A new nurse is adjusting to the medical-surgical unit. The nurse has completed orientation. The nurse is confiding in a peer regarding his level of stress and feeling incompetent.
The nurse informs the new nurse this is a typical reaction and is called, reality shock. Which of the following describes reality shock? 1. The inability to function as a registered nurse
2. The transition from the student nurse to work nurse environment
3. The transition from orientation to the actual work environment
4. The difficulty in functioning as a competent nurse
Question 2A physician meets with the CNO (chief nurse officer) to discuss concerns regarding the ICU nurses level of skill. The physician informs the CNO she has addressed her concerns to the manager and director of this unit.
The physician informs the CNO the director does not see any issues with the nursing staffs level of skill. This is an example of: 1. Core competency.
2. Lack of motivation.
3. Low skill recognition.
4. Skill recognition.
Question 3A staff nurse is conversing with other nurses regarding their managers inability to obtain IV (intravenous) access. One of the staff nurses informs this nurse, It is not a core competency for our manager to maintain this skill.
The nurse inquires as to the meaning of core competency. Which of the following is an accurate response? 1. A competence is the ability to perform a task.
2. It is a term that means the manager is able to perform various nursing tasks.
3. It is a course to develop skills.
4. It means it is not a primary skill the manager must have to perform her job.
Question 4A newly hired registered nurse is having difficulty focusing and performing nursing tasks. The nurse manager has noted a decrease in the nurses performance.
When meeting with the nurse, the manager learns the nurse has experienced many life changes. Which of the following can contribute to the nurses level of stress? Select all that apply. 1. Marriage
2. Purchasing of a new home
3. Decreased work load
4. Assistance from other nursing staff
5. Difficult relationships with the nursing staff
Question 5A human resources (HR) director has brought to a nurse directors attention a high turnover rate for their department.
The nurse director informs the HR director that the department has experienced several staff with personal issues that have caused them stress. The director informs the HR director it is a coincidence. The HR director informs the CNO (chief nurse officer) of the turnover rate and discussion with the nurse manager. Which action would be appropriate by the CNO? 1. Investigate the matter with current nursing staff and those who have left the organization.
2. Call the nurse director and inquire as to why turnover rate is high.
3. Discuss the matter with other nursing directors.
4. Discuss the matter with the CEO (chief executive officer).
Question 6A night shift nurse is having difficulty adjusting to the physiological stress of the shift. A seasoned night shift nurse offered advice. Which of the following would be beneficial in managing the physiological stress of working the night shift?
1. Adequate rest and a healthy diet between shifts
2. Increasing intake of caffeine prior to the shift
3. Taking frequent bathroom breaks
4. Obtaining a prescription for a sleeping aid
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