NUR 221 EXAM 1 2 AND 3 | QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) |
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NUR 221 EXAM 1
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?
A. Honeymoon
B. Shock or rejection
C. Recovery
D. Resolution ------CORRECT ANSWER---------------B. Shock or rejection
According to Kramer, nurses in the shock phase should ask themselves
what?
A. "How can I fit in with other staff?"
B. "Why can't I perform as everyone expects?"
C. "What changes can I make to make me feel good about the choice to
become a nurse?"
D. "How can I get the rest of the staff to change?" ------CORRECT
ANSWER---------------C. "What changes can I make to make me feel good
about the choice to become a nurse?"
,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?
A. Biculturalism
B. Socialization
C. Transition
D. "Going-native" ------CORRECT ANSWER---------------B. Socialization
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?
A. Burnout
B. Low self-esteem
C. Lack of confidence
D. Resilience ------CORRECT ANSWER---------------A. Burnout
Which nurse is more prone to burnout?
A. The one who graduated last in the class
B. The one who accepts most offers of overtime
C. The one who has worked on the oncology unit for 3 years
D. The one who regularly states, "I'm not able to make it better for my
patients" ------CORRECT ANSWER---------------B. The one who accepts
most offers of overtime
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?
A. Mentor
B. Rutter
C. Change agent
D. Role model ------CORRECT ANSWER---------------C. Change agent
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?
A. Organizational
B. Communication
C. Interpersonal
D. Clinical ------CORRECT ANSWER---------------A. Organizational
When the novice nurse asks, "What will happen if this task is not
completed," which skill is being demonstrated?
A. Priority setting
B. Delegation
C. Organization
D. Clinical skills ------CORRECT ANSWER---------------A. Priority setting
, 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?
A. Determining whether steps are logical
B. Formulating increments in correct order
C. Efficiently organizing stages of the procedure
D. Appraising outcomes according to policy expectation ------CORRECT
ANSWER---------------D. Appraising outcomes according to policy
expectation
When comparing mentoring and role modeling, the role of mentoring is
represented by which of the following situations?
A. The experienced nurse is unaware that the novice nurse is observing
him or her gathering supplies needed to start intravenous antibiotics.
B. The novice nurse mimics conversations with his or her own patients that
were unobtrusively overheard between the experienced nurse and his or
her patients.
C. 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."
D. An experienced nurse is nominated for outstanding employee of the
month by the novice nurse. ------CORRECT ANSWER---------------C. 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."
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?
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