trends 24, and 25 Flashcards

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?

a novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity form 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 termed

according to kramer, nurses in the shock phase should ask themselves

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 termed

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 cant do my job correctly" these novice nurses are each experiencing different symptoms of

which nurse is more prone to burnout? the nurse who

a novice nurse notices the medication nurse hurriedly gathering medication to be adminstered for the entire day, removing them from the packages, and placing them in a paper cup with the patients 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 in uncertain because is has long since been removed from the packaging. the novice nurse speaks to the nurse manager about her observations and describes her concerns. the novice nurse has assumed the role of

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 _______ skills

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

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

when comparing mentoring and role modeling, the role of mentoring is represented by which of the following situaitons?

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 known as

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?

a student nurse wants to meet other nursing students from different countries and to learn of employment possibilities. the student nurse should

an experienced nurse working in oncology is shocked to realize that he 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. the nurse is experiencing

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" the recruiter further explains that a residency program

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?

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?

a novice nurse is in the "rejection phase" of stress and wonders if she made the right decision when deciding nursing was her chosen career. which strategy would help the novice nurse cope with transition into practice and reduce stress?

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 as

faculty comes to class to present information about joining the student nurses association. 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?

which statements demonstrate characteristics would be desirable in a mentor?

in deciding whether to say no to a request that involves a time commitment, the professional nurse must consider

positive time management skills include

time can be maximized to produce the best outcomes by

to conduct a productive meeting, the nurse should

the nurse should consider delegating the task to which person?

when using the ABC system of managing time, those items coded A include

when deciding whether and when a task should be completed, a nurse must

when planning, a nurse shoul

a novice nurse is unsure of his ability to insert a nasogastric tube for one of the assigned patients who is vomiting coffee ground emesis. the novice nurse waits, hoping that someone with more experience will volunteer to do the job, or he just waits until the end of the shift. this nurse is practicing

a student nurse assigned to work with the charge nurse is given the opportunity to help revise the nursing assessment form. she receives several compliments from management and her nursing instructor for her creative suggestions. the student nurse enjoys the project and attention she is receiving and begins to prolong the conclusion of the project. although she constantly adds new information, she filters this out slowly to others. the student nurse is subject to the time management obstacle of

an inexperienced nurse has heard of other novice nurses who take shortcuts in providing patient care. this nurse feels that this is unacceptable and that all tasks must be performed faultlessly, which leads to her inability to complete all assigned tasks. this nurse would benefit from the seminar "obstacles to time management: how to deal with:

an experienced nurse volunteers to serve on a task force intended to improve the quality of care because she possesses excellent patient care skills and has selected a career goal of working in quality management. however, the nurse is unable to concentrate on any one task or issue and is unable to view the health care milieu sensibly. which source of energy is missing in this nurse?

after keeping a log of activities designed to improve time management, the nurse decides the distractions into internal and external sources. the nurse would classift which distraction as internal?

a nurse realizes that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. which statement would help with time management during this critical interaction?

a nurse takes a day to travel to a state park where she can sit by the river alone to reflect of recent events and put things into perspective. she recalls the time she was complemented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. this nurse is improving which source of energy?

as part of a quality assurance project, a nurse is to round on every patient daily for 1 month to ensure the intravenous tubing is labeled with date hung and nurses initials. the nurse is hoping to be promoted to a full time position within the quality department, and her success on this project is very important to her receiving the position. the nurse retains all other assignments, and she is often interrupted to help other staff or answer call lights. the nurse discusses her concerns with the manger, who frees her for 1 hour each day to make rounds. during this 1 hour each day the nurse will organize herself and environment by practicing the

a nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completely satisfactorily. the mentor suggests some tips for time management. these include

a nurse is having difficulty keeping up with the six assigned patients and serving on the ethics committee. in order to take charge of both personal and work life, the nurse focuses on improving physical energy by

a nurse hopes to improve time management skills using the ABC prioritization approach. which tasks would be prioritized as "B"?

a nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. the first task assigned by the coach is for the nurse to list all external distractors that prevent organization and completion of tasks. the nurse would include