A novice nurse is stressed due to always being behind with her assignments. She is overheard
saying, "No one here worries about checking nasogastric tube placement before they give
medications and hang feedings. Skipping that step would save me an extra 30 minutes to be
used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality
shock?
A. Loner
B. "Rutter"
C. Change agent
D. "Native" D. "Native"
A novice nurse is placed in charge just after orientation ends. Which statement by the novice
nurse would ensure a smooth delegation experience when delegating to an experienced staff
member?
A. "You have the patients in rooms 1 to 7. These patients require little skill so you will be fine."
B. "Your assignments are posted in writing by the nurses' station. Be certain all your tasks are
completed so the next shift is not behind."
C. "You have patients in rooms 5 through 10 and I will administer all IV medications. I will let
you know if I must adjust. If you see you need help let me know."
D. "Everyone is capable of providing the best care, so please sign up for the patients you would
like to be assigned to." C. "You have patients in rooms 5 through 10 and I will administer all
IV medications. I will let you know if I must adjust. If you see you need help let me know."
A novice nurse is in the "rejection phase" of stress and wonders if she/he made the right
decision when deciding nursing was her/his chosen career. Which strategy would help the
novice nurse cope with transition into practice and reduce stress?
,A. When asked by the charge nurse to accept the new admission even though she/he had no
discharges, the novice nurse stops and considers if this request is acceptable and safe, then
accepts the assignment based on two patients having a low acuity level.
B. Refusing to eat anywhere but the hospital cafeteria to ensure a balanced diet and time to
socialize with other staff and visitors.
C. Avoid wasting time by listening to coworkers' problems or ideas on how to staff the unit
during the upcoming holiday since the novice nurse's time is valuable and better spent getting
her own work completed.
D. Try to "win over" hostile or angry coworkers who find fault with the novice n A. When
asked by the charge nurse to accept the new admission even though she/he had no discharges,
the novice nurse stops and considers if this request is acceptable and safe, then accepts the
assignment based on two patients having a low acuity level.
In orientation, a new graduate is surprised to learn of workplace violence in health care
agencies and asks, "What kind of violence is common in hospitals?" The educator describes
workplace violence bases on what statement? (Select all that apply.)
A. It is the care of patients admitted who are victims of domestic violence.
B. It is experienced nurses withholding pertinent information from coworkers to portray them
as incompetent.
C. It encourages coworkers participating in an employee assistance program (EAP) to learn
more about anger management for adult children living at home.
D. It involves the care of persons being held for treatment prior to be incarcerated for
committing homicide.
E. It is demonstrated in statements such as "The new nurse has book sense but can't perform
an admission physical without the help of everyone on the unit." B. It is experienced nurses
withholding pertinent information from coworkers to portray them as incompetent.
E. It is demonstrated in statements such as "The new nurse has book sense but can't perform
an admission physical without the help of everyone on the unit."
, Faculty comes to class to present information about joining the Student Nurses Association
(SNA). A student is heard saying, "Why join this organization? It is just a bunch of students like
us. I'll wait and join the real nursing organization after graduation." This student is not aware of
which benefits of SNA? (Select all that apply.)
A. Members are eligible to sit for the licensure examination at a reduced rate.
B. Leadership skills can be refined by working with other schools of nursing.
C. The National SNA provides discounted rates for study abroad opportunities.
D. A global view of nursing can be obtained through networking internationally.
E. Lobbying efforts are a major benefit of belonging to SNA. B. Leadership skills can be
refined by working with other schools of nursing.
D. A global view of nursing can be obtained through networking internationally.
Which statements demonstrate characteristics would be desirable in a mentor? (Select all that
apply.)
A. "How were you taught to do this is school?"
B. "Can you think of a way to make this easier for the patient?"
C. "Let me know when it's a good time to show you how to do this new scale."
D. "Everybody here does it this way."
E. "Today was rough but there are fewer admissions scheduled for tomorrow. " A. "How
were you taught to do this is school?"
B. "Can you think of a way to make this easier for the patient?"
C. "Let me know when it's a good time to show you how to do this new scale."
E. "Today was rough but there are fewer admissions scheduled for tomorrow. "