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NURSING TODAY ;l
TRANSITION AND
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TRENDS9THEDITION
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BY ZERWEKH All
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chapters
, TEST BANK FOR NURSING TODAY
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TH
TRANSITION AND TRENDS 9 EDITION BY
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ZERWEKH ;l
All chapters
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,Chapter 01: Role Transitions
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Zerwekh: Evolve Resources for Nursing Today, 9th Edition
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MULTIPLE CHOICE ;l
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the
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;l honeymoon phase of role transition when making which of the following statements?
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a. ―I am so nervous about being on my own as a nurse.‖
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b. ―This will be a great learning experience.‖ ;l ;l ;l ;l ;l ;l
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.‖
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ANS: ; l D
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 DIF: Cognitive Level: Application/Applying ;l ;l
REF: Table 1.1 OBJ: Identify the characteristics of reality shock. ;l ;l ;l ;l ;l ;l
TOP: Reality shock MSC: NCLEX®: Safe and effective care ;l ; l ;l ;l ;l ;l
environment ;l
2. Which of the following actions by the graduate nurse is an inappropriate methodology to
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;l recover from reality shock? ;l ;l ;l
a. Networking
b. Obtaining a mentor ;l ;l
c. Returning to school ;l ;l
d. Joining a support group ;l ;l ;l
ANS: ; l C
The transition period is successfully managed when the graduate is able to evaluate the work
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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
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positive step after the graduate has worked through role transition, has some clinical
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experience, and is ready to focus on a new career objective. Networking, obtaining a mentor,
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and joining a support group would give the graduate nurse an opportunity to talk to others
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experiencing the stress associated with reality shock. The nurse would benefit from ―talking
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through‖ issues and learning how to cope.
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PTS: 1 DIF: Cognitive Level: Application/Applying
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REF: p. 9 OBJ: Describe methods to promote a successful
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transition. 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 ;l ;l ;l ;l ;l
b. Withdrawing from peer support group ;l ;l ;l ;l
, c. ―Going native‖ ;l
d. Changing jobs every 6 to 12 months ;l ;l ;l ;l ;l ;l
abirb.com/test
ANS: ; l A
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. ― aGb oi r bi .nc ogmn/ t ae st it ve‖ is the term that
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describes how recent graduates begin to copy and identify the reality of their role-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 native,‖
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a bi rb .c o m /t es t ;l
and changing jobs every 6 to 12 months would increase th e c h a n c e o f the nurse experiencing
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burnout. The nurse should instead focus on his/her practice and seek out support from other
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nurses.
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abirb.com/test
PTS: 1 DIF: Cognitive Level: Application/Applying
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REF: p. 7 OBJ: Describe methods to promote a successful
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transition. TOP: Reality shock
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MSC: NCLEX®: Safe and effective care environment Not appalibcirabb.cloem/test
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4. Which of the following statements by the graduate nurse shows an understanding of reality
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shock as it applies to nursing? ;l ;l
abirb.com/test
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a. ―Reality shock is the period when a person moves from school into the ;l ;l ;l ;l ;l ;l ;l ;l ;l ;l ;l ;l
workforce.‖ ;l
b. ―Reality shock is the realization that practice and education are not the same.‖;l ;l ;l ;l ;l ;l ;l ;l ;l ;l ;l ;l
c. ―Reality shock is the period from graduation to b ecomai bni gr b . ac onme/ t xe spt erienced nurse.‖
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d. ―Reality shock is a transition phase that new graduates go through before changing
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jobs.‖ ;l
ANS: abirb.com/test
A
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―Reality shock‖ is a term often used to describe the reaction experienced when one moves into
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the workforce after several years of educational preparation. The new graduate is caught in the
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situation of moving from a familiar, comfortable edu cat i o na bai lr be. cno vmi/ treosnt ment into a new role in
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the workforce where the expectations are not clearly defined or may not even be realistic. The
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realization that practice and nursing school are not the same is often associated with ―going
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native.‖ When nurses move from one position to another, they have already experienced
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reality shock. Becoming an experienced nurse takes time aanb idr b .icso mn /ot et s pt art of the definition of
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reality shock.
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PTS: 1 DIF: Cognitive Level: Application/Applying
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REF: p. 5
; l OBJ: Identify the characteristics of
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a b i rb . c om /t e s t
reali t y s h o ck .
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TOP: Reality shock ; l MSC: NCLEX®: Not applicable ;l ; l ;l ;l
5. A student in the last semester of nursing school has es tabliasbhi r eb .dc oam /gt eos at l of making a successful
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role transition to graduate nurse. Which statement by the student indicates his/her
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understanding of how to achieve this goal?
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a. ―I should care for increased numbers of patients to enhance work organization
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skills.‖ abirb.com/test
b. ―I will observe staff nurses as they perform nursing procedures to refine
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technique.‖ ;l
c. ―I should seek increasingly close guidance from the nuarbsi ribn. cgo mi n/ t se st rt uctor to reduce
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errors.‖ ;l
abirb.com/test
abirb.com/test
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