Deck 21: Models and Theories Focused on Competencies and Skills

Question 1

According to Benner's model, all of the following are characteristics of expert nurses except:

A) they use maxims to guide their professional decision making.
B) they have a highly developed intuitive sense.
C) they prioritize tasks and act quickly and fluidly.
D) they rely on their strong analytical and problem-solving skills when situations do not progress as they originally anticipated.

Answer 1

A

Question 2

Kara has been out of nursing school for about two-and-a-half years. Since graduating, she has worked as an oncology nurse at a local children's hospital. In recent months, Kara has developed a sense of mastery for most of her job tasks, and she has become quite skilled at crafting care plans and seeing the long-term effects of her interactions with patients. Kara's coping skills have also developed dramatically. Still, Kara has a hard time prioritizing tasks, and she tends to move more slowly than the more experienced nurses on her floor. Kara is also somewhat inflexible, performing the same nursing tasks in the same order and the same way for each of her patients. Based on this description, Kara would most likely fall within which characteristic of nursing within the AACN Synergy Model for Patient Care?

A) Advanced beginner
B) Proficient
C) Competent
D) Novice

Answer 2

C

Question 3

Of the following choices, which is not among the seven domains of nursing practice identified by Benner?

A) Administering and monitoring therapeutic interventions and regimens
B) The teaching-coaching function
C) Monitoring and ensuring the quality of healthcare practices
D) Effective management of static situations

Answer 3

D

Question 4

In creating the synergy model for patient care, the AACN's ultimate goal was to:

A) develop a model that was driven by patient needs and that linked clinical practice with nurses' personal satisfaction.
B) develop a model that was driven by patient needs and that linked clinical practice with patient outcomes.
C) develop a model that was driven by provider needs and that linked clinical practice with nurses' personal satisfaction.
D) develop a model that was driven by provider needs and that linked clinical practice with patient outcomes.

Question 5

In the context of the AACN synergy model, which is not regarded as a quality outcome related to nursing?

A) Complication rate
B) Adherence to discharge plan
C) Length of stay
D) Nurse satisfaction

Question 6

According to the AACN model, synergy occurs when:

A) the competencies of the nurse exceed the needs of the patient.
B) the needs of the patient exceed the competencies of the nurse.
C) the needs of the patient and the competencies of the nurse are well-matched.
D) the needs of the nurse are less than the needs of the patient.

Question 7

Malcolm is a patient in a critical care unit. The nurses on the unit have noted that Malcolm deals extremely poorly with both actual and potential stressors. In fact, every time a stressor arises, Malcolm seems to deteriorate further. Based on this description, the nurses would most likely place Malcolm:

A) in level 1 with regard to the characteristic of vulnerability.
B) in level 1 with regard to the characteristic of resource availability.
C) in level 5 with regard to the characteristic of vulnerability.
D) in level 5 with regard to the characteristic of resource availability.

Question 8

Of the following choices, which is not one of the three crucial elements of the RBC model?

A) Care provider's relationship with self
B) Care provider's relationship with patients and their families
C) Care provider's relationship with the health care organization
D) Care provider's relationship with colleagues

Question 9

Community Hospital is seeking to transform the nature of its care environment. In order to help achieve this vision, the hospital creates a new mentoring program for its nurses. The hospital also explores various practices for increasing the amount of time nurses spend one-on-one with their patients, and it creates a new system for tracking patient satisfaction with the nurse-patient relationship. In the context of the RBC model, these efforts most directly involve which element for transforming the care delivery environment?

A) Inspiration
B) Infrastructure
C) Education
D) Evidence

Question 10

The RBC model argues that the care environment cannot be transformed unless nursing leaders have the trait of competency. This means that the leaders must:

A) believe that they possess the knowledge and skills necessary to bring about transformative change.
B) know how to work together toward a common goal.
C) make contributions, take ownership, and collaborate with others.
D) know their expectations and have support to acquire the skills needed to meet those expectations.