# Situation: A registered nurse has worked for 3 years on the medical ward of a private hospital that cares for many clients with diabetes, thyroid disorders, and liver disease. The nurse is planning a career in diabetes and endocrine nursing. The hospital buys a new continuous glucose monitoring device. The nurse and the rest of the ward's current staff attend a 2-hour session on the ward during work hours to learn to use it. The session is not accredited for continuing professional development (CPD) units. Which type of staff development program is this?

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=630562  
> language: ko  
> subject: Nursing Practice IV — Care of Clients with Problems in Nutrition and Gastrointestinal, Metabolism and Endocrine, Perception and Coordination

## 문제

Situation: A registered nurse has worked for 3 years on the medical ward of a private hospital that cares for many clients with diabetes, thyroid disorders, and liver disease. The nurse is planning a career in diabetes and endocrine nursing.

The hospital buys a new continuous glucose monitoring device. The nurse and the rest of the ward's current staff attend a 2-hour session on the ward during work hours to learn to use it. The session is not accredited for continuing professional development (CPD) units. Which type of staff development program is this?

## 보기

1. Management development
2. In-service education **✔ 정답**
3. General orientation
4. Unit orientation

**정답: 2**

## 해설

In-service education is ongoing, on-site education that maintains or improves the job performance of current staff, such as training on new equipment or protocols. Orientation programs are for newly hired or newly placed staff.

## 심화 해설

Ongoing education for current staff
The hospital buys a new continuous glucose monitoring device, and the nurse and the rest of the ward's current staff attend a 2-hour session on the ward during work hours to learn to use it. On-site education that maintains or improves the job performance of current employees, such as training on new equipment or protocols, is in-service education. It is usually short, practical, and held in or near the work area so that staff can apply what they learn right away. Whether the session earns CPD units does not change its type.

Types of staff development programs
Staff development programs are distinguished by who they serve and why.

| Program | For whom | Purpose |
| --- | --- | --- |
| General orientation | Newly hired employees | Mission, policies, benefits, safety rules of the organization |
| Unit orientation | Staff newly placed on a unit | Unit routines, layout, specific duties |
| In-service education | Current staff | Maintain or improve job skills, new equipment or procedures |
| Continuing education | Licensed professionals | Broader professional learning, often accredited for CPD units |
| Management development | Staff preparing for leadership | Supervisory and management skills |

Why the other types are wrong
General orientation introduces new employees to the organization as a whole on entry; these nurses are already employed. Unit orientation prepares newly placed staff for a specific unit's routines; these nurses already work on the ward. Management development prepares staff for supervisory or leadership roles, not for using clinical equipment.

Why in-service education matters
New equipment introduces new risks. Training all users at once helps ensure safe and consistent use, accurate readings, correct documentation, and proper infection control. The educator often uses demonstration and return demonstration, and the ward may keep a record of who has been trained and when competency was checked.

Exam takeaway
Key point Current staff + on-site training on new equipment or procedures = in-service education. Orientation is for new or newly placed staff.

## 임상 시나리오

Staff Development Program TypesIn-service versus orientation
In-service education is ongoing, on-site training that maintains or improves the job performance of current staff, such as learning a new device.

General orientation and unit orientation are for newly hired or newly placed staff. Management development prepares staff for leadership.

Training all users of new equipment supports safe, consistent use, often with demonstration and return demonstration.

CautionWhether a session earns CPD units does not decide its type. Identify who the learners are and why they are being trained.

## 핵심 개념

- **In-service education** — On-site training for current employees to maintain or improve job performance.
- **Unit orientation** — An introduction for newly placed staff to the routines and duties of a specific unit.
- **General orientation** — An introduction for new employees to the organization's mission, policies, and safety rules.
- **Continuous glucose monitoring** — A device that measures glucose in tissue fluid continuously through a small sensor under the skin.

## 같은 주제 문제

- [Situation: A registered nurse has worked for 4 years on the orthopedic and eye surgery war…](https://mymerci.kr/pages/nclex_q.php?qn_id=630361)
- [Situation: A registered nurse has worked for 4 years on the orthopedic and eye surgery war…](https://mymerci.kr/pages/nclex_q.php?qn_id=630362)
- [Situation: A registered nurse has worked for 4 years on the orthopedic and eye surgery war…](https://mymerci.kr/pages/nclex_q.php?qn_id=630363)
- [Situation: A registered nurse has worked for 4 years on the orthopedic and eye surgery war…](https://mymerci.kr/pages/nclex_q.php?qn_id=630364)
- [Situation: A registered nurse has worked for 4 years on the orthopedic and eye surgery war…](https://mymerci.kr/pages/nclex_q.php?qn_id=630365)
- [Situation: The nurse educator of a government hospital manages staff development for its e…](https://mymerci.kr/pages/nclex_q.php?qn_id=630461)
- [Situation: The nurse educator of a government hospital manages staff development for its e…](https://mymerci.kr/pages/nclex_q.php?qn_id=630462)
- [Situation: The nurse educator of a government hospital manages staff development for its e…](https://mymerci.kr/pages/nclex_q.php?qn_id=630463)

---

More free questions: [기출문제](https://mymerci.kr/)

_학습 참고용입니다. 실제 임상은 최신 지침과 소속 기관 프로토콜을 따르세요._