Chapter 24 trends

Which statements demonstrate characteristics would be desirable in a mentor? (Select all that apply.)

"How were you taught to do this is school?" "Can you think of a way to make this easier for the patient?" "Let me know when it's a good time to show you how to do this new scale." "Today was rough but there are fewer admissions scheduled for tomorrow. "

In distinguishing between evaluation methods used in school versus those used in the work environment, it is noted that the work environment evaluation includes what?

Appraising outcomes according to policy expectation

A novice nurse is unsure how to correctly administer an injection using the Z-track method. What is the best approach for learning this procedure?

Ask to observe an experienced nurse as the skill as it is being performed; then perform it under direct supervision.q

Several novice nurses share lunch breaks and have comments such as, "I have insomnia from worrying about what I forgot to do for my patient," and "I have no energy," and "I can't believe I can't do my job correctly." These novice nurses are each experiencing different symptoms of what process?

Burnout

A nurse notices the novice medication nurse hurriedly gathering medications to be administered for the entire day, removing them from the packages, and placing them in a paper cup with the patient's name and room number on the cup. When one of the patients points at a pill and asks, "What is this?" and "What does this do?" the medication nurse is uncertain, because it has long since been removed from the packaging. What role is the nurse playing when taking his/her observations, concerns, and suggestions to the nurse manager?

Change agent

An experienced nurse working in oncology is shocked to realize that he/she feels little empathy when a patient explains, "I developed cancer from having to work in the dry cleaning industry since I was only 8 years old to help support my younger siblings during the depression. Now they have all moved away and refuse to help me financially, and it takes everything I have to pay for my chemotherapy medicine." What term is used to describe this situation?

Compassion fatigue

During orientation, a novice nurse sits and "virtually spends" the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?

Honeymoon

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.)

It is experienced nurses withholding pertinent information from coworkers to portray them as incompetent. 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."

A student nurse wants to meet other nursing students from different countries and to learn of employment possibilities. The student nurse should consider doing what?

Joining the Student Nurses Association

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.)

Leadership skills can be refined by working with other schools of nursing. A global view of nursing can be obtained through networking internationally.

A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is identified by what term?

Mentoring

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?

Native

A recruiter is explaining benefits to a group of nursing externs who are highly sought for employment. The recruiter states, "We are the only hospital in town that offers a residency program." What further information should the recruiter provide about a residency program?

It offers extended time for both theory and clinical activities that promote problem solving and clinical decision making.

According to Kramer, nurses in the shock phase should ask themselves what?

"What changes can I make to make me feel good about the choice to become a nurse?"

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?

"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."

The novice nurse calls a supervisor and requests that a "float nurse" be assigned to help with all "assessments of new admissions and postoperative patients." The supervisor asks, "How many admissions and surgery patients have you received?" The novice nurse becomes flustered because she has not checked the census but simply bases the need on feeling overwhelmed. This situation best indicates a lack of what type of skills?

Organizational

When the novice nurse asks, "What will happen if this task is not completed," which skill is being demonstrated?

Priority setting

A novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity from a central line before antibiotic therapy is started. The novice reads and rereads the procedure manual. An hour later he stands at the bedside of the patient and stares at the central line, without knowing how to proceed. This phase of reality shock is identified with what term?

Shock or rejection

The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately identified using what term?

Socialization

When comparing mentoring and role modeling, the role of mentoring is represented by which of the following situations?

The novice nurse receives feedback from the experienced nurse related to the use of a new occlusive dressing product and is told, "I couldn't have done it better myself."

Which nurse is more prone to burnout?

The one who accepts most offers of overtime

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?

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.