,Chapter01:RoleTransitions
.
abirb.com/test
MULTIPLECHOICE
1. Agraduate nursehas been hired as anurse at a local hospital. Thenew nurseis inthe . xi
honeymoon phase of role transition when making which of the following statements?
a. ―I am so nervous about being on myown as a nurse.‖
b. ―This will bea great learning experience.‖
xi . xi
c. ―Ican‘t wait to havea steadypaycheck.‖
d. ―This job is perfect. I can finallydo things myown way.‖
xi xi xi xi xi xi xi xi xi xi xi
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. Realityshock 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 . encounteredsituations. During
this time, tensiondecreases, perceptionincreases, and thenurse is able to grow as a person.xi xi
.
PTS: 1 DIF:Cognitive Level: Application/Applying
REF: Table 1.1 OBJ: Identifythecharacteristicsofrealityshock.
TOP: Realityshock MSC:NCLEX®: Safeandeffective careenvironment xi xi
.
2. Which ofthe followingactions bythe graduate nurseis an inappropriate methodologyto
recover from realityshock?
a. Networking .
b. Obtaininga mentor xi
c. Returningtoschool xi
d. Joininga support group
xi
.
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work
situation objectivelyand predict effectivelytheactions and reactions ofotherstaff.
Nurturing
the abilityto seehumor in a situation maybe a first step. Returning to school is apositivestep .
xi xi
after the graduate has worked through role transition, has some clinical experience,and is xi
ready to focus on a new career objective. Networking, obtaining a mentor, and joining a
support group would give the graduate nurse an opportunityto talk to others
experiencing the
stress associated with realityshock. The nursewould benefit from ―talking through‖ issuesand xi
learning how to cope.
, PTS: 1 DIF:CognitiveLevel:Application/Applying. xi
REF: p. 9 OBJ: Describe methodstopromote a successful xi
transition.TOP: Reality shock
xi
MSC: NCLEX®: SafeandeffectivecareenvironmentNotapplicable
.
3. Anurseis tryingto avoid burnout. Which ofthe following actions is a valid wayto achievethis?
xi xi xi
a. Refusing to constantlywork extra shifts
xi xi xi xi xi
.
b. Withdrawingfrom peer support group
c. ―Goingnative‖
d. Changing jobs every6 to 12 months .
xi
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 copyand identifythe realityoftheirrole-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. Thenurseshould instead focuson his/herpractice and seek out support fromother
xi xi xi
nurses.
.
PTS: 1 DIF:Cognitive Level: Application/Applying
REF: p. 7 OBJ: Describe methods to promote asuccessful xi xi
transition.TOP: Reality shock
MSC: NCLEX®: Safeand effective careenvironmentNot applicable .
xi
4. Which ofthe following statements bythe graduate nurseshows an understanding
xi
ofreality shock as it applies to nursing? .
a. ―Realityshock is the period when a person moves from school into the
b. workforce.‖―Realityshock istherealization thatpractice and education are not
thesame.‖
xi
c. ―Realityshock istheperiod from graduation to becoming an experienced nurse.‖.
d. ―Realityshock is a transition phasethatnew graduates go throughbefore
xi
changingjobs.‖ xi
, ANS A―Realityshock‖ is a term oftenused todescribethe reaction experienced when
one movesinto the workforce after several years of educational preparation. The new
xi
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, theyhave alreadyexperienced
realityshock. Becomingan experienced nursetakes time andis not part ofthe definitionof . xi
realityshock.
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p.
5OBJ: Identify the characteristics of realityshock.
TOP: Realityshock MSC:NCLEX®: Not applicable xi
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
indicateshis/her understanding of how to achieve this goal?
xi
a. ―Ishould care for increased numbers of patients to enhance work
xi xi xi xi xi xi xi xi xi xi
organizationskills.‖
xi . xi
b. ―Iwill observestaffnurses as theyperform nursingprocedures to
refinetechnique.‖
xi
c. ―Ishould seek increasinglyclose guidance from the nursinginstructor to reduce .
errors.‖
d. ―Iwill evaluate myprogress every7 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
functionwithout close guidance from the nursing instructor. Although it is good for students
xi
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
xi
progress would not behelpful tothestudent. Although regularself-evaluation is animportant xi
process, it is the actual experience of taking realistic patient assignments and . working typical xi
shift hours that assists with successful role transition.
PTS: 1 DIF:CognitiveLevel:Application/Applying
.
abirb.com/test
MULTIPLECHOICE
1. Agraduate nursehas been hired as anurse at a local hospital. Thenew nurseis inthe . xi
honeymoon phase of role transition when making which of the following statements?
a. ―I am so nervous about being on myown as a nurse.‖
b. ―This will bea great learning experience.‖
xi . xi
c. ―Ican‘t wait to havea steadypaycheck.‖
d. ―This job is perfect. I can finallydo things myown way.‖
xi xi xi xi xi xi xi xi xi xi xi
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. Realityshock 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 . encounteredsituations. During
this time, tensiondecreases, perceptionincreases, and thenurse is able to grow as a person.xi xi
.
PTS: 1 DIF:Cognitive Level: Application/Applying
REF: Table 1.1 OBJ: Identifythecharacteristicsofrealityshock.
TOP: Realityshock MSC:NCLEX®: Safeandeffective careenvironment xi xi
.
2. Which ofthe followingactions bythe graduate nurseis an inappropriate methodologyto
recover from realityshock?
a. Networking .
b. Obtaininga mentor xi
c. Returningtoschool xi
d. Joininga support group
xi
.
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work
situation objectivelyand predict effectivelytheactions and reactions ofotherstaff.
Nurturing
the abilityto seehumor in a situation maybe a first step. Returning to school is apositivestep .
xi xi
after the graduate has worked through role transition, has some clinical experience,and is xi
ready to focus on a new career objective. Networking, obtaining a mentor, and joining a
support group would give the graduate nurse an opportunityto talk to others
experiencing the
stress associated with realityshock. The nursewould benefit from ―talking through‖ issuesand xi
learning how to cope.
, PTS: 1 DIF:CognitiveLevel:Application/Applying. xi
REF: p. 9 OBJ: Describe methodstopromote a successful xi
transition.TOP: Reality shock
xi
MSC: NCLEX®: SafeandeffectivecareenvironmentNotapplicable
.
3. Anurseis tryingto avoid burnout. Which ofthe following actions is a valid wayto achievethis?
xi xi xi
a. Refusing to constantlywork extra shifts
xi xi xi xi xi
.
b. Withdrawingfrom peer support group
c. ―Goingnative‖
d. Changing jobs every6 to 12 months .
xi
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 copyand identifythe realityoftheirrole-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. Thenurseshould instead focuson his/herpractice and seek out support fromother
xi xi xi
nurses.
.
PTS: 1 DIF:Cognitive Level: Application/Applying
REF: p. 7 OBJ: Describe methods to promote asuccessful xi xi
transition.TOP: Reality shock
MSC: NCLEX®: Safeand effective careenvironmentNot applicable .
xi
4. Which ofthe following statements bythe graduate nurseshows an understanding
xi
ofreality shock as it applies to nursing? .
a. ―Realityshock is the period when a person moves from school into the
b. workforce.‖―Realityshock istherealization thatpractice and education are not
thesame.‖
xi
c. ―Realityshock istheperiod from graduation to becoming an experienced nurse.‖.
d. ―Realityshock is a transition phasethatnew graduates go throughbefore
xi
changingjobs.‖ xi
, ANS A―Realityshock‖ is a term oftenused todescribethe reaction experienced when
one movesinto the workforce after several years of educational preparation. The new
xi
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, theyhave alreadyexperienced
realityshock. Becomingan experienced nursetakes time andis not part ofthe definitionof . xi
realityshock.
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p.
5OBJ: Identify the characteristics of realityshock.
TOP: Realityshock MSC:NCLEX®: Not applicable xi
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
indicateshis/her understanding of how to achieve this goal?
xi
a. ―Ishould care for increased numbers of patients to enhance work
xi xi xi xi xi xi xi xi xi xi
organizationskills.‖
xi . xi
b. ―Iwill observestaffnurses as theyperform nursingprocedures to
refinetechnique.‖
xi
c. ―Ishould seek increasinglyclose guidance from the nursinginstructor to reduce .
errors.‖
d. ―Iwill evaluate myprogress every7 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
functionwithout close guidance from the nursing instructor. Although it is good for students
xi
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
xi
progress would not behelpful tothestudent. Although regularself-evaluation is animportant xi
process, it is the actual experience of taking realistic patient assignments and . working typical xi
shift hours that assists with successful role transition.
PTS: 1 DIF:CognitiveLevel:Application/Applying
