PNI Quiz One (Professional Nursing 1) Solved with All correct Answers + Explanation |Verified Answers

PNI Quiz One (Professional Nursing 1) Solved with All correct Answers + Explanation |Verified Answers 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. Honeymoon b. Shock or rejection c. Recovery d. Resolution During the honeymoon phase, the novice nurse has a positive image of nursing that coincides with the reason for becoming a nurse; this feeling is experienced immediately after the nurse begins work and often while still in orientation. During the shock or rejection phase, there is inconsistency with what was learned in school and the work environment, and the novice nurse lacks many of the skills needed to be independent in this new role. The novice nurse begins to understand the new culture to a certain degree, thus there is less tension and anxiety, and healing begins in the recovery phase. In the resolution phase, work expectations are more easily met, and the nurse will have developed the ability to elicit change. 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 During the shock or rejection phase, there is inconsistency with what was learned in school and the work environment, and the novice nurse lacks many of the skills needed to be independent in this new role. During the honeymoon phase, everything is just as the new graduate imagined. The novice nurse begins to understand the new culture to a certain degree, thus there is less tension and anxiety, and healing begins in the recovery phase. In the resolution phase, work expectations are more easily met, and the nurse will have developed the ability to elicit change. 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?" During the shock or rejection phase, novice nurses must ask themselves what they must do to become the type of nurse envisioned and to make a contribution. 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" Socialization involves the acceptance and integration of the novice nurse into the profession of nursing, as well as the identification of the novice nurse with the profession of nursing. Biculturalism is the merging of school values with those of the workplace. Transition is the moving from one role, setting, or level of competency in nursing to another; change. Going-native occurs when nurses decide they cannot fight the experienced nurses or the administration, thus they adopt the ways of least resistance. 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 Symptoms of burnout include extreme fatigue, headaches, difficulty sleeping, mood swings, anxiety, poor work quality, depression, and anger. Resilience is the capacity to recover quickly from difficulties; toughness. The other options are symptoms of burnout; it is demonstrated in an individual lacking confidence and self-worth. 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" Burnout is more common among nurses with work schedules that are heavy; working overtime regularly is a likely contributing factor. The other options are likely to trigger compassion fatigue with signs and symptoms of hopelessness and low self-esteem. 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 mode The novice nurse is working to improve the safety and patient environment and is acting as a patient advocate and change agent. A mentor acts directing in guiding and encouraging a nurse in the novice role. A role model is a person who serves as an example of what constitutes a competent professional nurse. Rutters are individuals whose attitude is that they will do only what they must to get by.