Question 1

The nurse manager on the unit involves the staff nurses in developing effective educational programs based on topics they have chosen at staff meetings.The nurses on the unit realize that being involved in staff education helps identify which responsibility?
A) Personal, peer, and staff learning needs
B) Effective teachers on the unit
C) The roles each nurse has on the unit
D) Improvements that need to be made

Accepted Answer

A) Staff education is essential in health care as learning needs are varied and health care is in constant change. Effective staff educational programs are needed to address learning needs in improving patient outcomes and organizational processes. Nurses have responsibilities in helping to identify personal, peer, and staff learning needs; develop and implement a plan; and evaluate the program; as well as participating in helping others to meet competency and role performance standards.
B) Staff education is essential in health care as learning needs are varied and health care is in constant change. Effective staff educational programs are needed to address learning needs in improving patient outcomes and organizational processes. Nurses have responsibilities in helping to identify personal, peer, and staff learning needs; develop and implement a plan; and evaluate the program; as well as participating in helping others to meet competency and role performance standards.
C) Staff education is essential in health care as learning needs are varied and health care is in constant change. Effective staff educational programs are needed to address learning needs in improving patient outcomes and organizational processes. Nurses have responsibilities in helping to identify personal, peer, and staff learning needs; develop and implement a plan; and evaluate the program; as well as participating in helping others to meet competency and role performance standards.
D) Staff education is essential in health care as learning needs are varied and health care is in constant change. Effective staff educational programs are needed to address learning needs in improving patient outcomes and organizational processes. Nurses have responsibilities in helping to identify personal, peer, and staff learning needs; develop and implement a plan; and evaluate the program; as well as participating in helping others to meet competency and role performance standards.

Question 2

The nurse manager of a neonatal intensive care unit (NICU)is planning continuing education for the development of the staff.The manager is asking an expert to conduct a class regarding the newest information on developmentally appropriate care.Which outcome indicates the goal of the education has been met?
A) The staff can set up a developmentally appropriate incubator in the classroom.
B) The staff members state that they feel competent in providing developmentally appropriate care to their clients.
C) The staff uses the information on the unit with a client successfully.
D) The unit educator states that the nurses passed the written exam.

Accepted Answer

A) The best way to know that staff development has been effective is to see the staff use the knowledge to perform the function successfully on a client. Most nurses can demonstrate competence immediately after a lecture; the real determinant of learning is whether they can use the information in their practice. A nurse may be able to perform a procedure in the classroom but may not be able to execute it 2 weeks later with a client. Feeling competent does not necessarily mean that the nurse knows how to perform a procedure. Passing a written exam and executing a skill are two different entities; nurses may have the knowledge but not be able to perform the skill.
B) The best way to know that staff development has been effective is to see the staff use the knowledge to perform the function successfully on a client. Most nurses can demonstrate competence immediately after a lecture; the real determinant of learning is whether they can use the information in their practice. A nurse may be able to perform a procedure in the classroom but may not be able to execute it 2 weeks later with a client. Feeling competent does not necessarily mean that the nurse knows how to perform a procedure. Passing a written exam and executing a skill are two different entities; nurses may have the knowledge but not be able to perform the skill.
C) The best way to know that staff development has been effective is to see the staff use the knowledge to perform the function successfully on a client. Most nurses can demonstrate competence immediately after a lecture; the real determinant of learning is whether they can use the information in their practice. A nurse may be able to perform a procedure in the classroom but may not be able to execute it 2 weeks later with a client. Feeling competent does not necessarily mean that the nurse knows how to perform a procedure. Passing a written exam and executing a skill are two different entities; nurses may have the knowledge but not be able to perform the skill.
D) The best way to know that staff development has been effective is to see the staff use the knowledge to perform the function successfully on a client. Most nurses can demonstrate competence immediately after a lecture; the real determinant of learning is whether they can use the information in their practice. A nurse may be able to perform a procedure in the classroom but may not be able to execute it 2 weeks later with a client. Feeling competent does not necessarily mean that the nurse knows how to perform a procedure. Passing a written exam and executing a skill are two different entities; nurses may have the knowledge but not be able to perform the skill.

Question 3

The nurse who is being mentored knows that which phase of the mentoring relationship deals with plan implementation and achieving professional development goals?
A) Cultivation during years 2-5
B) Initiation during months 6-12
C) Redefinition during years 6-12
D) Separation during months 5-24

Accepted Answer

A) Participating in a mentoring relationship requires the work and time of both the mentor and protégé involved. The mentee and mentor can follow four phases when working with each other to achieve the best outcomes for both parties: initiation (6-12 months) where expectations are discussed, goals and objectives are set, and a plan is developed; cultivation (2-5 years), where the plan is implemented and assistance is received for achievement with professional development goals and expectations; separation (6-24 months following relationship change), where the relationship changes from protégé to peer, a job changes, independence occurs, or someone moves away; and redefinition (follows separation) where the relationship is redefined and either continues or slowly dissolves over time.
B) Participating in a mentoring relationship requires the work and time of both the mentor and protégé involved. The mentee and mentor can follow four phases when working with each other to achieve the best outcomes for both parties: initiation (6-12 months) where expectations are discussed, goals and objectives are set, and a plan is developed; cultivation (2-5 years), where the plan is implemented and assistance is received for achievement with professional development goals and expectations; separation (6-24 months following relationship change), where the relationship changes from protégé to peer, a job changes, independence occurs, or someone moves away; and redefinition (follows separation) where the relationship is redefined and either continues or slowly dissolves over time.
C) Participating in a mentoring relationship requires the work and time of both the mentor and protégé involved. The mentee and mentor can follow four phases when working with each other to achieve the best outcomes for both parties: initiation (6-12 months) where expectations are discussed, goals and objectives are set, and a plan is developed; cultivation (2-5 years), where the plan is implemented and assistance is received for achievement with professional development goals and expectations; separation (6-24 months following relationship change), where the relationship changes from protégé to peer, a job changes, independence occurs, or someone moves away; and redefinition (follows separation) where the relationship is redefined and either continues or slowly dissolves over time.
D) Participating in a mentoring relationship requires the work and time of both the mentor and protégé involved. The mentee and mentor can follow four phases when working with each other to achieve the best outcomes for both parties: initiation (6-12 months) where expectations are discussed, goals and objectives are set, and a plan is developed; cultivation (2-5 years), where the plan is implemented and assistance is received for achievement with professional development goals and expectations; separation (6-24 months following relationship change), where the relationship changes from protégé to peer, a job changes, independence occurs, or someone moves away; and redefinition (follows separation) where the relationship is redefined and either continues or slowly dissolves over time.

Question 4

The nurse asks the client to repeat the information taught during the discharge teaching session.The client states,"I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?
A) Writing down and repeating the information as the nurse teaches
B) Having the client wait to ask questions until after the presentation
C) Assigning another nurse to provide the teaching for the client
D) Asking the client their preferred learning strategies

Accepted Answer

A) It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.
B) It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.
C) It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.
D) It is important for nurses to evaluate their own teaching and the content of the teaching program, just as they evaluate the effectiveness of nursing interventions for other nursing diagnoses. The nurse should not feel ineffective as a teacher if the client forgets some of what is taught. Forgetting is normal and should be anticipated. Having the client write down information, repeating it during teaching, giving handouts on the information, and having the client be active in the learning process all promote retention.

Question 5

The nurse on the intensive care unit (ICU)likes the fact that the nurse manager has helped improve the overall performance of the unit by actively communicating during the performance appraisal process.Which career development strategy is exhibited by this nurse manager?
A) Coaching
B) Autocratic
C) Laissez-faire
D) Situational

Accepted Answer

A) Both beginning and more experienced nurses can benefit from mentoring and from other career development strategies that involve repeated contact with other professional nurses. These include precepting, coaching, and networking. Coaching involves improving performance and resolving performance issues. The coach provides one-to-one leadership with frequent and regular interaction. Through enhanced communication, the coach is able to resolve performance issues by being actively involved in the performance appraisal process.
B) Both beginning and more experienced nurses can benefit from mentoring and from other career development strategies that involve repeated contact with other professional nurses. These include precepting, coaching, and networking. Coaching involves improving performance and resolving performance issues. The coach provides one-to-one leadership with frequent and regular interaction. Through enhanced communication, the coach is able to resolve performance issues by being actively involved in the performance appraisal process.
C) Both beginning and more experienced nurses can benefit from mentoring and from other career development strategies that involve repeated contact with other professional nurses. These include precepting, coaching, and networking. Coaching involves improving performance and resolving performance issues. The coach provides one-to-one leadership with frequent and regular interaction. Through enhanced communication, the coach is able to resolve performance issues by being actively involved in the performance appraisal process.
D) Both beginning and more experienced nurses can benefit from mentoring and from other career development strategies that involve repeated contact with other professional nurses. These include precepting, coaching, and networking. Coaching involves improving performance and resolving performance issues. The coach provides one-to-one leadership with frequent and regular interaction. Through enhanced communication, the coach is able to resolve performance issues by being actively involved in the performance appraisal process.

Question 6

The staff development educators require that all nurses attend an annual cardiopulmonary resuscitation (CPR)update even though the American Heart Association only requires revalidation of knowledge and skill every two years.When asked by a participant why this is a necessary,which response by the staff development educator is appropriate?
A) "Since this is a mandatory requirement that is not used on a daily basis, we need to assess your skill annually."
B) "We are required to provide a minimum number of contact hours in order to maintain our certification as educators."
C) "Your nurse manager requires this. If you disagree, you should speak directly with the manager."
D) "Why don't you want prove you can perform this mandatory requirement of your position?"

Accepted Answer

A) The assessment of learning needs is the first step in the professional development process. Nurse leaders assess for knowledge and skill deficits and plan staff education and training programs to meet regulatory and accrediting body standards, such as the mandatory competency of cardiopulmonary resuscitation. There are no minimum number of contact hours required to maintain certification as a staff educator. The other two responses are inappropriate and do not address the question by the attendees.
C) The assessment of learning needs is the first step in the professional development process. Nurse leaders assess for knowledge and skill deficits and plan staff education and training programs to meet regulatory and accrediting body standards, such as the mandatory competency of cardiopulmonary resuscitation. There are no minimum number of contact hours required to maintain certification as a staff educator. The other two responses are inappropriate and do not address the question by the attendees.
D) The assessment of learning needs is the first step in the professional development process. Nurse leaders assess for knowledge and skill deficits and plan staff education and training programs to meet regulatory and accrediting body standards, such as the mandatory competency of cardiopulmonary resuscitation. There are no minimum number of contact hours required to maintain certification as a staff educator. The other two responses are inappropriate and do not address the question by the attendees.

Question 7

A nurse conducted a safety class for a group of older adult clients in the community on fall prevention.Which client action during a follow-up visit in the home indicates understanding of the information presented?
A) All meats have been placed in the freezer.
B) The locks on all the doors have been changed.
C) Scatter rugs have been placed in the kitchen.
D) Non-slip strips have been installed in the shower.

Accepted Answer

A) Safety strips in the shower can prevent falls. The client who installs the strips has understood the nurse's teaching. Changing the locks may promote safety if there have been frequent break-ins, but there is no evidence of that. Scatter rugs in any area of the home are a safety hazard. The nurse encourages the client to place perishable foods in the refrigerator when arriving home from the store.
B) Safety strips in the shower can prevent falls. The client who installs the strips has understood the nurse's teaching. Changing the locks may promote safety if there have been frequent break-ins, but there is no evidence of that. Scatter rugs in any area of the home are a safety hazard. The nurse encourages the client to place perishable foods in the refrigerator when arriving home from the store.
C) Safety strips in the shower can prevent falls. The client who installs the strips has understood the nurse's teaching. Changing the locks may promote safety if there have been frequent break-ins, but there is no evidence of that. Scatter rugs in any area of the home are a safety hazard. The nurse encourages the client to place perishable foods in the refrigerator when arriving home from the store.
D) Safety strips in the shower can prevent falls. The client who installs the strips has understood the nurse's teaching. Changing the locks may promote safety if there have been frequent break-ins, but there is no evidence of that. Scatter rugs in any area of the home are a safety hazard. The nurse encourages the client to place perishable foods in the refrigerator when arriving home from the store.

Question 8

A new nurse to the unit is assigned a preceptor.Which skills does the preceptor usually assist the new nurse in performing? Select all that apply.
A) Clinical nursing skills
B) Routine unit activities
C) Policies and procedures
D) Feedback questionnaires
E) Leadership expectations

Accepted Answer

A) Preceptors usually are assigned to nurses who are new to the nursing unit to assist them in learning routines, policies, and procedures and in improving clinical nursing skills and judgment necessary for effective practice in their environment.
B) Preceptors usually are assigned to nurses who are new to the nursing unit to assist them in learning routines, policies, and procedures and in improving clinical nursing skills and judgment necessary for effective practice in their environment.
C) Preceptors usually are assigned to nurses who are new to the nursing unit to assist them in learning routines, policies, and procedures and in improving clinical nursing skills and judgment necessary for effective practice in their environment.
D) Preceptors usually are assigned to nurses who are new to the nursing unit to assist them in learning routines, policies, and procedures and in improving clinical nursing skills and judgment necessary for effective practice in their environment.
E) Preceptors usually are assigned to nurses who are new to the nursing unit to assist them in learning routines, policies, and procedures and in improving clinical nursing skills and judgment necessary for effective practice in their environment.

Question 9

The professional development courses are offered on every shift so all nurses will have an opportunity to participate.Which is the role of the staff nurse during these courses?
A) Identifying strengths and areas of improvement
B) Offering support to one another
C) Providing peer feedback
D) The ability to trade shifts with one another

Accepted Answer

A) Staff education is a process of planned activities to enhance role performance and improve patient outcomes and is often termed staff development or professional development. The nurse's role in professional development includes: identifying strengths and areas to improve in personal practice; setting goals; seeking out opportunities to grow and develop professionally and personally; and reflecting, evaluating, and asking for feedback.
B) Staff education is a process of planned activities to enhance role performance and improve patient outcomes and is often termed staff development or professional development. The nurse's role in professional development includes: identifying strengths and areas to improve in personal practice; setting goals; seeking out opportunities to grow and develop professionally and personally; and reflecting, evaluating, and asking for feedback.
C) Staff education is a process of planned activities to enhance role performance and improve patient outcomes and is often termed staff development or professional development. The nurse's role in professional development includes: identifying strengths and areas to improve in personal practice; setting goals; seeking out opportunities to grow and develop professionally and personally; and reflecting, evaluating, and asking for feedback.
D) Staff education is a process of planned activities to enhance role performance and improve patient outcomes and is often termed staff development or professional development. The nurse's role in professional development includes: identifying strengths and areas to improve in personal practice; setting goals; seeking out opportunities to grow and develop professionally and personally; and reflecting, evaluating, and asking for feedback.

Question 10

A novice nurse is talking to the nurse mentor regarding the benefits of joining a professional organization.Which is the greatest benefit from becoming involved in a professional organization?
A) Establish networking to provide better client care.
B) Learn about new nursing products on the market.
C) Gain an appreciation of the history of nursing.
D) Increase knowledge of hospital policy.

Accepted Answer

A) Networking can help the nurse improve client care by learning techniques that other nurses employ to achieve goals. New products on the market are usually introduced by the hospital, although suggestions could be gleaned from others. Improved client care is the main goal. Other nurses in a network are not likely to inform the nurse regarding hospital policy. The history of nursing is interesting, but would not be the main reason for being involved in a professional organization.
B) Networking can help the nurse improve client care by learning techniques that other nurses employ to achieve goals. New products on the market are usually introduced by the hospital, although suggestions could be gleaned from others. Improved client care is the main goal. Other nurses in a network are not likely to inform the nurse regarding hospital policy. The history of nursing is interesting, but would not be the main reason for being involved in a professional organization.
C) Networking can help the nurse improve client care by learning techniques that other nurses employ to achieve goals. New products on the market are usually introduced by the hospital, although suggestions could be gleaned from others. Improved client care is the main goal. Other nurses in a network are not likely to inform the nurse regarding hospital policy. The history of nursing is interesting, but would not be the main reason for being involved in a professional organization.
D) Networking can help the nurse improve client care by learning techniques that other nurses employ to achieve goals. New products on the market are usually introduced by the hospital, although suggestions could be gleaned from others. Improved client care is the main goal. Other nurses in a network are not likely to inform the nurse regarding hospital policy. The history of nursing is interesting, but would not be the main reason for being involved in a professional organization.

Question 11

A novice nurse has completed a 12-week orientation period in a neurovascular intensive care unit (ICU).The nurse would like a mentor on the unit to go to with questions or concerns.Who is the best choice for this novice nurse's mentor?
A) An informal leader on the unit.
B) A charge nurse.
C) A nurse with 1 year of experience.
D) The nurse manager.

Accepted Answer

A) The best people to use for mentoring are the recognized informal leaders on the unit. These nurses are usually knowledgeable and respected and can offer the new nurse support. A nurse with only 1 year of experience is still learning in this highly challenging setting and is generally not ready to mentor others. A charge nurse can be a role model and a mentor for a nurse interested in stepping into the charge nurse role. However, the demands on the time of charge nurses make it more difficult for them to be mentors. It would not be appropriate for the manager of the unit to be a mentor for a staff nurse as the manager's job is mainly administrative.
B) The best people to use for mentoring are the recognized informal leaders on the unit. These nurses are usually knowledgeable and respected and can offer the new nurse support. A nurse with only 1 year of experience is still learning in this highly challenging setting and is generally not ready to mentor others. A charge nurse can be a role model and a mentor for a nurse interested in stepping into the charge nurse role. However, the demands on the time of charge nurses make it more difficult for them to be mentors. It would not be appropriate for the manager of the unit to be a mentor for a staff nurse as the manager's job is mainly administrative.
C) The best people to use for mentoring are the recognized informal leaders on the unit. These nurses are usually knowledgeable and respected and can offer the new nurse support. A nurse with only 1 year of experience is still learning in this highly challenging setting and is generally not ready to mentor others. A charge nurse can be a role model and a mentor for a nurse interested in stepping into the charge nurse role. However, the demands on the time of charge nurses make it more difficult for them to be mentors. It would not be appropriate for the manager of the unit to be a mentor for a staff nurse as the manager's job is mainly administrative.
D) The best people to use for mentoring are the recognized informal leaders on the unit. These nurses are usually knowledgeable and respected and can offer the new nurse support. A nurse with only 1 year of experience is still learning in this highly challenging setting and is generally not ready to mentor others. A charge nurse can be a role model and a mentor for a nurse interested in stepping into the charge nurse role. However, the demands on the time of charge nurses make it more difficult for them to be mentors. It would not be appropriate for the manager of the unit to be a mentor for a staff nurse as the manager's job is mainly administrative

Quiz 41: Teaching and Learning

The nurse manager on the unit involves the staff nurses in developing effective educational programs based on topics they have chosen at staff meetings.The nurses on the unit realize that being involved in staff education helps identify which responsibility?

The nurse who is being mentored knows that which phase of the mentoring relationship deals with plan implementation and achieving professional development goals?

The nurse asks the client to repeat the information taught during the discharge teaching session.The client states,"I have forgotten everything you just said." Which action by the nurse would is appropriate at this time?

The nurse on the intensive care unit (ICU) likes the fact that the nurse manager has helped improve the overall performance of the unit by actively communicating during the performance appraisal process.Which career development strategy is exhibited by this nurse manager?

A nurse conducted a safety class for a group of older adult clients in the community on fall prevention.Which client action during a follow-up visit in the home indicates understanding of the information presented?

A new nurse to the unit is assigned a preceptor.Which skills does the preceptor usually assist the new nurse in performing? Select all that apply.

The professional development courses are offered on every shift so all nurses will have an opportunity to participate.Which is the role of the staff nurse during these courses?

A novice nurse is talking to the nurse mentor regarding the benefits of joining a professional organization.Which is the greatest benefit from becoming involved in a professional organization?

A novice nurse has completed a 12-week orientation period in a neurovascular intensive care unit (ICU) .The nurse would like a mentor on the unit to go to with questions or concerns.Who is the best choice for this novice nurse's mentor?