,Galen NSG 4800 Comp 1 Exam | Transition to Professional
Nursing Practice (2026) Q&A
1. Which nursing theorist is credited with developing the Self-Care Deficit
Theory of Nursing?
A) Sister Callista Roy
B) Dorothea Orem
C) Madeleine Leininger
D) Jean Watson
Correct Answer: Dorothea Orem
Rationale: Dorothea Orem developed the Self-Care Deficit Theory of Nursing,
which focuses on the patient's ability to perform self-care activities. The theory
identifies three nursing systems: wholly compensatory, partially compensatory,
and supportive-educative. Roy developed the Adaptation Model, Leininger
developed the Culture Care Theory, and Watson developed the Theory of Human
Caring.
2. A newly graduated nurse is transitioning from student to professional
practice. According to Kramer's Reality Shock theory, which phase is
characterized by initial excitement and enthusiasm?
A) Shock phase
B) Rejection phase
C) Honeymoon phase
D) Recovery phase
Correct Answer: Honeymoon phase
,Rationale: Kramer's Reality Shock theory describes four phases: honeymoon,
shock, recovery, and resolution. The honeymoon phase is the initial period
characterized by excitement, enthusiasm, and a positive outlook on the new
role. The shock phase follows when the nurse realizes the disconnect between
academic preparation and clinical reality.
3. According to Benner's Novice to Expert model, a nurse who has been
practicing for two to three years and can coordinate multiple patient care
demands is at which level of proficiency?
A) Advanced beginner
B) Competent
C) Proficient
D) Expert
Correct Answer: Competent
Rationale: Benner's model identifies five stages: novice, advanced beginner,
competent, proficient, and expert. The competent nurse has typically been in
the same clinical position for two to three years, can see actions in terms of
long-range goals, and can coordinate multiple complex care demands. The
proficient nurse perceives situations as wholes rather than in parts.
4. A nurse manager is preparing an in-service on legal issues in nursing. Which
situation best describes assault?
A) A nurse threatens to restrain a patient who refuses to take medication
B) A nurse administers an injection without the patient's consent
C) A nurse discusses a patient's condition in a public elevator
D) A nurse fails to document a patient's change in condition
, Correct Answer: A nurse threatens to restrain a patient who refuses to take
medication
Rationale: Assault is the intentional threat to make a person fearful of an
unwanted touching or harmful contact. Battery is the actual unauthorized
touching or harmful contact. Administering an injection without consent is
battery. Discussing a patient's condition in a public area violates
confidentiality, and failure to document is negligence.
5. Which ethical principle is demonstrated when a nurse respects a patient's
decision to refuse a blood transfusion based on religious beliefs?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
Rationale: Autonomy refers to the patient's right to make their own decisions
regarding their healthcare, including the right to refuse treatment. Beneficence
is the obligation to do good, nonmaleficence is the obligation to avoid harm,
and justice is the fair distribution of resources. Respecting a patient's refusal is
a direct application of autonomy.
6. A nurse is delegating tasks to unlicensed assistive personnel. Which task is
appropriate to delegate?
A) Assessing a patient's breath sounds
B) Administering oral medications
Nursing Practice (2026) Q&A
1. Which nursing theorist is credited with developing the Self-Care Deficit
Theory of Nursing?
A) Sister Callista Roy
B) Dorothea Orem
C) Madeleine Leininger
D) Jean Watson
Correct Answer: Dorothea Orem
Rationale: Dorothea Orem developed the Self-Care Deficit Theory of Nursing,
which focuses on the patient's ability to perform self-care activities. The theory
identifies three nursing systems: wholly compensatory, partially compensatory,
and supportive-educative. Roy developed the Adaptation Model, Leininger
developed the Culture Care Theory, and Watson developed the Theory of Human
Caring.
2. A newly graduated nurse is transitioning from student to professional
practice. According to Kramer's Reality Shock theory, which phase is
characterized by initial excitement and enthusiasm?
A) Shock phase
B) Rejection phase
C) Honeymoon phase
D) Recovery phase
Correct Answer: Honeymoon phase
,Rationale: Kramer's Reality Shock theory describes four phases: honeymoon,
shock, recovery, and resolution. The honeymoon phase is the initial period
characterized by excitement, enthusiasm, and a positive outlook on the new
role. The shock phase follows when the nurse realizes the disconnect between
academic preparation and clinical reality.
3. According to Benner's Novice to Expert model, a nurse who has been
practicing for two to three years and can coordinate multiple patient care
demands is at which level of proficiency?
A) Advanced beginner
B) Competent
C) Proficient
D) Expert
Correct Answer: Competent
Rationale: Benner's model identifies five stages: novice, advanced beginner,
competent, proficient, and expert. The competent nurse has typically been in
the same clinical position for two to three years, can see actions in terms of
long-range goals, and can coordinate multiple complex care demands. The
proficient nurse perceives situations as wholes rather than in parts.
4. A nurse manager is preparing an in-service on legal issues in nursing. Which
situation best describes assault?
A) A nurse threatens to restrain a patient who refuses to take medication
B) A nurse administers an injection without the patient's consent
C) A nurse discusses a patient's condition in a public elevator
D) A nurse fails to document a patient's change in condition
, Correct Answer: A nurse threatens to restrain a patient who refuses to take
medication
Rationale: Assault is the intentional threat to make a person fearful of an
unwanted touching or harmful contact. Battery is the actual unauthorized
touching or harmful contact. Administering an injection without consent is
battery. Discussing a patient's condition in a public area violates
confidentiality, and failure to document is negligence.
5. Which ethical principle is demonstrated when a nurse respects a patient's
decision to refuse a blood transfusion based on religious beliefs?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Justice
Correct Answer: Autonomy
Rationale: Autonomy refers to the patient's right to make their own decisions
regarding their healthcare, including the right to refuse treatment. Beneficence
is the obligation to do good, nonmaleficence is the obligation to avoid harm,
and justice is the fair distribution of resources. Respecting a patient's refusal is
a direct application of autonomy.
6. A nurse is delegating tasks to unlicensed assistive personnel. Which task is
appropriate to delegate?
A) Assessing a patient's breath sounds
B) Administering oral medications
