoff Tables

Assess financial implications and outcomes associated with each alternative.

Decision Trees

Visual representations of decision paths showing potential consequences of choices.

Consequence Tables

Outline pros and cons of each option to facilitate decision weighing.

Time Management

The process of planning and controlling how much time to spend on specific activities.

Symptoms of Poor Time Management

Indications like constant rushing, fatigue, and missing deadlines that reveal ineffective time management.

Priority Setting

A critical skill influencing clinical decision-making and patient outcomes.

Five Rights of Delegation

Guidelines ensuring safe delegation: right task, circumstances, person, direction, and supervision.

Strategies for Successful Delegation

Planning, empowering staff, and monitoring progress to ensure effective delegation.

Common Delegation Errors

Mistakes such as underdelegating, overdelegating, and improper delegation affecting patient safety.

Clear Communication in Delegation

Define tasks with clarity and focus on objectives rather than strict processes.

Delegating Tasks to UAP

Consider UAP capabilities carefully when assigning tasks to ensure safety and compliance.

Tasks RNs Can Delegate

Activities RNs assign to PNs and APs, including monitoring vital signs and assisting with ADLs.

Prioritization Principles in Client Care

Guidelines for addressing systemic issues first, urgent needs, and real-time problems over future concerns.

Maslow's Hierarchy of Needs

A framework that emphasizes addressing basic physiological needs before psychological needs.

Safety/Risk Reduction Questions

Questions to establish immediate safety risks and evaluate potential consequences.

Least Restrictive/Least Invasive

Selection of interventions that prioritize safety while being minimally invasive.

Evidence-Based Practice

Clinical decision-making guided by current, data-driven evidence to optimize patient outcomes.

Sample NCLEX Question on Delegation

Scenario illustrating appropriate delegation tasks between registered nurses and practical nurses.