N138 Midterm Exam Questions And
Answers.
What is the 3-stage model for returning-to-school syndrome (from
the Utley-Smith article)? - Correct answer 1) Honeymoon
(satisfaction, optimism, identifying similarities between previous
education and work life and current experience)
2) Conflict (exhaustion and frustration as students learn that their
previous rules, values, skills, and experiences are no longer valid)
3) Reintegration (which starts off with hostility and anger and ends
with biculturalism)
What are two maladaptive responses to returning-to-school
syndrome (from the Utley-Smith article)? - Correct answer 1) false
acceptance (just to get through the program)
2) chronic hostility.
What are three challenges of returning to school in ABSN
programs (from the Utley-Smith article)? - Correct answer 1)
misapplication of known material from another field to nursing
2) the challenge of teaching a class with such diverse
backgrounds
3) the lack of time to properly introduce students to the nursing
culture and the role of the professional nurse.
What can be done to help students get through the three stages
of returning-to-school syndrome (from the Utley-Smith article)? -
Correct answer Help them become familiar with the model. This
can help students identify when they are in the hostility stage,
when they should ask for help, and when they should encourage
other students to ask for help (and not get drawn into their
maladaptive responses)
,What are four types of transitions (from the Schumacher and
Meleis article on transitions)? - Correct answer 1) Developmental
(becoming a parent, adolescence, midlife, into a queer identity,
within relationships)
2) Situational (into and out of education, between clinical focuses,
between patients, family changes, immigration, homelessness)
3) Health-illness transitions (illness to wellness and vice versa,
tube feeding to oral nutrition, ventilation to breathing, hospital to
rehab center, psych hospital to community)
4) Organizational (leadership transitions, new policies,
technology, within nursing, within communities).
What 6 things affect how a person handles a transition (from the
Schumacher and Meleis article on transitions)? - Correct answer
Transitions are affected by:
1) the interpreted meaning to the person (personal meaning,
existential connotation)
2) the expectations the person has (with additional stress if
expectations don't match with reality)
3) the level of relevant knowledge/skill the person has (to address
uncertainty)
4) the resources available in the environment (support network,
organizational support, sociocultural issues)
5) the level of planning, 6) the person's emotional and physical
well-being (resilience, emotion management, physical well-being
affecting ability to learn)
What are three indicators of a healthy transition (from the
Schumacher and Meleis article on transitions)? - Correct answer 1)
a subjective sense of well-being (self-esteem, empowerment, job
satisfaction, dignity)
2) mastery of new behaviors (confidence, decision-making,
psychomotor skills, effective work performance)
3) the well-being of relationships (mitigating destruction of
relationships, forming new relationships, and preventing isolation)
, What three therapeutic interventions can assist with transitions
(from the Schumacher and Meleis article on transitions)? - Correct
answer 1) an assessment of readiness
2) preparation for transition (formal environments or educational
programs to aid in transition)
3) role supplementation.
Distinguish between transitions and change (from Bridge's model
of transition). - Correct answer Transition is what happens in
people's minds as they go through change. Change is something
that happens to people. Even if a change is quick, transition can
take a longer amount of time.
What are the three stages of transition (from Bridge's model of
transition)? What can be done to help people in each stage? -
Correct answer Three stages of transition include
1) Ending, losing, and letting go (first presented with change, a lot
of resistance and feelings that have to be acknowledged.
Empathetic listening, open communication, resources available,
education),
2) the Neutral Zone (bridge between old and new, feelings of
resentment, anxiety, skepticism, low morale/productivity, aided by
giving feedback, setting short-term goals for quick wins, boosting
morale, and validating feelings), and
3) the New Beginning (high energy, open to learning, renewed
commitment, and embrace of the change. Make sure to help them
sustain this, help them link personal goals to long-term objectives,
reward them).
What nursing organization works to improve the image of nursing
(from Cohen: The Image of Nursing)? - Correct answer The Center
for Nursing Advocacy. They have tried to persuade TV show
writers and advertisers to have accurate and positive depictions of
nurses.
Answers.
What is the 3-stage model for returning-to-school syndrome (from
the Utley-Smith article)? - Correct answer 1) Honeymoon
(satisfaction, optimism, identifying similarities between previous
education and work life and current experience)
2) Conflict (exhaustion and frustration as students learn that their
previous rules, values, skills, and experiences are no longer valid)
3) Reintegration (which starts off with hostility and anger and ends
with biculturalism)
What are two maladaptive responses to returning-to-school
syndrome (from the Utley-Smith article)? - Correct answer 1) false
acceptance (just to get through the program)
2) chronic hostility.
What are three challenges of returning to school in ABSN
programs (from the Utley-Smith article)? - Correct answer 1)
misapplication of known material from another field to nursing
2) the challenge of teaching a class with such diverse
backgrounds
3) the lack of time to properly introduce students to the nursing
culture and the role of the professional nurse.
What can be done to help students get through the three stages
of returning-to-school syndrome (from the Utley-Smith article)? -
Correct answer Help them become familiar with the model. This
can help students identify when they are in the hostility stage,
when they should ask for help, and when they should encourage
other students to ask for help (and not get drawn into their
maladaptive responses)
,What are four types of transitions (from the Schumacher and
Meleis article on transitions)? - Correct answer 1) Developmental
(becoming a parent, adolescence, midlife, into a queer identity,
within relationships)
2) Situational (into and out of education, between clinical focuses,
between patients, family changes, immigration, homelessness)
3) Health-illness transitions (illness to wellness and vice versa,
tube feeding to oral nutrition, ventilation to breathing, hospital to
rehab center, psych hospital to community)
4) Organizational (leadership transitions, new policies,
technology, within nursing, within communities).
What 6 things affect how a person handles a transition (from the
Schumacher and Meleis article on transitions)? - Correct answer
Transitions are affected by:
1) the interpreted meaning to the person (personal meaning,
existential connotation)
2) the expectations the person has (with additional stress if
expectations don't match with reality)
3) the level of relevant knowledge/skill the person has (to address
uncertainty)
4) the resources available in the environment (support network,
organizational support, sociocultural issues)
5) the level of planning, 6) the person's emotional and physical
well-being (resilience, emotion management, physical well-being
affecting ability to learn)
What are three indicators of a healthy transition (from the
Schumacher and Meleis article on transitions)? - Correct answer 1)
a subjective sense of well-being (self-esteem, empowerment, job
satisfaction, dignity)
2) mastery of new behaviors (confidence, decision-making,
psychomotor skills, effective work performance)
3) the well-being of relationships (mitigating destruction of
relationships, forming new relationships, and preventing isolation)
, What three therapeutic interventions can assist with transitions
(from the Schumacher and Meleis article on transitions)? - Correct
answer 1) an assessment of readiness
2) preparation for transition (formal environments or educational
programs to aid in transition)
3) role supplementation.
Distinguish between transitions and change (from Bridge's model
of transition). - Correct answer Transition is what happens in
people's minds as they go through change. Change is something
that happens to people. Even if a change is quick, transition can
take a longer amount of time.
What are the three stages of transition (from Bridge's model of
transition)? What can be done to help people in each stage? -
Correct answer Three stages of transition include
1) Ending, losing, and letting go (first presented with change, a lot
of resistance and feelings that have to be acknowledged.
Empathetic listening, open communication, resources available,
education),
2) the Neutral Zone (bridge between old and new, feelings of
resentment, anxiety, skepticism, low morale/productivity, aided by
giving feedback, setting short-term goals for quick wins, boosting
morale, and validating feelings), and
3) the New Beginning (high energy, open to learning, renewed
commitment, and embrace of the change. Make sure to help them
sustain this, help them link personal goals to long-term objectives,
reward them).
What nursing organization works to improve the image of nursing
(from Cohen: The Image of Nursing)? - Correct answer The Center
for Nursing Advocacy. They have tried to persuade TV show
writers and advertisers to have accurate and positive depictions of
nurses.
