Transition to Professional Nursing Practice Exam 1 Questions and Answers

Transition to Professional Nursing Practice Exam 1 Questions and Answers What are the phases of Reality shock in nursing? What is occurring in each? Honeymoon phase-First phase, see the world of nursing looking great Often fascinated with the thrill of "arriving" in the profession Short-lived as graduate begins to see the conflicts between what he or she was taught and the reality of what is done Shock and rejection phase-Bad days good days Period of disillusionment feelings of failure, fatigue, anger, and moral outrage Hypercritical attitude some nurses drop out Recovery phase-Graduate nurse begins to have an increase ability to look at the situation objectively prioritization, conflict management, time management, and support groups can make a difference here First sign of recovery-beginning to have a sense of humor about the situation there is a decrease in tension What is the first sign a new nurse has reached the recovery phase of the phases of reality shock? Beginning to have a sense of humor about the situation What are the 4 major types of transition? Ex? (Scenario on test, ID which type) Developmental-becoming a new parent, midlife crisis Situational-(Immediate type of things )-graduating from nursing school, career change, divorce Health/Illness- Dealing with chronic Dx (new dx DM) Organizational- Change in leadership, new staffing patterns (ex-new boss) What stages are included in Benner's Novice to Expert nurse theory? (TEST-gie scenario tell what stage based on description) Novice advanced beginner competent proficient expert What is included in Benner's Novice nurse stage? Nursing student or experienced nurse in new setting no clinical experience in situation expected to perform Needs rules to guide performance experiences difficulty in apply theoretical concepts to pt care. What is include in Benner's Advanced Beginner stage? Could be last-semester nurse or graduate nurse demonstrates ability to deliver 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 the rules and absorbs minimum info regarding a situation (still a rule follower) What is included in Benner's Competent nurse stage? 2-3 years clinical nursing experience conscientious, deliberate planning begins to see nursing actions in light of clients long-term plans demonstrates ability to cope with and manage different and unexpected situations that occur very fluid in the way they move about can handle when a wrench gets thrown in WHat is included in Benners PRofiecient nurse stage? Could be nurse clinician, nursing faculty or a nurse who has worked in an area more than 3 years demonstrates ability to recognize and understand the situation as a whole demonstrates ability to anticipate events in a given situation as a holistic understanding enhances decision making What is included in Benner's expert nurse stage? demonstrates an understanding of the situation and is able to focus on the specific area of the problem Operates from an in-depth understanding of the total situation demonstrates highly skilled analytical ability in problem solving performance becomes masterful what is the path of associate degree education in nursing? 18-21 months 60-72 credit hours attracts more divers student population from variety of education and economic backgrounds What is the path of a baccalaureate education in nursing? Bachelors has research component and community health nursing 4-5 years 1/2-3/3 curriculum consists of nonnursing courses Who sets and maintains the standards and competencies of nursing schools? league for nursing (NLN) What is Credentialing? Indicates both academic achievement and the attainment of a minimum evel of competency in nursing skills Academic achievement credential -ADN LEgal credential-RN nursing license after passing NCLEX additional nursing credentials -CCRN (critical care registered nurse) (the abreviations after your name) What is registration? licensure? Registration- the process ob bing formally recognized in each stat as an RN Nursing licensure is a process by which a governmental agency grants "legal" permission to an individual to practice nursing (makes sure person has minimum competency first) Who oversees both licensure and registration? NCSBN How often do you have to renew your nursing license? q2years What is certification? Voluntary process by which a nongovernmental agency or association certifies that an individual licensed to practice a profession has certain predetermined standards specified by that profession for specialty practice Ex-Certified registered nurse anetsthetist (CRNA), Certified pediatric nurse practitioner (CPNP) (requires another exam) What is accreditation? (school of nursing gets stamp of approval) Process by which a voluntary, nongovernmental agency or organization approves and grants status to institutions or programs (not individuals) that meet predetermined standards or outcomes What are the two accrediting bodies for nursing schools? Accreditation commission for education in nursing Commission on collegiate nursing education Why is it important that your school be accredited? it assures you that the program has achieved educational standards over and above the legal requirements of the state What are the future trends in nursing? (TEST) Changing student profile-2nd career older adult with life experience Educational mobility- always learning (never stop) Shortage of RN's (large number of nurses are retiring) shortage of qualified nursing faculty (Masters and Doctoral) Technology and education-change every minute Changing health care settings- inpatient are sicker than in past, otherwise we discharge them and they are outpt the aging population-Geriatric is a growing field average age of a practicing nurse? In which way is it trending? 47 growing older how is the employment rate of RN's change from 2010 to 2020? Expected to grow 26% (30% by 2030 (aging population)) Why is setting career goals in nursing important? TEST TEST TEST!!! HELP DEFINE U WON PROFESSIONAL IDENTITY What is included in your cover letter? Name/info date who you are sending Dear (Colon, not semi-colon) Paragraph 1-how you found out about job, what sets you apart Paragraph 2-the amazing things about your paragraph 3-reiterate interest, tank them for consideration, sound excited What is included in your resume? Demographic data (name address ect) professional objective education licensures/certifications professional organizations honors/awards hobbies excellent references available upon request Key points about interviewing Do not be late-Do not brag or gloat sell yourself do not criticize past employers or instructors do not dwell on your shortcomings be flexible/work in area of 2nd/3rd choice Come up with questions for the interviewer (what kind of opportunities for professional development?) Send thank you letter Steps in the Evidence-Based Practice Process 1-Define the problem 2-id, review, and evaluate the data applicable 3-Design a practice change based on the data 4-implement the change in nursing practice What are the 4 elements of nursing malpractice? have a duty ( professional nurse-patient relationship) breached that duty ( fallen below the standard of care) breach of duty must have been a foreseeable cause of the injury (hardest to prove, was it the auto accident or the care that cause this to happen) Damages or injury must have occurred (this is where compensation comes into play) What is the nurse practice act? (9) Is a statutory law Describes how to obtain license and enter into practice for each state describes how and when to renew your license Defines the educational requirements for entry into practice provided definitions and scope of practice for each level of nursing describes the process by which individual members of the board of nursing are selected and the categories of membership identifies situations that are grounds for discipline or circumstances in which a nursing license can be revoked or suspended identifies the process for disciplinary actions, including diversionary techniques outlines the appeal steps if the nurse feels the disciplinary actions are not fair or valid What are statutory laws? Laws about the ethics of our relationships (Nurse practice act) Most common laws affecting nurses Different from state to state What is malpractice? improper performance of professional duties; a failure to meet the standard of care that results in harm to another person Must meet 4 requirements What is negligence? Failure to act as an ordinary prudent person when such failure results in harm to another. What is reasonable care? the level of care or skill that is customarily rendered by a competent health care worker of similar education and experience in providing services to an individual in the community or stat in which the person is practicing What is the standard of care? the set of guidelines based on various types of evidence as to what is reasonable and prudent behavior for a health care professional What is statues of limitations? laws that set time limits for when a case may be filed which differ from state to state (ex-care for 5 year old, can file suit till 18) What is the nurse licensure compact? Your nursing license is recognized in other states, if part of the compact, but you still must abide by the nursing laws of that state (24 states, adding 3 more) What is an advanced directive? A written statement of a perosns wishes about how he or she would like care decisions to be made if he or she ever loses the ability to make such decisions independently What is Durable power of attorney for health care? a document that allows a person to name someone else to make medical decisions for him or her if he or she is unable to do so this authority bgins only when the client is incompetent to make those decisions What are the 5 rights of clinical delegation? TEST the right task under the right circumstances to the right person with the right directions and communication under the right supervision and evaluation name 4 things an RN CANNOT delegate initial nursing assessmen and any subsequent assessment that requires professional nursing knowledge, judgement, and skill determination of nursing dx, establishment of pt care goals, development of pt care plans, and evaluation of progress towards goals any provision of health counseling, teaching, o referrals to other health care providers any nursing intervention that requires professional knowledge, judgement, and skill Who makes the NCLEX? The national council of state boards of nursing (NCSBN) What is the NCLEX-RN test plan? Determined by the NCSBN every 3 years questions are designed to est the candidates ability to apply te nursing process and to determine appropriate nursing responses and interventions to provide safe nurising care four levls of cient car are includd int eh NCLEX-RN test 1-safe and effective car environment 2-health promotion and maintenance 3-psychosocial integrity 4-physiological integrity what is the nurse licensure compact? other states recognized you passed the nclex so you don't have to take it again and for the states in the compact you can practice there temporarily but must comply with the nurse practice act of that state (30-90 days) If you are going to move there permanently, you hav to appy for licensure in that state What is the Computer adaptive testing? each candidate receives a different st of questions questions are assembled interactively as the candidate progresses through the exam-as candidate's answer questions correctly , the questions become harder, answer wrong, they become easier Numbr of questions and testing time wil vary for each person (determined by your amount of time above the passing line that counts) questions reflect the categories of the NCLEX plan Pretest questions will be included-and will not be countd toward your score (YOU WILL NOT KNOW WHICH ONES THESE ARE) Every time you answer the computer re-estimates yoru ability based on all revious answers and the difficulty of those items the computer then selects the next item that you shuld have a 50% chance of answering correctly with each item answered the computers extimate of yoru ability becomes more precise