1. An experienced nurse has accepted a new role in administration. Supervisors can best support
this transition by assisting the nurse to
a. learn the unspoken rules of the new role.
b. manage time and other people effectively.
c. obtain education regarding the new job.
d. redefine the nurse’s professional identity.
ANS: D
A nurse changing roles would be expected to experience resocialization, in which the nurse
needs to redefine his or her professional identity to fit the new role. Administrative support in
adapting to the new role via socialization is crucial to a successful transition.
Learning the unspoken rules of the new role might be important depending on the
organizational culture in which the nurse has taken an administrative role, but it would not be
the best choice.
Managing time and other people effectively is not the best choice because there is no
information here suggesting that part of the new role includes directly managing others.
Obtaining information about the new job would be important, but it would not be the best
choice.
DIF: Cognitive Level: Apply TOP: Integrated Process: Caring
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
2. A nursing faculty member would judge that activities designed to foster socialization in
students have been successful when the students
a. are able to communicate in an effective manner with other health care providers.
b. incorporate professional values, norms, and behaviors into their self-identities.
c. learn the legal and ethical standards required to practice as a professional nurse.
d. understand the complexities of their new, multifaceted role in health care today.
ANS: B
Students must incorporate the values, skills, behaviors, and norms appropriate to nursing into
their self-identities in a process called socialization, which begins in nursing school and
occurs again as nurses change roles or jobs.
Professional and effective communication is a vital part of working in a multidisciplinary
team, but it does not demonstrate socialization.
Understanding legal and ethical standards is important to today’s nurses, but this is not the
best choice for two reasons: First, simply learning the standards is not enough; one must act
on them. Second, this is not all that is involved in the socialization process.
Being able to understand the complexities of the nursing role today is something that the
student will not truly understand until immersed in the first job. This is not directly related to
socialization into a profession such as nursing.
DIF: Cognitive Level: Evaluate TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
, 3. A nursing dean oversees an RN-BSN program and is evaluating whether or not program
objectives have been met. The success of this program can be demonstrated when
a. attitudes of the returning RN students are reinforced in their identities.
b. graduates are proficient in new subjects learned during the program.
c. RNs resocialize into the role of baccalaureate-prepared nurses.
d. the nurses can articulate why having a BSN should be a requirement.
ANS: C
Socialization occurs at three important points in a nurse’s career: when a new graduate leaves
the educational setting and begins work as a professional nurse; when an experienced nurse
changes work settings; and when the nurse takes on new roles, such as returning to school.
The hope is that graduates will leave school with changes in behaviors and attitudes that
reflect their new status as baccalaureate-prepared nurses.
It would be important for graduates to have a strong understanding of the subjects they
encounter when they are back in school, but this choice is too narrow to support meeting
broad goals.
Nurses articulating that the BSN should be required is too narrow in focus to demonstrate that
the program’s goals have been met.
DIF: Cognitive Level: Evaluate TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
4. A nursing manager recognizes that a registered nurse has a strong sense of professional
identity when which behavior is seen?
a. Joins professional organizations and attends their conferences
b. Participates in unit governance and on hospital-wide committees
c. Reappraises own professionalism as new technologies and roles evolve
d. Relies on historical meanings of professionalism to guide practice
ANS: C
As new technologies and roles develop, nurses must continually reappraise their professional
identities and ensure congruent socialization with emerging trends. History does give
background and context for socialization but is not as important as adapting to the current
state of affairs. Joining organizations, attending conferences, and being active on committees
are all part of socialization and one’s professional identity, but the larger scope of this concept
revolves around maintaining a sound professional identity in the face of ongoing changes.
DIF: Cognitive Level: Evaluate TOP: Nursing Process: Evaluation
MSC: NCLEX Client Needs: Safe and Effective Care Environment: Management of Care
5. A nursing faculty would determine that a student was developing a strong sense of
professional identity when the student takes which action?
a. Writes a paper describing nursing as being available to help patients and
physicians
b. Establishes a discussion group to debate interdisciplinary care activities
c. Starts a letter writing campaign to boycott products advertised by “sexy nurses”
d. Volunteers to serve the community at a free flu shot clinic for the uninsured
ANS: C
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