Staff within the nursing profession RN LPN UAP Doctors Aprns
Mentor vs. Preceptorship mentor - selected by mentee. Loose agreement. Guide, counselor, sponsor. Shares knowledge and wisdom. Focuses on own personal growth
Preceptor - assigned. Formal agreement. Specific knowledge and skill set. Tuto...
NUR 229 EXAM 1 PRACTICE
QUESTIONS AND SOLUTIONS
Staff within the nursing profession ✅RN
LPN
UAP
Doctors
Aprns
Mentor vs. Preceptorship ✅mentor - selected by mentee. Loose agreement. Guide,
counselor, sponsor. Shares knowledge and wisdom. Focuses on own personal growth
Preceptor - assigned. Formal agreement. Specific knowledge and skill set.
Tutor/teacher. Focuses on procedures and skill development
Licensure vs. Credentialing ✅licensure - indicates minimum competency. Required by
law to practice as nurse
Ex. NCLEX
Credentialing - voluntary process that demonstrates elevated competence in specialty
Ex. Passing exam by ANCC
Functions of the MSBN ✅maine's administrative agency
*protects the public, to make individual practitioners accountable for their actions(
Responsible for regulating the practice of nurses in Maine
9 new graduate nurse competencies ✅Possess the necessary theoretical background
for safe patient care and decision-making
Use of the nursing process
Recognize own abilities and limitations
Use communication skills effectively with both patients and coworkers
Work effectively with assistive personnel, delegating, and supervising nursing care
tasks in an appropriate manner
Understand the important of accurate and complete documentation
Possess proficiency in the basic technical nursing skills
,Understand and have a commitment to a work ethic
Function with acceptable speed
What is a situational transition?
What are some examples? ✅change that you have to undergo because of something
that happened (graduating the nursing program, getting married, divorced, etc)
What is transition? ✅moving from one situation to another
What is a developmental transition?
What are some examples? ✅change that you have to undergo due to change in age or
responsibility (becoming a parent, turning 21, etc)
What is a health and illness transition?
What are some examples? ✅change that you have to undergo due to health/illess -
not always predictable (dx of cancer, broken bone, etc)
What is an organizational transition?
What are some examples? ✅change that you have to undergo due to switch of an
organization (having a different employer, etc)
What 3 factors affect transition? ✅is it desirable or undesirable?
Do you have the knowledge/skills to cope with the transition?
Resources
How will each of the following topics cause stress/conflict in the new graduate nurse?
Communication
Leadership
Organization
Critical thinking
Nursing care
Stress ✅communication - with providers, coworkers, etc
Leadership - delegation, new manager, team work
Organization - prioritizing
Critical thinking - deciding whats best for the pt
Nursing care
Stress - knowing how to cope
What is reality shock? ✅the reaction of new graduate nurses when they discover that
the work situation that they have prepared for does not exactly operate within the values
and ideals they had anticipated
What are the 3 steps of reality shock? ✅honeymoon phase
, Shock/rejection
Recovery
What is the honeymoon phase of reality shock? ✅graduation and shortly after
What happens in the shock/rejection phase of reality shock? ✅stressed
"why did i do this to myself?"
Fatigue
Sluggish
Aches/pains/headaches
Insomnia
How should you work through the shock/rejection phase of reality shock? ✅self care
Perseverance
Reach out to preceptor/other new grads
What happens in the recovery phase of reality shock? ✅humor returns, not so
overwhelmed
What are the questions asked in the recovery phase of reality shock? ✅do you still
want to be with that job or not?
How to cope if youre going to stay?
Deal with it or leave (go to another organization, shift, unit or back to school)
5 concepts of benner's novice to nurse concept and examples ✅novice - nursing
student
Advanced beginner - new graduate (marginally acceptable care)
Competent - 2-3 years after graduation (plan/perform with minimal guidance)
Proficient - nursing clinicians (need no guidance, confident. Can anticipate)
Expert - in one area (mental health, teaching, etc)
How to prepare for transition ✅independence
Do don't observe!!
Welcome challenging opportunities
Ask for feedback from faculty
Be positive and flexible
Self-care
Connect with other graduates
Realistic patient care assignment
Autonomy definition ✅patient has right to make own decisions
When does autonomy become a problem? ✅when the patient is not able to make their
own decisions (mentally unable, minor, etc)
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