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Nursing Today Transition and Trends 9th Edition - TEST BANK

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Chapter 02: Personal Management: Time and Self-Care Strategies MULTIPLE CHOICE 1. Which statement indicates the nurse’s understanding of effective time management? a. “The purpose of effective time management is to save hours, minutes, and seconds.” b. “The purpose of effective time management is to do as much as possible in as short a time as possible.” c. “The purpose of effective time management is to do as little as possible.” d. “The purpose of effective time management is to achieve personal and professional goals.” ANS: D Making time to meet your individual, family, professional, and career needs and goals is vital to overall success and is the primary purpose of time management. Stating the purpose of effective time management as saving time or doing as much or as little as possible in a short time would not indicate the nurse’s understanding. Procrastinating and doing as little as possible are not characteristic of effective time management. PTS: 1 DIF: Cognitive Level: Application REF: p. 25 OBJ:Identify strategies for self-care.TOP:Time management MSC: NCLEX®: Not applicable 2. A student nurse likes to sleep late and has a high-energy period in the evening. The student resists schedules and prefers to study when it “feels right” and in groups. Which of the following characteristics fit this student? a. Early bird and left-brain dominance c. Owl and left-brain dominance b. Early bird and right-brain dominance d. Owl and right-brain dominance ANS: D The owl does its best work at night, which fits well with the right-brain–dominant person who resists schedules. People with these characteristics choose to do things in their own time and fashion. Early birds tend to do their best work earlier in the day. Left-brain–dominant people process information in a linear, sequential manner, so they would probably prefer a schedule of activities. PTS: 1 DIF: Cognitive Level: Application REF: pp. 26-27 OBJ: Identify your individual time styles. TOP: Time management MSC: NCLEX®: Not applicable 3. In 4 weeks, a student nurse will have two tests and one paper due in the same week. What is the most effective time-management strategy for this student nurse? a. Control time wasters to have more time for studying and writing. b. Delegate everything possible to create more time for studying. c. Schedule specific times on a calendar to study for the tests and to work on the paper during the next 4 weeks. d. Wait to study for the tests and to write the paper the week before they are due because the student nurse “works best under pressure.” ANS: C The most effective approach to this problem would be to schedule specific time periods to prepare for the tests and write the paper. Waiting until the last minute to study and write the paper creates unnecessary stress and sets the student nurse up for failure. Creating more time for studying does not solve the problem; how that time is organized and how it is used is the key. Procrastinating by putting off assignments until the last minute can lead to extreme anxiety and stressful behavior. Although delegating some tasks is realistic and can create time for studying, it is unrealistic to delegate “everything possible.” PTS: 1 DIF: Cognitive Level: Application REF: pp. 27-28 OBJ: Identify personal time management strategies. TOP: Time management MSC: NCLEX®: Not applicable 4. How can the student nurse increase studying efficiency? a. Maintaining a supply of simple carbohydrates for a quick energy spurt b. Alternating mental and physical activities to increase productivity c. Working nonstop without breaks to focus concentration d. Delegating tasks of household chores to family members ANS: B Alternating tasks that are mental with tasks that are physical can increase alertness and create a natural energy spurt to keep going. Carbohydrate-induced energy spurts are short lived and ineffective for studying efficiency. Working nonstop without breaks leads to fatigue and burnout. Although delegating tasks would be helpful to the student nurse, it does not directly increase studying efficiency. PTS: 1 DIF: Cognitive Level: Application REF: p. 27 OBJ: Identify personal time management strategies. TOP: Time management MSC: NCLEX®: Not applicable 5. The nurse has concluded that he/she is a right-brain–dominant person. Based on the nurse’s time style, which unit governance task will the nurse implement? a. Devise a plan to restructure the nursing career ladder. b. Write a procedure for central line care using new equipment that will be available in two weeks. c. Do the unit time schedule for the next pay period. d. Collate data obtained from a chart audit to report at the next unit staff meeting. ANS: A Right-brain–dominant people like to brainstorm to create new ideas and approaches to old problems, so devising a restructured nursing career ladder would be an appropriate task for this person. Writing procedures, completing time schedules, and collating data are indicative of a left-brain–dominant person. PTS: 1 DIF: Cognitive Level: Application REF: p. 27 OBJ: Identify your individual time styles. TOP: Time management MSC: NCLEX®: Not applicable 6. What actions should a graduate nurse take in the first work experience to avoid problems with burnout? a. Cross-train to work in different areas of the hospital. b. Develop a social group of nurses with whom to share work experiences. c. Plan on several sessions with a counselor regarding managing stress. d. Develop social contacts outside of nursing and maintain good nutrition and good sleep habits. ANS: D Taking care of oneself is a primary component to preventing burnout—for example, avoiding alcohol, maintaining good nutrition, getting adequate amounts of sleep, and avoiding cigarette smoking. Developing social contacts outside the work environment also facilitates reduction of stress from work. Cross-training in different areas of the hospital, developing a social group with nurses to share work experiences, and meeting with a counselor would not be helpful to the graduate nurse in avoiding problems with burnout in the first work experience. PTS: 1 DIF: Cognitive Level: Application REF: pp. 37-38 OBJ: Discuss the importance of caring for yourself. TOP: Burnout MSC: NCLEX®: Not applicable 7. Which action by the nurse exemplifies a sense of spiritual health? a. Belonging to a church c. Feeling loved and cared for b. Feeling purposeful and fulfilled d. Changing religious affiliations ANS: B A sense of spiritual health simply means that we have a daily awareness that there is something more to living than mere human existence. People who have a sense of spiritual being find their lives to be positive experiences and feel good about the future. Belonging to a church, feeling loved and cared for, and changing religious affiliations are not identified as ways that one exemplifies a sense of spiritual health. PTS: 1 DIF: Cognitive Level: Application REF: p. 44 OBJ: Discuss the importance of caring for yourself. TOP: Spiritual awareness MSC: NCLEX®: Not applicable 8. Which of the following is an example of a self-defeating belief? a. I must always feel loved by everyone. c. I will get through nursing school. b. I am a caring person. d. I am getting better. ANS: A Feeling as though you need to be loved by everyone is a self-defeating belief because there will always be some individuals who do not care for you. It would be unrealistic and hence self-defeating to have or express the need to be loved by everyone. There are many ways to exercise our mental potential. One of the first ways is to concentrate on removing negative thoughts or self-defeating beliefs from our minds. Affirmations or positive statements, such as being a caring person, will get through nursing school, getting better with skills or recovering from an illness, and so on are ways to avoid self-defeating comments and behaviors. PTS: 1 DIF: Cognitive Level: Application REF: p. 39 OBJ: Identify strategies for self-care. TOP: Self-care MSC: NCLEX®: Not applicable 9. Which is an example of an effective self-care strategy for a nurse? a. Plan time for physical recuperation after working extra hours. b. Push feelings of sadness, joy, anger, and fear out of awareness. c. Use alcohol to reduce tension. d. Respond to people and opportunities reactively. ANS: A Taking care of ourselves physically entails getting proper nutrition and adequate sleep and exercising on a regular basis and planning for additional time to recuperate when working extra hours. Using alcohol or drugs only medicates feelings and is not considered an effective self-care strategy. Not dealing with feelings is a way to consciously suppress emotions, which can lead to a variety of anxiety disorders. Responding to people and opportunities in a reactive manner or a “knee-jerk” response, is not a good self-care strategy because the behavior can lead to poor decisions without adequate thought. PTS: 1 DIF: Cognitive Level: Application REF: pp. 43-44 OBJ: Identify strategies for self-care. TOP: Self-care MSC: NCLEX®: Not applicable 10. Nurse 1: “The manager told me that you and I have to change work schedules to accommodate Jim. That means we will both have to work days and nights in the same week. There’s nothing we can do about it.” Nurse 2: “Let’s take a minute and look at the possible alternatives.” What is the best assessment of this situation? a. Nurse 1 is exhibiting reactive behavior, and Nurse 2 is being proactive. b. Nurse 1 is exhibiting a sense of empowerment, and Nurse 2 is behaving codependently. c. Jim and the nurse manager have formed a coalition with the goal of dominating other staff. d. The nurse manager is evidencing good self-esteem by daring to take an unpopular action that will expose criticism. ANS: A Whereas nurse 1 is reacting to the situation, nurse 2 is taking time to assess the situation more thoroughly and see what choices they might have. Many of us go through life never realizing that we have many choices. You can choose to respond to people and situations rather than react. It is important to assess the situation and see what options are available and what the consequence of the options might be. Exercising our choice potential also entails that we act responsibly toward others. Codependent behavior is a type of control or enabling behavior. Empowerment is the power to do something and acting self-confidently to do so. The question is asking about the assessment of nurse 1 and nurse 2 responses, not the nurse manager. PTS: 1 DIF: Cognitive Level: Application REF: p. 46 OBJ: Identify strategies for self-care. TOP: Self-care—proactive response MSC: NCLEX®: Safe and effective care environment—management of care 11. A nurse has been out of school about 6 months. Which of the following would indicate that the nurse is having problems with burnout? a. Having chronic fatigue, increased irritability, and feelings of helplessness b. Feels angry regarding the type of care being delivered and scheduling of staff coverage c. Signs up for extra courses for an advanced degree and works double shifts for extra money d. Is disorganized regarding patient care and has to stay late to finish shift work ANS: A Fatigue, irritability, and feelings of helplessness are all early signs of burnout. Anger regarding care may be very appropriate; how the anger is directed is important. Overscheduling oneself is something that may promote early burnout, as are disorganization and poor time management. PTS: 1 DIF: Cognitive Level: Application REF: p. 38 OBJ: Describe early signs of burnout. TOP: Burnout MSC: NCLEX®: Not applicable 12. The nurse would identify which of the following strategies as a means of increasing feelings of empowerment? a. Requesting an assignment to a different hospital unit b. Assisting friends to cover their shifts when they need time off c. Telling a coworker that a joke heard in private was inconsiderate and thoughtless d. Declining to work an extra shift and going to the movies with friends ANS: D Taking care of oneself is critical to preventing burnout and increasing feelings of empowerment, such as declining to work an extra shift so you can participate in activities with friends and family. Take care of yourself first; then assist others as you are able. Moving to a different hospital unit may be a type of avoidance with an issue that is unresolved. Humor and laughter are important; however, if the joke was unethical, correcting the nurse would not increase empowerment. PTS: 1 DIF: Cognitive Level: Application REF: p. 44 OBJ:Describe early signs of burnout.TOP:Empowerment MSC: NCLEX®: Not applicable 13. What activity would most likely promote a positive feeling of well-being in a graduate nurse about 6 months after employment? a. Have a group of staff nurses over for a party. b. Participate in hospital-sponsored programs for community health. c. Spend some time with an old friend who is in the middle of a divorce. d. Get involved in a new hobby and attend social gatherings to meet new people. ANS: D Planning pleasurable activities, such as a hobby or attending a social gathering, that are not associated with nursing or other people’s problems can help you to reenergize and feel better about yourself. Having nurses over for a party or participating in hospital-sponsored programs would not give the graduate nurse the time needed away from nursing. Spending time with a friend going through a divorce would not promote a positive feeling of well-being in the graduate nurse. PTS: 1 DIF: Cognitive Level: Application REF: p. 44 OBJ:Identify strategies for self-care.TOP:Empowerment MSC: NCLEX®: Not applicable 14. A nurse is considering pursuing additional education in nursing and hopes to be promoted to a management position. What action should the nurse take to best achieve this? a. Wait until “the time is right” and inquire about program and promotion opportunities. b. Be the best nurse possible and hope a scholarship or promotion will be awarded. c. Set long-range, mid-range, and short-range goals with specific related activities and time frames to meet these goals. d. Read three books on time management. ANS: C Set goals so that you can prioritize your approach, along with identifying specific activities and time frames to work toward a management promotion are keys to success. Assess the situation and see what activities will provide the highest payoff. Waiting for the right time to achieve promotion, hoping for a scholarship or promotion, and reading books on time management are not effective; instead, the nurse must take action to achieve a goal. PTS: 1 DIF: Cognitive Level: Application REF: pp. 34-37 OBJ:Identify strategies for self-care.TOP:Time management MSC: NCLEX®: Not applicable 15. A student nurse is feeling stressed about the combination of nursing courses and clinical experience in the semester. What actions can the student nurse take to reduce stress level based on biological rhythms? a. Schedule difficult activities at high-energy times. b. Shorten sleep time to accommodate increased study times. c. Study before bedtime to increase memorization. d. Only study when not feeling stressed. ANS: A Student nurses should create schedules that work with their biological rhythms, such as scheduling difficult activities at their high-energy times. Shortening sleep, studying right before bed, and only studying when they are not feeling stressed are not advised. PTS: 1 DIF: Cognitive Level: Application REF: p. 25 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your time MSC: NCLEX®: Health promotion and maintenance 16. A nurse manager is assigning additional duties to the day shift nurses to keep the unit orderly and running smoothly. Which assignment would be the best for a right-brain–dominant nurse? a. Clean up the break room by noon. b. Assist with completing a unit project, based on specific rules and guidelines. c. Create a poster board in honor of Nurse’s Week. d. Take part in a meeting regarding unit policies. ANS: C Right-brain—dominant people resist rules and schedules and prefer to complete activities on their own time. Creating a poster board in honor of Nurse’s Week gives the right-brain–dominant nurse a chance to create in a personal way without rules and restrictions. Cleaning up the break room by noon, assisting with a unit project guided by rules and specific guidelines, and taking part in a unit policy meeting would be better suited for a left-brain–dominant nurse (structure, organization, rules, time limits, and priorities are important). PTS: 1 DIF: Cognitive Level: Analysis REF: p. 27 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your time MSC: NCLEX®: Safe and effective care environment 17. What action by student nurses indicates readiness for successful study habits? a. Combining their study area with the space that they use to pay bills b. Color coding their materials from each class c. Keeping all materials and papers in one bin d. Cleaning their study area at the end of each semester ANS: B To ensure success, students should first separate the area in which they study from the area where they pay bills. Second, students should color code their materials from each class to ensure that they can find what they need during study sessions. Students should separate out materials and discard what is no longer needed. Frequently cleaning their study area will help them maintain order. PTS: 1 DIF: Cognitive Level: Application REF: pp. 27-28 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your time MSC: NCLEX®: Not applicable 18. What actions can a student take to manage the phone calls received throughout the day? a. Set a specific time during the day for business or school related phone calls. b. Allow phones call at any time as long as they are short. c. If the student needs to leave a message, state that he/she can be contacted any time. d. Keep the phone turned off until all studying is completed for the day. ANS: A Students should set up a time during the day for all phone calls related to business or school. If students need to leave a message, they should state when they can be contacted. Keeping the phone turned off is not a realistic option. PTS: 1 DIF: Cognitive Level: Application REF: p. 29 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your time MSC: NCLEX®: Not applicable 19. A student wants to begin planning for future educational goals. Which of the following actions would NOT help the student plan? a. Review a list of goals once a year. c. Prioritize goals. b. Make a master list of goals. d. Cross out goals as they are met. ANS: A In planning goal-related activities, making a master list of goals and prioritizing the goal list are helpful strategies for completing activities and accomplishing goals. It is also helpful to cross off each goal, as it is completed. By doing so, provides a sense of accomplishment and immediate gratification for completing a goal. It is important to continually review the list of goals established to determine if activities or tasks need to be moved based on how quickly they need to be attended to. Reviewing a list of goals yearly would not be sufficient in helping the student plan for completing his/her educational goals. PTS: 1 DIF: Cognitive Level: Application REF: pp. 34-35 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your goals MSC: NCLEX®: Not applicable 20. Which of the following actions by the nurse helps to prevent burnout? a. Picking up extra shifts each week b. Staying late to help out at the end of each shift c. Scheduling a massage on a day off d. Teaching at the local community college one day a week ANS: C A fun, relaxing activity that is not work-related can help prevent burnout, such as scheduling a massage on a day off. Picking up extra shifts, staying late to help out at the end of the shift, and teaching part-time one day a week may lead to burnout if the nurse is not careful. PTS: 1 DIF: Cognitive Level: Application REF: pp. 35-37 OBJ:Identify strategies for self-care.TOP:Self-care strategies MSC: NCLEX®: Health promotion and maintenance 21. Which of the following statements by the nursing student is an affirmation? a. “I must maintain As in school.” b. “I am human and capable of making mistakes.” c. “If I fail at something, the results will be catastrophic.” d. “If I am not liked by everyone, I am a failure.” ANS: B Stating, “I am human and capable of making mistakes” is an affirmation or a positive statement concerning the ways we would like to think, feel, or behave. The other statements are self-defeating thoughts. PTS: 1 DIF: Cognitive Level: Application REF: p. 45 OBJ:Identify strategies for self-care.TOP:Self-care activities MSC: NCLEX®: Not applicable MULTIPLE RESPONSE 1. When taking an online or web-enhanced course, what are effective time management strategies? (Select all that apply.) a. Enroll in an online or web-enhanced course that has fewer than 15 students to reduce the amount of time it takes to respond to everyone in the class. b. Print your syllabus and create a calendar with assignment due dates and discussion posting requirements. c. Create a directory on your computer to place assignments and resources specific for the course. d. Determine what the best time is for logging into the course website and create a schedule for weekly log-in times. e. Develop an online group of colleagues that meet in the chat room or participate in instant messaging. ANS: B, C, D, E Online or web-enhanced courses can take as much, if not more, time as traditional face-to-face classes. The following are helpful strategies to improve time management involving the course: • Print the syllabus and place deadlines on your calendar before the first course meeting. • Identify how to contact your instructor and schedule online office hours in your calendar. • Schedule weekly times for logging into the class website. • Schedule a time for class work and select a specific site. • Develop collegial support groups. • Be active in the course by participating appropriately in discussion groups. • Establish an evidence-based file to download important articles (.pdf format). • Bookmark websites (but before bookmarking these, review the information; do not assume all sites are up to date and evidence based). PTS: 1 DIF: Cognitive Level: Application REF: p. 31 | p. 33 | p. 42 OBJ: Identify personal time management strategies. TOP: Time management MSC: NCLEX®: Not applicable 2. To achieve success in the workplace, which action by the nurse would focus on improving skills? (Select all that apply.) a. Taking a course on communication b. Thinking of a way to improve time management c. Understanding the layout of the hospital d. Spending some time working on organizational skills e. Knowing where supplies are on the unit ANS: B, D Employers of new graduates identify lack of organizational and time management skills as areas where new nurses need improvement and assistance. Focusing on improving these skills before employment will help the new nurse succeed. PTS: 1 DIF: Cognitive Level: Application REF: pp. 27-29 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your time MSC: NCLEX®: Not applicable 3. What actions by the student would manage the physical environment? (Select all that apply.) a. Set up an area that is specific to school work. b. Choose a work area that has soft, dim lighting. c. Choose a work area that is free from distractions. d. Gather appropriate tools before each study session begins. e. Study for 30 minutes at a time and take a 5-minute break in between. ANS: A, C, D To have success when studying, students should first set up an area that is specific to school work. Students should choose a work area that is free from distractions and gather appropriate tools needed for studying. Students should choose an area with adequate lighting and study in 50 minute sessions, taking a 10-minute break in between. PTS: 1 DIF: Cognitive Level: Application REF: pp. 27-29 OBJ: Identify your individual time style and personal time-management strategies. TOP: Managing your time MSC: NCLEX®: Not applicable 4. What actions can the nurse take to manage a habit of procrastinating? (Select all that apply.) a. Consider the consequences of not completing each activity. b. Start on time and plan for the project to end on time. c. Break projects into small, manageable pieces. d. Set up a reward system for project completion. e. Be realistic about what can be accomplished. ANS: A, C, D, E To avoid procrastination, the nurse should consider the consequences of not completing each activity. The nurse should break down projects into small, manageable pieces; set up a reward system; and be realistic about what can be accomplished. Projects should be started ahead of time and be planned to take 3 times as long to complete. PTS: 1 DIF: Cognitive Level: Application REF: pp. 31-32 OBJ: Discuss strategies that increase organizational skills and personal priority setting. TOP: Managing tasks MSC: NCLEX®: Not applicable 5. The nurse understands stress-related illness when stating which of the following? (Select all that apply.) a. “Stress can cause insomnia.” b. “Stress is known to cause muscle and joint pain.” c. “Stress can cause headaches.” d. “Stress is not known to cause any health problems.” e. “Stress can cause gastrointestinal disturbances.” ANS: A, B, C, E Stress is known to cause a variety of physical and psychological ailments, including insomnia, muscle and joint pain, headaches, and gastrointestinal disturbances. PTS: 1 DIF: Cognitive Level: Application REF: p. 41 OBJ:Describe early signs of burnout and how it affects nurses. Chapter 04: Employment Considerations: Opportunities, Resumes, and Interviewing MULTIPLE CHOICE 1. Which statement by the nursing student indicates an understanding of the purpose in setting a career goal? a. “To guarantee you will achieve your goal” b. “To keep you focused on your job search” c. “To help you define your professional identity” d. “To impress those part of the interview process” ANS: C A career goal defines who or what you wish to be professionally. In addition, it will help tie together the elements of your job search—the resume writing, research, employer contacts, and interview process—by giving you direction. Setting a career goal does not guarantee achievement of that goal. It does not help focus on the job search or impress those participating in the interview process. PTS: 1 DIF: Cognitive Level: Application REF: p. 73 OBJ: Assess trends in the job market. TOP: Career goals MSC: NCLEX®: Not applicable 2. A nursing professor correctly states the expectations of the job market for nursing as a. expected downsizing, decreased number of nursing positions. b. expected decrease in the number of unlicensed assistive personnel. c. expected increase in unlicensed assistive personnel: personnel. d. expected increased hiring of new graduates. ANS: D According to the Bureau of Labor Statistics 2012–2013 Occupational Outlook Handbook, “Employment of registered nurses is expected to grow 26 percent from 2010 to 2020, which is faster than the average for all occupations.” The nursing professor would be incorrect if her or she stated the expectations to be a decreased number of nursing positions or a decrease or increase in the number of unlicensed assistive personnel. PTS: 1 DIF: Cognitive Level: Application REF: p. 69 OBJ: Assess trends in the job market. TOP: Job trend MSC: NCLEX®: Not applicable 3. Which action by the graduate nurses shows understanding of resume writing? a. Ensures that all of the dates for their employment history are specific b. Does not overstate skills c. Includes a thorough discussion of experiences as a nursing student d. Includes only last two positions ANS: B A resume is a concise, factual presentation of a person’s educational and professional history, usually not more than two pages in length. It is important not to overstate skills. Graduate nurses should not include a thorough discussion of their experiences as a nursing student. They should include all employment positions within the past 7 years, including the months and years of employment. PTS: 1 DIF: Cognitive Level: Application REF: pp. 79-82 OBJ: Describe the key aspects of a resume. TOP: Resume Writing MSC: NCLEX®: Not applicable 4. The nursing professor is assisting a group of nursing students in creating resumes. The professor instructs them to include which of the following demographic data? a. Career goal c. Experience b. Address d. Education ANS: B The student’s name, address, telephone number, and e-mail address should be at the top of the resume page. Students should be sure to provide correct, current information so employers can easily access the contact information. Career goals, experience, and education are not considered to be demographic data. PTS: 1 DIF: Cognitive Level: Application REF: pp. 79-82 OBJ: Describe the key aspects of a resume. TOP: Resume Writing MSC: NCLEX®: Not applicable 5. Which statement by the graduate nurse indicates understanding of the importance of a cover letter? a. “It is optional.” b. “It is necessary only if your resume needs further explanation.” c. “It should recapitulate all of the important points of your resume.” d. “It should introduce you to the reader.” ANS: D Along with your resume, the nurse should enclose a cover letter that gives a brief introduction. The cover letter should summarize important strengths or give information regarding change of specialty (after you graduate and have experience). Remember that this letter should not be longer than one page. PTS: 1 DIF: Cognitive Level: Application REF: pp. 79-82 OBJ: Describe the key aspects of a resume. TOP: Resume Writing MSC: NCLEX®: Not applicable 6. A graduate nurse has not heard from a prospective employer 3 days after submitting a resume. Which action should the graduate nurse take? a. Call. c. Do nothing. b. Write a letter. d. Contact another employment setting. ANS: C Only a few days have passed, so do nothing. If the graduate nurse still has not heard from the prospective employer within 7 to 10 days, give the employer a call to make sure the resume and cover letter were received and to schedule an interview. PTS: 1 DIF: Cognitive Level: Application REF: pp. 91-93 OBJ: Review primary aspects of obtaining employment. TOP: Employment considerations MSC: NCLEX®: Not applicable 7. The nurse has an adequate understanding of employment benefits. Which of the following is not included in a benefits package? a. Health insurance c. Pensions b. Car insurance d. Disability coverage ANS: B Health insurance, pension, and disability are common in benefit packages; car insurance is not. PTS: 1 DIF: Cognitive Level: Application REF: pp. 79-82 OBJ: Review primary aspects of obtaining employment. TOP: Employment considerations MSC: NCLEX®: Not applicable 8. What is the best short-term objective for the resume of a new nursing graduate seeking employment on a medical-surgical unit? a. Obtain a position that further develops interests and skills. b. Provide a basis for moving up the career ladder to a supervisory position within 5 years. c. Acquire a staff nurse position with options to use tuition benefits to obtain advanced degrees. d. Obtain an entry-level position as a staff nurse on a medical-surgical unit. ANS: D As a new graduate, the best short-term career goal or objective would be to obtain an entry-level position as a staff nurse. Career objectives or goals are not end results (e.g., education or eventual administration positions) but steps to assist the graduate nurse to another point. The objective should be specific to what the nurse needs at the time. Obtaining a position that further develops interests and skills is a good choice, but obtaining an entry-level position on a medical-surgical unit is more specific for a recent graduate. PTS: 1 DIF: Cognitive Level: Application REF: pp. 79-82 OBJ: Review primary aspects of obtaining employment. TOP: Resume Writing MSC: NCLEX®: Not applicable 9. The nurse can list when of the following as information that is not routinely included in a resume? a. Age c. Professional memberships b. Education d. Occupational experience ANS: A A resume is a concise, factual presentation of a nurse’s education and professional history. Age is not considered an important point in a resume, and prospective employers cannot request this information during the interviewing process. Date of birth and so on may be asked at a later time during the employment process. Any type of occupational or work history is to be included along with membership in professional organizations. PTS: 1 DIF: Cognitive Level: Analysis REF: pp. 79-82 OBJ: Describe the important parts of a resume. TOP: Resume Writing MSC: NCLEX®: Not applicable 10. The nurse is applying for a job and is determining whether or not to submit a resume or a curriculum vitae. What is the difference between a resume and a curriculum vitae? a. A resume more accurately represents a nurse’s job and professional history. b. A curriculum vitae will get longer as the nurse becomes more professionally experienced. c. A resume will contain the nurse’s continuing education activities. d. The two are very similar and can be used interchangeably. ANS: B A curriculum vitae will become longer as it begins to reflect the nurse’s professional activities of continuing education, positions in professional organizations, and contributions to publications. Both a resume and curriculum vitae accurately represent job and professional history and contain continuing education activities. A curriculum vitae is used by individuals in academia. PTS: 1 DIF: Cognitive Level: Application REF: p. 81 OBJ: Identify the important parts of a resume. TOP: Resume Writing MSC: NCLEX®: Not applicable 11. Assuming all of the following statements are true, which should be included in a resume to highlight information that would be valuable to an employer? a. Desires annual salary of $30,000 to $32,000 b. Is fluent in American sign language c. Is president of state downhill ski club d. Plans to move out of state after 1 year of employment ANS: B The ability to use American sign language is a skill that would be worthwhile to the employer because it presents to the employer an extrapersonal skill. The salary, ski club, and relocation plans are not appropriate for a resume. PTS: 1 DIF: Cognitive Level: Application REF: pp. 85-86 OBJ: Identify the important parts of a resume. TOP: Resume Writing MSC: NCLEX®: Not applicable 12. The knowledgeable nurse can list which strategy as one that will foster a successful interview for the interviewee? a. Demonstrate interest in what the interviewer has to say. b. Exercise the option to disagree with the interviewer. c. Check off on a list when each item is covered by the interviewer. d. Answer questions with as much detail as possible. ANS: A Recruiters appreciate applicants who know some basic facts about their institution and show an interest in what the interviewer has to say. Becoming familiar with the institution before the interview will demonstrate interest. Do not contradict or argue with the interviewer. Answer questions succinctly and concisely; do not expound on ideas. PTS: 1 DIF: Cognitive Level: Application REF: p. 88 OBJ: Describe the essential steps in the interviewing process. TOP: Phases of the interview MSC: NCLEX®: Not applicable 13. During a job interview, the interviewee is asked, “What do you believe your weaknesses to be?” What is the best reply? a. “I’ve never thought about having any weaknesses.” b. “I’m looking forward to strengthening my ability to plan care for a group of patients.” c. “My instructors told me I was disorganized.” d. “My biggest problem is in planning and implementing discharge teaching.” ANS: B It is important to develop responses to probable interview questions. This is not an uncommon question, and the graduate nurse should prepare a positive response, such as “strengthening ability to plan for a group of patients.” Telling the interviewer that you never thought about your weaknesses or that you need help with planning and implementing discharge teaching does not indicate that you are prepared for the interview. The other option about admitting disorganization is not a positive response. PTS: 1 DIF: Cognitive Level: Application REF: p. 86 OBJ: Discuss typical questions asked by interviewers. TOP: Phases of the interview MSC: NCLEX®: Not applicable 14. Employment for new graduate nurses is scarce in your locale. What action might help the new graduate find out about job openings before others know about them? a. Attend job fairs. b. Read the newspaper employment section. c. Read bulletin boards in health care agency personnel offices. d. Send resumes and cover letters to all health care agencies within the region. ANS: C The bulletin board at the health care agency will have positions posted before they are formally advertised. Anyone can walk into an institution and review the bulletin board in the human resources office for positions currently available. Job fairs and newspapers advertise employment opportunities to the public. Sending resumes and cover letters to health care agencies does not help the new graduate find out about job openings before the public. PTS: 1 DIF: Cognitive Level: Application REF: p. 75 OBJ: Analyze your own priorities and needs in a job. TOP: Self-assessment MSC: NCLEX®: Not applicable 15. The graduate nurse interprets the phrase “dress for success” to mean which of the following? a. Wear a casual hairstyle and clothing that reflects your off-duty personality or hobbies. b. Buy new, very conservative dark clothing to wear. c. Select clothing that could be worn at a cocktail party. d. Wear a neat hairstyle and well-fitting, tailored, business-like clothes from your existing wardrobe. ANS: D The interviewer may judge the applicant’s professional skills by personal appearance. Does the applicant dress neatly, have clean fingernails, and have a neat hairstyle? A prospective employer may anticipate the type of employee the graduate nurse will be by observing dress and personal hygiene. Casual or inappropriate clothing (e.g., cocktail party attire) do not fulfill the phrase “dress for success.” It is not necessary to buy new clothing or wear something very dark and conservative. PTS: 1 DIF: Cognitive Level: Analysis REF: p. 87 OBJ: Describe the essential steps in the interviewing process. TOP: The interview process MSC: NCLEX®: Not applicable 16. The interviewer says, “We are looking for a bright, interested, empathetic, hard-working person for this position in oncology nursing. Do you fit this bill?” The new graduate nurse is interested, carried a straight C average, and has worked full time while going to school. Assuming the following statements are true, what would be the best answer? a. “I’m definitely interested in oncology, and I think I’m a hard worker. My instructor said I was developing empathy. My grade point average of C doesn’t reflect my real ability.” b. “My previous employer rated my work as excellent. It was there that I became interested in helping support oncology patients as they cope with their illness. I chose to do independent study on emotional reactions to the diagnosis of cancer and received an A.” c. “I worked full time while going to school, so my grades suffered. I’ve had my share of life’s disappointments, so I can sympathize with cancer patients. I will work hard, but I have to make time for my family, too.” d. “I’m interested. My parents always told me I was bright. I work as hard as the next person. I’ve learned not to get too involved with patients.” ANS: B The new graduate should focus on strengths and accomplishments during the interview. The interviewee should not provide information or make excuses for a C average. The interviewee should keep it professional (avoid comments about sympathizing with patients); the interviewer does not care about the applicant family’s opinion. PTS: 1 DIF: Cognitive Level: Application REF: p. 88 OBJ: Discuss typical questions asked by interviewers. TOP: The interview process MSC: NCLEX®: Not applicable 17. As the interview is drawing to a close, the interviewer asks the applicant, “What questions could I answer for you?” Which of the following questions would it be most advisable to ask to create a favorable impression? a. “What will happen if I am unable to meet the outcomes for the competency-based orientation?” b. “Do you still have tuition reimbursement for courses to obtain my next degree?” c. “How soon will I be responsible for supervision of other staff?” d. “After completing orientation, when will the first pay raise be given?” ANS: C Prepare a few questions!. This will be the applicant’s opportunity to gather important details and possibly impress the interviewer by showing interest in the position. Keep questions on the positive side and inquire about responsibilities of the position. It would be inappropriate to inquire about pay raises at this time. Inquiries about pay and tuition reimbursement would be appropriate after the job offer has been provided. PTS: 1 DIF: Cognitive Level: Application REF: p. 89 OBJ: Discuss typical questions asked by interviewers. TOP: The interview process MSC: NCLEX®: Not applicable 18. A new graduate uses social networking (i.e., Facebook) as a means of communicating with family and friends. What is important for the new graduate to consider when posting information on Facebook in terms of seeking employment? a. Use a professional photo, perhaps just a headshot. b. Set the Facebook site to public so recruiters can search and find. c. Provide pictures of family and friends and remove any inappropriate information. d. Avoid using social networking sites, such as Facebook and LinkedIn, because employers do not like them. ANS: A It is important to make a good impression with a potential employer; remember that the new graduate’s appearance on the social networking website will be what an employer first sees. Be sure to use a professional photo, perhaps just a headshot, and make the Facebook account private to prevent employers from searching for you if you want to use the Facebook account for family and friends. Potential employers may dismiss you as a candidate after viewing inappropriate photographs or information. LinkedIn is primarily a website for job networking. PTS: 1 DIF: Cognitive Level: Application REF: p. 76 OBJ: Review primary aspects of obtaining employment. TOP: Social networking MSC: NCLEX®: Not applicable 19. Which of the following assignments should the new nurse question before accepting? a. A 38-year-old man with cellulitis of the right arm b. A 25-year-old woman with a left femur fracture c. A charge nurse over the unit for the day d. A 50-year-old man with right hip replacement ANS: C New nurses should not be placed in the charge nurse role until the role of staff nurse has been mastered. New nurses who must accept the role of charge nurse should consider their resources in order to maintain safety for the patients. The other assignments are appropriate for the new nurse. PTS: 1 DIF: Cognitive Level: Analysis REF: p. 75 OBJ:Identify the primary aspects of obtaining employment. TOP:Researching prospective employers MSC: NCLEX®: Safe and effective care environment 20. A graduate nurse is in the process of applying for a first time nursing job. What should the graduate nurse keep in mind when using social media networks? a. There is no risk of potential employers searching for the nurse on social media websites. b. Employers cannot use material found on social media websites to eliminate candidates. c. A small percentage of recruiters have eliminated candidates based on material found on social media websites. d. As long as no identifying patient information is provided on the social media website, recruiters can overlook any videos posted about the patients the nurse has cared for. ANS: C It is important for the graduate nurse to keep in mind that recruiters search social media websites to gather information about candidates. It is reported that 35% of recruiters have eliminated candidates based on material found on social media websites. Recall that the nurse has an ethical obligation to maintain and protect patient privacy and confidentiality. The nurse should never share or post patient images, videos, or any information pertaining to a patient on any form of electronic media; this includes the use of cell phones, smartphones, cameras, and other electronic devices in the clinical setting. PTS: 1 DIF: Cognitive Level: Application REF: p. 76 OBJ: Identify the primary aspects of obtaining employment. TOP: Social networking MSC: NCLEX®: Safe and effective care environment 21. Which of the following actions by the graduate nurse would not be advised during an interview campaign? a. Plan 3 interviews in a day, b. Identify a date to begin employment. c. Ask questions about the interview process. d. Research the prospective employer. ANS: A The graduate nurse should identify a desirable date to begin employment, ask questions about the interview process, research the prospective employer, and plan no more than 2 interviews in one day. PTS: 1 DIF: Cognitive Level: Application REF: pp. 84-85 OBJ:Describe the essential steps involved in the interview process. TOP: The interview process MSC: NCLEX®: Not applicable 22. Which of the following actions would not help the graduate nurse prepare for an interview? a. Practice verbal responses to sample questions in front of a mirror. b. Ask a family member to play the role of the interviewer. c. Begin preparing for the interview the day before. d. Ask for constructive feedback regarding answers to sample questions. ANS: C The graduate nurse should practice verbal responses to sample questions in front of a mirror, ask a family member to play the role of the interviewer, and ask for constructive feedback regarding answers to sample questions. The graduate nurse should not begin preparing for the interview the day before; preparation should begin earlier. PTS: 1 DIF: Cognitive Level: Application REF: p. 86 OBJ:Identify the essential steps involved in the interview process. TOP: The interview process MSC: NCLEX®: Not applicable MULTIPLE RESPONSE 1. What actions should the graduate nurse take to assess an organization? (Select all that apply.) a. Talk to those who work in the organization of interest. b. Read the organization’s mission statement. c. Evaluate the reputation of the leadership. d. Listen to rumors about the organization. e. Read and analyze the recruitment materials. ANS: A, B, C, E To properly assess an organization, the graduate nurse should talk to those who work in the organization of interest, read the organization’s mission statement, evaluate the reputation of the leadership, and read and analyze the recruitment materials. PTS: 1 DIF: Cognitive Level: Application REF: pp. 74-75 OBJ:Identify the primary aspects of obtaining employment. TOP: What do I need to know to assess the organization? MSC: NCLEX®: Not applicable 2. The graduate nurse understands information that is necessary for a resume when making which of the following statements? (Select all that apply.) a. “I need to include my name, address, and phone number.” b. “I should include the name of the position that I am applying for.” c. “I need to include where I received my educational training.” d. “I need to list my previous employer(s).” e. “I should include avoid putting references on my resume.” f. “I should list my age and marital status.” ANS: A, B, C, D The graduate nurse should include the following on a resume: name, address, phone number, name of position applying for, educational training, previous employer(s), and references. Age and marital status are not included on the resume. This information will be obtained by human resources after the person has been hired. PTS: 1 DIF: Cognitive Level: Application REF: pp. 79-82 OBJ:Describe the key aspects of a resume. TOP: What information is necessary for a resume MSC: NCLEX®: Not applicable 3. Which of the following actions should the graduate nurse take to ensure a great first impression? (Select all that apply.) a. Arrive at the interview right on time. b. Establish eye contact during the interview. c. Minimize distracting nervous mannerisms. d. Show enthusiasm and body language. e. Smile when introduced. ANS: B, C, D, E The graduate nurse should establish eye contact during the interview, minimize distracting nervous mannerisms, show enthusiasm and body language, and smile when introduced. The graduate nurse should arrive 10 to 15 minutes early to gather information about the organization or spend more time with the interviewer. PTS: 1 DIF: Cognitive Level: Application REF: pp. 85-86 OBJ:Describe the essential steps involved in the interview process. TOP: Strategies for interview success MSC: NCLEX®: Not applicable nursing today transition and trends - test banks nursing today transition and trends quizlet, nursing today transition and trends pdf, nursing today transition and trends 10th edition, nursing now today's issues tomorrows trends test bank,

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,Chapter 01: Reality Shock

MULTIPLE CHOICE

1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of
role transition when making which of the following statements?

a. “I am so nervous about being on my own as a nurse.”

b. “This will be a great learning experience.”

c. “I can’t wait to have a steady paycheck.”

d. “This job is perfect. I can finally do things my own way.”


ANS: D

The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves into
the workforce after several years of educational preparation. Recovery and resolution occur when the graduate
nurse is able to laugh at encountered situations. During this time, tension decreases, perception increases, and
the nurse is able to grow as a person.

PTS: 1 DIF: Cognitive Level: Application REF: p. 7

OBJ: Identify the characteristics of reality shock. TOP: Reality shock

MSC: NCLEX®: Safe and effective care environment—management of care

2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover from
reality shock?

a. Networking c. Returning to school

b. Obtaining a mentor d. Joining a support group


ANS: C

The transition period is successfully managed when the graduate is able to evaluate the work situation
objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see humor in
a situation may be a first step. Returning to school is a positive step after the graduate has worked through role
transition, has some clinical experience, and is ready to focus on a new career objective. Networking, obtaining
a mentor, and joining a support group would give the graduate nurse an opportunity to talk to others
experiencing the stress associated with reality shock. The nurse would benefit from ‘talking through’ issues
and learning how to cope.

PTS: 1 DIF: Cognitive Level: Application REF: p. 8

OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock

MSC: NCLEX®: Safe and effective care environment—management of care

,3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?

a. Refusing to constantly work extra shifts

b. Withdrawing from peer support group

c. “Going native”

d. Changing jobs every 6 to 12 months


ANS: A

One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with your mental
and physical health being the highest priority. Learning to say “no” to extra shifts is a positive means of coping
of avoiding burnout. “Going native” is the term that describes how recent graduates begin to copy and identify
the reality of their role transition experience by rejecting the values from nursing school and functioning more
like a team member at their place of employment. Withdrawing from peer support groups, “going native,” and
changing jobs every 6 to 12 months would increase the chance of the nurse experiencing burnout. The nurse
should instead focus on his/her practice and seek out support from other nurses.

PTS: 1 DIF: Cognitive Level: Application REF: p. 9

OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock

MSC: NCLEX®: Safe and effective care environment—management of care

4. Which of the following statements by the graduate nurse shows an understanding of reality shock as it
applies to nursing?

a. “ Reality shock is the period when a person moves from school into the workforce.

b. “Reality shock is the realization that practice and education are not the same.”

c. “Reality shock is the period from graduation to becoming an experienced nurse.”

d. “Reality shock is a transition phase that new graduates go through before changing jobs.”


ANS: A

“Reality shock” is a term often used to describe the reaction experienced when one moves into the workforce
after several years of educational preparation. The new graduate is caught in the situation of moving from a
familiar, comfortable educational environment into a new role in the workforce where the expectations are not
clearly defined or may not even be realistic. The realization that practice and nursing school are not the same is
often associated with “going native.” When nurses move from one position to another, they have already
experienced reality shock. Becoming an experienced nurse takes time and is not part of the definition of reality
shock.

PTS: 1 DIF: Cognitive Level: Application REF: p. 6

OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock

MSC: NCLEX®: Not applicable

, 5. A student in the last semester of nursing school has established a goal of making a successful role transition
to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal?

a. “I should care for increased numbers of patients to enhance work organization skills.”

b. “I will observe staff nurses as they perform nursing procedures to refine technique.”

c. “I should seek increasingly close guidance from the nursing instructor to reduce errors.”

d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”


ANS: A

It is important for the student to start taking care of increased numbers of patients to help with time
management and work organization. The student should also be able to function without close guidance from
the nursing instructor. Although it is good for students to observe staff, a student in the final semester should
be able to perform tasks with minimal observation and should instead focus on implementing care and time
management. Waiting 7 weeks to evaluate progress would not be helpful to the student. Although regular self-
evaluation is an important process, it is the actual experience of taking realistic patient assignments and
working typical shift hours that assists with successful role transition.

PTS: 1 DIF: Cognitive Level: Application REF: p. 6

OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock

MSC: NCLEX®: Not applicable

6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: “It feels
great to be a nurse! In fact, it’s a snap! I can hardly believe there’s no instructor looking over my shoulder.”
What phase of reality shock is the graduate experiencing?

a. Recovery c. Honeymoon

b. Shock and rejection d. Transition


ANS: C

In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled with
completing school and accepting the first job. Life is a bed of roses because everyone knows nursing school is
much harder than nursing practice. Shock and rejection occur as the nurse tries to understand how nursing
school and the “real world” come together. Transition occurs as the nurse begins the move from student to
nurse and refers to the entire process, not just a particular phase. The recovery phase is when the nurse can
laugh at situations that he/she is in and is able to cope with the situations that are being faced.

PTS: 1 DIF: Cognitive Level: Application REF: p. 7

OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock

MSC: NCLEX®: Not applicable

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