Integrations Exam I

Jean Piaget (Cognitive developmental theory)

- Children actively construct knowledge as they explore and manipulate the world around them. -The four stages: 1) Sensorimotor; 2) Preoperational; 3) Concrete operational; and 4) Formal operational. -Deductive reasoning -Object permanence - Infants begin to develop OP between 4-7 months and learn that objects exist even when they are out of sight. -Transitivity -Assimilation

Burnout in Nursing

-Burnout is categorized as physical, mental and emotional exhaustion. It is characterized by disengagement. -Burnout can lead to dulled emotions and detachment. -It affects emotions and undermines motivation, leaving a sense of hopelessness. -Burnout in healthcare providers can negatively impact the patient experience.

Portfolio Supporting Documents

-Certifications -Degree -Clinical evaluation narrative -Skills list -Individual and group projects -Professional development certificates of attendance or completion -Community service work

How will I know I have passed?

-Check candidate bulletin. -Results available online or via telephone -Do not call the state board of nursing, testing site, or NCLEX® Candidate Services.

What is Preceptorship?

-Clinical teaching model -Synonymous with the term capstone course -Senior nursing student works with an experienced nurse during last semester of school for a specified amount of time. -Clinical hours are a requirement and must be met before the student graduates. -Also identified as a partnership between an experienced nurse and new graduate nurse -Experienced nurse provides the new graduate nurse with a formalized orientation and training program specific to the area in which he or she is working.

What Are the Characteristics of a Successful Mentor?

-Communicates high expectations -Pushes mentees -Allows mentees to learn from failures -Encourages mentees -Is a good listener -Nonjudgmental listening ear -Respectful listening -Has empathy -Perception of needs -Unselfish teacher -Offers encouragement -Values mentee's experience, ideas, and knowledge -Promotes independence -Is generous -Shares time and knowledge with others -Offers personal learning or insight

Stress in Transitions

-Communication -Leadership -Organization -Critical thinking -Ethical dilemmas -Stress management

How to Select an NCLEX® Review Course: What types of review courses are available?

-Compare to see which one best meets your needs and budget. -Check with employer regarding time off and scheduling. -Plan ahead and make an intelligent decision.

Drivers of Burnout

-Complexity -Patient acuity -High-stress environment -People issues -Long shifts -Increasing workload -Staffing shortages -Work process inefficiencies -Work hours, nights or weekend call -Patient per nursing staff ratio -Organizational climate/culture -Deterioration in control and autonomy -Personal issues outside of work

What Constitutes a Profession?

-Controversy over nursing as a profession is not a new issue. -The ANA was established in 1897. -A code for nurses was suggested in 1926.

For an Interview, always bring a copy of your:

-Cover letter -Resume -List of references -Know the company's mission, vision and core values -Know about any recent awards or milestones reached by that organization -Ask the interviewer 2-3 questions (They should be relevant questions.)

How can I manage my calendar?

-Create to-do list and check off accomplishments immediately. -Only schedule what can be realistically accomplished. -Review scheduled activities for the week to avoid "unexpected surprises." -Color-code appointments based on priority. -Leave extra time before and after events for ease of transition. -Don't forget about personal time—schedule it in!

TRENDING IN THE Job Market

-Currently—a nursing shortage -To grow to 260,000 registered nurses by 2025 -We are now facing an aging population as well as an aging nurse force. -Age of average RN in the workforce was 47 years in 2008. -Oldest of the Baby Boomers are retiring and will require more health care. -Employment of registered nurses is expected to grow 26% 2010 to 2020.

What information must be included in a resume?

-Demographic information -Professional objectives -Education -Professional experience -Licensure -Professional organizations -Honors and awards -References

Chronic Illness

-Diabetes -Hypertension -CVA -COPD -Back pain

What does computer-adaptive testing (CAT) mean?

-Different questions for each candidate -Questions based on candidate's responses -Questions get progressively more difficult. -Pretest items are integrated in the exam to determine their validity and difficulty level, but these are not scored.

What about security with the NCLEX-RN?

-Digital fingerprinting -Signatures -Photographs -Palm vein readers -Need permission to leave testing area for breaks

Strategies for Interview Success

-Dress for success. -Mind your manners. -Watch your interview etiquette. -Make sure you know the interviewer's name and title. -Critical first 5 minutes! -Show up early. -Shake hands firmly. -Be aware of your body language. -Ask if you can take notes. -Remember to SMILE!

What Does the Future Hold with Mentoring?

-E-mentoring -Peer mentoring

Considering your biological rhythms, when are you most productive?

-Early morning -Late morning -Afternoon -Evening -Late evening

On the BIG DAY

-Eat a well-balanced breakfast, not sweet rolls and coffee. -Dress comfortably, but look nice. -Arrive at testing site at least 30 minutes before exam time.

Getting an RN License in Texas

-Eligibility 301.252 -Submit a sworn application with evidence that the applicant: -Has good professional character related to nursing practice -Has successfully completed a program of professional nursing education from an approved program -Has passed the jurisprudence exam.

Competent

2 to 3 years clinical experience

The National Council Licensure Examination for Registered Nurses (NCLEX-RN®): Who prepares it, and why do we have to have it?

-National Council of State Boards of Nursing (NCSBN) -National exam with standardized scoring -All candidates receive questions based on the same test plan. -Success—granted license to practice nursing in state

What Organizations Are Available?

-National Student Nurses' Association -LUTNSA -ANA -American Nurses Foundation -American Academy of Nursing -International Council of Nurses -National League for Nursing -National Organization for Associate Degree Nursing (NOADN) -Texas Organization for Associate Degree Nursing -Texas Association of Deans and Directors -Texas Association of Baccalaureate Deans and Directors -American Association of Colleges of Nursing -American Board of Nursing Specialties

A vibrant, moderately healthy, 50yr old woman was recently diagnosed with Diabetes. She is reluctant to take the prescribed medication and is inclined to peanut butter cookies. She finds it difficult to forego such treats and believes it is okay because she exercises occasionally and that should off set the Diabetes. What is her lived experience and state of health?

-New diagnosis -Knowledge deficit r/t -Diabetes and the long-term effects of Diabetes if untreated -Lack of compliance -Denial -Must transition to manage the disease -Lifestyle change needed

E-Portfolios

-New electronic tool used to showcase talents and skills -Demonstrates a new graduate's web writing skill and tech savviness -Free websites exist -Weebly -Wix -GoDaddy -PortfolioGen

Where do you find the jobs?

-Newspapers -Online search -Job fairs/open houses -Employee contacts -Employer brochures -Personnel/recruiters -Letter-writing campaign -Telephone contact -Personal contact -Websites -Check out Magnet facilities in your area

Managing Tasks if taking an Online Class

-Print the syllabus and place deadlines on your calendar prior to the first course meeting. -Identify how to contact your instructor, and schedule online office hours in your calendar. -Schedule weekly times for logging into the class website. -Develop collegial support groups, and be active by participating appropriately in discussion groups. -Establish a directory on the computer to store all course assignments and resource files.

Left Brain traits

-Process information in a sequential, linear manner -Want to know the rules and play by them -Extreme forms → overworked and rigid

Licensure

-Protection to the public by requiring an individual to demonstrate minimum competency by examination before practicing certain trades. -Nursing licensure is a process by which a governmental agency grants " legal permission to an individual to practice nursing. -Texas Board of Nursing -Member of the National Council of State Boards of Nursing (NCSBN)

Implications of Burnout

-Quality and Safety -Medical Error -Medical Malpractice Suits -Healthcare-associated infections -Patient Mortality -Patient experience/satisfaction -Turnover and Reduction of Work Effort

What is reality shock?

-Reaction experienced when entering the workforce after years of preparation **Recent graduates are expected to be competent, capable nurses—without the experience. -Increased acuity, combined with the nursing shortage, may leave you feeling depressed, insecure, and powerless. -Not unique to nursing

Strategies for Answering Multiple Choice Questions

-Read the question (stem) carefully. -Create a pool of information. -Look for critical words. -Evaluate all options in a systematic manner. -Eliminate options you know are not correct. -Identify similarities in the options. -Evaluate priority questions very carefully. -Select answers that focus on the client.

Stresses Reported by New Graduates

-not feeling confident and competent -making mistakes because of increased workload and responsibilities -encountering new situations, surroundings, and procedures -inconsistent preceptors -getting to know the stuff -encounters with unhappy nurses and other personnel -short staffing -staff nurses who were unwilling to help

Licensure and credentials

A bill was signed into law in New York State requiring nurses with a two-year associate degree or a diploma to obtain a baccalaureate degree within 10 years of being licensed. The law was signed by New York State governor Andrew Cuomo December 19, 2017. The law will not apply to currently registered nurses or those who are presently on nursing courses. It will, however, apply to out-of-state nurses who are newly licensed in the State.

A nurse working in the CICU for 2 years learned that he passed his CCRN certification exam. Understanding that certification signifies expertise, what type of transition did this nurse experience?

A developmental transition

A graduate nurse has been out of school for 1 month and recently started working in a discharge nurse position 2 weeks ago. What type of transition is the GN experiencing?

A situation transition of having a new job/career

True/False: A nursing student who doesn't maintain a schedule/planner and studies when in a studying mood is demonstrating right-brain dominance.

True - Right brain dominance exhibits creativity, flexible, relaxed, open to change, spontaneity. NOTE: Left brains are structured, methodical, organized, goal-oriented, time conscious, prefers a routine.

Preparing for the NCLEX-RN®

Where and When Should I start?

AOG

affidavit of graduation

ATT

affidavit to test

Preceptors

are tutors. Preceptorship pairs a novice with an experienced person for a set period of time focusing on policies, procedures, and skill development.

Left-brain-

dominant people like to know the rules and play by them. They are usually able to meet their goals, but if this behavior is carried to an extreme, the individual is in danger of overwork at the expense of creative, artistic, and relaxing activities.

LVN

licensed vocational nurse

Honeymoon phase—

no one watching over your shoulder (exciting phase)

RN

registered nurse

Dragonfly

symbolizes change, self-realization, mental and emotional maturity, and an understanding of the deeper meaning of life.

Shock and rejection phase—

when the bad days outnumber the good ones

Communication

• Calling or talking with a physician, completing shift reports, addressing patient requests, and resolving conflict

Critical thinking

• Difficulty with clinical decision making • Feeling unprepared to meet the challenges of the workplace • Deficits in clinical knowledge

Specific situations (Ethical dilemmas)

• Lack of confidence when dealing with acutely ill patients, emergency situations, and end-of-life scenarios

Leadership

• Lack of delegating skills • Anxiety associated with collaborative teamwork

Organization

• Lack of organizational and management skills to prioritize care

Stress management

• Unfamiliarity with stress management techniques • Lack of social support

A new graduate uses social networking as a means for communicating with family and friends, what should the new graduate consider when posting in terms of seeking employment? A) Use a professional photo, headshot; B) Avoid using social networking sites; C) Set the site to public so that recruiters can search and find you; D) Remove inappropriate information.

A) Use a professional photo, headshot, D) remove inappropriate information

The nurse knows that which of the following is not part of a good resume? A) Age; B) Education; C) Professional memberships; D) Occupational experience.

A) age

What activities do you enjoy most? a) Movies, watching TV b) Exercise—walking, jogging c) Dinner with friends d) Religious or community activities e) Reading

A, C, E

What is the NCLEX-RN® test plan?

-Blueprint reflecting entry-level practice -Test plan researched every 3 years

Situational Mentoring Relationship

-Brief contact/often casual -One-time event -Results assessed later

THE POINT IS Cultural competency, or cultural awareness and sensitivity:

"the knowledge and interpersonal skills that allow providers to understand, appreciate, and work with individuals from cultures other than their own. It involves an awareness and acceptance of cultural differences, self-awareness, knowledge of a patient's culture, and adaptation of skills."(www.acog.org)

Early Warning Signs of Burnout

-Irritability -Weight changes -Frequent headaches and gastrointestinal disturbances -Chronic fatigue -Insomnia -Depression -Feeling of helplessness -Negativity -Cynicism -Angry outbursts -Being self-critical

1982

**NCLEX Exam Adopted

Erik Erikson (Stages of psychosocial development)

- Development focus on the resolution of different crises to become a successful and complete person. -The eight stages: 1) Trust vs. Mistrust; 2) Autonomy vs. Shame/Doubt; 3) Initiative vs. Guilty; 4) Industry vs. Inferiority; 5) Identity vs. Role Confusion; 6) Intimacy vs. Isolation; 7) Generativity vs. Stagnation; 8) Integrity vs. Despair. involve two conflicting ideas must be resolved successfully in order for a person to become a confident, contributing member of society. Failure to master these tasks leads to feelings of inadequacy.

Developmental transitions as an experienced life event:

-(How have you experienced development over time?) -Physical -Behavioral - Personality, Perceptions -Cognitive -Social -Intellectual -Emotionally

Situational Transitions

-A condition -An occurrence -A state of affairs -A circumstance -A position or status

What else should I submit with my resume?

-A cover letter—not to exceed two pages -3-5 well-written paragraphs -Summarize your particular strengths. -Address it to Nurse Recruitment.

What is a Mentoring Moment?

-A flash of insight or a revelation -When the mentee is ready, the mentor appears. -A just-in-time principle—mentor offers the right help at the right time

Depression and suicide in nursing

-A new grad, young nurse landed her DREAM job. Or what she thought would be her dream job in ICU. After orientation and on her own, she quit and said she thought she was dangerous and could kill a patient. The training was poor and the bullying was second to worst I have seen. -That day she went home and gave up her life. Later, her parents notified the floor/ unit. -What does clinical depression look like in nurses? -"Nurses deal with depression by doing more, keep moving, not standing still, not putting their feelings into words," says Michael Brustein, PsyD. "They power through it." -There is more detachment in medical professionals who are depressed. -It is normal to be slightly detached. When a nurse is depressed, they can also become more detached with their family. They are used to being detached, but they can't bring it home and cry over people [who] are sick. -Depressed nurses may cry more over a patient who died. They may get very emotional. Something they used to deal with in the past can get more difficult for them."

Is Nursing a Profession?

-A profession has relevance to social values. -What are the relevant social values? -Nursing exists to serve others = Altruism with live long service to others -A profession has a training or educational period. -What is our education period? -Includes theory and skills -Types of programs -BSN - traditional, accelerated, online, generic MSN LVN/LPN -Self-motivation addresses the way you serve the patient and family. -Self-motivation means that we, the members of the profession not an outside entity, determine our role and scope of practice. -A profession has a code of ethics. -Published in 1950 by ANA (see page 193 in the text book) -A professional has a commitment to lifelong work. -It's a career, not a job -Nursing is the largest health care occupation. -More jobs are expected -Members control their profession. -Nurses are not 100% autonomous. -Nurses determine their own scope and standards of practice via professional associations and organizations. -Nurses greatly influence legal / legislative parameters of the practice. -In Texas we have DECs - Differentiated Essential Competencies of Practice for all levels of nursing practice. -A profession has a theoretical framework. -First was Hildegard Peplau's Therapeutic Relationship" -We do not have one unifying theory of nursing, yet -Members have a common identity and a distinctive subculture -Our school pins, clothing, and other symbols contribute to our identity. -Do certifications help?

Authorization to Test (ATT)

-ATT will contain your authorization number, candidate ID number, and an expiration date. -Expiration date cannot be extended for any reason; you must test within the dates on the ATT.

Prioritization using the ABCD System

-Absolute (immediate priority)--do it nor or as soon as possible -Better (as soon as possible)--necessary, but it can be done later -Can wait until later--or when you get around to it -Don't worry about it--let someone else take care of it OR the 4Ds -Do it -Delay it (to a specific time) -Dump it (unimportant--doing it just wastes your time) -Delegate it

What type of instructional materials are used in the course?

-Are the materials an additional expense? -Do you get to keep them? -Are handouts, workbooks, CDs used? -Test questions used—are they similar to the NCLEX®?

I suggest that you approach this transition systematically. Consider applying the nursing process to your transition as follows:

-Assess your current level of readiness -Diagnosis - Knowledge deficit r/t or AEB gaps in knowledge/skill in... -Plan - How will you correct those gaps in knowledge/skill? -Intervention - Do the work to gain more knowledge/skill. -Evaluate - Did you correct the knowledge gap or is there still opportunity for improvement?

NCLEX-RN: The School of Nursing must

-Award the degree (graduation fee $30? -Submit the Authorization of Graduation (AOG)

How to Find a Mentor

-Be open-minded. -Be flexible. -Be optimistic. -Have written goals that a mentor can help you achieve. -Look for common background in education, expertise, or interest. -Tell the person about yourself. -Ask broad, open-ended questions.

Diversity increases comfort levels for patients.

-Because our patients are becoming increasingly more diverse, nurses who are also diverse and caring for patients is a major benefit. -Nurses who understand an individual patient's background, culture and experiences on a personal level increases that patient's comfort level considerably.

Developmental Transitions

-Becoming -Evolving -Growing -Maturating -Moving -Progressing

Developmental transitions

-Becoming -Evolving -Growing -Maturating -Moving -Progressing

Nursing Organizations:What Should I Know About This?

-Belonging to a professional organization is empowering. -Memberships have followed an up-and-down trend. -Nursing organizations give you a voice in setting the standards of care, policies, and political actions. -Affiliation with an organization allows you to network and become more involved.

Emotional healthemotional intelligence

-Emotionally healthy -Being aware of your feelings and acknowledging them in a healthy way -Emotionally intelligent -Knowing one's emotions -Managing emotions -Motivating one's self -Recognizing emotions in others -Handling relationships -Develop self-awareness. -Understand your likes, dislikes, and why you do what you do. -When you determine that you are doing things that are not beneficial to you or others, self-correct. -Know that there are things that others may realize about you that you may have not realized. Ask for feedback especially with mentors.

Managing Your Goals

-Establish SMART goals -Be realistic when setting goals. -Allow sufficient time to complete each goal. -Goals should be demanding enough that you feel completely satisfied on completion. -Make your goals specific, measureable and time-based. -Keep it going. -Review lists, goals, outcomes, tasks. -Reward yourself for following through and completing your goals. -Don't waste time feeling as though you have failed. -Look at mistakes as learning experiences.

What is the lived experience of organizational change by one who works in the healthcare environment?

-Establishing and delivering the product -Assuring quality of the product -Onboarding and transitioning employees -Evaluating performance -Implementing staffing models -Developing strategies for growth -Managing customer relations -New management/executive leadership

How do you measure up?

-Excited and sincere about nursing? -Open-minded and willing to learn new ideas and skills? -Comfortable with your basic nursing skills? -Able to keep a good sense of humor? -Receptive to constructive criticism? -Able to express your thoughts and feelings? -Able to evaluate your performance and request assistance?

What are the qualifications of the review course instructors?

-Familiarity with the NCLEX®—most often found in instructors teaching nursing school -May be more effective if not from your own school faculty

Phases of the Interview

-First phase -Introduction -Puts you at ease -Second phase -Involves fact-finding -Last phase -Closing -Summarizes and allows you to ask questions -Careful! Do not become overly comfortable and start talking or laughing excessively.

Post-Interview

-Follow-up letter and thank you -Format a letter of rejection or acceptance -Telephone follow-up

What is a Nurse Residency Program?

-Formalized orientation program for new graduate nurses -Assists in transition from student to practicing nurse -Provides additional training -Unit-specific requirements; EKG interpretation -Focuses on curriculum and specialty programs -Grounded in evidence-based practice -IOM recommendations -Nurse residency programs should be implemented and support should be provided by various entities. -State boards of nursing -The Joint Commission -Secretary of Health and Human Services -HRSA -Health care organizations -Nursing education programs

Submitting a Resume

-Hand-carry it. -E-mail it. -Submit it through the hospital website. -Networking -Career fairs -Nursing student organization programs -Follow up with a phone call. -You submit it how the prospective employer requests it to be submitted. -Always keep an up-to-date copy of your resume handy like on your phone just in case an opportunity presents itself.

Health/illness transitions

-Health is the state of being in the absence of illness or injury -Illness is a disease state or period of sickness affecting the body or mind.

Mentoring Through Reality Shock

-Honeymoon phase -Listen and understand. -Act as intermediary. -Shock or rejection phase -Encourage mentee to discuss feelings of disillusionment and frustration. -Share own personal transition process. -Recovery phase -Maintain open channels of communication. -Encourage mentee to try new things. -Resolution phase -Reinforce positive qualities of mentee. -Encourage mentee to problem-solve issues regarding professional goals.

Phases of Reality Shock

-Honeymoon phase Shock and rejection phase—when the bad days outnumber the good ones Recovery phase—humor, decreased tension Working toward effecting a better solution through conflict resolution, problem solving, prioritizing

Nursing Organizations

-How are nurses in your organization socialized? -Is there an informal initiation process? -Is there a formal orientation process? -How can new nurses be mentored? -***Nursing associations promote a more positive image of nursing.

The Interview Process

-How do I plan my interview campaign? -Ask questions about the job description. -How much time will it take? -Will a tour be included? -Show your best side. -Don't be late! -Rehearse the interview. -Role-play. -Dress for the part. -Ask for constructive feedback. -Practice your verbal responses to sample questions. -Prepare a few questions for them.

About the NCLEX-RN

-How much does the course cost? -Most $250 to $500 -Any discounts? -Cancellation policies -How long does it last? -3, 4, or 5 consecutive days? -Evenings, weekends? -Where is the face-to-face course held? -How long is the drive? -Need hotel? -What are the statistics regarding the pass rate for the company? -How are pass rates determined? -Does the review company offer any type of guarantee? -Refund, free review, assistance? -What is the size of the class? -When is the course offered?

Preceptorship Challenges

-Identify issues. -Review with clinical supervisor. -Maintain a professional tone when communicating concerns or issues to preceptor. -Allow preceptor opportunity to provide feedback.

Strategies to address the Nursing Shortage

-In Texas, the THECB - Texas Higher Education Coordinating Board initiatives -Provide incentive funding to program s that increase professional nursing graduates -Increase enrollment of students for initial licensure -Other states are mandating continued education -Recruiting efforts are promoting nursing as a career, i.e., Johnson & Johnson's Campaign for Nursing's Future

Recovering from Burnout

-Introspectively assess your negative feelings using 5 Whys technique. -Get back to basics: -Exercise -Get some sleep -Engage with others -Take a vacation or leave of absence -Reassess your goals -Reduce responsibilities or commitments while recovering -Practice positive thinking and affirmations

What Mentoring Is and Is Not

-Is not coaching or precepting -Coaches help individuals find new ways to solve problems, reach goals, and design a plan of action. -Preceptors are tutors. -Preceptorship pairs a novice with an experienced person for a set period of time focusing on policies, procedures, and skill development. -Nurturing process -Mentors -Are chosen, not assigned -Foster mentee's growth and development over time -Develop professionally based, nurturing relationship -The mentor's role is to develop the mentee to assume his/her responsibilities and to promote growth and potential. -In nursing, mentor is synonymous with trusted advisor, friend, teacher, guide, and wise person. -Focus on needs of mentee -Go the extra mile -A partnership between two people

What behavior have you seen that indicated to you a nurse was experiencing "burnout"?

-Just did the basic care and did not interact with patient -Complained about patients who needed care -Took long breaks and avoided other staff -Did not exhibit any interest in assisting students -Told a student that nursing was not a good job to have

How do I write an effective resume?

-KISS principle -Easy to read -Concise -Informational -Keep it current. -Define your strengths. -Be open to suggestions. -No intentional misstatements -KISS - Keep It Simple, Sincerely! That means, use concise wording and make it easy to read, informative, and simple.

What Difference Do Test-Taking Strategies Make?

-Knowing how to take an exam is a skill developed through practice. -Information on strategies is of benefit now and later -Begin using testing strategies while in nursing school.

Managing Your Time

-Lack of organizational and time-management skills identified by employers of new graduate nurses as areas for improvement and assistance -Balance is the key. -Make time to meet individual, family, and professional goals and needs. -Putting off assignments may lead to increased anxiety and more stress. -What are your biological rhythms, and how do you use them? -Biorhythms affect energy levels. -Determine your high-energy times. -Try to get at least 8 hours of sleep. -Avoid situations that may disrupt your sleep-wake cycle (circadian rhythm). -Engage in a relaxing activity 1 hour before bed. -What are your time wasters? -Telephone, texting, e-mail conversations -Not sticking to set priorities -Social and online activities such as gaming -Waiting for other people (doctor, family, spouse, friends, appointments) -Trying to take care of friends -What is meant by right and left-brain dominance, and where is my brain?

What is the Role of the Mentee?

-Learn and absorb information provided. -Know your objectives for developing mentoring relationship. -Know your goals. -Think how a mentor can help in achieving goals. -Think of best way to approach and develop a mentoring relationship.

Managing Others

-Learn to say "No." -Practice assertive communication skills. -Try to limit your time with people who complain, criticize, and have unproductive behaviors. -Avoid those individuals online (through social media, texting, and e-mail) and in person. -Delegate tasks that can be completed by others.

Empowerment and Self-care

-Learning about self-care is really about empowerment. -With empowerment comes a feeling of well-being and effectiveness. -Knowing yourself is the very first step in learning to care for yourself. -Not having your life in a state of balance plus not having a vision for the future equals a state of poor self-esteem.

How will the Nurse Licensure Compact affect your license?

-Like a driver's license -Able to practice in other states but must comply with Nurse Practice Act in the state where you are practicing

Begin your calendar by listing:

-List goal-directed activities on a master to-do list. -Keep a time log of all activities as they occur. -Allows you to visualize how you are spending your time and create a baseline to-do list. -Cross items off as you complete them—immediate positive feedback of your hard work.

Factors leading to Burnout

-Long shifts -Putting others first -Busy, high stress environments -Dealing with sickness & death -Increased personal demands added to professional demands

What Kinds of Questions Can I Expect on the NCLEX®?

-Majority is multiple choice format. -Four options—three meant to distract from the correct answer `-Only one correct answer -Focus is on nursing care. -What are "alternate format questions"? -And why the big fuss about them? -Implemented on NCLEX® in April 2003 -More effectively assess entry-level nursing competence -No preset number on NCLEX® -No additional nursing knowledge needed to answer these questions -Same nursing concepts being tested -What are the different types of alternate format questions? -Fill in the blank -Multiple response item -Hot spot -Ordered response or drag and drop -Chart or exhibit item -Audio -Graphic options

The day before the BIG DAY

-Make sure you have all the papers required for admission. -If you received your ATT letter via e-mail, you must print the attachment and bring it with you on the day of your exam. -Make a "practice run" to the testing site the evening before. -Eat a light dinner that won't upset your stomach. -Go to bed early—don't study, cram, or party.

What if I need to change the time or date that I have already scheduled for the test?

-May change 24 hours (or one full business day) before appointment -If appointment missed, ATT invalidated -Must reregister and pay $200 fee again

E-mentoring

-Mentoring takes place over distance, usually by electronic communication—e-mail. -New technology can include smartphones with video capabilities and Skype. -Webinars—web conferencing used to conduct live meetings, training, or presentations via the Internet

Burnout and Suicidal Ideation

-More than half of US physicians working in the specialties at the front lines of care (e.g., emergency medicine, family medicine, general internal medicine, neurology) are experiencing substantial symptoms of burnout. -Studies of nurses report a similarly high prevalence of burnout and depression. The prevalence of depression may also be higher among nurses than other US workers

What kind of questions will be on the NCLEX®?

-Most are multiple choice with four options. -Alternate-format test items -Each question stands alone. -Only one correct answer

NCLEX Testing Tips

-NCLEX® hospital -NCLEX® clients -Medication administration -Calling for assistance -Positioning -Delegation and supervision -Setting priorities with a group of patients -Doctor's orders

How can I prepare myself for a transition?: During the last semester

-No "mama management" -Realistic patient-care assignments and shifts -Clinical hours that represent realistic shift hours -Senior class practicum or preceptorship -Perform procedures instead of observing. -Truth about real work setting -Look for ***problem-solving opportunities and practice ***critical thinking. -Request constructive feedback. -Request clinical experience in area of interest. -Cut the apron strings and dependence on your nursing instructors. -Push yourself! Increase by one patient each practicum and preceptorship experience. -Stop always wanting to observe and actually do procedures. -Start building your problem-solving and critical thinking muscle. Seek opportunities to learn... -Embrace constructive feedback so that you may improve. -Think positively. -Be flexible. -Get organized. -Stay healthy. -Find a mentor. -Find other new graduates. -Know what to expect. -Find out if the employing agency has a transition program. -Have some fun!

Role Transformation Using Benner's model, at what stage do you see yourself after graduation?

-Novice -Advanced beginner -Competent -Proficient -Expert

Nurses benefit from diversity: All nurses benefit when employers make diversity a priority.

-Nurses are ensured fair access to open positions, promotions and other employment benefits when diversity is valued, but they are also able to seek support from other nurses who share their culture, ethnicity or other characteristics. -A more diverse team can do better things for patients and doctors alike. With different backgrounds and views, your team can better evaluate and diagnose patients, which leads to a better learning environment.

How does society perceive nurses?

-Nurses should be thought of as autonomous, competent decision makers within their nursing practice arenas. -What are some of the biases and misconceptions about nurses?

Professional Image of Nursing:What Do We Mean?

-Nursing has been evolving for 150 years Started with Florence Nightingale - the founder of nursing -Affected by media -Still seen as primarily a profession dominated by women -Women's issues and changing roles -How is the "me too" movement in response to sexual harassment impacting nursing? -More technological and science driven -Nurses are decision makers

Factors Contributing to the Nursing Shortage

-Nursing school enrollment is not going fast enough meet the projected demand for RN and APRN services -Limited enrollment in nursing programs due to -Shortage of nursing faculty -Lack of clinical placement space -Baby boomers aging including a significant number of nurses and nursing faculty -Increased retirement and turn over rates -Increased need for health care -More need for caring for the elderly -Insufficient staffing leads to increased stress, leading to loss of nurses due to dissatisfaction with the job -Many scientific studies point to the connection between adequate levels of registered nurse staffing and safe patient care.

1909

-On March 13, 1909, Governor Thomas Mitchell Campbell signed Senate Bill 111, establishing the Board of Nurse Examiners. (NOTE: The Board of Nurse Examiners became the Texas Board of Nursing following passage of House Bill 2426 in 2007. The Texas Board of Nurse Examiners will hereafter be referred to as the BON or Board). -The first meeting of the Board took place on July 20, 1909, at the Driskill Hotel in Austin. The purpose of the meeting was for organization. -The first regular meeting of the Board took place on October 27, 1909, in Galveston. In that meeting, 222 applications for registration were considered and approved. All nurses graduating since 1906 and prior to passage of the Act were exempt from examination. The first nurse to become a registered nurse in Texas was Emma Allison who attended school in Fort Worth (See below). The registration fee for nurses was $10. The Examination fee was also $10. While conducting the business of the Board, Board members were paid $5 per day, meals and lodging. The Secretary-Treasurer was paid $200 per year.

What about identification at the testing site?

-One form of ID (valid, not expired, with photo and signature) -US driver's license -US state-issued identification card -Passport -US military identification -Be sure that the first and last name printed on your identification exactly match the first and last name printed on your ATT letter.

Role transition

-Passages or changes from one situation, condition, or state to another, which occur over time -Passages or changes from one state to another -Complex processes that occur over time -Assimilation, formation of a new identity

Issues and Challenges confronting the profession

-Patient satisfaction - later -Peer to peer bullying or violence (horizontal violence)- later

Then the student will receive the Authorization to Test (ATT): What is included in the ATT email?

-Permission from the BON to schedule and take the NCLEX-RN exam -Temporary permit or permission to practice as a graduate nurse and assumes that the graduate will pass the licensing exam. Applicants failing the licensing exam are not eligible for a temporary permit.

Self-Care Activities

-Physical exercise -Laughter -Mental exercise -Motivating yourself -Alternating physical and mental tasks -Schedule idle time—disconnect from technology to think and reflect -Having a relationship with a greater power -Feeling good about the future -Believing there is a real purpose in life

Five Areas of Therapeutic Self-Care

-Physical self care -Spiritual self care -People support -Mental/Emotional self care -Lifestyle

Test Anxiety—What Is This Disease? How Do You Get Rid of It?

-Plan ahead. -Set aside study time. -Study smart. -Give yourself a break! -Think positive! -Don't cram.

What about managing the telephone?

-Polite comments at beginning and end of conversations -Focus on business and stay on point

Portfolios

-Portable scrapbook to showcase your talents and accomplishments -Used in nursing education to document a student's knowledge, skills, abilities, and learning to track progress within a curriculum

How will I keep the computer keys straight and deal with a mouse?

-Practice session prior to taking exam at testing center -Test administrator available for questions

What is the lived experience (Life Events) of situational transitions?

-Pregnancy -Birth -Lived experiences - School, graduating, new job/career, demotion, promotion, marriage, divorce, retirement -Illnesses -Hospitalization -Recovery -Death

Health care organizations can help prevent the second victim phenomenon by:

-Recognizing the negative impact that medical errors have not only on patient care but also on the health care professional responsible for the mistake. -Implementing formal programs to assist health care professionals who are suffering. -Responding swiftly and providing emotional support to second victims when medical errors occur. -Advocating a workplace culture of support and trust rather than blame, i.e., a CULTURE OF SAFETY -Punishment isn't the answer -Support the second victim

Future of Role Transition

-Regulatory model for transitioning new graduates to practice -National Council of State Boards of Nursing (NCSBN) created transition modules as follows: -Communication and teamwork -Patient-centered care -Evidence-based practice -Quality improvement -Informatics -Additional module on preceptor training -Transition to practice model recommendations -9 to 12-month internship after graduation

What self-care strategies do you use in maintaining your physical self?

-Relaxation therapy -Physical exercise -Eating healthy foods -Getting plenty of sleep -Meditation

Right Brain traits

-Resist rules and schedules -Creative, flexible thinkers—like to look at the "whole picture" -Extreme forms → fail to meet deadlines, causing guilt

What about all that e-mail, texting, or social media?

-Restrict work- or school-related communications to one account, with another designated for personal use. -Use your delete key aggressively, and eliminate junk e-mail without reading it. -Include class number or title in subject line when communicating with instructor via e-mail and add your name at end of text messages.

Which word best describes your experience working with other nurses during your clinical experience in nursing school?

-Rewarding -Uneasy -Intimidating -Boring -Informative -Surprising -Understand that your desired transition and what actually occurs may not align.

What is the passing score for CAT?

-Same passing criteria for all states -Pass or fail (no number to reflect this)

Other Manifestations of Depression and Suicide in Nursing

-Self - medicating -Alcohol -Prescription drugs -Negative coping mechanism -Short fuse -Over eating or smoking -Difficulty concentrating -Accident-prone -Limited ability to perform mental tasks, such as care mapping or calculating doses -Poor interpersonal skills -Lower total productivity -Educate management and peers on the signs and symptoms -Be supportive, be an advocate

Self-Care Strategies

-Self-care—the practice of engaging in activities that promote a healthy lifestyle -Keeps you thriving in nursing instead of just surviving -Take care of your physical self. -Must take care of yourself first before you are able to take care of others

What is the application process for NCLEX® CAT?

-Send application to state board at beginning of last semester. -Nursing school verifies graduate's status. -Receive Authorization to Test (ATT). -Schedule exam.

When do we need Mentors?

-Serve as role models, counselors, and guides to promote you in your career -Provide a supportive atmosphere -Offer constructive feedback -Bolster self-confidence

How to Avoid/Prevent Burnout

-Set boundaries -Process your emotions -Protect your self by prioritizing your own mental and physical health needs -Manage your stress -Find solace in creativity -Leave job stress at work -***PROTECT YOUR PASSION -If you don't like what you're doing or where you're working, do something, or make a change -Learn new skills

Managing Tasks: How do I deal with PROCRASTINATION?

-Set realistic priorities -Eliminate wasted time by avoiding too many social phone calls and other distractions -Break a task into separate small steps -Establish multiple, specific, and realistic short-term goals -Get started by taking one step at a time -Reward yourself as you accomplish each short-term goal -Avoid doing the work of others -Delegate tasks when possible

Managing my Physical environment

-Set up a specific work area that is conducive to your physical environment. -For projects and studying, find a place that is comfortable, well-lit, and free of distractions. -Compartmentalize and color-code items. -Keep frequently used items in a convenient location. -Declutter the clutter. -What about all the paperwork and/or electronic requests—how can I manage it? -File it. -Forward it. -Respond to it—on the same sheet if possible. -Delegate it. -Discard it. -What about managing the telephone? -What about all that email, texting, or social media? -How can I manage my calendar?

Benefits

-Sign-on bonuses -Be cautious—read the fine print! -Health, dental, and vision insurance -Life insurance -Disability coverage -Vacation and sick leave -Education assistance -Pensions and savings plans -Reimbursement accounts -Dependent care -Health and wellness programs

Self Prep for Transition

-Start taking increased numbers of patient assignments -Talk to staff RNs who graduated within the past 6 months -Request constructive feedback from instructor and preceptor -Take an inventory of nursing skills and find opportunities to gain experience -Maintain a positive attitude and be flexible

Rules of the road

-Stop and take care of yourself -You will make mistakes -Get your life in order -You don't always have to be right -Maintain a positive attitude -Don't burn any bridges with your job -Plan to continue your education -Take the time to get organized -When in doubt, check it out with another nurse

Too much passive behavior will lead to internal conflict:

-Stress -Resentment -Seething anger -Feelings of victimization -Desire to exact revenge

Our Transition

-Student to graduate nurse transition -Graduate nurse to professional nurse transition -Student (Novice) to graduate nurse (Advanced Beginner): -Graduate nurse (Advance Beginner) to professional nurse (Competent, Proficient, Expert): -Not transitioning is what I refer to as a Failure to Launch - Describes the difficulties some young people face when transition into the next phase of life.

To take the NCLEX-RN exam

-Submit the application - $100 -Pay the fee for initial licensure -Pass the jurisprudence exam -Register and pay for the NCLEX-RN exam - To Pearson Vue _$200

Restructuring of health care environments

-THE HCDS - Healthcare Delivery System is changing. -The continuing and emerging issues are: -Access to care -Some improved access -Some increasing disparity -Cost of care and cost containment -Funding -Quality of care -Appropriate, safe and effective use of technology -Creating healthy environments -Effective curing and caring -You know: -Financing models -Nursing care delivery models -Continuing and emerging issues for nursing -Interdisciplinary practice -Evidence-based practice -***Nursing Shortage -Nursing shortage - According to the Bureau of Labor Statistics' Employment Projections 2014-2024, Registered Nursing (RN) is listed among the top occupations in terms of job growth through 2024. -The RN workforce is expected to grow from 2.7 million in 2014 to 3.2 million in 2024, an increase of 439,300 or 16%. -The Bureau also projects the need for 649,100 replacement nurses in the workforce bringing the total number of job openings for nurses due to growth and replacements to 1.09 million by 2024

Unexpected Questions and Situations

-Take a deep breath, pause, and perhaps say: -"That's an interesting question. I would like to take a minute to think about my answer. Can we come back to this question?" -At the end of the interview, bring up the subject again, perhaps saying: -"I've had some time to think about one of your earlier questions and want to add some additional information, if you don't mind."

How Can Nurses Change the Image of Nursing?

-Talk and look like a professional - dress the part, always -Patient interaction―one by one The first 60 seconds -Personal interaction with the public -Write your response to what is a nurse -Public speaking -Speak to civic and community groups -Involvement in community activities -Use PR to acknowledge and advertise nursing's accomplishments -Participation in political activities -Be honest and ethical -Professor L.D. Andrews of Rogers State University says that to create a new image for nursing, nurses must: -value nursing and project that image daily -take themselves seriously and dress the part -recognize the value of what they do -believe in themselves and their colleagues. -Recognize the effect of our behavior outside of the workplace -Be careful how you portray nursing to friends and family

Assessing an Organization

-Talk to people in the organization. -Read and analyze the recruitment materials. -Consider the mission or philosophy statement? -Learn about the reputation of the leadership. -Do they use a nursing theory or philosophy?

WHAT IF I DON'T LIKE MY FIRST POSITION? CAN I CHANGE?

-Talk with your nurse recruiter for support and assistance. -Shadow a nurse in another area. -Avoid job hopping. -Don't "burn any bridges." -Is it time to change positions? -Give at least 2 weeks' notice, preferably 4 weeks. -Keep a positive outlook.

Two months prior to the NCLEX®: What do I need to do now?

-Tell employer the anticipated test date. -Decide how you are going to get to the test site and if you need to stay overnight. -Decide if you are going by yourself or with a group. -Develop a plan for studying.

Where and when do I take the CAT test?

-Testing sites in all states -Only licensed in state where application submitted -Test within dates on the ATT. -Try to take the exam shortly after graduation.

The dragonfly is both a creature of the water and the air.

-The air in dragonfly tattoo designs signifies FREEDOM. It represents leaving behind the old ways and going into the unknown, going past our perceived limitations. It represents ADVANCEMENT and INDEPENDENCE. -The water aspect of the dragonfly signify spirituality and the subconscious mind. It represents metaphysical aspects of our lives such as rebirth.

Recap of Role Transitions

-The concept of transitions -Transitions in nursing -Characteristics and phases of reality shock -Methods that promote a smooth and successful transition -Role transformation

Diversity in Nursing

-The need for diversity in the nursing workforce is acknowledged by professional organizations, employers like us, and our team of nurses. -The nursing workforce better represents the population. -***The people living in the United States today are highly diverse. With all genders, ethnicities, and cultures living together, the nursing workforce should be representative of this population. -The current nursing workforce isn't perfectly representative, but inspiring young people of all ethnic, gendered, and cultural groups to consider healthcare as a profession will help us to accomplish this goal.

Diversity improves patient care.

-The pursuit of diversity in the nursing workforce ensures that members of ethnic groups, cultures and communities are present on the staff. These individuals contribute unique ideas and perspectives that the team can use in the treatment of patients. -There are countless reasons for diversifying your staff, the most important may be that working with all types of nurses creates stronger bonds within teams. These strong bonds continue for a lifetime.

Generational Impact

-There are differences between the generations, in terms of values, what is acceptable behavior, perceptions of time, etc. -Baby boomers have more experience and higher levels of psychological empowerment and job satisfaction than Gen X and millennials. -Younger nurses between 19 and 39 are more positive about the quality of nursing today. And they like the technology trends. -Retention rate and job satisfaction will be accomplished by different incentives for different age nurses. -The goal of the staff and the manager is to foster mutual respect. -Agree of the goals of the unit: high-quality care, safe work environment, etc. -Use respectful communication, being flexible to accommodate all generations. -Listen to each person to determine how to support a positive work experience. -Create workplaces where all opinions and ideas are valued and heard. -Encourage and develop mentoring partnerships in the workplace. -Focus on employee strengths not weaknesses

Resume or curriculum vitae?

-They are similar, but your CV grows longer as you become more accomplished. -CVs include continuing education experiences and any publications. -Most CVs run 2-4 pages or more. -CVs are generally used when applying for a teaching position.

Right-brain

-dominant people resist rules and schedules. They prefer to look at a project as a whole and to complete it in their own way and time. These are creative, flexible thinkers. However, if their behaviors are taken to an extreme, they can fail to meet needed completion times, which can induce guilt.

What are the types of Mentoring Relationships?

-formal -informal -situational

Applying for the license

-Timeline and costs -BON Questions -Special Accommodations -Paper applications -Common Trouble questions on the application -In your name, no spaces or periods or abbreviations -Jr = Junior -Maiden name in other last names -Skip the employment section -Date you started the program -Name of program (Lamar University Baccalaureate School of Nursing) -What county is your high school? -Do you have a previous nursing license? NO -List up to 30 states in which you plan to practice. Just list Texas -Employment section - Skip it -Access your email, click the link and get started -Upload proof of completion, such as, a copy of your receipt into 4260

Taking the Exam

-To Take the NCLEX-RN exam -The School of Nursing must -Then the student will receive the Authorization to Test (ATT)

In Native American and Asian cultures, the dragonfly is viewed as a symbol of change

-To some Native American tribes, the dragonfly tattoo represents overcoming obstacles and moving forward. -To some Asian cultures, the transformation of the dragonfly represents embracing change and seeing it as positive and freeing. -It represents STRENGTH, JOY AND BRAVERY.

Formal Mentoring Relationship

-Traditional/Structured -Driven by organizational needs -Effectiveness measured by organization frequently

Resume Fouls

-Typos and grammatical errors -Avoid using "I" or "me" -Avoid trying to impress with big words or jargon -No exaggeration of your abilities -Do not list references -Caution with adding photographs

How much time do I have to take the CAT, and how  many questions are there?

-Up to 6 hours -75-265 questions -Number of questions you answer and length of time that you test do not indicate if you have passed or failed

Research a Job of Interest

-Visit local hospitals and clinical units to observe workflow, teamwork, management presence, interactions with physicians and family members, etc. -Inquire with nurses and staff members unobtrusively -Review safety data posted and bulletin boards -Listen to visitors and family members in the elevators and cafeterias -Conduct an online search -Observe cleanliness of grounds and facility -Consider security presence

How is the review course taught?

-Visuals used? -Presentation by a "live person"? -Delivered online? -Delivered by video or CD?

Informal Mentoring Relationship

-Voluntary, flexible -Mutual acceptance of roles -Periodic check-ups by supervisors

Diversity: Recruitment has changed- More male nurses and varied ethic persons

-We are seeking a gender neutral attitude. -Ethnic and gender diversity provides opportunities to administer quality patient care. -Nurses who understand their patient's culture, environment, food, customs, religious views, etc, they can provide their patients with ultimate care. -***When there is diversity of the nursing staff, they teach and share with each other, creating a culture of understanding and acceptance. -The goal is more diversity in gender, ethnicity, veteran status, age, religion, socioeconomic status, sexual orientation

Transitions in Nursing

-What are important factors influencing transitions? -Understand from the perspective of the person experiencing the transition -Positive -Negative -Neutral -What is the desired transition? -Are your expectations realistic? -When you know what to expect, you can reduce your stress.

Social Networking

-What are important factors to remember about personal information on the Internet? -Facebook -LinkedIn® -Twitter™ -Be very careful! -Prospective employers or hiring managers conduct online searches too. They may learn things about your or see images that may damage your chances of getting hired.

Self-Assessment with Employment Considerations

-What are my clinical interests? -OB, Psych, Gerontology, Med/Surg, ICU? -What are my likes and dislikes? -Patient interaction or technically oriented routines? -Work closely with others or autonomous role? -Structured or informal? -Lots of supervision? -Physical work setting? -Days, evenings, or nights? 12-hour shifts? -Quick decisions or relaxed approach? -Am I a good fit for my areas of interests and likes? -Periodically examine yourself. -Know who you are. -When searching for a job, look for a job that is suitable to who you are. If you are not a fast-paced person, do not go to work in the ED. -What are my personal needs and interests? -Can you commute? -Salary range? -Overtime? -Opportunity for advanced education? -What are my career goals? -What do you want from your first nursing position? -Set first-, third-, and fifth-year goals for yourself.

Job satisfaction vs burn out

-What is stress in nursing? -Stress in Nurses. ... Stress in nursing is attributed largely to the physical labor, suffering and emotional demands of patients and families, work hours, shiftwork, interpersonal relationships (eg, inter- and intraprofessional conflict), and other pressures that are central to the work nurses do -While stress is characterized by over-engagement, burnout is characterized by disengagement. -Burnout can lead to -dulled emotions and detachment -strongly affects the emotions and undermines motivation -leaves a sense of hopelessness -For those experiencing burnout, every day is a bad day,

Historical Background of Mentoring

-Where did the word mentor originate? -Mentor—from Greek mythology -Wise and faithful advisor to Odysseus (known as Ulysses by Romans) -Mentoring occurs when one person invests time, energy, and personal know-how in assisting the growth and ability of another person (Brown, 2003). -Encourages human growth and potential.

NCLEX-RN® Review Books

-Which one is right for you? -Do an overview. -Scan the table of contents. -Evaluate chapter layout. -Evaluate content. -Evaluate the index. -Test questions -Are alternate item format questions included? -Are questions on a CD or online? -Test-taking strategies

Job Offers or Rejections

-Yes-no-maybe -Be honest. -Avoid being pressured to say yes. -Be polite. -If declining, do so graciously. -Accept the offer, and smile! -If rejected, find out why and make changes for the next interview. -If at first you don't succeed, try, try, again!

4 Major Types of Transitions

-developmental -situational -health/illness -organizational

Recovery phase—

-humor, decreased tension -Working toward effecting a better solution through conflict resolution, problem solving, prioritizing

Self-Care Tips when Circadian Rhythms are Disrupted

-reserve the bedroom or sleeping -avoid watching television or using the computer while in bed -leave your stressors at the door, and pamper yourself just before sleeping by reading, stretching, meditating, or taking a warm, scented bath -establish and maintain a bedtime routine -decrease noise or create "white noise" in the bedroom -turn off the telephone -sleep with earplugs -use a bedroom fan -darken and cool down your sleeping environment -use eye shields -maintain a diet high in protein and low in carbohydrates to support your immune system

Hints for Effective Studying

-study difficult subjects or concepts first -study in short "chunks" pf 50 minutes each -take a brief 10-minute break after every 50 minutes of studying -schedule study time when you are at your best (be aware of your internal block) -use waiting times (compile and carry 3X5 note cards or use Notes on your cell phone to organize critical information that you can review wherever you go--even when you are standing in that long line at the checkout counter) -keep a calendar for the semester that includes all of you assignments, tests, and papers. Use a different color for entering deadlines for each course -Make a weekly to-do-list. Prioritize this list and cross off each task as you complete it. -before beginning a project, know what you are doing. Determine the goals, benefits, of the project, make sure everyone understands his or her responsibilities. You should also designate someone to be in charge of organizing group meetings. Leave time during the project for unexpected delays and to revisit and modify your goals. Be flexible.

Must Haves for Self Care:

-support socks/hose -good fitting shoes -healthy snacks on hand -breaks away from unit

Expert

Advanced practice nurse clinicians and faculty

Aggressive communication

Aggression undercuts trust and mutual respect. Aggressive people humiliate and intimidate others. You may appear to be a bully who disregards others, self-righteous or superior. People grow to resent you and may avoid and oppose you.

Mentors

Are chosen, not assigned. Foster mentee's growth and development over time. Develop professionally based, nurturing relationship. The mentor's role is to develop the mentee to assume his/her responsibilities and to promote growth and potential. In nursing, mentor is synonymous with trusted advisor, friend, teacher, guide, and wise person. Focus on needs of mentee Go the extra mile A partnership between two people

According to Benner's model, at what stage do you see yourself after graduation? A) Novice; B) Advanced beginner; C) Competent; D) Proficient; E) Expert

B) Advanced beginner - You are still a novice as a nursing student.

An experienced nurse working in a new setting is considered an A) Expert; B) Novice; C) Proficient; D) Competent; E) Advanced beginner?

B) Novice

Assuming all of the following statements are true, which should be included in a resume to highlight valuable information? A) I was president of my HOA; B) Fluent in American sign language; C) Salary expectation; D) Moving out of state in 2 years.

B) fluent in American sign language

The purpose of a cover letter is to do what? A) It is optional; B) It should introduce you to the reader; C) It should recapitulate all of the important points of your resume; D) It is necessary only if your resume needs further explanation.

B) it should introduce you to the reader

Which characteristics best describe the role of the mentor? A) Assists the new nurse with difficult nursing procedures; B) Requires a primary focus on the needs of the new nurse; C) Serves as a primary resource on the nursing unit for the new nurse; D) Is interested in the new nurse's personal growth and nursing goals; E) Is available to the new nurse after hours to discuss problems and needs

B; D; E

Chronic fatigue, increased irritability and feelings of helplessness are symptoms of _________ in healthcare professionals?

Burnout

A potential mentor asked you to describe a mentoring relationship, how would you respond? A) A novice and expert; B) Teacher and Learner; C) Advisor and partner; D) Supervisor and subordinate

C) Advisor and partner

A facility hires you after nursing school to work as a staff nurse. What phase of reality shock are you experiencing? A) Shock and rejection phase; B) Recovery phase; C) Honeymoon phase

C) Honeymoon - New nurses tend to see the world of nursing through rose colored glasses

When does the role transition to graduate nurse begin? A) Nursing school application stage; B) Program acceptance; C) Completion of first nursing course; D) At graduation

C) It started when you began to move into the novice role while in your first nursing course

Organizational Transitions

Changes and transitions that occur in an organization

The graduate nurse interprets the phrase "dress for success" to mean which of the following? A) Wear a casual hairstyle and comfortable clothing; B) Buy new, very conservative dark clothing to wear; C) Select clothing that is popular and a fashion statement; D) Wear a neat well-fitting, tailored, business-like clothes from your existing wardrobe.

D) Wear a neat well-fitting, tailored, business-like clothes fro your existing wardrobe.

What is assertive communication?

Direct, respectful, civil communication wherein you successfully deliver your message. If you are too passive or too aggressive, your message gets lost because people are busy reacting to your delivery.

According to Box 1.1, new graduates reported feeling stress in the following crucial competency areas, except? A) Time management; B) Critical thinking; C) Leadership; D) Organization; E) Stress Management

E) stress management

Acute Illness

Fall with head injury or other trauma

True/False: A role transition is defined as the professional relationship between an experienced executive leader and a high performing middle manager.

False

True/False: The purpose of effective time management is to do as much as possible in as short a time as possible.

False

True/False: Burnout is a dangerous technique used by motocross cyclist and increases visits to the emergency department in summer months.

False - Burnout is physical and/or mental exhaustion related to overwork and stress.

True/False: In Greek mythology, mentor means good and faithful servant (known as Ulysses by Romans).

False, mentor means wise and faithful advisor.

True/False: In the recovery phase of reality shock, graduate nurses begin to take their new role serious and understand that there is no room for error in health care.

False--They begin to have a sense of humor, decrease level of tension, and increase in their ability to be objective

Does the course include instruction in test-taking skills and practice?

Graduate needs to practice testing strategies.

Passive communication

If you come across as shy or overly easygoing and tend to avoid conflict, you send the message that your thoughts and feelings aren't important. You give people the license to disregard your wants and needs.

1907

In 1907, nineteen nurses from around the State of Texas gathered at the Medical College Building in Fort Worth to form the Texas Graduate Nurses' Association (TGNA Note: The TGNA became the Texas Nurses Association in 1964).

Second Victim phenomenon

In a well-publicized case, a nurse at Seattle Children's Hospital mistakenly administered 10 times the prescribed dose of calcium chloride to an eight-month-old baby. The baby died. The nurse immediately reported the error, the only serious medical error she made in her 24-year career. She was escorted from the hospital, placed on administrative leave, and eventually fired. Seven months later, she committed suicide. The incident left many nurses wondering, "Could this happen to me?" -This term can be described as a "health care provider who [is] involved in an unanticipated adverse patient event, in a medical error and/or a patient related injury and become[s] victimized in the sense that the provider is traumatized by the event." -Second victims describe their experiences as "emotional tsunami", or the darkest our of my career". -the health care professional can also experience a personal impact, such as: Post traumatic stress General stress symptoms Anger Insomnia Nervousness, Effect on family life, Depression, anxiety & suicide

1905

Jennie Cottle Beaty, RN, Superintendent of Nurses at St. Joseph Hospital in Houston, came to the meeting with a copy of the bill which had been enacted in the State of Colorado in 1905 to create the Colorado Board of Nursing. The association elected officers, selecting Mrs. Beaty as their President, then began discussing the various bills which had been filed in states around the country to create boards of nursing.

Advanced beginner

Last semester nursing student, Graduate nurse

Leslie recently passed boards and has expressed excitement about having his mentor shadow him at work to prevent mistakes. Does Leslie have a good understanding of a mentor-mentee relationship?

No, mentors do not shadow mentees in the clinical setting, preceptors do.

New nurse Mary Helen tells you that she enjoys going to dinner and a movie with her preceptor, David. Understanding the preceptor-preceptee relationship, is this appropriate?

No, the preceptor-preceptee relationship is typically work-related

According to the Dreyfus model, modified by Benner, the ______ stage does not begin at graduation, it began while in your first nursing course?

Novice

Proficient

Nurse clinicians, nursing faculty

Novice

Nursing student, experienced nurse in a new setting

After a medication error caused harm to a patient, to improve the quality of care, all nurses must prove competency via simulation q 6 months for 5 years. What type of transition is this?

Organizational transition

Do I have to be computer literate to take the test?

Prior computer experience is not a prerequisite to passing.

What are the advantages of CAT for test taker?

Quiet environment; able to work at own pace

Peer mentoring

Senior-level students mentor entering freshman students.

A new RN wants to quit because he feels disrespected by subordinates and the nurse manager seems bothered by his complaints, what phase of reality shock is he experiencing?

Shock and Rejection

Sherry enjoys her mentor's storytelling but is concerned that their meetings are vague, get off track and tend to be unproductive. How should the mentor correct this issue?

This is not the mentor's responsibility. Sherry should consider developing an agenda and setting goals to be discussed with the mentor.

Yes/No: Should a new nurse have both a preceptor and a mentor relationship at the same time?

Yes, the focus is different. Preceptors are assigned and mentors are sought out by the mentee.

Based on mutual respect

communicating in a way that respects the rights of others and self