Trans welcome exam II chapters (1-5, 13, 14, 16, 19, 20, 21, & 26)

The've been combined to one set of flashcards

A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of role transition when making which of the following statements?

a. "I am so nervous about being on my own as a nurse."

b. "This will be a great learning experience."

c. "I can't wait to have a steady paycheck."

d. "This job is perfect. I can finally do things my own way."

ANS: D

The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves into the workforce after several years of educational preparation. Recovery and resolution occur when the graduate nurse is able to laugh at encountered situations. During this time, tension decreases, perception increases, and the nurse is able to grow as a person.

Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?

a. Networking

b. Obtaining a mentor

c. Returning to school

d. Joining a support group

ANS: C

The transition period is successfully managed when the graduate is able to evaluate the work situation objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see humor in a situation may be a first step. Returning to school is a positive step after the graduate has worked through role transition, has some clinical experience, and is ready to focus on a new career objective. Networking, obtaining a mentor, and joining a support group would give the graduate nurse an opportunity to talk to others experiencing the stress associated with reality shock. The nurse would benefit from 'talking through' issues and learning how to cope.

A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?

a. Refusing to constantly work extra shifts

b. Withdrawing from peer support group

c. "Going native"

d. Changing jobs every 6 to 12 months

ANS: A

One of the quickest ways to experience burnout is to "overwork the overtime." Set priorities with your mental and physical health being the highest priority. Learning to say "no" to extra shifts is a positive means of coping of avoiding burnout. "Going native" is the term that describes how recent graduates begin to copy and identify the reality of their role transition experience by rejecting the values from nursing school and functioning more like a team member at their place of employment. Withdrawing from peer support groups, "going native," and changing jobs every 6 to 12 months would increase the chance of the nurse experiencing burnout. The nurse should instead focus on his/her practice and seek out support from other nurses.

Which of the following statements by the graduate nurse shows an understanding of reality shock as it applies to nursing?

a. " Reality shock is the period when a person moves from school into the workforce.

b. "Reality shock is the realization that practice and education are not the same."

c. "Reality shock is the period from graduation to becoming an experienced nurse."

d. "Reality shock is a transition phase that new graduates go through before changing jobs."

ANS: A

"Reality shock" is a term often used to describe the reaction experienced when one moves into the workforce after several years of educational preparation. The new graduate is caught in the situation of moving from a familiar, comfortable educational environment into a new role in the workforce where the expectations are not clearly defined or may not even be realistic. The realization that practice and nursing school are not the same is often associated with "going native." When nurses move from one position to another, they have already experienced reality shock. Becoming an experienced nurse takes time and is not part of the definition of reality shock.

A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal?

a. "I should care for increased numbers of patients to enhance work organization skills."

b. "I will observe staff nurses as they perform nursing procedures to refine technique."

c. "I should seek increasingly close guidance from the nursing instructor to reduce errors."

d. "I will evaluate my progress every 7 weeks or more to allow time for growth."

ANS: A

It is important for the student to start taking care of increased numbers of patients to help with time management and work organization. The student should also be able to function without close guidance from the nursing instructor. Although it is good for students to observe staff, a student in the final semester should be able to perform tasks with minimal observation and should instead focus on implementing care and time management. Waiting 7 weeks to evaluate progress would not be helpful to the student. Although regular self-evaluation is an important process, it is the actual experience of taking realistic patient assignments and working typical shift hours that assists with successful role transition

A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: "It feels great to be a nurse! In fact, it's a snap! I can hardly believe there's no instructor looking over my shoulder." What phase of reality shock is the graduate experiencing?

a. Recovery

b. Shock and rejection

c. Honeymoon

d. Transition

ANS: C

In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled with completing school and accepting the first job. Life is a bed of roses because everyone knows nursing school is much harder than nursing practice. Shock and rejection occur as the nurse tries to understand how nursing school and the "real world" come together. Transition occurs as the nurse begins the move from student to nurse and refers to the entire process, not just a particular phase. The recovery phase is when the nurse can laugh at situations that he/she is in and is able to cope with the situations that are being faced.

A new graduate has worked on a busy unit for 6 months since graduating from nursing school. The graduate tells a friend, "I've never been so upset in all my life! The care that some of the staff give our patients is outrageously bad. There's practically no attention to the principles of asepsis the way I learned them! The staff tells me that we have to cut corners if we're going to get all the work done. I can't stand it!" What phase of reality shock is this graduate experiencing?

a. Honeymoon

b. Shock and rejection

c. Recovery

d. Role transformation

ANS: B

The honeymoon phase for the new graduate nurse is short lived when the graduate identifies the conflicts between the way she or he was taught and the reality of what is done. Shock and rejection cause mental and emotional withdrawal, moral outrage, and a hypercritical attitude, which are just some of the symptoms of the realization that the honeymoon is over. Excessive mistrust, frequent pains and illness, a decrease in energy and fatigue, feeling like a failure and blaming oneself for every mistake, a hypercritical attitude, and feeling morally outraged are characteristics of the shock and rejection phase. The recovery phase is characterized by a beginning sense of humor (usually the first sigh), a decrease in tension, and an increase in the ability to cope with the situations that he/she is faced with. Role transformation is the process of transforming from student to nurse.

A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months. What type of transition is the nurse experiencing?

a. A developmental transition

b. An organizational transition

c. A health-oriented transition

d. A situational transition

ANS: D

A situational transition is a lifestyle change that occurs because of a new situation. Most often the changes are by choice—for instance, graduations, marriages, and new jobs. Developmental transitions include becoming a parent or going through a midlife crises. An organizational transition involves a change in leadership. A health-oriented transition involves dealing with an illness or health issue, such as coping with a chronic illness.

The graduate nurse understands that transitions occur throughout life. What major factor does the nurse identify as influential in a successful transition from school to practice?

a. Level of new knowledge and skills required in the new environment

b. Amount of classwork required to obtain a degree

c. Personal history of previous developmental transitions

d. Influence of classmates and their transitional experiences

ANS: A

The transition from student to practice reflects a situational transition that is most often affected by the anticipation of changes in the new work environment. Classwork no longer affects this transition. A personal history of previous developmental transitions and the influence of classmates are not as prominent as the anticipated requirements to function in the new environment of work.

A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements?

a. "A graduate nurse should be able to perform as independently as was demonstrated the last semester of nursing."

b. "A graduate nurse should be able to function competently as a registered nurse at the entry level."

c. "A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing."

d. "A graduate nurse should be able to be able to function independently with ability to make clinical nursing judgments."

ANS: B

The job expectations of a new graduate nurse are those of an entry-level new employee. This frequently includes an extended orientation to assist the new graduate to transition into the independent role of the nurse. The new graduate nurse is not expected to function independently with the ability to make clinical nursing judgments. School curriculum and how one functioned the last semester of school are usually not considered in the job expectations of a new graduate.

Which action by the graduate nurse shows that a successful transition to nursing has been made?

a. The nurse begins to work with the nursing team and functions as others expect.

b. The nurse begins to objectively evaluate work experiences and enjoy the humor of clinical situations.

c. The nurse believes everything is great, patients are wonderful, and the new unit is so nice.

d. The nurse meets regularly with other new graduates to compare and discuss problems.

ANS: B

Objectivity and humor are two of the characteristics of a successful transition. "Going native" occurs when the graduate begins to provide care in the manner that the team or group wants it done, not necessarily the correct way. The "honeymoon phase" is when everything is going great. Meeting with other new graduates can be productive, but it is a part of the transition, not an indication of successful transition.

A student nurse is in the last semester of nursing school. Which action by the nursing student indicates appropriate preparation for the transition experience?

a. The nursing student requests additional experiences in performing skills and procedures.

b. The nursing student maintains close contact with a nursing instructor to observe nursing procedures.

c. The nursing student practices nursing assessments and care on one or two patients to become more competent.

d. The nursing student increases communication with a nursing instructor to maintain a resource person after graduation.

ANS: A

Students should get all the experience, not just observation, you can before graduation. Ask to perform procedures and skills and request feedback from staff nurses and instructors. Students should also begin to build resources that will be available after graduation. It is during the last semester that students begin to care for more complex patients (and more patient numbers) to gain experience in the "real world" of nursing management, as well as less begin to have less reliance on the nursing instructor as a resource person.

A graduate nurse has been reviewing the NCSBN's Transition to Practice model. The graduate nurse understands the intention of the model when making which of the following statements?

a. "The intention of the model is to mandate that all state boards of nursing provide a regulatory model for transition to practice."

b. "The intention of the model is to provide educational modules so that the new graduate does not need to work with a preceptor."

c. "The intention of the model is to have the new graduate take and pass the NCLEX® Exam, obtain employment, and then enter a transition program."

d. "The intention of the model is to complete the formalized transition program within 6 weeks."

ANS: C

The NCSBN's Transition to Practice model is a regulatory model that is designed to promote public safety by supporting the role transition experience of newly licensed nurses. The new graduate would first take and pass the NCLEX® Exam, obtain employment, and then enter the transition program. There are 5 transition modules with content focused on communication and teamwork, patient-centered care, evidence-based practice, quality improvement, and informatics. The time period for completion of the program is 6 months with an expected additional 6 months of ongoing support. Because of individual state's rights, the NCSBN encourages states to adopt this model; however, they does not have the authority to mandate adoption of the model. This model does not act in replacement of a preceptor in the clinical practice area.

The nurse has an adequate understanding of transitions when making which statement about situational transitions?

a. "This type of transition can occur with leadership change."

b. "This type of transition occurs only when one is dealing with a chronic illness."

c. "This type of transition can occur when one has a career change."

d. "This type of transition occurs during a midlife crises."

ANS: C

A situational transition occurs from change to from one situation to another, such as a career change. Dealing with a chronic illness would be characteristic of a health-illness transition, a leadership change would be an organizational transition, and a midlife crises would be a developmental transition.

A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience. Which patient should be added on to the clinical assignment to assist in this process?

a. A 48-year-old man with heart failure who has oral and IV medications due and needs a new IV started

b. A 38-year-old woman who cares for herself independently and is going home later today

c. A 25-year-old man who is leaving the hospital against medical advice

d. A 40-year-old man who needs education on diabetes management

ANS: A

To adequately prepare for role transition, the student nurse needs realistic assignments and real-life experiences. It would be most appropriate for the student to accept the "busy" patient, who requires oral and IV medications and needs to have his IV restarted. The patient who can care for themselves independently and the one who is leaving the hospital against medical advice would not provide as much skill experience. Diabetic teaching is important but does not require the time management and work organization skills of a "busy" patient.

A student nurse is interested in improving his/her nursing skills. What action would be the best for the student nurse to take?

a. Ask his/her instructor for extra skills practice during clinical hours.

b. Watch videos on how to perform the nursing skills that he/she needs to practice.

c. Review his/her nursing textbooks.

d. Observe nurses perform skills in his/her clinical setting.

ANS: A

The best way for the nursing student to improve skills is to get hands-on practice. The student would benefit most from requesting extra skills practice during clinical hours, where skills can be performed on real patients, with the guidance of a clinical instructor. Therefore, watching skills videos, reviewing nursing textbooks, and observing other nurses would not help the student obtain hands-on practice.

A nursing student is nearing the end of his/her clinical experience. The student would like to care for patients who are typically challenging for students in the first year of practice. Which patient would be the best choice for this student?

a. A 62-year-old man with diabetes who needs outpatient care set up

b. A 30-year old woman with a kidney stone requiring IV pain medications

c. A 45-year old man with chest tubes recovering from a car accident

d. A 25-year old woman who received blood yesterday

ANS: C

The skills that nursing students have identified as the most challenging include code blues, chest tubes, intravenous skills, central lines, blood administration, and patient-controlled analgesia. The most appropriate patient for the student to increase his/her skill level would be the 45-year old man with chest tubes. The other patients are not considered to be a "challenging patients" for most nursing students.

Which statement by the nursing student indicates an understanding of the importance of constructive feedback?

a. "I will wait until my clinical evaluation and then make any changes to my practice that are needed."

b. "I will request routine feedback from my instructor so I can make any changes needed to improve my skills."

c. "My instructor will let me know if I need to change anything."

d. "I will ask my colleagues if I needed to make any changes to my practice."

ANS: B

Students are responsible for their skills and growth as health care providers. To ensure that their nursing skills are adequate, students should request periodic feedback from their clinical instructors. Waiting for feedback or asking colleagues would be not an effective way for nursing students to obtain feedback in a timely manner.

A graduate nurse has clocked in for his/her second shift on a busy orthopedic unit. After accepting the assignment, the graduate nurse notices a fellow nurse complaining loudly at the nurse's station to other staff members. This fellow nurse is typically upset with floor assignments and thinks that the "new nurses get all the easy assignments." Which action would be best for the graduate nurse to take?

a. Join the conversation and tell the fellow nurse that he/she does not care for the assignment either.

b. Begin a conversation with another staff member about the fellow nurse who is complaining.

c. Steer clear of the nurse who is complaining and try to focus on the positive.

d. Begin complaining about his/her own assignment.

ANS: C

The graduate nurse would have the most success by steering clear of the complaining nurse and focus on the positive. Joining the conversation and focusing on the negative will not help the graduate nurse adjust to his/her new job.

A new nurse is caring for five patients on a busy surgical floor. While hanging blood for a patient, the nurse receives notice that another assigned patient is being taken for surgery. The nurse has not obtained informed consent from the patient. What action should the new nurse take?

a. Immediately leave the room he/she is in and obtain informed consent from the patient.

b. Allow the patient to go to surgery without obtaining informed consent.

c. Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.

d. Ask the transporter to obtain informed consent from the patient.

ANS: C

Although the nurse must stay with the patient while hanging blood, it is important that informed consent is obtained from the other patient before going to surgery. The best action for the nurse to take would be to compromise and delegate obtaining informed consent to another nurse. The other actions would be inappropriate and possibly dangerous to the patients involved.

The new graduate has an understanding of the nursing journey ahead when stating:

a. "It is not acceptable for me to make any mistakes at all."

b. "I am not worried about issues with transition. I am tough. I will do just fine!"

c. "I know that I will make some mistakes, but I will learn and grow from them."

d. "I am going to keep studying so that I am always right."

ANS: C

It is important for the graduate nurses to know that they will make mistakes in their nursing careers but that it is important that they learn and grow from them. It is not realistic for graduate nurses to believe that they will not make any mistakes or will not struggle with transition.

A nurse has worked the past 5 days in a row to make some extra money. Today is a scheduled day off. Which of the following actions would be the best for this nurse to take?

a. Call the unit to see if they need the nurse to work.

b. Read nursing articles and take practice quizzes to stay up to date.

c. Take his/her small children to the zoo.

d. Work on a continuing education requirement.

ANS: C

It is important that the nurse take time to relax and have fun. Taking his/her small children to the zoo is a non-work-related activity that would ease stress and be enjoyable.

A nurse manager is preparing a group of newly hired nurses to work on the unit. After educating them on reality shock, a student raises their hand and asks what physical and psychological symptoms the nurse may experience? The nurse manager replies: (Select all that apply.)

a. "It is not possible to experience any physical or psychological symptoms from reality shock."

b. "You may experience headaches."

c. "It is possible that you will experience gastrointestinal upset."

d. "You could experience insomnia."

e. "Women may experience menorrhagia."

ANS: B, C, D

Reality shock can cause physical and psychological symptoms that are important for the nurse to be aware of. These can include headache, insomnia, feeling stressed out, gastrointestinal upset, and post-student blues. Menorrhagia (excessive menstrual bleeding) is not a typical physical symptom of reality shock but is caused by uterine fibroids, endometriosis, or uterine polyps. Amenorrhea (absent menstrual flow) may be experienced because of stress associated with reality shock.

A new nurse wants to make personal lifestyle changes to become a healthier individual. Which actions would help with reaching this goal? (Select all that apply.)

a. Begin an exercise routine.

b. Eat snacks late at night.

c. Incorporate relaxation into his/her schedule.

d. Begin eating nutritious meals and snacks.

ANS: A, C, D

To maintain health and wellness, the new nurse should begin an exercise routine, incorporate relaxation into his/her schedule, and begin eating nutritious meals and snacks. The nurse should consider cutting out snacks late at night.

Which action would greatly help the graduate nurse when seeking out employment? (Select all that apply.)

a. Plan out interviews.

b. Ask to speak to nurses who work on the unit.

c. Wait until the interview to gather all of the information.

d. Find out what type of nursing care is delivered.

e. Determine the length of orientation.

ANS: A, B, D, E

It is important for the graduate nurse to be prepared when seeking out employment. Planning out interviews, speaking to nurses who work on the units, finding out what type of nursing care is provided, and determining the length of orientation are all actions the graduate nurse can take to prepare for employment. Waiting to gather information at the interview can leave the graduate nurse feeling frazzled and disorganized.

Which statement indicates the nurse's understanding of effective time management?

a.

"The purpose of effective time management is to save hours, minutes, and seconds."

b.

"The purpose of effective time management is to do as much as possible in as short a time as possible."

c.

"The purpose of effective time management is to do as little as possible."

d.

"The purpose of effective time management is to achieve personal and professional goals."

ANS: D

Making time to meet your individual, family, professional, and career needs and goals is vital to overall success and is the primary purpose of time management. Stating the purpose of effective time management as saving time or doing as much or as little as possible in a short time would not indicate the nurse's understanding. Procrastinating and doing as little as possible are not characteristic of effective time management.

A student nurse likes to sleep late and has a high-energy period in the evening. The student resists schedules and prefers to study when it "feels right" and in groups. Which of the following characteristics fit this student?

a.

Early bird and left-brain dominance

b.

Early bird and right-brain dominance

c.

Owl and left-brain dominance

d.

Owl and right-brain dominance

ANS: D

The owl does its best work at night, which fits well with the right-brain-dominant person who resists schedules. People with these characteristics choose to do things in their own time and fashion. Early birds tend to do their best work earlier in the day. Left-brain-dominant people process information in a linear, sequential manner, so they would probably prefer a schedule of activities.

In 4 weeks, a student nurse will have two tests and one paper due in the same week. What is the most effective time-management strategy for this student nurse?

a.

Control time wasters to have more time for studying and writing.

b.

Delegate everything possible to create more time for studying.

c.

Schedule specific times on a calendar to study for the tests and to work on the paper during the next 4 weeks.

d.

Wait to study for the tests and to write the paper the week before they are due because the student nurse "works best under pressure."

ANS: C

The most effective approach to this problem would be to schedule specific time periods to prepare for the tests and write the paper. Waiting until the last minute to study and write the paper creates unnecessary stress and sets the student nurse up for failure. Creating more time for studying does not solve the problem; how that time is organized and how it is used is the key. Procrastinating by putting off assignments until the last minute can lead to extreme anxiety and stressful behavior. Although delegating some tasks is realistic and can create time for studying, it is unrealistic to delegate "everything possible."

How can the student nurse increase studying efficiency?

a.

Maintaining a supply of simple carbohydrates for a quick energy spurt

b.

Alternating mental and physical activities to increase productivity

c.

Working nonstop without breaks to focus concentration

d.

Delegating tasks of household chores to family members

ANS: B

Alternating tasks that are mental with tasks that are physical can increase alertness and create a natural energy spurt to keep going. Carbohydrate-induced energy spurts are short lived and ineffective for studying efficiency. Working nonstop without breaks leads to fatigue and burnout. Although delegating tasks would be helpful to the student nurse, it does not directly increase studying efficiency.

The nurse has concluded that he/she is a right-brain-dominant person. Based on the nurse's time style, which unit governance task will the nurse implement?

a.

Devise a plan to restructure the nursing career ladder.

b.

Write a procedure for central line care using new equipment that will be available in two weeks.

c.

Do the unit time schedule for the next pay period.

d.

Collate data obtained from a chart audit to report at the next unit staff meeting.

=

ANS: A

Right-brain-dominant people like to brainstorm to create new ideas and approaches to old problems, so devising a restructured nursing career ladder would be an appropriate task for this person. Writing procedures, completing time schedules, and collating data are indicative of a left-brain-dominant person.

What actions should a graduate nurse take in the first work experience to avoid problems with burnout?

a.

Cross-train to work in different areas of the hospital.

b.

Develop a social group of nurses with whom to share work experiences.

c.

Plan on several sessions with a counselor regarding managing stress.

d.

Develop social contacts outside of nursing and maintain good nutrition and good sleep habits.

ANS: D

Taking care of oneself is a primary component to preventing burnout—for example, avoiding alcohol, maintaining good nutrition, getting adequate amounts of sleep, and avoiding cigarette smoking. Developing social contacts outside the work environment also facilitates reduction of stress from work. Cross-training in different areas of the hospital, developing a social group with nurses to share work experiences, and meeting with a counselor would not be helpful to the graduate nurse in avoiding problems with burnout in the first work experience.

Which action by the nurse exemplifies a sense of spiritual health?

a.

Belonging to a church

b.

Feeling purposeful and fulfilled

c.

Feeling loved and cared for

d.

Changing religious affiliations

ANS: B

A sense of spiritual health simply means that we have a daily awareness that there is something more to living than mere human existence. People who have a sense of spiritual being find their lives to be positive experiences and feel good about the future. Belonging to a church, feeling loved and cared for, and changing religious affiliations are not identified as ways that one exemplifies a sense of spiritual health.

Which of the following is an example of a self-defeating belief?

a.

I must always feel loved by everyone.

b.

I am a caring person.

c.

I will get through nursing school.

d.

I am getting better.

ANS: A

Feeling as though you need to be loved by everyone is a self-defeating belief because there will always be some individuals who do not care for you. It would be unrealistic and hence self-defeating to have or express the need to be loved by everyone. There are many ways to exercise our mental potential. One of the first ways is to concentrate on removing negative thoughts or self-defeating beliefs from our minds. Affirmations or positive statements, such as being a caring person, will get through nursing school, getting better with skills or recovering from an illness, and so on are ways to avoid self-defeating comments and behaviors.

Which is an example of an effective self-care strategy for a nurse?

a.

Plan time for physical recuperation after working extra hours.

b.

Push feelings of sadness, joy, anger, and fear out of awareness.

c.

Use alcohol to reduce tension.

d.

Respond to people and opportunities reactively.

ANS: A

Taking care of ourselves physically entails getting proper nutrition and adequate sleep and exercising on a regular basis and planning for additional time to recuperate when working extra hours. Using alcohol or drugs only medicates feelings and is not considered an effective self-care strategy. Not dealing with feelings is a way to consciously suppress emotions, which can lead to a variety of anxiety disorders. Responding to people and opportunities in a reactive manner or a "knee-jerk" response, is not a good self-care strategy because the behavior can lead to poor decisions without adequate thought.

Nurse 1: "The manager told me that you and I have to change work schedules to accommodate Jim. That means we will both have to work days and nights in the same week. There's nothing we can do about it." Nurse 2: "Let's take a minute and look at the possible alternatives." What is the best assessment of this situation?

a.

Nurse 1 is exhibiting reactive behavior, and Nurse 2 is being proactive.

b.

Nurse 1 is exhibiting a sense of empowerment, and Nurse 2 is behaving codependently.

c.

Jim and the nurse manager have formed a coalition with the goal of dominating other staff.

d.

The nurse manager is evidencing good self-esteem by daring to take an unpopular action that will expose criticism.

ANS: A

Whereas nurse 1 is reacting to the situation, nurse 2 is taking time to assess the situation more thoroughly and see what choices they might have. Many of us go through life never realizing that we have many choices. You can choose to respond to people and situations rather than react. It is important to assess the situation and see what options are available and what the consequence of the options might be. Exercising our choice potential also entails that we act responsibly toward others. Codependent behavior is a type of control or enabling behavior. Empowerment is the power to do something and acting self-confidently to do so. The question is asking about the assessment of nurse 1 and nurse 2 responses, not the nurse manager.

A nurse has been out of school about 6 months. Which of the following would indicate that the nurse is having problems with burnout?

a.

Having chronic fatigue, increased irritability, and feelings of helplessness

b.

Feels angry regarding the type of care being delivered and scheduling of staff coverage

c.

Signs up for extra courses for an advanced degree and works double shifts for extra money

d.

Is disorganized regarding patient care and has to stay late to finish shift work

ANS: A

Fatigue, irritability, and feelings of helplessness are all early signs of burnout. Anger regarding care may be very appropriate; how the anger is directed is important. Overscheduling oneself is something that may promote early burnout, as are disorganization and poor time management.

The nurse would identify which of the following strategies as a means of increasing feelings of empowerment?

a.

Requesting an assignment to a different hospital unit

b.

Assisting friends to cover their shifts when they need time off

c.

Telling a coworker that a joke heard in private was inconsiderate and thoughtless

d.

Declining to work an extra shift and going to the movies with friends

ANS: D

Taking care of oneself is critical to preventing burnout and increasing feelings of empowerment, such as declining to work an extra shift so you can participate in activities with friends and family. Take care of yourself first; then assist others as you are able. Moving to a different hospital unit may be a type of avoidance with an issue that is unresolved. Humor and laughter are important; however, if the joke was unethical, correcting the nurse would not increase empowerment

What activity would most likely promote a positive feeling of well-being in a graduate nurse about 6 months after employment?

a.

Have a group of staff nurses over for a party.

b.

Participate in hospital-sponsored programs for community health.

c.

Spend some time with an old friend who is in the middle of a divorce.

d.

Get involved in a new hobby and attend social gatherings to meet new people.

ANS: D

Planning pleasurable activities, such as a hobby or attending a social gathering, that are not associated with nursing or other people's problems can help you to reenergize and feel better about yourself. Having nurses over for a party or participating in hospital-sponsored programs would not give the graduate nurse the time needed away from nursing. Spending time with a friend going through a divorce would not promote a positive feeling of well-being in the graduate nurse.

A nurse is considering pursuing additional education in nursing and hopes to be promoted to a management position. What action should the nurse take to best achieve this?

a.

Wait until "the time is right" and inquire about program and promotion opportunities.

b.

Be the best nurse possible and hope a scholarship or promotion will be awarded.

c.

Set long-range, mid-range, and short-range goals with specific related activities and time frames to meet these goals.

d.

Read three books on time management.

ANS: C

Set goals so that you can prioritize your approach, along with identifying specific activities and time frames to work toward a management promotion are keys to success. Assess the situation and see what activities will provide the highest payoff. Waiting for the right time to achieve promotion, hoping for a scholarship or promotion, and reading books on time management are not effective; instead, the nurse must take action to achieve a goal.

A student nurse is feeling stressed about the combination of nursing courses and clinical experience in the semester. What actions can the student nurse take to reduce stress level based on biological rhythms?

a.

Schedule difficult activities at high-energy times.

b.

Shorten sleep time to accommodate increased study times.

c.

Study before bedtime to increase memorization.

d.

Only study when not feeling stressed

ANS: A

Student nurses should create schedules that work with their biological rhythms, such as scheduling difficult activities at their high-energy times. Shortening sleep, studying right before bed, and only studying when they are not feeling stressed are not advised.

A nurse manager is assigning additional duties to the day shift nurses to keep the unit orderly and running smoothly. Which assignment would be the best for a right-brain-dominant nurse?

a.

Clean up the break room by noon.

b.

Assist with completing a unit project, based on specific rules and guidelines.

c.

Create a poster board in honor of Nurse's Week.

d.

Take part in a meeting regarding unit policies..

ANS: C

Right-brain—dominant people resist rules and schedules and prefer to complete activities on their own time. Creating a poster board in honor of Nurse's Week gives the right-brain-dominant nurse a chance to create in a personal way without rules and restrictions. Cleaning up the break room by noon, assisting with a unit project guided by rules and specific guidelines, and taking part in a unit policy meeting would be better suited for a left-brain-dominant nurse (structure, organization, rules, time limits, and priorities are important)

What action by student nurses indicates readiness for successful study habits?

a.

Combining their study area with the space that they use to pay bills

b.

Color coding their materials from each class

c.

Keeping all materials and papers in one bin

d.

Cleaning their study area at the end of each semester

ANS: B

To ensure success, students should first separate the area in which they study from the area where they pay bills. Second, students should color code their materials from each class to ensure that they can find what they need during study sessions. Students should separate out materials and discard what is no longer needed. Frequently cleaning their study area will help them maintain order.

What actions can a student take to manage the phone calls received throughout the day?

a.

Set a specific time during the day for business or school related phone calls.

b.

Allow phones call at any time as long as they are short.

c.

If the student needs to leave a message, state that he/she can be contacted any time.

d.

Keep the phone turned off until all studying is completed for the day.

ANS: A

Students should set up a time during the day for all phone calls related to business or school. If students need to leave a message, they should state when they can be contacted. Keeping the phone turned off is not a realistic option.

A student wants to begin planning for future educational goals. Which of the following actions would NOT help the student plan?

a.

Review a list of goals once a year.

b.

Make a master list of goals.

c.

Prioritize goals.

d.

Cross out goals as they are met.

ANS: A

In planning goal-related activities, making a master list of goals and prioritizing the goal list are helpful strategies for completing activities and accomplishing goals. It is also helpful to cross off each goal, as it is completed. By doing so, provides a sense of accomplishment and immediate gratification for completing a goal. It is important to continually review the list of goals established to determine if activities or tasks need to be moved based on how quickly they need to be attended to. Reviewing a list of goals yearly would not be sufficient in helping the student plan for completing his/her educational goals.

Which of the following actions by the nurse helps to prevent burnout?

a.

Picking up extra shifts each week

b.

Staying late to help out at the end of each shift

c.

Scheduling a massage on a day off

d.

Teaching at the local community college one day a week

ANS: C

A fun, relaxing activity that is not work-related can help prevent burnout, such as scheduling a massage on a day off. Picking up extra shifts, staying late to help out at the end of the shift, and teaching part-time one day a week may lead to burnout if the nurse is not careful

Which of the following statements by the nursing student is an affirmation?

a.

"I must maintain As in school."

b.

"I am human and capable of making mistakes."

c.

"If I fail at something, the results will be catastrophic."

d.

"If I am not liked by everyone, I am a failure."

ANS: B

Stating, "I am human and capable of making mistakes" is an affirmation or a positive statement concerning the ways we would like to think, feel, or behave. The other statements are self-defeating thoughts

When taking an online or web-enhanced course, what are effective time management strategies? (Select all that apply.)

a.

Enroll in an online or web-enhanced course that has fewer than 15 students to reduce the amount of time it takes to respond to everyone in the class.

b.

Print your syllabus and create a calendar with assignment due dates and discussion posting requirements.

c.

Create a directory on your computer to place assignments and resources specific for the course.

d.

Determine what the best time is for logging into the course website and create a schedule for weekly log-in times.

e.

Develop an online group of colleagues that meet in the chat room or participate in instant messaging.

ANS: B, C, D, E

Online or web-enhanced courses can take as much, if not more, time as traditional face-to-face classes. The following are helpful strategies to improve time management involving the course:

• Print the syllabus and place deadlines on your calendar before the first course meeting.

• Identify how to contact your instructor and schedule online office hours in your calendar.

• Schedule weekly times for logging into the class website.

• Schedule a time for class work and select a specific site.

• Develop collegial support groups.

• Be active in the course by participating appropriately in discussion groups.

• Establish an evidence-based file to download important articles (.pdf format).

• Bookmark websites (but before bookmarking these, review the information; do not assume all sites are up to date and evidence based)

To achieve success in the workplace, which action by the nurse would focus on improving skills? (Select all that apply.)

a.

Taking a course on communication

b.

Thinking of a way to improve time management

c.

Understanding the layout of the hospital

d.

Spending some time working on organizational skills

e.

Knowing where supplies are on the unit

ANS: B, D

Employers of new graduates identify lack of organizational and time management skills as areas where new nurses need improvement and assistance. Focusing on improving these skills before employment will help the new nurse succeed.

What actions by the student would manage the physical environment? (Select all that apply.)

a.

Set up an area that is specific to school work.

b.

Choose a work area that has soft, dim lighting.

c.

Choose a work area that is free from distractions.

d.

Gather appropriate tools before each study session begins.

e.

Study for 30 minutes at a time and take a 5-minute break in between.

ANS: A, C, D

To have success when studying, students should first set up an area that is specific to school work. Students should choose a work area that is free from distractions and gather appropriate tools needed for studying. Students should choose an area with adequate lighting and study in 50 minute sessions, taking a 10-minute break in between.

What actions can the nurse take to manage a habit of procrastinating? (Select all that apply.)

a.

Consider the consequences of not completing each activity.

b.

Start on time and plan for the project to end on time.

c.

Break projects into small, manageable pieces.

d.

Set up a reward system for project completion.

e.

Be realistic about what can be accomplished.

ANS: A, C, D, E

To avoid procrastination, the nurse should consider the consequences of not completing each activity. The nurse should break down projects into small, manageable pieces; set up a reward system; and be realistic about what can be accomplished. Projects should be started ahead of time and be planned to take 3 times as long to complete.

The nurse understands stress-related illness when stating which of the following? (Select all that apply.)

a.

"Stress can cause insomnia."

b.

"Stress is known to cause muscle and joint pain."

c.

"Stress can cause headaches."

d.

"Stress is not known to cause any health problems."

e.

"Stress can cause gastrointestinal disturbances."

ANS: A, B, C, E

Stress is known to cause a variety of physical and psychological ailments, including insomnia, muscle and joint pain, headaches, and gastrointestinal disturbances

The nurse manager is presenting at a conference and shows an adequate understanding of a mentoring relationship when giving which of the following as an example?

a. A coach and a player

b. A teacher and a learner

c. An intern and a resident

d. An adviser and a partner

ANS: D

In nursing, mentor is synonymous with trusted adviser, and mentoring is a partnership between two people. Coaches help individuals find new ways to solve problems, reach goals,

and design plans of action to motivate people to perform at the "top of their game." The teacher and learner relationship involves an evaluation component (receiving a grade in a

course). The intern reports to the resident, so there is more of a precepting relationship because the resident is the clinical expert, and there may also be an evaluation component in this relationship.

The nursing professor is lecturing to students in their final semester of nursing school. Which statement by the nurse professor about mentoring is accurate?

a. "Mentoring involves solving an individual's problems."

b. "Mentoring focuses on the needs of someone else."

c. "Mentoring means helping someone reach his or her long-term goals."

d. "Mentoring requires pairing an experienced person with a novice."

ANS: B

Mentoring requires a primary focus on the needs of the mentee and an effort to fulfill the most critical of these needs. Meeting these needs first makes achievement of goals more realistic. Mentoring does not involve solving an individual's problems, helping someone reach

long-term goals, or pairing an experienced person with a novice.

While discussing a mentoring program with the nursing director, which statement made by the nurse manager correctly demonstrates an understanding of the mentoring process?

a. "A mentor- mentee is a partnership."

b. "The flow of information is like a one-way street."

c. "A static relationship is ultimately going to occur."

d. "The mentorship is the primary method of gaining more experience."

Ans: A

Mentoring is a partnership and a two-way street, with both parties freely contributing to the

relationship as equals working together and based on mutual respect. Mentoring is not used as

a method to gain more experience. Mentoring is a dynamic, not a static, relationship. Gaining

experience is often associated with precepting

You are a graduate nurse in search of a mentor. What action is best when attempting to find a good "match"?

a. Choose an experienced nurse who is successful.

b. Look for things you and the potential mentor have in common.

c. Be very specific with the questions you ask of the possible mentor.

d. Be careful not to disclose too much personal information.

ANS: B

When considering establishing a mentoring relationship, look for commonalities in nursing

education, areas of expertise or practice, or interests. Feeling comfortable and building trust

are crucial for a successful mentoring relationship. Broad, open-ended questions stimulate

discussion and offer an opportunity to assess and establish the mentor relationship. It is

important to discuss yourself and be open in a light and friendly manner when talking with a

potential mentor. Being an experienced nurse would be an important criterion for a preceptor

A group of nursing students is discussing mentors. Which statement made by a student best demonstrates the role of a successful mentor?

a. "They ensure that their mentees do not fail."

b. "They push the mentees to a higher level."

c. "They always ask a lot of questions of their mentees."

d. "They encourage mentees to question their skills so they can improve."

ANS: B

Mentors need to communicate high expectations to mentees and push them to meet or exceed

these expectations. Mentors should not ensure that mentees do not fail because this is often a

great learning experience for mentees. Frequently questioning mentees or encouraging

mentees to question their skills is not indicative of a successful mentor. Mentors are good

listeners, offer empathy and encouragement, and are generous with their time and knowledge

The role of the mentee needs to be understood early in the mentoring relationship. What is a characteristic or example of the mentee's role?

a. Not interrupting the mentor

b. Absorbing what the mentor explains in detail

c. Establishing personal short- and long-term goals

d. Finding out what the mentor has to offer in terms of experience

ANS: C

Establishing your goals early will help you get exactly what you need from the mentoring

relationship. The mentee should ask questions when clarification is needed because

communication is very important. The mentor's nursing experience is not considered part of

the mentee's role. Absorbing information may relate more to a preceptor providing

information on content or skills. Finding out the experience is probably more applicable to the

preceptor relationship.

Which statement indicates the student nurse's understanding of a situational relationship?

a. "A situational relationship occurs only one time."

b. "A situational relationship is established by the organization."

c. "In a situational relationship, both mentee and mentor mutually accept it."

d. "A situational relationship is structured to ensure situational success."

ANS: A

Characteristically, a situational mentoring relationship is a one-time event. Organizations

usually establish formal relationships. Acceptance by the mentee and mentor is characteristic

of an informal relationship. A structured relationship is formal.

A nursing school wants to partner with a hospital to form a Dedicated Education Unit (DEU). What statement by the Dean to the hospital CEO best explains this concept?

a. "The staff nurses take the place of clinical nursing instructors."

b. "The faculty is available on site to oversee the experience."

c. "The students will only be those at the top of the class."

d. "The preceptor will have three to four nursing students."

ANS: A

In the DEU model, academic institutions and healthcare organizations join as partners to offer

nursing students a unique clinical experience. The basic tenets are peer teaching, collaboration

between educators and clinical service providers to enhance student learning and improved

clinical experiences. The remaining options are not necessary associated with the teaching

model

A new graduate is looking for a mentor. Which staff nurse would be the best choice?

a. A skilled clinician who appears hurried, curt, and occasionally sarcastic

b. A new graduate who worked 2 years as an LPN and seems confident

c. A nurse who has 3 years of experience, good skills, and a sense of humor

d. A seasoned nurse who is highly intellectual but is aloof and self-centered

ANS: C

The mentor not only serves as a role model or counselor for the new graduate but also actively

advises, guides, and promotes the graduate's career. It is important to select someone who will

work with you and has nursing experience. Frequently, nurses with 3 to 5 years of experience

remember their own role transition and can relate to what the new graduate is experiencing.

The clinician is curt and sarcastic, which would not be supportive behavior for a mentor. The

new graduate would not be the best choice. The seasoned nurse is aloof and self-centered and

would not be a good candidate for a mentor because mentors are willingly and personally

invested in their mentee.

Which of the following statements by the nurse indicates an understanding of mentors?

a. "As a mentor, you foster the mentee's individual growth and development over an extended period of time."

b. "A mentor strives to develop nurturing relationships during work time."

c. "Mentoring serves to assisting an individual's growth through partnership."

d. "The strength of a mentoring relationship lies in the facilitation and development of personal qualities."

ANS: A

Mentoring involves a focus on fostering the mentee's individual growth and development

over an extended period of time. Mentors develop nurturing relationships during personal

time. Coaching is the approach of assisting an individual's growth through partnership. The

strength of mentoring lies in the mentor's specific knowledge and wisdom

A nursing student in the mentoring process best demonstrates being in the "follow" phase by engaging in what activity?

a. Observing the mentor inserting a urinary catheter.

b. Inserting a urinary catheter while the mentor stands nearby for guidance.

c. Reading the hospital policy regarding urinary catheter insertion.

d. Inserting a urinary catheter without guidance from the mentor

ANS: B

In the "follow" phase, the student nurse and the mentor walk side by side down the same path,

and the mentor assumes a more passive role. Therefore, the student would place the urinary

catheter, with the mentor nearby for guidance. In the "lead" phase, the student would observe

the mentor; in the "get-out-of-the-way" phase, the student nurse would place the urinary

catheter without guidance. Reading the hospital policy on urinary catheterization does not

indicate a phase of the mentoring process

A nursing student is in the mentoring process. Which action would occur if the nursing student were in the "Get-out-of-the-way" phase?

a. Assessing chest tubes with the mentor nearby for guidance.

b. Assessing chest tubes independently.

c. Observing the mentor assessing chest tubes.

d. Discussing the hospital policy on chest tubes with the mentor

ANS: B

In the "get-out-of-the-way" phase, the nursing student would assess chest tubes

independently. In the "follow" phase, the nursing student would observe the mentor assessing

chest tubes. In the "lead" phase, the nursing student would assess chest tubes with the mentor

nearby for guidance. Reading hospital policy on chest tubes does not indicate a phase in the

mentoring process

A nursing student is meeting with a possible mentor for the last semester of nursing school. Which of the following questions would be most appropriate for the student to ask?

a. "Do you like working on this unit?"

b. "Do you like your coworkers?"

c. "How are things going today?"

d. "What kinds of problems are you having?"

ANS: C

The nursing student should ask open-ended questions, such as "How are things going today?".

The questions "Do you like working on this unit?", "Do you like your coworkers?", and

"What kinds of problems are you having?" are closed-ended questions. Open-ended questions

stimulate discussion and are less likely to make the other person feel vulnerable

Which statement by the nursing student best describes the characteristics of a mentee?

a. "The mentee should be passive and observe only."

b. "The mentee should challenge constructive feedback."

c. "The mentee should communicate clearly."

d. "The mentee should let learning opportunities come to him/her

ANS: C

The mentee should always strive to communicate clearly with the mentor. Being passive, challenging constructive feedback, and not seeking out learning opportunities are not the characteristics of a mentee

Which action by the mentor can help reduce the impact of reality shock on the mentee during the honeymoon phase?

a. Listen as the mentee discusses the excitement of starting a new position as a nurse.

b. Avoid discussions about the excitement of the mentee's new position as a nurse.

c. Ask the mentee not to discuss the new position during work hours.

d. Tell the mentee that the excitement will not last long

ANS: A

To help reduce the impact of reality shock, the mentor can listen as the mentee discusses the excitement of starting a new position as a nurse. Avoiding discussions about the new position or telling the mentee that the excitement will not last long are not ways to help reduce the impact of reality shock.

What action can the mentor take to help reduce the impact of reality shock on the mentee during the shock or rejection phase?

a. Withhold personal transition stories.

b. Encourage the mentee to discuss his/her feelings.

c. Encourage mentees to keep their feelings to themselves during work hours.

d. Ignore the feelings caused by reality shock

ANS: B

During the shock or rejection phase, the mentor can encourage the mentee to discuss his/her feelings to decrease the impact of reality shock. Withholding their own personal transition stories, encouraging mentees to keep their feelings to themselves, or ignoring these feelings are not ways that the mentor can help the mentee through this time of transition.

Which action by the mentor can help reduce the impact of reality shock on the mentee during the recovery phase?

a. Encourage the mentee to perform skills that he or she is comfortable with.

b. Maintain a semi-open line of communication.

c. Encourage the mentee to try new skills.

d. Allow the mentee to work independently.

ANS: C

During the recovery phase, the mentor should encourage the mentee to step outside of his/her comfort zone. This can be best achieved by encouraging the mentee to try new skills. The mentee should maintain an open line of communication while working with the mentee

Which action by the mentor can help reduce the impact of reality shock on the mentee during the resolution phase?

a. Expect the mentee to problem-solve clinical issues independently.

b. Continue to practice skills that he or she is comfortable with.

c. Reinforce positive qualities that the mentee possesses.

d. Point out negative qualities for the mentee to change.

ANS: C

The role of the mentor during the resolution phase is to remain supportive to the mentee.

Pointing out positive qualities that the mentee possesses is one way to achieve this. Expecting

the mentee to problem solve independently and pointing out negative characteristics will not

assist in the resolution of reality shock

Review the following characteristics. Which best describe the role of the mentor? (Select all that apply.)

a. Requires a primary focus on the needs of the new nurse

b. Assists the new nurse with difficult nursing procedures

c. Serves as a primary resource on the nursing unit for the new nurse

d. Is assigned to the new nurse for the orientation period

e. Is interested in the new nurse's personal growth and nursing goals

f. Is available to the new nurse after hours to discuss problems and needs

ANS: A, E, F

A mentor is more interested in a nurturing role, focusing on the needs of the new nurse and frequently sharing personal time. The preceptor acts in a formal role and functions during a defined period of time. The primary focus of the preceptor is to serve as a role model during

the specified period. The other options (assists the new nurse with difficult nursing procedures, serves as a primary resource on the nursing unit, and is assigned to the new nurse for the orientation period) are the characteristics of a preceptor

A nurse manager and a nurse director are discussing e-mentoring. Which statements by the nurse director indicate an understanding of the components of e-mentoring? (Select all that apply.)

a. "E-mentoring involves distance mentoring."

b. "E-mentoring is done through instant messaging."

c. "E-mentoring involves contact between mentee and mentor via electronic mail."

d. "E-mentoring is a mentoring program for first-year nursing students."

e. "E-mentoring uses a videoconferencing system such as Skype to meet virtually."

f. "E-mentoring involves planning meetings to discuss the progress of the preceptorship."

ANS: A, B, C, E

According to Knight, e-mentoring reflects mentoring that takes place over a distance (learner and faculty are not in face-to-face communication), usually by electronic communication facilitation. More recently, the use of e-mentoring can be via e-mail, smartphone, Skype, and webinars. Meeting in person and the mentoring program do not describe the virtual component of e-mentoring

A group of nursing students are discussing the characteristics of a successful mentor. Which of the following statements identifies these characteristics? (Select all that apply.)

a. "Good mentors are passive in their approach to learning."

b. "Successful mentors express high expectations for their mentees."

c. "Mentors need to be good listeners."

d. "Empathy is a characteristic shared by good."

e. "Successful mentors are nonjudgmental."

ANS: B, C, D, E

Successful mentors communicate high expectations, are good listeners, show empathy, and are nonjudgmental. Successful mentors are not passive but are actively involved with the growth of the mentee

Which statement(s) by the nursing student best describe the attributes of a mentor? (Select all that apply.)

a. "A mentor actively advises, supports, and promotes the mentee's career."

b. "A mentor is a professional who has any amount of experience as a nurse."

c. "Mentors have the mentee's best interest at heart."

d. "Mentors bolster self-confidence."

e. "Mentors provide support for only a short period of time."

ANS: A, C, D

A mentor is an experienced nurse who advises, supports, and promotes the mentee's career. The mentor has the mentee's best interest at heart and bolsters self-confidence. The mentor-mentee relation is a long-term one that is, in part, based on the mentor's ability to share experiences and support clinical learning

1. Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?

a. "To guarantee you will achieve your goal"

b. "To keep you focused on your job search"

c. "To help you define your professional identity"

d. "To impress those part of the interview process"

C "To help you define your professional identity"

A career goal defines who or what you wish to be professionally. In addition, it will help tie together the elements of your job search—the resume writing, research, employer contacts, and interview process—by giving you direction. Setting a career goal does not guarantee achievement of that goal. It does not help focus on the job search or impress those participating in the interview process.

2. A nursing professor correctly states the expectations of the job market for nursing as:

a. expected downsizing, decreased number of nursing positions.

b. expected decrease in the number of unlicensed assistive personnel.

c. expected increase in unlicensed assistive personnel: personnel.

d. expected increased hiring of new graduates.

D. expected increased hiring of new graduates.

According to the Bureau of Labor Statistics 2012-2013 Occupational Outlook Handbook, "Employment of registered nurses is expected to grow 26 percent from 2010 to 2020, which is faster than the average for all occupations." The nursing professor would be incorrect if her or she stated the expectations to be a decreased number of nursing positions or a decrease or increase in the number of unlicensed assistive personnel.

3. Which action by the graduate nurses shows understanding of resume writing?

a. Ensures that all of the dates for their employment history are specific

b. Does not overstate skills

c. Includes a thorough discussion of experiences as a nursing student

d. Includes only last two positions

B. Does not overstate skills

A resume is a concise, factual presentation of a person's educational and professional history, usually not more than two pages in length. It is important not to overstate skills. Graduate nurses should not include a thorough discussion of their experiences as a nursing student. They should include all employment positions within the past 7 years, including the months and years of employment.

4. The nursing professor is assisting a group of nursing students in creating resumes. The professor instructs them to include which of the following demographic data?

a. Career goal

b. Address

c. Experience

d. Education

B. Address

The student's name, address, telephone number, and e-mail address should be at the top of the resume page. Students should be sure to provide correct, current information so employers can easily access the contact information. Career goals, experience, and education are not considered to be demographic data.

5. Which statement by the graduate nurse indicates understanding of the importance of a cover letter?

a. "It is optional."

b. "It is necessary only if your resume needs further explanation."

c. "It should recapitulate all of the important points of your resume."

d. "It should introduce you to the reader."

D. It should introduce you to the reader.

Along with your resume, the nurse should enclose a cover letter that gives a brief introduction. The cover letter should summarize important strengths or give information regarding change of specialty (after you graduate and have experience). Remember that this letter should not be longer than one page.

6. A graduate nurse has not heard from a prospective employer 3 days after submitting a resume. Which action should the graduate nurse take?

a. Call.

b. Write a letter.

c. Do nothing.

d. Contact another employment setting.

C. Do nothing.

Only a few days have passed, so do nothing. If the graduate nurse still has not heard from the prospective employer within 7 to 10 days, give the employer a call to make sure the resume and cover letter were received and to schedule an interview.

7. The nurse has an adequate understanding of employment benefits. Which of the following is not included in a benefits package?

a. Health insurance

b. Car insurance

c. Pensions

d. Disability coverage

B. Car insurance

Health insurance, pension, and disability are common in benefit packages; car insurance is not.

8. What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit?

a. Obtain a position that further develops interests and skills.

b. Provide a basis for moving up the career ladder to a supervisory position within 5 years.

c. Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees.

d. Obtain an entry-level position as a staff nurse on a medical-surgical unit.

D. Obtain an entry-level position as a staff nurse on a medical-surgical unit.

As a new graduate, the best short-term career goal or objective would be to obtain an entry-level position as a staff nurse. Career objectives or goals are not end results (e.g., education or eventual administration positions) but steps to assist the graduate nurse to another point. The objective should be specific to what the nurse needs at the time. Obtaining a position that further develops interests and skills is a good choice, but obtaining an entry-level position on a medical-surgical unit is more specific for a recent graduate.

9. The nurse can list when of the following as information that is not routinely included in a resume?

a. Age

b. Education

c. Professional memberships

d. Occupational experience

A. Age

A resume is a concise, factual presentation of a nurse's education and professional history. Age is not considered an important point in a resume, and prospective employers cannot request this information during the interviewing process. Date of birth and so on may be asked at a later time during the employment process. Any type of occupational or work history is to be included along with membership in professional organizations.

10. The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae. What is the difference between a resume and a curriculum vitae?

a. A resume more accurately represents a nurse's job and professional history.

b. A curriculum vitae will get longer as the nurse becomes more professionally experienced.

c. A resume will contain the nurse's continuing education activities.

d. The two are very similar and can be used interchangeably.

B. A curriculum vitae will get longer as the nurse becomes more professionally experienced.

A curriculum vitae will become longer as it begins to reflect the nurse's professional activities of continuing education, positions in professional organizations, and contributions to publications. Both a resume and curriculum vitae accurately represent job and professional history and contain continuing education activities. A curriculum vitae is used by individuals in academia.

11. Assuming all of the following statements are true, which should be included in a resume to highlight information that would be valuable to an employer?

a. Desires annual salary of $30,000 to $32,000

b. Is fluent in American sign language

c. Is president of state downhill ski club

d. Plans to move out of state after 1 year of employment

B. Is fluent in American sign language

The ability to use American sign language is a skill that would be worthwhile to the employer because it presents to the employer an extrapersonal skill. The salary, ski club, and relocation plans are not appropriate for a resume.

12. The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee?

a. Demonstrate interest in what the interviewer has to say.

b. Exercise the option to disagree with the interviewer.

c. Check off on a list when each item is covered by the interviewer.

d. Answer questions with as much detail as possible.

A. Demonstrate interest in what the interviewer has to say.

Recruiters appreciate applicants who know some basic facts about their institution and show an interest in what the interviewer has to say. Becoming familiar with the institution before the interview will demonstrate interest. Do not contradict or argue with the interviewer. Answer questions succinctly and concisely; do not expound on ideas.

13. During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply?

a. "I've never thought about having any weaknesses."

b. "I'm looking forward to strengthening my ability to plan care for a group of patients."

c. "My instructors told me I was disorganized."

d. "My biggest problem is in planning and implementing discharge teaching."

B. I'm looking forward to strengthening my ability to plan care for a group of patients.

It is important to develop responses to probable interview questions. This is not an uncommon question, and the graduate nurse should prepare a positive response, such as "strengthening ability to plan for a group of patients." Telling the interviewer that you never thought about your weaknesses or that you need help with planning and implementing discharge teaching does not indicate that you are prepared for the interview. The other option about admitting disorganization is not a positive response.

14. Employment for new graduate nurses is scarce in your locale. What action might help the new graduate find out about job openings before others know about them?

a. Attend job fairs.

b. Read the newspaper employment section.

c. Read bulletin boards in health care agency personnel offices.

d. Send resumes and cover letters to all health care agencies within the region.

C. Read bulletin boards in health care agency personnel offices.

The bulletin board at the health care agency will have positions posted before they are formally advertised. Anyone can walk into an institution and review the bulletin board in the human resources office for positions currently available. Job fairs and newspapers advertise employment opportunities to the public. Sending resumes and cover letters to health care agencies does not help the new graduate find out about job openings before the public.

15. The graduate nurse interprets the phrase "dress for success" to mean which of the following?

a. Wear a casual hairstyle and clothing that reflects your off-duty personality or hobbies.

b. Buy new, very conservative dark clothing to wear.

c. Select clothing that could be worn at a cocktail party.

d. Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe.

D. Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe.

The interviewer may judge the applicant's professional skills by personal appearance. Does the applicant dress neatly, have clean fingernails, and have a neat hairstyle? A prospective employer may anticipate the type of employee the graduate nurse will be by observing dress and personal hygiene. Casual or inappropriate clothing (e.g., cocktail party attire) do not fulfill the phrase "dress for success." It is not necessary to buy new clothing or wear something very dark and conservative.

16. The interviewer says, "We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?" The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer?

a. "I'm definitely interested in oncology, and I think I'm a hard worker. My instructor said I was developing empathy. My grade point average of C doesn't reflect my real ability."

b. "My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A."

c. "I worked full time while going to school, so my grades suffered. I've had my share of life's disappointments, so I can sympathize with cancer patients. I will work hard, but I have to make time for my family, too."

d. "I'm interested. My parents always told me I was bright. I work as hard as the next person. I've learned not to get too involved with patients."

B. My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A.

The new graduate should focus on strengths and accomplishments during the interview. The interviewee should not provide information or make excuses for a C average. The interviewee should keep it professional (avoid comments about sympathizing with patients); the interviewer does not care about the applicant family's opinion.

17. As the interview is drawing to a close, the interviewer asks the applicant, "What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression?

a. "What will happen if I am unable to meet the outcomes for the competency-based orientation?"

b. "Do you still have tuition reimbursement for courses to obtain my next degree?"

c. "How soon will I be responsible for supervision of other staff?"

d. "After completing orientation, when will the first pay raise be given?"

C. How soon will I be responsible for supervision of other staff?

Prepare a few questions!. This will be the applicant's opportunity to gather important details and possibly impress the interviewer by showing interest in the position. Keep questions on the positive side and inquire about responsibilities of the position. It would be inappropriate to inquire about pay raises at this time. Inquiries about pay and tuition reimbursement would be appropriate after the job offer has been provided.

18. A new graduate uses social networking (i.e., Facebook) as a means of communicating with family and friends. What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment?

a. Use a professional photo, perhaps just a headshot.

b. Set the Facebook site to public so recruiters can search and find.

c. Provide pictures of family and friends and remove any inappropriate information.

d. Avoid using social networking sites, such as Facebook and LinkedIn, because employers do not like them.

A. Use a professional photo, perhaps just a headshot.

It is important to make a good impression with a potential employer; remember that the new graduate's appearance on the social networking website will be what an employer first sees. Be sure to use a professional photo, perhaps just a headshot, and make the Facebook account private to prevent employers from searching for you if you want to use the Facebook account for family and friends. Potential employers may dismiss you as a candidate after viewing inappropriate photographs or information. LinkedIn is primarily a website for job networking.

19. Which of the following assignments should the new nurse question before accepting?

a. A 38-year-old man with cellulitis of the right arm

b. A 25-year-old woman with a left femur fracture

c. A charge nurse over the unit for the day

d. A 50-year-old man with right hip replacement

C. A charge nurse over the unit for the day

New nurses should not be placed in the charge nurse role until the role of staff nurse has been mastered. New nurses who must accept the role of charge nurse should consider their resources in order to maintain safety for the patients. The other assignments are appropriate for the new nurse.

20. A graduate nurse is in the process of applying for a first time nursing job. What should the graduate nurse keep in mind when using social media networks?

a. There is no risk of potential employers searching for the nurse on social media websites.

b. Employers cannot use material found on social media websites to eliminate candidates.

c. A small percentage of recruiters have eliminated candidates based on material found on social media websites.

d. As long as no identifying patient information is provided on the social media website, recruiters can overlook any videos posted about the patients the nurse has cared for.

C. A small percentage of recruiters have eliminated candidates based on material found on social media websites.

It is important for the graduate nurse to keep in mind that recruiters search social media websites to gather information about candidates. It is reported that 35% of recruiters have eliminated candidates based on material found on social media websites. Recall that the nurse has an ethical obligation to maintain and protect patient privacy and confidentiality. The nurse should never share or post patient images, videos, or any information pertaining to a patient on any form of electronic media; this includes the use of cell phones, smartphones, cameras, and other electronic devices in the clinical setting.

21. Which of the following actions by the graduate nurse would not be advised during an interview campaign?

a. Plan 3 interviews in a day,

b. Identify a date to begin employment.

c. Ask questions about the interview process.

d. Research the prospective employer.

A. Plan 3 interviews in a day

The graduate nurse should identify a desirable date to begin employment, ask questions about the interview process, research the prospective employer, and plan no more than 2 interviews in one day.

22. Which of the following actions would not help the graduate nurse prepare for an interview?

a. Practice verbal responses to sample questions in front of a mirror.

b. Ask a family member to play the role of the interviewer.

c. Begin preparing for the interview the day before.

d. Ask for constructive feedback regarding answers to sample questions.

C. Begin preparing for the interview the day before.

The graduate nurse should practice verbal responses to sample questions in front of a mirror, ask a family member to play the role of the interviewer, and ask for constructive feedback regarding answers to sample questions. The graduate nurse should not begin preparing for the interview the day before; preparation should begin earlier.

23. What actions should the graduate nurse take to assess an organization? (Select all that apply.)

a. Talk to those who work in the organization of interest.

b. Read the organization's mission statement.

c. Evaluate the reputation of the leadership.

d. Listen to rumors about the organization.

e. Read and analyze the recruitment materials.

A,B,C,E

To properly assess an organization, the graduate nurse should talk to those who work in the organization of interest, read the organization's mission statement, evaluate the reputation of the leadership, and read and analyze the recruitment materials.

24. The graduate nurse understands information that is necessary for a resume when making which of the following statements? (Select all that apply.)

a. "I need to include my name, address, and phone number."

b. "I should include the name of the position that I am applying for."

c. "I need to include where I received my educational training."

d. "I need to list my previous employer(s)."

e. "I should include avoid putting references on my resume."

A,B,C,D

The graduate nurse should include the following on a resume: name, address, phone number, name of position applying for, educational training, previous employer(s), and references. Age and marital status are not included on the resume. This information will be obtained by human resources after the person has been hired.

23. Which of the following actions should the graduate nurse take to ensure a great first impression? (Select all that apply.)

a. Arrive at the interview right on time.

b. Establish eye contact during the interview.

c. Minimize distracting nervous mannerisms.

d. Show enthusiasm and body language.

e. Smile when introduced.

B, C, D, E

The graduate nurse should establish eye contact during the interview, minimize distracting nervous mannerisms, show enthusiasm and body language, and smile when introduced. The graduate nurse should arrive 10 to 15 minutes early to gather information about the organization or spend more time with the interviewer.

1. The graduate nurse understands the purpose of the NCLEX-RN exam when stating which of the following?

a. "The exam provides feedback to the candidate regarding areas of weakness in nursing practice."

b. "The exam determines the candidate's ability or inability to meet minimum standards for safe practice."

c. "The exam gives employers an opportunity to hire graduates who have scored highest among first-time licensure candidates."

d. "The exam prepares new graduates as efficient, effective staff nurses."

ANS: B

The purpose of the NCLEX-RN® Exam is to determine whether a candidate is competent to perform safe, effective, entry-level nursing care. It does not prepare nurses but rather measures their performance on a test. Candidates who are unsuccessful receive information about their weak areas on the test, but this is not the purpose of it. Employers want to know if the person has passed because there is no specific score given other than pass or fail

2. Which statement by the nursing professor is accurate about the NCLEX-RN exam? The purpose of the NCLEX-RN® test plan is to ensure that all

a. "test takers answer items of comparable difficulty."

b. "test takers answer approximately the same number of items."

c. "test items are job related."

d. "clinical specialties will be equally represented."

ANS: C

The content of the NCLEX® Exam is based on a test plan that is determined by the National Council. The test plan reflects entry-level nursing practice as identified by research and the job analysis study of newly licensed registered nurses. Each candidate will receive different levels of questions in a computer adaptive format. The focus of the exam is not on clinical specialties. The test has a minimum of 75 questions and a maximum of 265 questions, so a test taker can answer any number of questions between these two numbers until they either reaches a passing standard or fails.