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NUR 3816 NUR3816 Professional Nursing Practice
Final Reflection Exam Questions and Answers Plus
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- Which concept is most central to reflective nursing practice? a. Technical skills b. Policy adherence c. Self-awareness d. Delegation Self-awareness allows nurses to examine their actions, decisions, and biases, which is essential for reflective practice.
- A nurse reflecting on a difficult patient interaction identifies their own frustration. What type of reflection is this? a. Retrospective clinical judgment b. Emotional awareness c. Action planning d. Ethical review Emotional awareness is recognizing feelings that influence behavior, a key part of reflective practice.
- Reflective practice helps improve: a. Health policy compliance b. Critical thinking and clinical decision-making
c. Financial reimbursement d. Shift documentation Reflection enhances critical thinking by analyzing experiences to inform future care decisions.
- Which tool supports structured reflection in nursing? a. Medication MAR b. EHR audit trail c. Gibbs Reflective Cycle d. SBAR communication Gibbs Reflective Cycle guides nurses through a structured analysis of their experiences.
- During reflection, a nurse considers how their values affected patient care. This relates to: a. Professional boundaries b. Institutional policy c. Time management d. Ethical practice Understanding how personal values influence actions is key to ethical reflection and practice.
- Reflecting-in-action occurs: a. After an event b. During the event
c. Feelings d. Conclusion The analysis phase explores what was learned and why the event happened. 10.Reflection helps nurses recognize: a. Team leadership roles b. Knowledge gaps and strengths c. Charting errors d. Budgetary issues Reflecting allows nurses to identify what they know and where they need to grow. 11.What is the purpose of the “evaluation” step in Gibbs' model? a. Plan future goals b. Describe the event c. State emotional reactions d. Determine what was good or bad about the experience Evaluation focuses on what went well or poorly to guide improvements. 12.Reflective thinking is a hallmark of: a. Professional accountability b. Policy compliance c. Clinical task completion d. Supervision Professionals must continuously reflect to ensure ethical and effective care.
13.A nurse feels uncomfortable discussing end-of-life care. Through reflection, they recognize: a. Need for organizational training b. Time management barriers c. Personal beliefs impacting care d. Lack of team support Reflection helps identify internal factors affecting communication and comfort. 14.Which strategy enhances the depth of reflection? a. Memorizing textbook definitions b. Asking critical questions about experiences c. Avoiding emotional topics d. Reporting only facts Deep reflection requires probing questions about choices and feelings. 15.Reflection-in-action requires: a. Past experience only b. Daily journaling c. Immediate awareness during a clinical event d. Peer discussion It occurs while the event unfolds, allowing for real-time adjustment. 16.Reflective practice is mandated by: a. CDC b. HIPAA
a. Venting frustrations b. Gaining feedback and perspective c. Delegating responsibilities d. Avoiding mistakes Peer discussion enhances insight and can validate or challenge assumptions. 21.Which behavior indicates poor reflective practice? a. Self-questioning b. Reviewing patient outcomes c. Blaming others for issues d. Seeking feedback Blame prevents learning and growth through honest self-assessment. 22.What is the primary purpose of a reflective portfolio? a. Store credentials b. Demonstrate growth and insight c. Track attendance d. Replace clinical logs Portfolios show development through collected reflections and goals. 23.Reflection helps prevent: a. Scheduling errors b. Team conflict c. Repeated mistakes d. New learning
Analyzing past actions reduces the chance of repeated errors. 24.One barrier to effective reflection is: a. Peer support b. Professional development c. Time constraints d. Manager feedback Lack of time can prevent meaningful reflection in clinical settings. 25.Reflection fosters: a. Increased salary b. Institutional loyalty c. Compassionate care d. Faster documentation Compassion grows when nurses deeply consider patient experiences and emotions. 26.Reflection allows nurses to link: a. Health laws and tasks b. Documentation and budget c. Theory and practice d. Shift reports and policies It connects learned theory to actual clinical situations. 27.Reflecting on professional identity includes: a. Clinical errors b. Role, values, and growth as a nurse
31.What should be included in a reflection? a. Only positive events b. Description, analysis, and future plan c. Medical jargon d. Team critique only A good reflection includes objective description, personal insight, and growth steps. 32.Nurses who reflect effectively are more likely to: a. Avoid responsibility b. Work independently c. Develop professionally and ethically d. Memorize routines Reflection strengthens professional growth and ethical accountability. 33.Why is it important to recognize emotional responses in reflection? a. Emotions affect behavior and decision-making b. It’s required for documentation c. Emotions don’t matter in care d. It avoids blame Emotions often influence interactions and should be acknowledged to improve care. 34.Reflective journals differ from reports because they: a. Use third person b. Are meant for supervisors
c. Explore thoughts and feelings d. Contain checklists Journals are personal and introspective, encouraging deep thinking. 35.An effective reflective question is: a. “Did I complete my task?” b. “What’s the hospital policy?” c. “What did I learn from this experience?” d. “Who is to blame?” Good reflective questions lead to growth and insight. 36.Reflection contributes to cultural competence by: a. Avoiding cultural discussions b. Encouraging examination of personal biases c. Following tradition d. Reading manuals Self-awareness of biases enhances respectful, inclusive care. 37.Reflective nurses demonstrate: a. Resistance to change b. Rigid adherence to rules c. Openness to learning and feedback d. Avoidance of emotions Reflective practitioners seek improvement and welcome input. 38.Reflection supports evidence-based practice by:
Constructive reflection uses mistakes as learning opportunities. 42.Reflective practice is most effective when it is: a. Superficial b. Done yearly c. Ongoing and intentional d. Avoided in stressful times Regular, deliberate reflection promotes continuous growth. 43.Which statement reflects growth after reflection? a. “It wasn’t my fault.” b. “They were wrong.” c. “I will approach this differently next time.” d. “It was just a bad day.” Taking responsibility and planning improvement signals reflection. 44.Reflective writing should be: a. Vague and impersonal b. Focused only on others c. Honest and specific d. Written for grades only Honest, detailed writing provides the richest learning. 45.A nurse reflecting on a patient's feedback recognizes a gap in communication. This is an example of: a. Cultural error b. Constructive self-critique
c. Task completion d. Delegation failure Feedback offers insight for improvement when approached reflectively. 46.Which reflective strategy improves practice the most? a. Avoiding emotional topics b. Blaming patients c. Asking “why” and “how” questions d. Repeating actions without change Curiosity leads to deeper understanding and transformation. 47.A nurse sets a new goal after reflection. This represents: a. Policy review b. Forward-focused learning c. Resistance to feedback d. Fear of failure Reflection often results in goal setting for improvement. 48.Reflective practice in nursing leads to: a. Fewer evaluations b. Safer, more empathetic care c. Higher staffing ratios d. More paperwork Thoughtful practice improves safety and patient relationships. 49.A nurse realizes they rushed a procedure. After reflection, they commit to slowing down. This shows:
Reflecting on experiences helps new nurses integrate values and responsibilities into their identity. 53.Reflective dialogue with mentors helps: a. Avoiding emotional topics b. Deepen insight and gain guidance c. Reduce documentation d. Justify actions Mentors offer perspective and feedback that deepen reflective growth. 54.Reflection is a core component of which nursing model? a. Biomedical model b. Transformational learning model c. Pathophysiology model d. Linear care model Transformational learning involves critical reflection leading to changed perspectives. 55.The act of reflecting on ethical dilemmas strengthens: a. Task efficiency b. Care delegation c. Moral reasoning d. Performance reviews Ethical reflection improves the nurse’s ability to reason through complex moral issues. 56.Reflective practice helps mitigate:
a. Reimbursement issues b. Hospital readmission c. Burnout and compassion fatigue d. Medication side effects Reflection allows emotional processing, reducing stress and preventing burnout. 57.Self-reflection allows the nurse to: a. Document faster b. Reduce overtime c. Recognize bias and assumptions d. Promote authority By examining their thoughts, nurses can identify and address personal biases. 58.Reflection supports evidence-based care by: a. Copying others b. Encouraging critical appraisal of evidence c. Avoiding change d. Skipping protocols It encourages nurses to examine and apply the best available evidence critically. 59.A nurse reflects on ignoring a patient’s spiritual request. This shows growth in: a. Documentation b. Cultural and spiritual competence c. Protocol adherence d. Budget awareness
a. Only during evaluations b. Weekly c. Routinely and after significant events d. After errors only Regular and event-driven reflection deepens learning and insight. 64.A barrier to reflective practice is: a. Journaling b. Curiosity c. Defensive attitudes d. Mentor feedback Defensiveness can prevent nurses from acknowledging areas for improvement. 65.Effective reflection includes: a. Blaming external systems b. Owning one’s role in events c. Avoiding emotions d. Focusing on outcomes only Taking responsibility allows learning and promotes change. 66.Which of the following is a goal of reflective practice? a. Reduce staff numbers b. Improve future decision-making c. Maintain status quo d. Follow orders better Reflection helps nurses grow in judgment and decision-making for future practice.
67.Reflecting with a group of nurses is beneficial because it: a. Wastes time b. Promotes gossip c. Offers shared insight and perspective d. Reinforces hierarchy Group reflection brings diverse views, enhancing understanding. 68.Reflective practice contributes to professional growth by: a. Focusing on mistakes b. Turning experience into knowledge c. Preventing promotions d. Isolating nurses Reflection turns clinical experience into meaningful learning. 69.A student nurse journaling about a successful skill performance is engaging in: a. Negative reflection b. External criticism c. Positive reinforcement and self-evaluation d. Role confusion Positive reflection celebrates growth and builds confidence. 70.Reflective nurses are often: a. Resistant to feedback b. Open to change and continuous learning
