Question 1

An advanced practice nurse (APN) consistently identifies each client by the five rights upon every encounter. This behavior is an example of which of the following?

Accepted Answer

A)  First-order change 
B)  Second-order change 
C)  Role-making 
D)  Subrole internalization B

Question 2

Nurses working in a Magnet facility have low staff turnover rates and report high job satisfaction, making others aspire to have the longevity in employment experienced by those at the Magnet facility. Which of the following reference groups is this an example of?

Accepted Answer

A)  Evaluative 
B)  Normative 
C)  Comparison 
D)  Audience C

Question 3

The advanced practice nurse (APN) is working in a busy emergency department. Which action can the APN take to reduce role strain?

Accepted Answer

A)  Own the problem and work through it. 
B)  Find a quiet place to retreat. 
C)  Focus on helping others. 
D)  Become more involved in the work environment. B

Question 4

Which action should the advanced practice nurse (APN) avoid when attempting to resolve role strain?

Accepted Answer

A)  Using alcohol to escape stress 
B)  Taking meditation breaks during a shift 
C)  Talking with coworkers 
D)  Voicing opinions at a staff meeting

Question 5

Which action should the advanced practice nurse (APN) take to be successful in socialization?

Accepted Answer

A)  Be better at multitasking. 
B)  Develop a rapport with colleagues. 
C)  Develop skills in empathic communication. 
D)  Practice sympathetic listening.

Question 6

The advanced practice nurse (APN) is working with a colleague in a busy surgical center and becomes concerned with the colleague's change in behavior. Which sign indicates that the colleague might be experiencing burnout?

Accepted Answer

A)  Empathic behavior 
B)  Short attention span 
C)  Sensitivity 
D)  Intolerance

Question 7

Which action by the advanced practice nurse (APN) demonstrates role-making?

Accepted Answer

A)  Practicing autonomy when working in a busy practice 
B)  Suggesting a change in treatment to the supervising physician 
C)  Changing a client's medication to a lower dosage 
D)  Teaching a client how to self-administer insulin

Question 8

The advanced practice nurse (APN) is experiencing burnout and recognizes the need for self-care. Which action should the APN avoid?

Accepted Answer

A)  Work through stressful situations and then take a break. 
B)  Plan self-care as seriously as client care. 
C)  Determine who owns each problem. 
D)  Examine the quality of peer support.

Question 9

The advanced practice nurse (APN) is working with a new nurse. Which action by the nurse does the APN interpret as the social integration phase of resocialization?

Accepted Answer

A)  Working well with others in the profession 
B)  Mastering skills 
C)  Integrating values into work setting 
D)  Displaying competency in routine

Question 10

The advanced practice nurse (APN) is mentoring an APN student. The APN recognizes that the student is having a hard time adjusting to the new role. Which action should the mentor take?

Accepted Answer

A)  Allow the student to work through the process. 
B)  Listen sympathetically to the student. 
C)  Refer the student to a colleague with similar experiences. 
D)  Treat each failure as a learning opportunity.

Exam 3: Role Development: A Theoretical Perspective