The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months. The unit leader is frustrated by how little time is available to work with clients and how few changes have been implemented in that time. The phase of role transition being experienced is the role of:

Acceptance

Discrepancy

Internalization

Negotiation

Answer and Explanation

The Correct Answer is A

Choice A Reason

The role of acceptance is a phase in the transition process where new leaders begin to understand and accept the realities of their new position. This phase often involves recognizing the limitations and challenges of the role, such as time constraints and the slow pace of change. During this period, leaders may feel frustrated as they adjust their expectations and develop strategies to navigate their new responsibilities effectively.

Choice B Reason

The role of discrepancy involves recognizing the gap between expectations and reality. New leaders may experience this phase when they realize that their initial perceptions of the role do not match the actual demands and challenges. While the unit leader’s frustration may stem from this realization, the primary focus in this scenario is on accepting the current limitations and finding ways to work within them.

Choice C Reason

The role of internalization is a phase where new leaders integrate their new responsibilities and develop a sense of ownership and identity within their role. This phase involves aligning personal values with organizational goals and becoming fully committed to the role. The unit leader in this scenario has not yet reached this phase, as they are still grappling with the initial frustrations and challenges.

Choice D Reason

The role of negotiation involves working with others to establish new norms, expectations, and relationships within the organization. This phase is characterized by dialogue and collaboration to achieve mutual understanding and alignment. While negotiation is an important aspect of leadership transition, the unit leader in this scenario is primarily focused on accepting the current realities of their role.

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Correct Answer is A

Explanation

Choice A Reason:

Applying strategies that aid in the adoption of research in practice. Translating research into practice (TRIP) involves implementing strategies that facilitate the integration of research findings into clinical practice. This process is essential for ensuring that evidence-based practices are adopted and utilized effectively to improve patient outcomes. TRIP focuses on overcoming barriers to implementation and ensuring that research findings are applied in real-world settings. This choice accurately reflects the goal of TRIP, which is to bridge the gap between research and practice by applying practical strategies.

Choice B Reason:

Providing the results of research studies to practitioners. While disseminating research findings to practitioners is an important step, it does not encompass the full scope of TRIP. Simply providing results does not ensure that the research will be adopted into practice. TRIP involves more than just dissemination; it includes developing and applying strategies to facilitate the adoption and integration of research findings into clinical practice. Therefore, this choice is not the best description of TRIP.

Choice C Reason:

Conducting an integrative review of the literature. An integrative review of the literature is a method of synthesizing research findings from multiple studies to provide a comprehensive understanding of a particular topic. While this is a valuable research activity, it is not the primary focus of TRIP. TRIP is concerned with the application of research findings in practice, rather than the synthesis of existing research. Thus, this choice does not accurately describe TRIP.

Choice D Reason:

Searching the literature for a systematic review. Conducting a systematic review involves a thorough and structured search of the literature to identify and summarize all relevant studies on a specific topic. Although systematic reviews are important for evidence-based practice, they are not the main focus of TRIP. TRIP is about implementing strategies to ensure that research findings are adopted in clinical practice, rather than conducting literature searches. Therefore, this choice does not best describe TRIP.

A. Ms. P’s lunch tray is expected to be ready in 30 minutes. Before delivering her meal, please review with her the instructions provided by the diabetes educator earlier this morning and assist her in understanding how to manage her carbohydrate intake. Once you’ve completed this, please report back to me. B. Mr. O requires aid to use the restroom. I recognize that you’re new and might feel uneasy about this task, but the most effective way to learn is by giving it a try independently. After you’ve completed the task, please inform me of the outcome. C. Mr. P has just called, reporting dizziness. Please attend to him promptly, assess his pulse, and if you suspect hypoglycemia, provide apple juice and then check his blood sugar. Afterward, please report your findings to me. D. Ms. O in Room 17 has completed her shower and requires assistance to return to bed. Please assist her promptly and ensure you bring her cane before you help her walk. After you’ve aided her back to bed, please inform me so I can evaluate her condition.

Correct Answer is D

Explanation

Choice A Reason:

Ms. P’s lunch tray is expected to be ready in 30 minutes. Before delivering her meal, please review with her the instructions provided by the diabetes educator earlier this morning and assist her in understanding how to manage her carbohydrate intake. Once you’ve completed this, please report back to me. This scenario involves patient education, which is beyond the scope of practice for unlicensed assistive personnel (UAP). According to the American Nurses Association (ANA), tasks that require specialized knowledge, judgment, and skills should not be delegated to UAP. Therefore, this scenario does not demonstrate appropriate delegation.

Choice B Reason:

Mr. O requires aid to use the restroom. I recognize that you’re new and might feel uneasy about this task, but the most effective way to learn is by giving it a try independently. After you’ve completed the task, please inform me of the outcome. While assisting a patient to use the restroom is within the scope of practice for UAP, the RN’s approach in this scenario lacks proper supervision and support. Effective delegation involves providing clear instructions, ensuring the delegatee is competent, and offering necessary supervision. This scenario does not fully meet these criteria.

Choice C Reason:

Mr. P has just called, reporting dizziness. Please attend to him promptly, assess his pulse, and if you suspect hypoglycemia, provide apple juice and then check his blood sugar. Afterward, please report your findings to me. This scenario involves assessment and clinical judgment, which are responsibilities of licensed nurses. UAP should not be tasked with assessing patients or making clinical decisions, as these require professional nursing knowledge and skills. Therefore, this scenario does not demonstrate appropriate delegation.

Choice D Reason:

Ms. O in Room 17 has completed her shower and requires assistance to return to bed. Please assist her promptly and ensure you bring her cane before you help her walk. After you’ve aided her back to bed, please inform me so I can evaluate her condition. This scenario is the best example of appropriate delegation. Assisting a patient with mobility and ensuring their safety by providing a cane are tasks within the scope of practice for UAP. The RN provides clear instructions and follows up to evaluate the patient’s condition, demonstrating effective delegation.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The chief director of nursing of a metropolitan hospital develops classes to improve the translation of research into practice (TRIP). Which of the following selections best describes TRIP?

Correct Answer is A

Explanation

An RN is delegating a task to an unlicensed assistive personnel. Which of the following scenarios best demonstrates appropriate delegation?

Correct Answer is D

Explanation

The manager calls a staff meeting to discuss a situation in which an anxious family member of a gravely ill patient is taking up an excessive amount of the staff’s time. The manager proposes a solution and asks for the staff’s input. What is the role of the nurse manager in this situation?

To help nurse managers better manage their time, the chief nursing officer suggests that they:

An RN working in a behavioral health unit is evaluating a client. The RN intends to assign some of the nursing responsibilities to a licensed practical nurse (LPN). Which statement made by the RN demonstrates proper delegation to the LPN?

Nurses perform numerous tasks that demand skills, judgment, precise motor control, and other forms of expertise that are challenging to replicate using AI. One example of such a skill that is difficult to replicate is: