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Nurs 263 Exam 3 > Professional Behaviors > Flashcards

Professional Behaviors Flashcards

1
Q

A state of being obligated, emotionally impelled.

A

Commitment

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2
Q

Strength of person’s relationship to - sense of belonging to an organization.

A

Organizational commitment

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3
Q

4 Factors of Professional Commitment

A

1- Belief - accept profession’s code, role, goals, values…
2- Willingness to exert personal effort for profession
3- Strong desire to maintain membership in profession
4- Pattern of behaviors congruent w/ nurses professional code of ethics.

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4
Q

Types of Commitment (3)

A
  • Continuance
  • Affective
  • Normative
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5
Q

Affective Commitment

A

-Identifies with and involves themselves with profession

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6
Q

Normative Commitment

A

Feelings of obligation to continue in profession.

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7
Q

Continuance Commitment

A
  • Aware of costs associated with leaving profession.

- Develops when consequences of leaving profession are seen as reasons to stay.

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8
Q

5 Stages of Commitment

A 
1- Exploratory
2- Testing
3- Passionate
4- Quiet & Bored
5- Integrated
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9
Q

Stage where person explores positive aspects of profession. Excited.

A

(1st) Exploratory Stage

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10
Q

Stage where person discovers negative aspects of profession.
-Starts assessing willingness & ability to deal with negative elements.

A

(2nd) Testing

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11
Q

Stage of commitment which begins as person synthesizes both positive & negative elements from first two stages.

  • Willing to commit to profession & contribute to well-being.
  • Students who become involved.
A

(3rd) Passionate

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12
Q

Stage where person settles into humdrum routine - become more comfortable.

A

(4th) Quiet & Bored

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13
Q

Stage where person integrates both positive & negative elements of profession into more flexible, complex & enduring form of commitment.
-Act on commitment as matter of habit.

A

(5th/Final) Integrated

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14
Q

Inconsistency between academic world and the world of work.

A

Reality Shock

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15
Q

When does reality shock occur.

A

When novice nurses realize that they are not prepared for the work environment.

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16
Q

4 Phases of Reality shock:

A
  • Honeymoon
  • Shock or rejection
  • Recovery
  • Resolution
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17
Q

Phase that often occurs during orientation when everything in work world is as the graduate imagines.

A

Honeymoon Phase

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18
Q

Phase where new nurse encounters:

  • conflict, differing way of performing skills, lack of security of an expert as a resource.
  • nurse may feel fear, react by forming shell.
A

Shock (rejection) phase

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19
Q

Phase where novice nurse begins to understand the culture, experiences less anxiety… healing begins

A

Recovery Phase

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20
Q

Phase where nurse adjusts to new environment, work expectations are easily met…

A

Resolution Phase

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21
Q 
Native
Runaway
Rutter
Burned Out
Compassion fatigue
Loner
New nurse on block
A

Inappropriate approaches to dealing with shock phase:

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22
Q

Adopts ways of least resistance and mimics other nurses

A

Native

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23
Q

Real world is too difficult, leaves profession or returns to school w/ goal to teach nursing.

A

Runaway

24
Q

Considers nursing just a job - shows up for the paycheck.

On the job retirees

A

Rutter

25
Q

Bottles conflict, fatigued, depressed, angry
Looks chronically constipated.
More intelligent hard workers have this more often.

A

Burned out

26
Q

decline in compassion from exposure to events of traumatized patients.

  • can become biased & unfriendly
  • make inappropriate comments.
A

Compassion fatigue

27
Q

adopts attitude to “just do job & keep mouth shut”.

A

Loner

28
Q

Changes jobs frequently & is always the new nurse.

A

new nurse on block.

29
Q

How many stages in from novice to expert

A

5

30
Q

Stage ?

  • Nurses with few clinical experiences
  • Skills are learned by rote
  • Occurs when nursing education is completed
A

Stage 1

31
Q

Stage ?

  • Able to perform adequately
  • Make some judgement calls on basis of experience
  • occurs on entry to workforce
A

Stage 2

32
Q

Stage ?

  • Competent nurses
  • Able to foresee long-range goals
  • Mastering skills
A

Stage 3

33
Q

Stage ?

  • Proficient nurses
  • Views situations as whole rather than parts
  • Develop effective solutions
A

Stage 4

34
Q

Stage ?

  • Expert nurses
  • Intuition & decision making are instantaneous
A

Stage 5

35
Q

Special needs of novice nurses:

__________: lack of comfort w/ interpersonal skills

A

Interpersonal skills

36
Q

Special needs of novice nurses:

______: Doubt in ability to perform skills without supervision.

A

Clinical skills

37
Q

Special needs of novice nurses:

_____________: feeling disorganized.

A

Organization skills

38
Q

Special needs of novice nurses:

________________: uncertainty w/ delegation

A

delegation skills

39
Q

5 Strategies to Ease Transition

A 
1- Mentors & Role Models
2- Preceptorships
3- Self-Mentoring
4- Residency Programs
5- Preprofessional and professional organizations
40
Q

Assessing clients, planning therapeutic interventions, coordinating & evaluating care.

A

Care provider

41
Q

Teaching health promotion and health maintenance.

A

Educator and counselor

42
Q

Promoting what is best for the client; protecting the client’s rights.

A

Advocate

43
Q

Identifying client & health care delivery problems.
Assess motivation & capacity to change
-leading change process

A

Change agent

44
Q

Improve health status and potential of individuals, families and communitites.

  • manage multiple resource in health facility
  • Educate citizens & legislators
A

Leader and manager

45
Q

Leading or participating in nursing research

A

Researcher

46
Q
  • Coordinate practice relationships among several health care disciplines.
  • use successful health care team models.
A

Coordinator of interprofessional team

47
Q

2 Hospital Opportunities for Nurses

A
  • Infection Control Nurse

- Quality Management Nurse

48
Q

Nontraditional Roles in Nursing

  • role of the community health nurse in helping patients remain in homes.
  • Can administer chemo, radiography, telemetry, uterine monitoring, dobutamine.
A

Home Care Nurse

49
Q

Nontraditional Roles in Nursing

  • minimum of masters degree
  • competent in clinical practice
  • Expectation of teaching, scholarship, service to community
A

Nurse Educator

50
Q

Nontraditional Roles in Nursing

  • Masters degree generalist
  • oversees care of distinct group of patients in any setting
  • provides direct pt. care in complex situations
  • evaluates pt. outcomes
  • puts EB into practice
A

Clinical Nurse Leader

51
Q

Nontraditional Roles in Nursing

  • Assess & manage nursing & medical problems.
  • Emphasis on prevention & health promotion.
A

Advanced Practice Nursing (APN)

52
Q

APN

-possess clinical expertise in defined area of nursing practice

A

clinical nurse specialist

53
Q

APN

-Provides anesthesia and anesthesia-related care on request, assignment or by referral.

A

Certified registered nurse anesthetist

54
Q

APN

-manages womens health care, focus on pregnancy, childbirth, postpartum

A

Certified nurse-midwife

55
Q

-Unites the leadership perspective or professional nursing w/ various aspects of business and health administration.

A

Nurse Administrator / Executive

56
Q

APN

  • Expert in advanced nursing practice who has an earned clinically focused doctorate in nursing.
  • variety of specialty areas
A

Doctor of Nursing Practice (DNP)

Nurs 263 Exam 3 (3 decks)

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