Professional Nursing Exam 2 Questions With Correct Answers

This is a process by which a person acquires the knowledge, skills, and sense of identity that are characteristic of a profession - Answer Socialization This involves internalization of values and norms of a profession - Answer Socialization Nursing requires students to internalize new knowledge, skills, attitudes, behaviors, values, and ethical standards into their own professional identities. This process is known as - Answer Professional Socialization Classroom lectures are a form of what type of socialization? - Answer Formal Assignments are a form of what type of socialization? - Answer Formal Laboratory experiences are a form of what type of socialization? - Answer Formal Learning new vocabulary is a form of what type of socialization? - Answer Formal Lessons that occur incidentally are a form of what type of socialization? - Answer Informal Unplanned observations of a nurse is a form of what type of socialization? - Answer Informal Participating in a student nurse association is a form of what type of socialization? - Answer Informal Hearing nurses discuss patient care is a form of what type of socialization? - Answer Informal Which type of socialization is the most powerful? - Answer Informal Absorbing and assimilating the culture of nursing: its rite, rituals, and valued behaviors is what? - Answer Socialization What are the goals of professional socialization? - Answer -to learn the technology of the profession - to learn to internalize the professional culture - to find a personally and professionally acceptable version of the role - to integrate this professional role into all of the other life roles Professional nursing is a _____. - Answer culture What are the rules that determine roles? - Answer Structure conditions What are the idea systems prevalent in a society as expressed in words, symbols, and ceremonies? - Answer Cultural conditions Structural and cultural conditions are - Answer interrelated What is the key to keeping the profession vital and dynamic while preserving a fundamental focus on human response in health and illness - Answer Developing a common nursing consciousness What stage is this? Reliant on external authority, with limited questioning ability or critical analysis. As a student at this stage, you are unlikely to question or analyze critically the concepts teachers present because you lack the necessary background to do so. As a student, you are extremely dependent on faculty; you have lots of concern about doing things right and being unsure of your knowledge. At this stage, you simply do as you are told. - Answer Stage 1 (unilateral dependence) of Cohen's Model of Basic Student Socialization Cognitive rebellion, diminished reliance on external authority. As a student at this stage, your critical thinking abilities and knowledge bases expand. You begin to rely on your own judgment and think critically about what you are being taught. As a student, you are like a toddler in terrible 2s ("no"); an I'll do it myself attitude where you are beginning to feel more confident in your skills and basic stuff gets old and boring. "Why do I have to learn this? What does this have to do with nursing?" - Answer Stage 2 (Negativity/Independence) of Cohen's Model of Basic Student Socialization Reasoned appraisal; begins integration of facts and opinions following objective testing. Students evaluate the ideas of others. They develop an increasingly realistic appraisal process and learn to test concepts facts, ideas and models objectively. You are more impartial and begin to accept some ideas and reject others. You recognize that you may not know it all and can still use some guidance. You begin to appreciate the nursing process as a way to organize your care. - Answer Stage 3 (Dependence/mutuality) of Cohen's Model of Basic Student Socialization Collaborative decision-making, commitment to professional role; self-concept now includes professional role identity. You recognize that you know so much but you will never know it all; use resources including faculty to help you throughout your nursing career. You are highly self-directed at this point, and you seek out learning experiences to maximize your knowledge before you enter the "real world" of nursing. - Answer Stage 4 (Interdependence) of Cohen's Model of Basic Student Socialization What stage is this? at least 1 year out of school; lots of questions and insecurities - Answer Stage 1 (Novice) of Benner's Novice to Expert (1 year out of school) What stage is this? 1-2 years; getting good experience but still not a lot of self confidence - Answer Stage 2 (Advanced Beginner) of Benner's Novice to Expert (1-2 years) What stage is this? 2-3 years; feels competent, organized; plans and sets goals; thinks abstractly and analytically; coordinates several tasks simultaneously - Answer Stage 3 (Competent practitioner) of Benner's Novice to Expert (2-3 years) What stage is this? 3-5 years; views patient holistically; easily recognizes subtle changes and sets priorities; focuses on long-term goals - Answer Stage 4 (Proficient practitioner) of Benner's Novice to Expert (3-5 years) What stage is this? 5+ years; performs fluidly; grasps patient needs automatically; responses are integrated; expertise comes naturally - Answer Stage 5 (Expert practitioner) 5+ years Socialization is a __________ activity. - Answer lifelong What is a conflict of ideals with reality in the workplace? - Answer Reality Shock This is when new grads suddenly become aware of the discrepancy between real world and the ideals of the nursing profession. - Answer Reality Shock Why does the reality shock happen according to Kramer? - Answer lack of support, gap between ideals and actual work setting, inability to implement desired nursing care Many nurses fail to ____ the reality shock and "drop out", rather than ____ it and taking steps to ______ it. - Answer recognize; acknowledging; resolve What phase of reality shock is this? new grad is excited, idealistic and enthusiastic about being nurses. - Answer The honeymoon phase What phase of reality shock is this? Realization that nursing is not what one had expected. May have feelings of anger, frustration, disappointment and negativism, signs of depression, including excessive fatigue. - Answer The shock phase What phase of reality shock is this? Realization there is more than one perspective on the nursing profession. Gradually, sense of humor returns, and renewed enthusiasm for nursing - Answer The recovery phase What phase of reality shock is this? Begins to make decisions about their future in nursing. - Answer The Resolution phase The _____ ______ of ______ _____ have been identifies by Mariene Kramer, author of "Reality Shock: Why Nurses Leave Nursing" - Answer four phases of reality shock What are some strategies for coping with reality shock? - Answer - take responsibility for getting support - talk to other new graduates - find a mentor - learn more about the profession - Care about yourself and strive for balance in your life The first nursing schools in the United States (against Florence Nightingale's suggestion) were established how? - Answer They were established by hospitals in effort to staff the hospital itself, not necessarily to properly educate the nurses. This is a 24-month hospital based RN program - Answer Diploma program This is a 4 year RN program - Answer Bachelor's of Science in Nursing (BSN) program This is a 2 year RN program - Answer Associate Degree in Nursing (ADN) program There are ____ educational routes by which one can begin a nursing career. - Answer 3 What was the earliest type of nursing education? - Answer hospital based diploma programs Why was there a decline in diploma nursing programs? - Answer due to the growth of other programs, financial concerns, high accreditation standards, and complex health care How many diploma programs are still left in the US? - Answer less than 60 ADN programs are at least ___ years - Answer 2 What is the most common type of basic nursing education program in the US? - Answer ADN What type of nursing education program was developed as a result of a nursing shortage after WWII? - Answer ADN Today, the ADN is often used to be a _______. - Answer stepping stone to a BSN Many hospitals now will only hire who? - Answer BSN prepared nurses ANA Position Paper (1965) suggested what? - Answer BSN should become the minimum educational preparation for entry into practice. Faculty of BSN programs must hold a minimum of a what degree? - Answer Master's BSN programs equip graduates to practice _________ and assume ________. - Answer practice within complex health care systems and assume multiple nursing roles Most master's degrees in nursing take an average of _________ months. - Answer 18-24 months What are the 4 types of APNs? - Answer Certified Nurse Specialist Certified Nurse Practitioner CRNA Certified Nurse Midwife Is a MSN w/education focus an APN? - Answer no A DNP degree is designed to be a ________ degree. It would replace the ______ for ______. - Answer clinical practice degree; replace the master's degree for advanced practice nurses All nursing programs require approval by who? - Answer state board of nursing this is a supplementary, voluntary review process; tell the school: "you're safe to graduate people" - Answer accreditation What is the function of accreditation? - Answer protect quality of education protect public safety protect the nursing profession UoM LSON is accredited by _____. - Answer CCNE (Commission on Collegiate Nursing Education) A PhD (Doctorate of Philosophy) and a DNP (Doctorate of Nursing Practice) are different how? - Answer PhD is focused on research or theory development DNP is for advanced clinical practice This is another accreditation association, but not the one that accredited LSON: - Answer NLNAC (National League for Nursing Accreditation Commission) After licensure, you can receive this to validate a high level of knowledge and proficiency in a practice area. - Answer Certification This is the largest certification body in the US - Answer ANCC (American Nurses Credentialing Center) Certification is available at which educational levels? - Answer ALL! APRN - BC (board certified) BSN RN - BC (board certified) Diploma and ADN RN- C (certified) Certified nurses have greater _____ potential, among other opportunities. - Answer earing These are non-degree seeking was to maintain expertise in nursing - Answer Continuing Education (lifelong learning)