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Chapters 1 - 26 | All Chapters
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, Test Bank - Nursing Today: Transition and Trends, 11th Edition
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TABLE OF CONTENTS j8 j8
,Chapter 01: Role Transitions j8 j8 j8
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abirb.com/test
MULTIPLE CHOICE j8
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is inthe
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. honeymoon phase of role transition when making which of the following
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j8 statements? a. “I am so nervous about being on my own as a nurse.” j 8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8
b. “This will be a great learning experience.” j8 j8 j8 j8 j8 j8 .
c. “I can’t wait to have a steady paycheck.”
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d. “This job is perfect. I can finally do things my own way.” j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8
ANSWER: D j8 .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy.
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Often, the new graduate is fascinated with the thrill of arriving in the profession. Reality
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shock occurs when one moves into the workforce after several years of educational
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preparation. Recovery and resolution occur when the graduate nurse is able to laugh at .
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encountered situations. During this time, tension decreases, perception increases, and the
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nurse is able to grow as a person.
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PTS: 1 j8 DIF: Cognitive Level: Application/Applying j8 j8 j8
REF: Table 1.1 j8 j8 OBJ: Identify the characteristics of reality shock.
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TOP: Reality shock j8 j8 MSC: NCLEX®: Safe and effective care environment j8 j8 j8 j8 j8 j8
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2. Which of the following actions by the graduate nurse is an inappropriate methodologyto
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a. Networking .
b. Obtaining a mentor j8 j8
c. Returning to school j8 j8
d. Joining a support group j8 j8 j8
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ANSWER: C j8
The transition period is successfully managed when the graduate is able to evaluate the
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work situation objectively and predict effectively the actions and reactions of other staff.
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Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a positive
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step . after the graduate has worked through role transition, has some clinical experience,
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and is ready to focus on a new career objective. Networking, obtaining a mentor, and
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joining a support group would give the graduate nurse an opportunity to talk to others
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experiencing the .
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, stress associated with reality shock. The nurse would benefit from “talking through” issues
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and learning how to cope.
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PTS: 1 j8 DIF: Cognitive Level: Application/Applying . j8 j8 j8 j8
REF: p. 9 j8 j8 OBJ: Describe methods to promote a successful transition.
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TOP: Reality shock
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MSC: NCLEX®: Safe and effective care environment Not applicable
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3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve
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this?
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a. Refusing to constantly work extra shifts j8 j8 j8 j8 j8 .
b. Withdrawing from peer support group j8 j8 j8 j8
c. “Going native” j8
d. Changing jobs every 6 to 12 months . j8 j8 j8 j8 j8 j8 j8
ANSWER: A j8
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 avoiding burnout. “Going native” is the term that .
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describes how recent graduates begin to copy and identify the reality of theirrole-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. The nurse should instead focus on his/her practice and seek out support from
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other nurses.
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PTS: 1 DIF: Cognitive Level: Application/Applying
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REF: p. 7 OBJ: Describe methods to promote a successful transition.
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TOP: Reality shock
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MSC: NCLEX®: Safe and effective care environment Not applicable .
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4. Which of the following statements by the graduate nurse shows an understanding of
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reality shock as it applies to nursing? .
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a. “Reality shock is the period when a person moves from school into the j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8
b. workforce.”“Reality shock is the realization that practice and education are not the j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8
same.”
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c. “Reality shock is the period from graduation to becoming an experienced nurse.”. j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8
d. “Reality shock is a transition phase that new graduates go through before changing j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8 j8
jobs.”
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ANSWER: A j8 .