NSG 4800 Exam 1 V2 | NSG 4800
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 1) | Galen
1. Which phases are included in Kramer’s research regarding reality shock experienced by
newly licensed nurses? (Select All That Apply)
A. Honeymoon phase
B. Shock or rejection phase
C. Recovery phase
D. Resolution phase
E. Stagnation phase
F. Regression phase
Correct Answer: A, B, C, D
Kramer identified four specific phases: Honeymoon, Shock, Recovery, and Resolution. The
Honeymoon phase is characterized by excitement, while the Shock phase involves
realization of the disconnect between school and work. Recovery and Resolution represent
the nurse’s adaptation and eventual professional maturation.
,2. According to Benner’s stages of nursing proficiency, a nurse who has been in the same
clinical position for 2 to 3 years and can visualize long-term goals is at which level?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Correct Answer: D
The Competent nurse has usually been in the same clinical position for 2 to 3 years. This
nurse understands the organization and specific care required by the type of patients. They
are able to anticipate and plan long-term goals for their patient population.
3. A nurse is caring for a patient who refuses a scheduled blood transfusion for religious
reasons. The nurse respects the patient’s decision. Which ethical principle is the nurse
demonstrating?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Correct Answer: D
, Autonomy refers to the right of the patient to make their own decisions regarding
healthcare. Even if the nurse disagrees, respecting the refusal of treatment is a direct
application of this principle. This ensures that the patient maintains control over their own
body and medical care.
4. A nurse administrator is implementing a new charting system and encourages staff input,
allowing the group to vote on the final software choice. Which leadership style is being used?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: A
The democratic leadership style involves the group in decision-making and encourages
participation. This style often increases staff satisfaction and buy-in because employees feel
their opinions are valued. It is effective in environments where teamwork and
collaboration are essential.
5. Which of the following are essential elements required to prove nursing malpractice?
(Select All That Apply)
A. Duty to the patient
B. Breach of duty
C. Causation (Proximate cause)
Transition To Professional Nursing
Practice | Actual Q&A with Rationale
(NSG4800 Exam 1) | Galen
1. Which phases are included in Kramer’s research regarding reality shock experienced by
newly licensed nurses? (Select All That Apply)
A. Honeymoon phase
B. Shock or rejection phase
C. Recovery phase
D. Resolution phase
E. Stagnation phase
F. Regression phase
Correct Answer: A, B, C, D
Kramer identified four specific phases: Honeymoon, Shock, Recovery, and Resolution. The
Honeymoon phase is characterized by excitement, while the Shock phase involves
realization of the disconnect between school and work. Recovery and Resolution represent
the nurse’s adaptation and eventual professional maturation.
,2. According to Benner’s stages of nursing proficiency, a nurse who has been in the same
clinical position for 2 to 3 years and can visualize long-term goals is at which level?
A. Novice
B. Advanced Beginner
C. Proficient
D. Competent
Correct Answer: D
The Competent nurse has usually been in the same clinical position for 2 to 3 years. This
nurse understands the organization and specific care required by the type of patients. They
are able to anticipate and plan long-term goals for their patient population.
3. A nurse is caring for a patient who refuses a scheduled blood transfusion for religious
reasons. The nurse respects the patient’s decision. Which ethical principle is the nurse
demonstrating?
A. Beneficence
B. Non-maleficence
C. Justice
D. Autonomy
Correct Answer: D
, Autonomy refers to the right of the patient to make their own decisions regarding
healthcare. Even if the nurse disagrees, respecting the refusal of treatment is a direct
application of this principle. This ensures that the patient maintains control over their own
body and medical care.
4. A nurse administrator is implementing a new charting system and encourages staff input,
allowing the group to vote on the final software choice. Which leadership style is being used?
A. Democratic
B. Autocratic
C. Laissez-faire
D. Bureaucratic
Correct Answer: A
The democratic leadership style involves the group in decision-making and encourages
participation. This style often increases staff satisfaction and buy-in because employees feel
their opinions are valued. It is effective in environments where teamwork and
collaboration are essential.
5. Which of the following are essential elements required to prove nursing malpractice?
(Select All That Apply)
A. Duty to the patient
B. Breach of duty
C. Causation (Proximate cause)
