A unit manager is concerned about turnover on her unit, which ...

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A unit manager is concerned about turnover on her unit, which employs many new graduate nurses. There is already a formal and lengthy orientation program in place.
 
  Which additional resource should the nursing manager add to the orientation program to best address turnover?
  a. Have the new graduates spend more time in the skills practice lab.
  b. Include intensive mentoring as part of the orientation program.
  c. Invite new nurses to informal meals and breaks with management.
  d. Post personal biographies of new nurses so staff gets to know them.

Question 2

A nurse works in the intensive care unit (ICU) and is looking for an explanation of how patients and families experience weaning from ventilators. This nurse would find the most useful information by searching for an appropriate
 
  a. corollary theory.
  b. grand theory or framework.
  c. midrange theory.
  d. practice-level theory.

[Viet Thy]

Answer to Question 1

B
The first 3 months of employment for graduate nurses has been found to be vital in their long-term success, and mentoring is vital to assist with role integration and resolution of conflicts between work realities and academic ideals.
There is no evidence from the question that suggests new nurses are not proficient in their skills or that they leave their jobs because of lack of skills.
Although inviting new nurses to informal meals and breaks with management is a nice touch, this will not necessarily assist new graduate nurses in staying in their new positions.
Posting personal biographies is also a nice idea, but it would not make a significant difference for the new nurses.

Answer to Question 2

D
A situation-specific theory seeks to explain and predict relationships among the core concepts for a specific patient population or nursing practice. In this case, ICU nursing and ventilated patients present situations best addressed by situation-specific theory. These are sometimes called practice-level theories.
A grand theory or framework is an overarching theory that explains the goals, purpose, and broad nature of nursing.
A midrange theory considers specific phenomena across nursing practice settings and nursing specialties.
Corollary theory is not a type of theory.

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