Transition To Professional Nursing Practice Exam 1
Terms in this set (47)
What are the phases of Reality shock in nursing?
What is occurring in each?
Honeymoon phase-First phase, see the world of nursing looking great
Often fascinated with the thrill of "arriving" in the profession
Short-lived as graduate begins to see the conflicts between what he or she was taught and the reality of what is done
Shock and rejection phase-Bad days outnumber good days
Period of disillusionment
feelings of failure, fatigue, anger, and moral outrage may occur
Hypercritical attitude about nursing may develop
some nurses drop out of the profession
Recovery phase-Graduate nurse begins to have an increase ability to look at the situation objectively
prioritization, conflict management, time management, and support groups can make a difference here
First sign of recovery-beginning to have a sense of humor about the situation
there is a decrease in tension
What is the first sign a new nurse has reached the recovery phase of the phases of reality shock?
Beginning to have a sense of humor about the situation
What are the 4 major types of transition? Ex?
(Scenario on test, ID which type)
Developmental-becoming a new parent, midlife crisis
Situational-(Immediate type of things )-graduating from nursing school, career change, divorce
Health/Illness- Dealing with a chronic illness (ex-just got dx with DM)
Organizational- Change in leadership, new staffing patterns (ex-new boss)
What stages are included in Benner's Novice to Expert nurse theory? (TEST-gie scenario tell what stage based on description)
What is included in Benner's Novice nurse stage?
Nursing student or experienced nurse in new setting
no clinical experience in situation expected to perform
Needs rules to guide performance
experiences difficulty in apply theoretical concepts to pt care.
What is include in Benner's Advanced Beginner stage?
Could be last-semester nurse or graduate nurse
demonstrates ability to deliver marginally acceptable care
requires previous experience in an actual situation to recognize it
Begins to understand the principles that dictate nursing interventions
continues to concentrate on the rules and absorbs minimum info regarding a situation
(still a rule follower)
What is included in Benner's Competent nurse stage?
2-3 years clinical nursing experience
conscientious, deliberate planning
begins to see nursing actions in light of clients long-term plans
demonstrates ability to cope with and manage different and unexpected situations that occur
very fluid in the way they move about
can handle when a wrench gets thrown in
WHat is included in Benners PRofiecient nurse stage?
Could be nurse clinician, nursing faculty or a nurse who has worked in an area more than 3 years
demonstrates ability to recognize and understand the situation as a whole
demonstrates ability to anticipate events in a given situation
as a holistic understanding that enhances decision making
What is included in Benner's expert nurse stage?
demonstrates an understanding of the situation and is able to focus on the specific area of the problem
Operates from an in-depth understanding of the total situation
demonstrates highly skilled analytical ability in problem solving
performance becomes masterful
what is the path of associate degree education in nursing?
60-72 credit hours
attracts more divers student population from variety of education and economic backgrounds
What is the path of a baccalaureate education in nursing?
Bachelors has research component and community health nursing
1/2-3/3 curriculum consists of nonnursing courses
Who sets and maintains the standards and competencies of nursing schools?
league for nursing (NLN)
What is Credentialing?
Indicates both academic achievement and the attainment of a minimum evel of competency in nursing skills
Academic achievement credential -ADN
LEgal credential-RN nursing license after passing NCLEX
additional nursing credentials -CCRN (critical care registered nurse)
(the abreviations after your name)
What is registration?
Registration- the process ob bing formally recognized in each stat as an RN
Nursing licensure is a process by which a governmental agency grants "legal" permission to an individual to practice nursing (makes sure person has minimum competency first)
Who oversees both licensure and registration?
How often do you have to renew your nursing license?
What is certification?
Voluntary process by which a nongovernmental agency or association certifies that an individual licensed to practice a profession has certain predetermined standards specified by that profession for specialty practice
Ex-Certified registered nurse anetsthetist (CRNA), Certified pediatric nurse practitioner (CPNP)
(requires another exam)
What is accreditation?
(school of nursing gets stamp of approval)
Process by which a voluntary, nongovernmental agency or organization approves and grants status to institutions or programs (not individuals) that meet predetermined standards or outcomes
What are the two accrediting bodies for nursing schools?
Accreditation commission for education in nursing
Commission on collegiate nursing education
Why is it important that your school be accredited?
it assures you that the program has achieved educational standards over and above the legal requirements of the state
What are the future trends in nursing? (TEST)
Changing student profile-2nd career older adult with life experience
Educational mobility- always learning (never stop)
Shortage of RN's (large number of nurses are retiring)
shortage of qualified nursing faculty (Masters and Doctoral)
Technology and education-change every minute
Changing health care settings- inpatient are sicker than in past, otherwise we discharge them and they are outpt
the aging population-Geriatric is a growing field
What is the average age of a practicing nurse? In which way is it trending?
47 growing older
how is the employment rate of RN's expected to change from 2010 to 2020?
Expected to grow 26%
(30% by 2030 (aging population))
Why is setting career goals in nursing important? TEST TEST TEST!!!
TO HELP DEFINE YOUR WON PROFESSIONAL IDENTITY
What is included in your cover letter?
who you are sending
Dear (Colon, not semi-colon)
Paragraph 1-how you found out about job, what sets you apart
Paragraph 2-the amazing things about your
paragraph 3-reiterate interest, tank them for consideration, sound excited
What is included in your resume?
Demographic data (name address ect)
excellent references available upon request
Key points about interviewing
Do not be late
Do not brag or gloat but present in a good light
do not criticize past employers or instructors
do not dwel on your shortcomings
demonstrate flexibility and willingness to work in an area of second or third choice
Come up with questions for the interviewer (what kind of opportunities for professional development?)
Send thank you letter
WHat are the steps of the evidence-based practice process?
1-Define the problem
2-id, review, and evaluate the data applicable to the problem
3-Design a practice change based on the data
4-implement the change in nursing practice
What are the 4 elements of nursing malpractice?
You must have a duty (there must be a professional nurse-patient relationship)
You must have breached hat duty (you must have fallen below the standard of care)
Your breach of duty must have been a foreseeable cae of the injury (hardest to prove, was it the auto accident or the care that cause this to happen)
Damages or injury must have occurred (this is where compensation comes into play)
What is the nurse practice act? (9)
Is a statutory law
Describes how to obtain license and enter into practice for each state
describes how and when to renew your license
Defines the educational requirements for entry into practice
provided definitions and scope of practice for each level of nursing
describes the process by which individual members of the board of nursing are selected and the categories of membership
identifies situations that are grounds for discipline or circumstances in which a nursing license can be revoked or suspended
identifies the process for disciplinary actions, including diversionary techniques
outlines the appeal steps if the nurse feels the disciplinary actions are not fair or valid
What are statutory laws?
Laws about the ethics of our relationships (Nurse practice act)
Most common laws affecting nurses
Different from state to state
What is malpractice?
improper performance of professional duties; a failure to meet the standard of care that results in harm to another person
Must meet 4 requirements
What is negligence?
Failure to act as an ordinary prudent person when such failure results in harm to another.
What is reasonable care?
the level of care or skill that is customarily rendered by a competent health care worker of similar education and experience in providing services to an individual in the community or stat in which the person is practicing
What is the standard of care?
the set of guidelines based on various types of evidence as to what is reasonable and prudent behavior for a health care professional
What is statues of limitations?
laws that set time limits for when a case may be filed which differ from state to state (ex-care for 5 year old, can file suit till 18)
What is the nurse licensure compact?
Your nursing license is recognized in other states, if part of the compact, but you still must abide by the nursing laws of that state (24 states, adding 3 more)
What is an advanced directive?
A written statement of a perosns wishes about how he or she would like care decisions to be made if he or she ever loses the ability to make such decisions independently
What is Durable power of attorney for health care?
a document that allows a person to name someone else to make medical decisions for him or her if he or she is unable to do so this authority bgins only when the client is incompetent to make those decisions
What are the 5 rights of clinical delegation? TEST
the right task
under the right circumstances
to the right person
with the right directions and communication
under the right supervision and evaluation
name 4 things an RN CANNOT delegate
initial nursing assessmen and any subsequent assessment that requires professional nursing knowledge, judgement, and skill
determination of nursing dx, establishment of pt care goals, development of pt care plans, and evaluation of progress towards goals
any provision of health counseling, teaching, o referrals to other health care providers
any nursing intervention that requires professional knowledge, judgement, and skill
Who makes the NCLEX?
The national council of state boards of nursing (NCSBN)
What is the NCLEX-RN test plan?
Determined by the NCSBN every 3 years
questions are designed to est the candidates ability to apply te nursing process and to determine appropriate nursing responses and interventions to provide safe nurising care
four levls of cient car are includd int eh NCLEX-RN test
1-safe and effective car environment
2-health promotion and maintenance
what is the nurse licensure compact?
other states recognized you passed the nclex so you don't have to take it again and for the states in the compact you can practice there temporarily but must comply with the nurse practice act of that state (30-90 days)
If you are going to move there permanently, you hav to appy for licensure in that state
What is the Computer adaptive testing?
each candidate receives a different st of questions
questions are assembled interactively as the candidate progresses through the exam-as candidate's answer questions correctly , the questions become harder, answer wrong, they become easier
Numbr of questions and testing time wil vary for each person (determined by your amount of time above the passing line that counts)
questions reflect the categories of the NCLEX plan
Pretest questions will be included-and will not be countd toward your score (YOU WILL NOT KNOW WHICH ONES THESE ARE)
Every time you answer the computer re-estimates yoru ability based on all revious answers and the difficulty of those items
the computer then selects the next item that you shuld have a 50% chance of answering correctly
with each item answered the computers extimate of yoru ability becomes more precise
if pt is in distress -do not assess, DO SOMETHING
YOU MIGHT ALSO LIKE...
NCLEX-RN Exam | Mometrix Comprehensive Guide
Coordinated Care NCLEX
NURS (FUNDAMENTAL): Ch 1 NCLEX Introduction to Nursing
ch 3 professional responsibilities
OTHER SETS BY THIS CREATOR
Transition to Professional Nursing Exam 2
Advanced Med/Surg 2 Final HIV, Cancer, End of Life, Palliative Care, Pain Management, Burns
Advanced Med/Surg 2 Exam 2 Respiratory/Trauma
Advanced Med/Surg 2 Exam 1
THIS SET IS OFTEN IN FOLDERS WITH...
Exam 1 Transition to Professional Nursing
RN:Transition To RN Test Question
Making the Transition from student to Professional Nurse - Cherry Chapter 24
Cherry & Jacob Ch 25. Managing Time: Path to high self-performance