A nurse manager is working with a nurse who has agreed to serve as a preceptor for the first time.
Which of the following statements by the nurse indicates an understanding of the responsibilities associated with this new role?
I will allow new nurses to use trial and error to determine what actions to take.
I will remain with new nurses whenever they enter a client's room.
I will provide constructive feedback to assist new nurses in developing critical thinking skills.
I will expect new nurses to be completely independent after a few shifts.
The Correct Answer is C
Choice A rationale
Allowing new nurses to use trial and error for determining actions is an unsafe and irresponsible approach for a preceptor. This method risks patient harm due to potential errors and lack of immediate corrective feedback. A preceptor's role is to provide structured guidance, immediate feedback, and direct supervision to ensure safe and effective practice, facilitating learning through correct demonstrations and clear instructions, not unguided experimentation.
Choice B rationale
While a preceptor should provide close supervision, remaining with new nurses whenever they enter a client's room is not always feasible or necessary as the new nurse gains competence. The preceptor's role evolves to allow for increasing independence as appropriate, gradually reducing direct supervision while maintaining accessibility for questions and support. Constant presence hinders the development of independent critical thinking and clinical autonomy.
Choice C rationale
Providing constructive feedback is a cornerstone of effective preceptorship. This involves specific, timely, and actionable feedback on performance, identifying areas of strength and areas needing improvement. This process helps new nurses understand the rationale behind actions, refine their decision-making processes, and develop essential critical thinking skills necessary for safe and independent practice. It fosters professional growth and self-correction.
Choice D rationale
Expecting new nurses to be completely independent after a few shifts is an unrealistic and potentially dangerous expectation. The transition from student to independent practitioner is a gradual process requiring significant time, mentorship, and varied clinical experiences. Premature independence can lead to errors, burnout, and decreased confidence. A preceptor should assess individual progress and adjust support accordingly, facilitating a gradual assumption of responsibility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Significant job responsibilities are characteristic of many occupations and do not singularly define professionalism. While nursing roles involve substantial accountability, this aspect alone does not differentiate it from other demanding jobs that may not be considered professions in the same sense, as it lacks the underlying intellectual and ethical frameworks.
Choice B rationale
Adequate compensation for service is an expectation for any occupation and reflects fair labor practices, not necessarily professionalism. While financial reward is important for sustaining a workforce, it is not an inherent characteristic that elevates an occupation to a profession, which is defined by a broader commitment to public service and ethical conduct.
Choice C rationale
Commitment to continuous learning is a cornerstone of nursing professionalism, reflecting a dedication to lifelong knowledge acquisition and skill refinement. This embodies the scientific principle of adapting to new evidence and advancing practice, ensuring nurses remain competent and provide high-quality, up-to-date care based on the latest scientific discoveries.
Choice D rationale
Adherence to a strict work schedule is a logistical aspect of employment common to most jobs and does not exemplify professional attitude. While punctuality and reliability are important for operational efficiency, they do not encapsulate the deeper ethical, intellectual, and service-oriented values that define a professional discipline.
Correct Answer is A
Explanation
Choice A rationale
Peer-reviewed articles represent the highest level of evidence in healthcare, as they have undergone rigorous scrutiny by experts in the field. This process ensures the validity, reliability, and scientific rigor of the research, making them the most current and trustworthy source for evidence-based practice to guide clinical decision-making and improve patient outcomes.
Choice B rationale
Experiences of expert clinicians, while valuable for practical insights and nuanced clinical judgment, are considered a lower level of evidence compared to empirical research. Clinical expertise is subjective and may lack generalizability, making it less suitable as the primary source for establishing broad evidence-based practice guidelines that require systematic validation.
Choice C rationale
Current textbooks provide foundational knowledge and summarize established concepts, but their publication cycle often means the information is not as up-to-date as the latest research. While essential for learning, textbooks may not reflect the very newest findings or rapidly evolving best practices, making them secondary to recent peer-reviewed literature.
Choice D rationale
Opinions of colleagues, while offering immediate perspectives and shared experiences, are highly subjective and anecdotal. They are considered the lowest level of evidence in the hierarchy of evidence-based practice, as they lack systematic review, empirical data, and rigorous validation necessary to inform generalizable and reliable clinical practices.
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