5 steps of the nursing process? correct answers Assessment
Analysis/problem identification= can be thought of as diagnosing.
Planning= specifying patient outcomes and related nursing interventions
Implementation= carrying out plan of care
Evaluation= measuring the extent to which the patient carrie dout outcomes
Typical age, gender and ethnicity of nurses? correct answers -Woman (only 11% are men).
-Caucasian (only 19% are an ethnic minority)
-1/3 of nurses are >50 years old
What is "entry into practice"? correct answers Level of education needed to become a
professional nurse. This is still under debate.
3 ways to become a RN? correct answers -BSN= Push toward moving nursing education to
higher education so that nursing could be more qualified for recognition as a profession, with
opportunities for leadership, administration and teaching in public health.
-ADN= Originally proposed as a solution to the nursing shortage. Is a step in the progression to
BSN.
-Diploma= 1st type of nursing education program in the U.S. 3-year hospital based program.
More hands on, skill and service oriented than higher education programs.
Where is the largest growth of nursing jobs predicted to be? correct answers Out of hospital
settings:
-Ambulatory care (physician or nurse offices/clinics, and free-standing emergency and surgical
centers)
-Extended care (senior centers, nursing homes, rehab facilities, hospice and pallitive care)
-Community health nursing (health department, community health centers, schools, summer
camps, and home health care).
,Why do we define nursing? correct answers -Clearly and precisely outlines who nurses are and
what nurses do
-Helps set parameters on nursing practice
-Distinguishes nursing more clearly as a unique profession
-Guides policy at local, state, & national levels
Helps guide curricula and research agendas
What did Florence Nightingales definition of nursing include? correct answers -Made reference
to the environment as it relates to care of the patient
-Referenced the importance of nutrition (diet) in the care of the patient
What are "state nurse practice acts"? correct answers -Contains the legal definition of nursing
in a particular state
-Regulated by the state legislature
-Drafted by state nurses associations, boards of nursing, and legislators
-Nurses must remain familiar with their respective state's nurse practice act
What is professional socialization? Formal vs. informal? correct answers -Learning to think like
a nurse.
-Learning to behave like a professional
-Learning new roles
-Formal= coarse work and clinical work (direct teaching)
-Informal= observing a nurse in clinical practice (indirect)
3 Models of socialization? correct answers -Cohen & Hinshaw: they identified 4 stages related to
beginning nursing students.....basic student socialization model (unilateral dependence,
negative/interdependence, dependence/mutuality, interdependence)
, -Bandura: he described a type of socialization, "modeling", which is useful when learning any
new behavior
-Benner: she identified five stages nurses pass through in the transition from novice to expert
Patricia Benner's 5 stages? correct answers -Included in her book "from novice to expert".
1) novice stage= when student first enrolls in nursing school...they are dependent on
rules...limited practical skills
2) advanced beginner= students performance is marginally competent. Experience difficulty with
establishing priorities.
3) competent practitioner= 2-3 years work experience
4) proficient practitioner= 3-5 years of work experience. More concerned with patient needs than
rules
5) expert practitioner= extensive practice experience. Perform intuitively without conscious
thought.
What are some problems that a new nurse has with transition into the work setting? correct
answers -Expectations of new graduates may be unrealistic
-Ideals taught in school are difficult in everyday practice
-Culture of the unit is important to understand
-Time management
What is "reality shock?" correct answers -New nurses may experience this.
-Feelings of powerlessness and ineffectiveness experienced by new graduates.
-Psychological stress can decrease the ability for the new nurse to cope effectively with the
demands of their new job.
-New nurses may feel a lack of support.
-Psychological tension due to gap between ideals learned in school and the actual work setting.