Leadership Exam 2

A new graduate nurse expresses frustration that actual patient care differs from classroom expectations. What is this nurse most likely experiencing?

• Burnout

• Reality shock

• Professional resocialization

• Compassion fatigue

Answer explanation

Rationale: Reality shock occurs when academic preparation doesn’t match real-world practice. Burnout and compassion fatigue occur later from prolonged stress. Resocialization is adjustment but not tied specifically to role conflict

Which action best promotes nurse retention?

• Creating a supportive work environment for staff.

• Hiring large numbers of new graduates yearly.

• Increasing use of unlicensed assistive personnel.

• Offering large sign-on bonuses.

Answer explanation

Rationale: Work environment strongly predicts nurse retention. Bonuses and hiring don’t ensure long-term stability

Which disadvantage is most associated with functional nursing?

• Higher cost of care.

• Increased autonomy for nurses.

• Fragmented and task-oriented care.

• Increased nurse-patient ratios.

Answer explanation

Rationale: Functional nursing divides tasks, which may leave holistic patient needs unmet

A nurse provides continuous care for a patient from admission to discharge, with an associate nurse covering on days off. This describes:

• Team nursing

• Primary nursing

• Case management

• Modular nursing

Answer explanation

Rationale: Primary nursing emphasizes 24-hour responsibility and continuity of care

A case manager uses a multidisciplinary action plan (MAP) to coordinate care. The main goal of this model is:

• Increasing patient independence

• Ensuring cost-effective quality outcomes

• Reducing staff workload

• Improving staff satisfaction

Answer explanation

Rationale: Case management focuses on coordination, efficiency, and quality outcomes across episodes of illness

At which stage is a nurse able to anticipate patient needs and view situations holistically?

• Novice

• Competent

• Proficient

• Expert

Answer explanation

Rationale: Proficient nurses grasp situations as a whole and anticipate needs; experts rely on intuition

A nurse transitioning from ICU to pediatrics must adapt to new workflows and norms. This process is called:

• Orientation

• Resocialization

• Indoctrination

• Competence

Answer explanation

Rationale: Resocialization happens when adapting to new settings with different expectations

A nurse manager emphasizes the importance of teamwork and shared values during staff meetings. This supports:

• Reality shock

• Socialization

• Retention

• Functional nursing

Answer explanation

Rationale: Socialization builds cohesion and aligns staff with organizational values

The most effective long-term strategy for nurse retention is:

• Large sign-on bonuses

• Supportive work environments

• Strict staffing policies

• Competitive advertising

Answer explanation

Rationale: Retention improves when nurses feel valued, supported, and respected

A nurse assumes complete responsibility for all aspects of patient care during her shift. This is:

• Functional nursing

• Total patient care

• Team nursing

• Primary nursing

Answer explanation

Rationale: In total patient care, one nurse provides all direct care for assigned patients