Final ch. 16
24. Which statement demonstrates understanding of the concept of the knowledge of results? "These are the goals for today's lecture." "Today each of you demonstrated an understanding of patient focused care." "As RNs on this unit, you will need to be proficient in assessing for depression." "There will be a short quiz on today's material to assure you understand the material."
"Today each of you demonstrated an understanding of patient focused care."
What are often neglected areas of the indoctrination process? 1. Induction 2. Orientation 3. Socialization 4. Re-socialization
3. Socialization 4. Re-socialization
17. Which is a common feature of a learning organization? A tolerance of mistakes Hiring RNs with baccalaureate degrees Encouraging a variety of visions Stressing individual learning
A tolerance of mistakes
19. What contributes to a nurse's difficult resocialization? Select all that apply. Role ambiguity Role overload Inability to meet job demands Past work experience
A,B,C,D
4. You overhear an experienced nurses say to a new nurse, "Sorry you won't be able to join us for our weekly get-together at the local yogurt shop. I see you are going to be here charting for a while yet." What is this an example of? Behavior that supports positive sanctions An application of a sanction regarding group norms Constructive feedback about expected group norms Role modeling desired behavior
An application of a sanction regarding group norms
10. Which statement best describes andragogy? Andragogy techniques are usually ineffective for mature learners Andragogy relies on structure and direction Andragogy works well with people who have had life experiences Andragogy works best with teacher-led activities
Andragogy works well with people who have had life experiences
22. What negative outcome can result from the decentralization of the responsibilities of staff development? Poor staff retention Deficient nursing care Increased role ambiguity Decreased nursing autonomy
Increased role ambiguity
2. What would be the most helpful intervention to take to help a new RN adjust to the professional nursing role? Advise the new RN to avoid confrontations with doctors whenever possible Advise the new RN that this is the real world not the textbook one Be alert to signs and symptoms of the shock phase of role transition Be alert to signs that the new RN has not shed nursing school values
Be alert to signs and symptoms of the shock phase of role transition
21. Which action demonstrates the leadership role to the socialization and education of new nursing staff during their orientation? Discusses the value the unit places upon patient satisfaction Addresses all questions regarding the responsibilities of the RN Schedules orientation sessions at times when patient acuity is at its lowest Plans for budget constraints so that educational needs are minimally impacted
Discusses the value the unit places upon patient satisfaction
7. Which intervention by the unit supervisor best assist the RN who has just been promoted to charge nurse to adjust to the new role? Take the RN out to lunch to congratulate the nurse on the promotion Encourage the RN to meet with staff peers in the organization Explain to the RN on the need for underling respect Inform the RN of the past performance of new employees
Encourage the RN to meet with staff peers in the organization
23. What term is used to identify previously acquired skills that are necessary for further learning? Experiential factors Transfer of learning Reinforcement Chunking
Experiential factors
11. What does readiness to learn imply for individuals? Have acquired the skills necessary for what is to be learned Have the necessary motivation to learn Are in an atmosphere that encourages learning Are mature students with much experience
Have acquired the skills necessary for what is to be learned
14. What is the emphasis for the manager in the coaching role? Solving problems for the employee Showing employees how to work within the system Helping employees reach an optimum level of performance Redirecting employees to meet organizational goals
Helping employees reach an optimum level of performance
15. What is the first step to developing an educational program for an organization? Identifying the resources available to meet the needs Identifying the desired skills or knowledge the staff should have Explaining to the team that human resources should be doing this work Assessing the staff's willing to learn new skills
Identifying the desired skills or knowledge the staff should have
8. What is the initial task when organizing a class to prepare nurses to function in the new neonatal ICU? Identifying possible learning resources Identifying any difference between current and needed skills Identifying current level of knowledge Identifying the knowledge or skill needed
Identifying the knowledge or skill needed
20. Training and education are important parts of staff development. Who is responsible for the education and training of staff? Preceptor Education department Manager and preceptor Manager and education department
Manager and education department
13. What does social learning theory suggest? Mentors are not effective in social learning Most behavior is learned by direct experience and observation Individuals who make mistakes learn better than those who do not Individuals learn best when left on their own
Most behavior is learned by direct experience and observation
16. What is the best method for determining the effectiveness of a staff development program for managing IV puncture sites? Having class participants evaluate the instructor and the class Giving participants an examination or test at the conclusion of the course Having a documented decrease in the unit's IV site infections Observing staff implement and document the changes recommended
Observing staff implement and document the changes recommended
6. What is the relationship between an employee and a role model? Active Nonverbal Encouraged by the role model Passive
Passive
5. Which action would be the most likely to result in encouraging evidence-based practice? Stress the need to base practice on research findings during orientation of new graduates. Include a statement of the need for evidence-based practice in the philosophy. Reprimand nurses who do not use research during the annual evaluations. Provide a computer program to nurses for access to the latest nursing research.
Provide a computer program to nurses for access to the latest nursing research.
9. Which statement about education is the accurate? Education generally has an immediate use Managers have a responsibility to see that their staff is well educated Recognizing and encouraging educational pursuits are a leadership role Education always results in increased productivity
Recognizing and encouraging educational pursuits are a leadership role
3. Which statement best describes the manager's role in socialization? Providing the employee with organizational rules and regulations Providing the new employee with a good preceptor Ensuring that there are sufficient numbers of good role models Sharing organizational values, expected attitudes, and history
Sharing organizational values, expected attitudes, and history
1. Which statement best describes mentorship? The intensity and duration of relationships are similar in mentorship and preceptorship Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor "Mentees" must be willing to put aside their personal goals and beliefs in an effort to identify more closely with their mentor Most nurses will have the opportunity for many mentor relationships during their careers
Staff cannot be assigned to become mentors. It is a role voluntarily chosen by the mentor
25. The nurse-manager stresses the importance of learning a new skill to achieving the unit's goal of patient satisfaction. This demonstrates understanding of which concept of learning? Readiness Motivation Task learning Transfer of learning
Task learning
12. How can the RN best teach a patient how to self-administer insulin? Schedule a long, uninterrupted session Explain the most complicated part first Use a dynamic lecture technique Teach in short, frequent sessions
Teach in short, frequent sessions