TABLE OF
CONTENTS
,Chapter 01: Role Transitions abirb.com/test
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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.”
ANSWER: 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.
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PTS: 1 DIF: Cognitive Level: Application/Applying
REF: Table 1.1 OBJ: Identify the characteristics of reality shock.
TOP: Reality shock MSC: NCLEX®: Safe and effective care environment
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2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
a. Networking .
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
.
ANSWER: 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
.
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, stressgassociatedgwithgrealitygshock.gThegnursegwouldgbenefitg fromg“talkingg through”g issues
andg learningghowgtogcope.
PTS:g1 DIF:gCognitivegLevel:gApplication/Applyingg.
REF:gp.g9
OBJ:gDescribegmethodsgtogpromotegagsuccessfulgtransition.g T
OP:gRealitygshock
MSC:gNCLEX®:gSafegandgeffectivegcaregenvironmentgNotgapplicable
.
3. Agnurseg isgtryinggtog avoidgburnout.gWhichgofgtheg followinggactionsgisgagvalidgwaygtog achieveg this?
a. Refusinggtogconstantlygworkgextragshifts .
b. Withdrawinggfromgpeergsupportggroup
c. “Goinggnative”
d. Changinggjobsgeveryg6gtog12gmonthsg.
ANSWER:gA
Onegofgthegquickestg waysgtogexperiencegburnoutgisgtog“overworkgthegovertime.”gSetg prioritiesgwit
hgyourg mentalgandgphysicalghealthgbeinggtheghighestg priority.gLearninggtogsayg “no”gtogextragshiftsg
isgagpositiveg meansgofgcopinggofgavoidingg burnout.g“Goingg native”g isg thegtermgthatg .gdescribesgho
wgrecentg graduatesgbegingtogcopygandgidentifygthegrealitygofgtheirg role-
transitiongexperienceg bygrejectinggthegvaluesgfromgnursinggschoolgandg functioningg moreg likegagte
amgmembergatgtheirgplacegofgemployment.gWithdrawingg fromgpeergsupportg groups,g“goinggnativ
e,”g.gandgchangingg jobsgeveryg6gtog 12gmonthsgwouldg increasegtheg chancegofgthegnursegexperiencin
g
burnout.gThegnursegshouldg insteadgfocusgonghis/hergpracticegandgseekgoutgsupportg fromg othe
rg nurses.
.
PTS:g1 DIF:gCognitivegLevel:gApplication/Applying
REF:gp.g7
OBJ:gDescribegmethodsgtogpromotegagsuccessfulgtransition.g T
OP:gRealitygshock
MSC:gNCLEX®:gSafegandgeffectivegcaregenvironmentgNotgapplicableg.
4. Whichgofgtheg followinggstatementsgbygtheggraduategnursegshowsgangunderstandingg ofg real
ityg shockgasgitg appliesgtog nursing?g .
a. “Realitygshockg isgthegperiodgwhengagpersongmovesgfromgschoolgintogthe
b. workforce.”“Realitygshockgisgthegrealizationgthatg practicegandgeducationgaregnotgtheg sam
e.”
c. “Realitygshockg isgthegperiodg fromggraduationgtogbecominggangexperiencedgnurse.”.
d. “Realitygshockgisgagtransitiongphasegthatg newggraduatesggogthroughgbeforegchangingg jobs
.”
ANSWER:gA
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