Chapter 7 Online version Online Activity by Emily Schnee 1 When choosing a clinical unit, the faculty member would consider all of the following environmental conditions EXCEPT: a How actively the students are able to participate in the care of patients b Whether or not new ideas may be implemented c The ratio of staff nurses to patients d Students are able to express their own ideas and opinions 2 When the student says ________________________, the clinical environment is considered to be a negative one. a The nurses on this unit consider my feelings and listen to me b The nurse manager has decided that I should take a different patient c My clinical faculty thinks of innovative activities for the students d The nurses on this unit go out of the way to help students 3 You are assessing your preceptee (graduate nurse) to complete the medication administration practical. Your preceptee does not meet the required standard. She is not able to describe indications of use and expected drug action You need to remind her to wash her hands She does not give the patient any education She administers the drug too fast a You do nothing. The student must be having a bad day b Fail the student on her weekly evaluation and never talk with her c As soon as possible provide the student with frequent feedback regarding the actions she did that were wrong d Kick the student off the unit immediately 4 You are preceptoring a proficient level nurse who has transferred from another area. You come across this nurse on the phone discussing a patient loudly at the nurse’s station in front of visitors. You note that this is not the first time this has occurred. a Reprimand the student loudly in front of everyone b Pull the student aside and in a quiet private area discuss her behavior. Discuss HIPPA and possibly assign her extra work on researching the law c Talk about the students bad behavior with other students and instructors, and make a negative example of her at post-conference d Do nothing. What is the point she has made the same mistake over and over with no change 5 You have noticed that your preceptee regularly does not introduce himself to the patient or their family. On this day you are with you preceptee to check the PCA pump. He does not introduce himself, does not explain what we are going to do or how long it will take. a Start to introduce the student for them and explain all the information to the patient for them b Ask the student what they think they forgot to do. If they are unable to, explain the mistake they made. Discuss why it is important to keep patients informed. Perhaps assign them an activity reviewing Code of Ethics for Nurses - American Nurses Association. What is violated with not introducing self or explaining your actions. c Say nothing but fail the student on their objectives for the week d In front of the patient point out the student's mistake and force them to apologize 6 Your preceptee makes you feel uncomfortable when you ask her questions about the patient care she has planned for patients. Answering with..... “I’m too busy right now”, “I’m fine”, “No I don’t need help”. She does not share information and you are finding it difficult to assess her. a Asks the primary nurse if the student is doing ok and based on her answer fill out her evaluation b Assume if she is too busy to answer your questions, she is doing a good job taking care of her patient c Explain to the student privately that part of her learning objectives and evaluation include demonstrating clinical thinking skills. Once expectation explained try again to ask the student "Why" questions about their patient. If student unable to answer give her time to research and return later in day for answers. d Stop trying to talk to the student and grade her poorly on her weekly evaluation 7 The clinical nurse educator receives a phone call from a family member that a student has posted information about a patient on social media. What is the most appropriate response? a This is a HIPAA violation and must be reported b Make the student apologize to the family and take down the post. No further action is needed they are just learning c Hope no one else will find out about this, and just keep it to yourself d HIPAA does not include social media, so no action is needed 8 The students in the clinical group feel that postclinical conference is a “waste of time” and want to do something else. Select what your response should be. Check all that apply: Choose one or more answers a Do shorter post-conference since the students do not think they are beneficial b Encourage a different student each day to lead post-conference, it is possible for students to assist with leading postclinical conferences with educator support. c Say too bad and make no changes. Postclinical conference allows you to learn from the instructor. d Keep post conferences and encourage students to recognize postclinical conference gives you a chance to reflect on your day
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