WGU D455 ROLE TRANSITIONS NURSING EXAM 59
QUESTIONS WITH VERIFIED ANSWERS
Nursing student or Experienced Nurse in a new setting
No clinical experience in situation expected to perform
Needs rules to guide performance
Experiences difficulty in applying theoretical concepts to patient care - CORRECT
ANSWER Novice
Last semester nursing student or Graduate nurse
Demonstrates ability to deliver marginally acceptable care
Requires previous experience in an actual situation to recognize it
Begins to understand the principles that dictate nursing interventions
Continues to concentrate on the rules and takes in minimal information regarding
situation - CORRECT ANSWER Advanced Beginner
2-3 years clinical experience
Conscientious, deliberate planning
Begins to see nursing actions in light of patients long term plans
Demonstrates ability to cope with and manage different and unexpected
situations - CORRECT ANSWER Competent
Nurse Clinicians or Nursing Faculty
Ability to recognize and understand the situation as a whole
Demonstrates ability to anticipate events in a given situation
, Holistic understanding enhances decision making - CORRECT ANSWER Proficient
Advanced practice nurse clinicians and faculty
Demonstrates an understanding of the situation and is able to focus on the
specific area of the problem
Operates from an in depth understanding of the total situation
Demonstrates highly skilled analytical ability in problem solving ; performance
becomes masterful - CORRECT ANSWER Expert
Occurs first 3-4 months post orientation/ feels overwhelmed/ unable to set
appropriate limits to work load/ steep learning curve / high anxiety / fear of
missing something that may harm patient - CORRECT ANSWER doing stage /
learning, performing, concealing, adjusting, and accommodating
Consistent and rapid advancement
Confronted with inconsistencies within health care system
Misses being around familiar and consistent environment
Crisis of confidence occurs with S/S of anxiety insecurities and fear of failing
Toward end of stage a rejuvenated spirit appears with new inspiration
More willing to be placed in new situations with confidence
Plan long term career goals - CORRECT ANSWER Being stage
Final stage
Focus on achieving separateness from establishment nurses around them
Anxiety about leaving the new graduate learner role
QUESTIONS WITH VERIFIED ANSWERS
Nursing student or Experienced Nurse in a new setting
No clinical experience in situation expected to perform
Needs rules to guide performance
Experiences difficulty in applying theoretical concepts to patient care - CORRECT
ANSWER Novice
Last semester nursing student or Graduate nurse
Demonstrates ability to deliver marginally acceptable care
Requires previous experience in an actual situation to recognize it
Begins to understand the principles that dictate nursing interventions
Continues to concentrate on the rules and takes in minimal information regarding
situation - CORRECT ANSWER Advanced Beginner
2-3 years clinical experience
Conscientious, deliberate planning
Begins to see nursing actions in light of patients long term plans
Demonstrates ability to cope with and manage different and unexpected
situations - CORRECT ANSWER Competent
Nurse Clinicians or Nursing Faculty
Ability to recognize and understand the situation as a whole
Demonstrates ability to anticipate events in a given situation
, Holistic understanding enhances decision making - CORRECT ANSWER Proficient
Advanced practice nurse clinicians and faculty
Demonstrates an understanding of the situation and is able to focus on the
specific area of the problem
Operates from an in depth understanding of the total situation
Demonstrates highly skilled analytical ability in problem solving ; performance
becomes masterful - CORRECT ANSWER Expert
Occurs first 3-4 months post orientation/ feels overwhelmed/ unable to set
appropriate limits to work load/ steep learning curve / high anxiety / fear of
missing something that may harm patient - CORRECT ANSWER doing stage /
learning, performing, concealing, adjusting, and accommodating
Consistent and rapid advancement
Confronted with inconsistencies within health care system
Misses being around familiar and consistent environment
Crisis of confidence occurs with S/S of anxiety insecurities and fear of failing
Toward end of stage a rejuvenated spirit appears with new inspiration
More willing to be placed in new situations with confidence
Plan long term career goals - CORRECT ANSWER Being stage
Final stage
Focus on achieving separateness from establishment nurses around them
Anxiety about leaving the new graduate learner role
