Question 1

In assisting new graduates to make the role transition to graduate nurse,Teo,the unit manager,initiates which of the following?

Accepted Answer

A)  Self-checklist to assess competencies that have been strengthened. 
B)  Discussions that focus on what the new graduates have yet to learn. 
C)  Fixed target dates for acquisition of competency and transition to RN role. 
D)  Frequent formal meetings to provide feedback on performance and areas to be strengthened. 
A)  Self-checklist to assess competencies that have been strengthened. 
B)  Discussions that focus on what the new graduates have yet to learn. 
C)  Fixed target dates for acquisition of competency and transition to RN role. 
D)  Frequent formal meetings to provide feedback on performance and areas to be strengthened. A

Question 2

After beginning her new position,Samia spends a great deal of time in direct patient care.Her staff begin to complain that they are never able to find her when they need her and that some aspects of her responsibilities fall behind,such as scheduling.Samia is probably:

Accepted Answer

A)  Lacking an understanding of the nurse management role. 
B)  Attempting to prove her clinical skills to the nursing staff. 
C)  Experiencing difficulty in unlearning old roles. 
D)  Lacking enjoyment in her new role. 
A)  Lacking an understanding of the nurse management role. 
B)  Attempting to prove her clinical skills to the nursing staff. 
C)  Experiencing difficulty in unlearning old roles. 
D)  Lacking enjoyment in her new role. C

Question 3

A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?

Accepted Answer

A)  Formal commitment of the employment contract. 
B)  Improving role performance. 
C)  Touring the unit. 
D)  Disillusionment about the expectations of the job. 
A)  Formal commitment of the employment contract. 
B)  Improving role performance. 
C)  Touring the unit. 
D)  Disillusionment about the expectations of the job. C

Question 4

Oscar,a new nurse manager,complains to his colleague that he feels very uncomfortable with the conflict between what he thinks he should be doing as the manager and what his supervisor thinks he should be doing.According to Hardy's (1978)role theory,Oscar is experiencing:

Accepted Answer

A)  Stress. 
B)  Role stress. 
C)  Role strain. 
D)  Role exploration. 
A)  Stress. 
B)  Role stress. 
C)  Role strain. 
D)  Role exploration.

Question 5

The head nurse and the administrator of a cardiac telemetry unit disagree on how much time the head nurse should allot to various aspects of the role.Staff members on the unit complain that the head nurse is unavailable for clinical concerns because of being off the unit while attending meetings.To facilitate the process of role transition,the head nurse should:

Accepted Answer

A)  Rely on his or her internal resources. 
B)  Attend a workshop on how to deal with difficult people. 
C)  Develop a relationship with a mentor who has overcome similar difficulties. 
D)  Schedule a series of meetings with staff and the administrator to clarify expectations. 
A)  Rely on his or her internal resources. 
B)  Attend a workshop on how to deal with difficult people. 
C)  Develop a relationship with a mentor who has overcome similar difficulties. 
D)  Schedule a series of meetings with staff and the administrator to clarify expectations.

Question 6

A strategy that may help Samia make the transition to her management role and to respond to relationships and situations in her new position is:

Accepted Answer

A)  Avoiding discussion of her personal beliefs with staff until she is ready to do so. 
B)  Finding a network of clinicians with similar interests to her own. 
C)  Researching clinical literature to maintain her clinical assessment skills for the unit. 
D)  Recognizing her strong commitment to care in the management process through journalling. 
A)  Avoiding discussion of her personal beliefs with staff until she is ready to do so. 
B)  Finding a network of clinicians with similar interests to her own. 
C)  Researching clinical literature to maintain her clinical assessment skills for the unit. 
D)  Recognizing her strong commitment to care in the management process through journalling.

Question 7

Samia finds a mentor,Amy,who has been in the role of unit manager for 3 years and has a similar interest in clinical excellence.During their frequent meetings,Amy provides assistance with learning aspects of the manager's role,including technical aspects,such as how to interpret budget printouts and to achieve budget outcomes.The success of Amy's coaching depends on:

Accepted Answer

A)  Clarity of Amy's information. 
B)  Organizational support for the mentor relationship. 
C)  The congruence of Amy's beliefs with Samia's beliefs. 
D)  Willingness of Samia to receive feedback. 
A)  Clarity of Amy's information. 
B)  Organizational support for the mentor relationship. 
C)  The congruence of Amy's beliefs with Samia's beliefs. 
D)  Willingness of Samia to receive feedback.

Question 8

The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months.The unit leader is frustrated by how little time is available to work with patients and how few changes have been implemented in that time.The phase of role transition being experienced is the role of:

Accepted Answer

A)  Acceptance. 
B)  Negotiation. 
C)  Discrepancy. 
D)  Internalization. 
A)  Acceptance. 
B)  Negotiation. 
C)  Discrepancy. 
D)  Internalization.

Question 9

The nurse manager of a unit was demoted to staff nurse 6 months ago.Because of being near retirement,the former nurse manager wanted to be employed at the hospital and was offered a position on the same unit.The former nurse manager complains often about how infrequently the current nurse manager is available on the unit and argues with physicians and coworkers.Patients have complained about the attitude of the former nurse manager.The behaviour of the former nurse manager can be best explained as being caused by:

Accepted Answer

A)  Overwork in the staff nurse position. 
B)  Inadequate mentoring in the new role. 
C)  Anger as a stage of the grieving process. 
D)  Demotion as a threat to personal identity. 
A)  Overwork in the staff nurse position. 
B)  Inadequate mentoring in the new role. 
C)  Anger as a stage of the grieving process. 
D)  Demotion as a threat to personal identity.

Question 10

The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is:

Accepted Answer

A)  Promoting staff retention. 
B)  Promoting staff attrition. 
C)  Developing new role expectations. 
D)  Promoting staff supervision. 
A)  Promoting staff retention. 
B)  Promoting staff attrition. 
C)  Developing new role expectations. 
D)  Promoting staff supervision.

Question 11

A nurse manager in one hospital is a mentee of a colleague who is a few years older and has more experience in nursing management.The colleague works in another hospital,but they meet for lunch once a week.In these meetings they share their feelings about nursing management and their lives.They have decided to conduct a performance appraisal after the nurse manager has been in the new role for 1 year.The function of a mentor that is missing in the relationship is:

Accepted Answer

A)  Nonworkplace connection. 
B)  Role modelling. 
C)  Professional trajectory assessment. 
D)  Annual performance appraisal. 
A)  Nonworkplace connection. 
B)  Role modelling. 
C)  Professional trajectory assessment. 
D)  Annual performance appraisal.

Question 12

Sue,a newly graduated registered nurse,has been on the orthopedic unit for about 6 months and is reconciling discrepancies between what she thought her role was in relation to peer performance appraisal and what it actually is.This is an example of role:

Accepted Answer

A)  Discrepancy. 
B)  Ambiguity. 
C)  Integration. 
D)  Stabilization. 
A)  Discrepancy. 
B)  Ambiguity. 
C)  Integration. 
D)  Stabilization.

Question 13

ROLES represents an acronym to help guide and retain information.Which of the following is not a part of ROLES?

Accepted Answer

A)  Responsibilities. 
B)  Opportunities. 
C)  Lines of communication. 
D)  Expertise. 
E)  Support. 
A)  Responsibilities. 
B)  Opportunities. 
C)  Lines of communication. 
D)  Expertise. 
E)  Support.

Question 14

Samia finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit.She often wishes that she were back on her old unit and in her familiar staff nurse role.This behaviour:

Accepted Answer

A)  Is natural when a new position is assumed. 
B)  Diverts energy from internalization of Samia's new role. 
C)  Is justified if practices are deficient on the new unit. 
D)  Reflects Samia's astuteness as a clinician. 
A)  Is natural when a new position is assumed. 
B)  Diverts energy from internalization of Samia's new role. 
C)  Is justified if practices are deficient on the new unit. 
D)  Reflects Samia's astuteness as a clinician.

Question 15

The new nurse manager feels torn by the expectations of staff,the demands of hospital administrators,and family obligations.According to Hardy (1978),unrelieved role stress and strain will lead to:

Accepted Answer

A)  Frustration and anger. 
B)  Alienation of family and friends. 
C)  Low productivity and performance. 
D)  Physical symptoms and acute illness. 
A)  Frustration and anger. 
B)  Alienation of family and friends. 
C)  Low productivity and performance. 
D)  Physical symptoms and acute illness.

Question 16

As a nurse manager,you have hired two new graduates for your unit.To assist the new graduates in their role transition from student to practicing RN,you advocate for:

Accepted Answer

A)  A journalling program. 
B)  Hiring a nurse educator to work with these and other new graduates. 
C)  Additional time off for nurses to practice RN skills. 
D)  Additional staff while nurses are being orientated. 
A)  A journalling program. 
B)  Hiring a nurse educator to work with these and other new graduates. 
C)  Additional time off for nurses to practice RN skills. 
D)  Additional staff while nurses are being orientated.

Question 17

Preceptorship is distinguished from mentorship by? (Select all that apply.)

Accepted Answer

A)  Shorter tenure. 
B)  Differing supporter characteristics. 
C)  Risk taking and creativity. 
D)  Narrower objectives. 
A)  Shorter tenure. 
B)  Differing supporter characteristics. 
C)  Risk taking and creativity. 
D)  Narrower objectives.

Question 18

After several months in the role of manager of a dialysis unit,Maryanne finds herself still questioning the gap between her and her staff's expectations and management's expectations,and is also questioning whether she can reconcile her concerns with quality care with the strong cost-containment orientation of the facility.At this point,Maryanne is in which stage of role transition?

Accepted Answer

A)  Internalization. 
B)  Acceptance. 
C)  Development. 
D)  Discrepancy. 
A)  Internalization. 
B)  Acceptance. 
C)  Development. 
D)  Discrepancy.

Question 19

Preceptorship is "a period of practical experience and training for a trainee supervised by an expert or specialist in a particular field" (The Ottawa Hospital,n.d.).Preceptorships is seen as? (Select all that apply.)

Accepted Answer

A)  Used in the context of a student completing a clinical practicum. 
B)  A focus on the learning of tasks,skills,and routines. 
C)  An efficient and effective way to introduce an individual to a new role. 
D)  Grounded in advanced relational capacity and expertise. 
A)  Used in the context of a student completing a clinical practicum. 
B)  A focus on the learning of tasks,skills,and routines. 
C)  An efficient and effective way to introduce an individual to a new role. 
D)  Grounded in advanced relational capacity and expertise.

Question 20

An interviewee for a nurse manager position asks for a copy of the organizational chart.Organizational charts provide information about the role component of:

Accepted Answer

A)  Expectations. 
B)  Opportunities. 
C)  Responsibilities. 
D)  Lines of communication. 
A)  Expectations. 
B)  Opportunities. 
C)  Responsibilities. 
D)  Lines of communication.

Exam 28: Role Transition

In assisting new graduates to make the role transition to graduate nurse,Teo,the unit manager,initiates which of the following?

After beginning her new position,Samia spends a great deal of time in direct patient care.Her staff begin to complain that they are never able to find her when they need her and that some aspects of her responsibilities fall behind,such as scheduling.Samia is probably:

A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?

Oscar,a new nurse manager,complains to his colleague that he feels very uncomfortable with the conflict between what he thinks he should be doing as the manager and what his supervisor thinks he should be doing.According to Hardy's (1978)role theory,Oscar is experiencing:

A strategy that may help Samia make the transition to her management role and to respond to relationships and situations in her new position is:

The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is:

Sue,a newly graduated registered nurse,has been on the orthopedic unit for about 6 months and is reconciling discrepancies between what she thought her role was in relation to peer performance appraisal and what it actually is.This is an example of role:

ROLES represents an acronym to help guide and retain information.Which of the following is not a part of ROLES?

Samia finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit.She often wishes that she were back on her old unit and in her familiar staff nurse role.This behaviour:

The new nurse manager feels torn by the expectations of staff,the demands of hospital administrators,and family obligations.According to Hardy (1978),unrelieved role stress and strain will lead to:

As a nurse manager,you have hired two new graduates for your unit.To assist the new graduates in their role transition from student to practicing RN,you advocate for:

Preceptorship is distinguished from mentorship by? (Select all that apply.)

Preceptorship is "a period of practical experience and training for a trainee supervised by an expert or specialist in a particular field" (The Ottawa Hospital,n.d.).Preceptorships is seen as? (Select all that apply.)

An interviewee for a nurse manager position asks for a copy of the organizational chart.Organizational charts provide information about the role component of:

Leading, managing, and Following

Developing the Role of Leader

Developing the Role of Manager

Nursing Leadership in Indigenous Health

Patient Focus

Ethical Issues

Legal Issues

Making Decisions and Solving Problems

Health Care Organizations

Understanding and Designing Organizational Structures

Cultural Diversity in Health Care

Power, politics, and Influence

Caring and Communicating in Nursing With Technology

Managing Costs and Budgets

Care Delivery Strategies

Staffing and Scheduling

Selecting, developing, and Evaluating Staff

Strategic Planning and Goal Setting

Nursing Leading Change: a Relational Emancipatory Framework for Health and Social

Building Teams Through Communication and Partnerships

Collective Nursing Advocacy

Understanding Quality, risk, and Safety

Translating Research Into Practice

Understanding and Resolving Conflict

Managing Personnel Challenges

Workplace Violence and Incivility

Inter- and Intraprofessional Practice and Leading in Professional Practice Settings

Self-Management: Stress and Time

Thriving for the Future

Leading and Managing Your Career

Nursing Students As Leaders

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