Contents
Chapter 01: Role Transitions ..................................................................................................... 3
Chapter 02: Personal Management: Time and Self-Care Strategies ........................................ 21
Chapter 03: Mentorship, Preceptorship, and Nurse Residency Programs ............................... 39
Chapter 04: Employment Considerations: Opportunities, Resumes, and Interviewing .......... 54
Chapter 05: NCLEX-RN® and the New Graduate .................................................................. 70
Chapter 06: Historical Perspectives: Influences on the Present............................................... 89
Chapter 07: Nursing Education .............................................................................................. 106
Chapter 08: Nursing Theory .................................................................................................. 123
Chapter 09: Professional Image of Nursing ........................................................................... 138
Chapter 10: Challenges of Nursing Management and Leadership ........................................ 149
Chapter 11: Building Nursing Management Skills ................................................................ 169
Chapter 12: Effective Communication, Team Building, and Interprofessional Practice ...... 188
Chapter 13: Conflict Management ......................................................................................... 205
Chapter 14: Delegation in the Clinical Setting ...................................................................... 222
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery ............. 245
Chapter 16: Economics in the Health Care Delivery System ................................................ 262
Chapter 17: Political Action in Nursing................................................................................. 280
Chapter 18: Collective Bargaining: Traditional (Union) and Non-traditional Approaches .. 298
Chapter 19: Ethical Issues ...................................................................................................... 316
Chapter 20: Legal Issues ........................................................................................................ 333
Chapter 21: Cultural and Spiritual Awareness....................................................................... 356
Chapter 22: Quality Patient Care ........................................................................................... 373
,Chapter 23: Nursing Informatics ........................................................................................... 393
Chapter 24: Using Evidence-Based Practice and Nursing Research ..................................... 409
Chapter 25: Workplace Issues ............................................................................................... 425
Chapter 26: Emergency Preparedness ................................................................................... 443
, Chapter 01: Role Transitions
MULTIPLE CHOICE
1. A graduate nurse has been out of school for 3 months and working in a staff nurse
position for the past 2 months. What type of transition is the nurse experiencing?
a. A developmental transition
b. An organizational transition
c. A health-oriented transition
d. A situational transition
ANS: D
A situational transition is a lifestyle change that occurs because of a new situation.
Most often the changes are by choice—for instance, graduations, marriages, and new
jobs. Developmental transitions include becoming a parent or going through a midlife
crisis. An organizational transition involves a change in leadership. A health-oriented
transition involves dealing with an illness or health issue, such as coping with a
chronic illness.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 3
OBJ: Discuss the concepts of transitions.
TOP: Types of transitions MSC: NCLEX®: Not applicable.
2. The graduate nurse understands that transitions occur throughout life. What major factor
does the nurse identify as influential in a successful transition from school to practice?
a. Level of new knowledge and skills required in the new environment.
b. Amount of classwork required to obtain a degree
c. Personal history of previous developmental transitions
d. Influence of classmates and their transitional experiences.
, ANS: A
The transition from student to practice reflects a situational transition that is most
often affected by the anticipation of changes in the new work environment. Classwork
no longer affects this transition. A personal history of previous developmental
transitions and the influence of classmates are not as prominent as the anticipated
requirements to function in the new environment of work.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 4 OBJ: Describe methods to promote a successful transition. TOP:
Types of transitions MSC: NCLEX®: Not applicable
3. A nurse manager is giving a presentation at a local community college. The nurse
manager understands the job expectations of a new graduate when making which of the
following statements?
a. “A graduate nurse should be able to perform as independently as was
demonstrated the last semester of nursing.”
b. “A graduate nurse should be able to function competently as a registered nurse at
the entry level.” .
c. “A graduate nurse should be able to function in the role that was described in the
curriculum for the school of nursing.”
d. “A graduate nurse should be able to be able to function independently with ability
to make clinical nursing judgments.”
ANS: B
The job expectations of a new graduate nurse are those of an entry-level new
employee. This frequently includes an extended orientation to assist the new graduate
to transition into the independent role of the nurse. The new graduate nurse is not
expected to function independently with the ability to make clinical nursing
judgments. School curriculum and how one functioned the last semester of school are
usually not considered in the job expectations of a new graduate.
Chapter 01: Role Transitions ..................................................................................................... 3
Chapter 02: Personal Management: Time and Self-Care Strategies ........................................ 21
Chapter 03: Mentorship, Preceptorship, and Nurse Residency Programs ............................... 39
Chapter 04: Employment Considerations: Opportunities, Resumes, and Interviewing .......... 54
Chapter 05: NCLEX-RN® and the New Graduate .................................................................. 70
Chapter 06: Historical Perspectives: Influences on the Present............................................... 89
Chapter 07: Nursing Education .............................................................................................. 106
Chapter 08: Nursing Theory .................................................................................................. 123
Chapter 09: Professional Image of Nursing ........................................................................... 138
Chapter 10: Challenges of Nursing Management and Leadership ........................................ 149
Chapter 11: Building Nursing Management Skills ................................................................ 169
Chapter 12: Effective Communication, Team Building, and Interprofessional Practice ...... 188
Chapter 13: Conflict Management ......................................................................................... 205
Chapter 14: Delegation in the Clinical Setting ...................................................................... 222
Chapter 15: The Health Care Organization and Patterns of Nursing Care Delivery ............. 245
Chapter 16: Economics in the Health Care Delivery System ................................................ 262
Chapter 17: Political Action in Nursing................................................................................. 280
Chapter 18: Collective Bargaining: Traditional (Union) and Non-traditional Approaches .. 298
Chapter 19: Ethical Issues ...................................................................................................... 316
Chapter 20: Legal Issues ........................................................................................................ 333
Chapter 21: Cultural and Spiritual Awareness....................................................................... 356
Chapter 22: Quality Patient Care ........................................................................................... 373
,Chapter 23: Nursing Informatics ........................................................................................... 393
Chapter 24: Using Evidence-Based Practice and Nursing Research ..................................... 409
Chapter 25: Workplace Issues ............................................................................................... 425
Chapter 26: Emergency Preparedness ................................................................................... 443
, Chapter 01: Role Transitions
MULTIPLE CHOICE
1. A graduate nurse has been out of school for 3 months and working in a staff nurse
position for the past 2 months. What type of transition is the nurse experiencing?
a. A developmental transition
b. An organizational transition
c. A health-oriented transition
d. A situational transition
ANS: D
A situational transition is a lifestyle change that occurs because of a new situation.
Most often the changes are by choice—for instance, graduations, marriages, and new
jobs. Developmental transitions include becoming a parent or going through a midlife
crisis. An organizational transition involves a change in leadership. A health-oriented
transition involves dealing with an illness or health issue, such as coping with a
chronic illness.
PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 3
OBJ: Discuss the concepts of transitions.
TOP: Types of transitions MSC: NCLEX®: Not applicable.
2. The graduate nurse understands that transitions occur throughout life. What major factor
does the nurse identify as influential in a successful transition from school to practice?
a. Level of new knowledge and skills required in the new environment.
b. Amount of classwork required to obtain a degree
c. Personal history of previous developmental transitions
d. Influence of classmates and their transitional experiences.
, ANS: A
The transition from student to practice reflects a situational transition that is most
often affected by the anticipation of changes in the new work environment. Classwork
no longer affects this transition. A personal history of previous developmental
transitions and the influence of classmates are not as prominent as the anticipated
requirements to function in the new environment of work.
PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 4 OBJ: Describe methods to promote a successful transition. TOP:
Types of transitions MSC: NCLEX®: Not applicable
3. A nurse manager is giving a presentation at a local community college. The nurse
manager understands the job expectations of a new graduate when making which of the
following statements?
a. “A graduate nurse should be able to perform as independently as was
demonstrated the last semester of nursing.”
b. “A graduate nurse should be able to function competently as a registered nurse at
the entry level.” .
c. “A graduate nurse should be able to function in the role that was described in the
curriculum for the school of nursing.”
d. “A graduate nurse should be able to be able to function independently with ability
to make clinical nursing judgments.”
ANS: B
The job expectations of a new graduate nurse are those of an entry-level new
employee. This frequently includes an extended orientation to assist the new graduate
to transition into the independent role of the nurse. The new graduate nurse is not
expected to function independently with the ability to make clinical nursing
judgments. School curriculum and how one functioned the last semester of school are
usually not considered in the job expectations of a new graduate.
