A certified oncology nurse notices that a novice nurse is unsure of decision making and lacks technical skills. The novice nurse gains confidence by sharing and learning with the experienced nurse. This relationship continues and builds, allowing the novice nurse to become more confident. This relationship is known as:

Correct Answer: A

Rationale: The correct answer is A: mentoring. Mentoring involves an experienced individual guiding and supporting a less experienced individual to help them develop skills, confidence, and knowledge. In this scenario, the certified oncology nurse is providing guidance and support to the novice nurse, helping them gain confidence and improve decision-making and technical skills. Mentoring fosters a personalized and supportive relationship that allows for growth and development. Summary of other choices: B: Role modeling involves observing and emulating behaviors of others, but it does not necessarily involve the direct guidance and support seen in mentoring. C: Preceptorship typically refers to a structured program where a more experienced individual (preceptor) guides a less experienced individual (preceptee) for a specific period, which is more formalized than the relationship described in the scenario. D: Socialization refers to the process of adapting to the norms and values of a group or society, which is not directly related to the mentorship relationship described in the scenario.

Correct Answer: A

Rationale: The correct answer is A because setting realistic goals is crucial for managing expectations and promoting effective caregiving. By helping the daughter understand the reality of the situation and setting achievable goals, the nurse can support both the mother's care and the daughter's emotional well-being. Option B does not address the daughter's emotional needs or the importance of realistic expectations. Option C focuses on the patient's perspective rather than the daughter's role as a caregiver. Option D, while beneficial for emotional expression, does not directly address the need for realistic goal-setting in caregiving.

Correct Answer: D

Rationale: The correct answer is D because it accurately differentiates between imagery and hypnosis. Imagery involves the patient formulating the impression in their mind, while hypnosis involves the hypnotist constructing the image for the patient. This is a key distinction as it highlights the active role of the patient in imagery compared to the more passive role in hypnosis. Choice A is incorrect because it inaccurately describes the process of hypnosis and imagery. Choice B is incorrect because both imagery and hypnosis can be performed by trained practitioners. Choice C is incorrect as both techniques can have varying durations of effectiveness, and it is not accurate to say that imagery only produces temporary well-being compared to hypnosis.

Correct Answer: A

Rationale: The correct answer is A because waiting for the oncoming shift to start walking rounds is an external distractor that can affect time management. The nurse cannot control when the shift starts, leading to potential delays in task completion. Incorrect choices: B: Failure to delegate tasks is an internal issue, not an external distractor. C: Talking with a patient's family member who is a personal friend is a boundary issue, not necessarily an external distractor. D: Thinking about a vacation is also an internal distraction, not an external one. In summary, the correct answer focuses on an external factor that the nurse cannot directly control, affecting time management, while the other choices are related to internal issues or personal boundaries.

Correct Answer: B

Rationale: The correct answer is B: Informatics. Nurses on the orthopedic unit are demonstrating informatics competency by using PDAs for medication review and accessing video clips for procedures. This showcases their ability to utilize technology to enhance patient care. Patient-centered care (A) focuses on individualized care, teamwork (C) emphasizes collaboration, and quality improvement (D) pertains to enhancing processes. The use of technology in this scenario aligns most closely with the informatics competency, making it the best choice.