A nurse preceptor is precepting a new graduate nurse. Which strategies should the nurse preceptor utilize to assist in the development and support of new graduate nurses' orientation? Select all that apply.
"Mistake-free" mandates during orientation
Orientation to unit
Nursing Internship
Mentorship
Preceptorship
Correct Answer : B,C,D,E
Rationale:
A. "Mistake-free" mandates during orientation are not appropriate. Expecting new graduate nurses to be mistake-free creates unrealistic pressure, increases anxiety, and can hinder learning. Orientation programs are designed to provide guidance, supervision, and a safe environment for learning, which includes making and learning from mistakes under supervision.
B. Orientation to unit is essential. Introducing new nurses to the unit’s policies, procedures, workflow, and culture helps them integrate into the team, understand patient care expectations, and become familiar with resources. This foundation is crucial for building competence and confidence.
C. Nursing Internship programs are beneficial. Structured internships provide hands-on experience in a supportive environment, allowing new graduates to practice clinical skills under supervision, apply theoretical knowledge, and gradually assume full responsibilities.
D. Mentorship is valuable for ongoing support. Experienced nurses provide guidance, encouragement, and professional development advice, helping new graduates navigate the challenges of early practice and promoting retention and confidence.
E. Preceptorship is critical. One-on-one guidance from an experienced nurse allows new graduates to learn clinical skills, patient care management, and critical thinking in a safe and supervised environment. Preceptors model professional behavior and provide real-time feedback, which enhances learning and competence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Using coercion can create fear, resentment, and decreased morale. Forcing staff to comply without addressing underlying concerns does not resolve resistance and may negatively impact team cohesion and patient care.
B. Confronting the UAP in a supportive, nonjudgmental way to encourage verbalization of feelings allows the staff member to express concerns, fears, or misunderstandings about the change. Open communication can help the nurse manager identify barriers, provide education, and foster buy-in. Addressing resistance directly and empathetically is a key strategy in change management.
C. Ignoring resistance does not address the underlying issues and may lead to ongoing noncompliance, decreased team functioning, and potential impact on patient outcomes.
D. While positive reinforcement can be helpful in encouraging participation, it is not sufficient alone when the staff member is actively resistant. Understanding the root cause of resistance first is essential before attempting rewards or incentives.
Correct Answer is B
Explanation
Rationale:
A. While ambulation is a routine activity for many patients, clients with acute glomerulonephritis often have edema, hypertension, and fluid retention, which may make frequent ambulation unsafe without assessment and supervision. This is not appropriate for delegation to unlicensed assistive personnel (UAP) without RN guidance.
B. This is appropriate for UAP to implement. Clients with acute glomerulonephritis may require fluid restriction to prevent fluid overload, hypertension, or worsening edema. The RN can instruct the UAP to control access to fluids as part of implementing the care plan.
C. Temperature monitoring is considered an assessment, which is within the RN’s responsibility. Delegating this to UAP may be appropriate for routine vital signs, but in acute glomerulonephritis, changes in temperature could indicate infection or complications, and the RN must be aware of and interpret the findings. Thus, this action is not ideal as primary delegation.
D. Clients with acute glomerulonephritis often have proteinuria, and excess protein intake can worsen kidney injury. Dietary instructions must be provided by the RN or dietitian. UAP can assist with meal delivery but cannot independently instruct on therapeutic diets.
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