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CE Test: Online Only

What Do I Do Now?: Clinical Decision Making by New Graduates

Journal for Nurses in Professional Development: July/August 2013 - Volume 29 - Issue 4 - p E1-E2
doi: DOI:10.1097/NND.0b013e31829fe052


  • Read the article on page 167.
  • Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.
  • Complete registration information (Section A) and course evaluation (Section C).
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  • A passing score for this test is 13 correct answers.
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Registration Deadline: July 31, 2013

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Disclosure Statement:

The authors and CE planners have disclosed that they have no financial relationships related to this article.

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GENERAL PURPOSE STATEMENT: To become familiar with a study designed to investigate the experience of newly graduated nurses (NGNs) as they made clinical judgments in the critical care setting.

LEARNING OBJECTIVES: After reading this article and taking this test, the nurse will be able to:

1. Identify concerns regarding NGNs and view literature related to NGNs.

2. Describe the methodology and results of the study.

  1. According to Casey, Fink, Krugman, and Propst, it takes up to how long for NGNs to feel competent and confident in their abilities?
    1. 6 months
    2. 12 months
    3. 18 months
    4. 24 months
  2. According to del Bueno, what percentage of new graduates met expectations for recognizing acute changes in patient health status?
    1. 38%
    2. 48%
    3. 58%
    4. 68%
  3. What percentage of chief nurse executives deemed NGNs were unsafe for practice?
    1. 37%
    2. 47%
    3. 57%
    4. 67%
  4. In addition to the NGNs’ lack of clinical experiences, what affects the way NGNs are able to make decisions and act independently?
    1. contextual knowledge
    2. didactic knowledge
    3. confidence
    4. decision-making skills
  5. As identified by Ferguson and Day, the stages that must be accomplished by new nurses in order to develop clinical judgment skills include all except
    1. learning practice norms.
    2. developing confidence.
    3. seeking challenges.
    4. taking responsibility.
  6. In addition to clinical experiences, which were the most beneficial learning strategies for NGNs according to Etheridge’s study?
    1. simulated scenarios
    2. discussion with peers
    3. reflection
    4. self-paced educational programs
  7. According to Tanner, clinical judgments are most affected by
    1. prior experience and knowledge.
    2. theoretical knowledge.
    3. clinical skill level.
    4. objective data.
  8. According to Tanner, a nurse’s clinical reasoning is improved with
    1. theoretical knowledge.
    2. discussion with peers.
    3. reflection in action.
    4. intuition.
  9. What was the theoretical framework used for this study?
    1. Novice to Competent Nurse Process Model
    2. Novice to Expert Model
    3. Experiential Learning Model
    4. Bridges Transition Model.
  10. How many months does is take the new graduate to make the transition from school to employment based on the theoretical framework used in this study?
    1. 6 months
    2. 12 months
    3. 18 months
    4. 24 months
  11. Data for the study were collected using
    1. one-on-one interviews.
    2. focus groups.
    3. close-ended questionnaires.
    4. open-ended questionnaires.
  12. How many nurses participated in the study?
    1. 5
    2. 10
    3. 15
    4. 20
  13. Themes identified in the data analysis included all except
    1. developing confidence in practice.
    2. seeking assistance.
    3. decision making.
    4. professional learning.
  14. Which staff member was used by all of the NGNs participating in the study as a resource?
    1. another staff nurse
    2. charge nurse
    3. unit manager
    4. staff development instructor
  15. Along with lack of experience and self-doubt, which often limited the NGNs’ ability to make decisions?
    1. lack of preparation
    2. lack of knowledge
    3. tunnel vision
    4. anxiety
  16. During the first 6 months of practice, NGNs focused primarily on
    1. clinical skills.
    2. socializing.
    3. objective data.
    4. tasks.
  17. Etheridge found that NGNs preferred methods of problem solving that allowed them to
    1. work through problems.
    2. apply theories.
    3. be given solutions.
    4. be provided with options.
  18. According to del Bueno, which learning strategy is preferred by NGNs?
    1. instructor-led didactic activities
    2. self-paced learning activities
    3. solution-provided activities
    4. questioning activities
© 2013 by Lippincott Williams & Wilkins, Inc.