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MULTIPLECHOICE
1. Agraduate nursehas been hired as anurseat a local hospital. Thenew nurseis inthe .
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honeymoon phase of role transition when making which of the following statements?
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a. ―Iam so nervous about beingon myown as anurse.‖
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b. ―This will bea great learning experience.‖ . pw pw xi pw xi
c. ―Ican‘t wait to havea steadypaycheck.‖ pw pw pw pw
d.
ANS:D pw .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy.Often, the
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new graduate is fascinated with the thrill of arriving in the profession. Realityshock occurs when
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one moves into the workforce after several years of educational preparation. Recovery and
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resolution occur when the graduate nurse is able to laugh at . encounteredsituations.During
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thistime,tensiondecreases,perceptionincreases, and thenurse is able to grow as a person.
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.
PTS: 1 pw DIF:CognitiveLevel:Application/Applying
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REF:Table 1.1
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p pw OBJ:Identifythecharacteristicsofrealityshock.
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TOP:Realityshock w
p MSC:NCLEX®:Safeandeffective careenvironment pw xi xi
.
2. Whichofthe followingactionsbythe graduate nurseis an inappropriate methodologyto
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pw recover from realityshock? pw pw
a. Networking .
b. Obtaininga mentor xi
c. Returningtoschool i
x
d. Joininga support group xi p w
.
ANS:C pw
Thetransition periodis successfullymanaged when the graduate is able to evaluatethe work situation
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objectivelyand predict effectivelytheactions and reactions ofotherstaff.
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Nurturing
theabilityto seehumor in a situation maybe afirst step. Returning to school is apositivestep . after
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the graduate has worked through role transition, has some clinical experience,and is ready to
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focus on a new career objective. Networking, obtaining a mentor, and joining a support group
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would give the graduate nurse an opportunityto talk to others
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,experiencingthe
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, stress associated with realityshock. The nursewould benefit from ―talking through‖ issuesand
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learning how to cope.
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PTS: 1 pw DIF:CognitiveLevel:Application/Applying. xi
REF: p. 9
pw OBJ: Describe methodstopromote a successful
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transition.T OP: Reality shock
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MSC:NCLEX®:SafeandeffectivecareenvironmentNotapplicable
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.
3. Anurseis tryingto avoid burnout. Which ofthe following actions is a valid wayto achievethis?
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a. .
b. Withdrawingfrom peersupport group pw w
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c. ―Goingnative‖
d. Changing jobs every6 to 12 months. xi pw pw pw pw pw
ANS:A pw
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities
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with your mental and physical health being the highest priority. Learning to say―no‖to extra
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shifts is a positive means of coping of avoidingburnout. ―Goingnative‖ is thetermthat .
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describes how recent graduates begin to copyand identifythe realityoftheirrole-transition
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experience by rejecting the values from nursing school and functioning more like a team
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member at their place of employment. Withdrawing from peer support groups, ―going
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native,‖ . and changing jobs every 6 to 12 months would increase the chance of the nurse
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experiencing
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burnout. Thenurseshould instead focuson his/herpractice and seek out support fromother
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nurses.
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.
PTS: 1 pw DIF:CognitiveLevel:Application/Applying w
p pw pw
REF: p. 7
pw OBJ:Describemethods to promoteasuccessful
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transition.TOP: Reality shock
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MSC:NCLEX®: Safe and effectivecareenvironmentNot applicable .
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4. Whichofthe following statements bythe graduate nurseshows anunderstanding
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ofreality shock as it applies to nursing? .
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a. ―Realityshock is theperiod when aperson moves from school into the pw pw pw pw pw pw pw pw pw pw pw
b. workforce.‖―Realityshock istherealization thatpractice and education are not pw pw pw pw pw pw
pw thesame.‖ xi
c. ―Realityshock istheperiodfrom graduationtobecomingan experiencednurse.‖. pw pw pw pw pw pw pw pw
d. ―Realityshock is a transition phasethatnew graduates go throughbefore xi pw pw pw pw pw
p w changingjobs.‖ xi