Deck 2: Socialization to Professional Nursing Roles

Question 1

What is the issue most central to the controversy over level of entry into professional nursing?

A)Professional title
B)Reimbursement for services
C)Definition of a profession
D)Cost of tuition

Answer 1

Definition of a profession

Question 2

The first-semester nursing student expresses concern that staff actions in the clinical setting do not reflect the same standards being taught in nursing classes.Which stage of Davis's model does this represent?

A)Initial innocence
B)Labeled recognition of incongruity
C)Role simulation
D)Provisional internalization

Answer 2

Labeled recognition of incongruity

Question 3

The newly licensed nurse is experiencing reality shock related to first employment as a nurse.Which socialization model should this nurse investigate for information on coping with this issue?

A)Hinshaw
B)Davis
C)Kramer
D)Simpson

Answer 3

Kramer

Question 4

Which term is used to describe the process by which a person assumes or develops a new role?

A)Norm validation
B)Role transition
C)Cognitive dissonance
D)Role incumbent

Question 5

Which organization published a 1965 position paper that identified associate degree nurses as "technical nurses"?

A)The American Medical Association
B)The American Nurses Association
C)The American Association of Colleges of Nursing
D)The National League for Nursing

Question 6

The student nurse is using Pavalko's work to support the argument that nursing is a profession.Which criteria should this student investigate as related to nursing? (Select all that apply. )

A)Relevance to social values
B)A code of ethics
C)Theory
D)Individual identity
E)Abstract knowledge

Question 7

Which element of a role is described as how the person assuming the role believes he or she should behave in the role?

A)Performed role
B)Ideal role
C)Perceived role
D)Provision role

Question 8

The nurse manager is concerned that the nursing staff is experiencing role stress related to higher acuity of clients.What is one way in which this manager could address this issue?

A)Encourage supportive relationships among the staff nurses.
B)Advocate for longer length of stay for these higher acuity clients.
C)Limit the number of high-acuity clients that can be admitted to the unit.
D)Create a structured management system with no room for individual variance.

Question 9

The newly licensed nurse committed a clinical error and was sanctioned by the unit manager.What is the purpose of a sanction?

A)Enforcement of norms
B)Documentation of wrongdoing
C)Development of leader-follower leveling
D)Externalization of ethics

Question 10

The newly licensed nurse is modeling clinical actions and decisions after nurses who have worked on the unit for many years.In which activity is this nurse engaging?

A)Socialization
B)Ethics discrimination
C)Sanctioning
D)Norming

Question 11

A newly licensed nurse was previously employed as a unit secretary on the same unit where he now works as a staff nurse.This role transition is causing the nurse to experience stress.What information about role stress and transition would be most helpful for this nurse to consider?

A)Role stress is limited to newly licensed nurses and won't continue after the first year of employment.
B)Taking on multiple roles on the unit will be helpful,as it will broaden the nurse's understanding of other people's jobs.
C)Nursing standards of care are different in the "real world" situation than they are in a theoretical situation explained in nursing school.
D)Role stress can be decreased by receiving clear and consistent information about expectations of the new role.

Question 12

Which option best describes discipline as it applies to nursing?

A)The discipline of nursing refers to autonomy of nursing practice.
B)The discipline of nursing is nursing's distinct body of knowledge.
C)The discipline of nursing is nursing's standards of practice.
D)The discipline of nursing refers to nursing's code of ethics.

Question 13

What are Patricia Benner's five levels of proficiency in nursing?

A)Student,graduate,clinical specialist,practitioner,clinician.
B)Pre-professional,technical,professional,advanced,expert.
C)Novice,advanced beginner,competent,proficient,expert.
D)Student,staff nurse,manager,supervisor,director.

Question 14

The newly licensed nurse finds many inconsistencies between what was taught in nursing school and what occurs in the practice setting.How is this situation likely to affect this nurse's socialization into nursing practice?

A)It probably won't have much effect.
B)It may hinder socialization.
C)It will make the new graduate a better nurse.
D)It will force the nurse to socialize more quickly.

Question 15

What is the only major discipline that does not require its members to hold at least a baccalaureate degree in order to be licensed?

A)Nursing
B)Medicine
C)Physical therapy
D)Dentistry

Question 16

How does a return to school for a baccalaureate degree affect socialization of practicing nurses?

A)It has little effect.
B)These nurses regress in socialization back to the pre-nursing levels.
C)These nurses experience resocialization in many ways.
D)Resocialization does not occur until the degree is completed.

Question 17

The newly licensed nurse has theoretical knowledge and technical skill abilities but has difficulty working within the constraints of the nursing unit.What issue associated with role development does this situation exemplify?

A)Sending
B)Role formation
C)Reality shock
D)Mastery

Question 18

What determinants form the boundaries for nursing roles? (Select all that apply. )

A)Education and licensure
B)Nursing practice
C)Standards of nursing practice
D)Nurse practice acts
E)Codes of ethics

Question 19

What is true of standards of nursing practice?

A)They are written by the American Medical Association.
B)They outline the minimal care expected by patients.
C)They affect only the nurse-patient relationship.
D)They define the nurse's professional legal obligations.

Question 20

One model of professional socialization consists of three stages: Stage 1,proficiency in specific tasks;Stage 2,attachment to significant others in the work environment;and Stage 3,internalization of the values of the professional group and adoption of behaviors it prescribes.Who developed this model?

A)Simpson
B)Hinshaw
C)Davis
D)Benner

Question 21

A new graduate is starting employment on a medical-surgical care area.If Kramer's model is followed,in which order should this nurse resocialize to this new nursing role?

A)Moral outrage
B)Social integration
C)Conflict resolution
D)Skill and routine mastery

Question 22

Which coping skill would be helpful as a strategy for stress reduction and time management?

A)Avoid being assigned to committees at work.
B)Delegate only when it is absolutely necessary.
C)Attend a support group to help give up the need for perfection.
D)Learn to use communication skills to win conflicts at work.

Question 23

The staff development instructor is preparing material for an in-service on role conflict in nurses.If the instructor provides the information according to consequences,in which order should this material be provided?

A)Role stress
B)Public image
C)Role discrepancy
D)Role value orientation

Question 24

Which option best defines professional self-concept?

A)Being the physician's handmaiden.
B)Achievement of Benner's levels of proficiency.
C)The set of beliefs held true as a result of professional socialization.
D)The belief in one's own personal worth as a result of family culture.

Question 25

Which option best describes the major emphasis of the approach traditionally taken by physicians in their relationship with clients?

A)Caring
B)Communication
C)Clinical,biological
D)Behavioral science