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TABLE OF CONTENTS h h
,Chapter01:RoleTransitions h h h
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MULTIPLE CHOICE h
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the .
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honeymoon phase of role transition when making which of the following statements? a.
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“I am so nervous about being on my own as a nurse.”
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b. “This will be a great learning experience.” . h h h h h h
c. “I can’t wait to have a steady paycheck.”
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d. “This job is perfect. I can finallydo things myown way.” h h h h h h h h h h h
ANSWER: D h .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often,
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the new graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs
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when one moves into the workforce after several years of educational preparation. Recovery
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and resolution occur when the graduate nurse is able to laugh at . encountered situations.
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During this time, tension decreases, perception increases, and the nurse is able to grow as a
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person.
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PTS: 1 h DIF: Cognitive Level: Application/Applying
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REF: Table 1.1 h h OBJ: Identify the characteristics of reality shock.
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TOP: Reality shock h h MSC: NCLEX®: Safeand effective care environment h h h h h h
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2. Which of the following actions by the graduate nurse is an inappropriate methodology to
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hrecover from reality shock? h h h
a. Networking .
b. Obtaining a mentor h h
c. Returning to school h h
d. Joining a support group h h h
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ANSWER: C h
The transition period is successfully managed when the graduate is able to evaluate the work
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hsituation objectivelyand 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 step .
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after the graduate has worked through role transition, has some clinical experience, and is ready to
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hfocus on a new career objective. Networking, obtaining a mentor, and joining a support group
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would give the graduate nurse an opportunity to talk to others 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 h DIF: Cognitive Level: Application/Applying . h h h h
REF: p. 9 h h OBJ: Describe methods to promote a successful transition.
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TOP: Reality shock
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MSC: NCLEX®: Safeand 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 this?
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a. Refusing to constantlywork extra shifts h h h h h
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b. Withdrawing from peer support group h h h h
c. “Going native” h
d. Changing jobs every 6 to 12 months . h h h h h h h
ANSWER: A h
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with
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your mental and physical health being the highest priority. Learning to say “no” to extra shifts is a
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positive means of coping of avoiding burnout. “Going native” is the term that . describes how
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recent graduates begin to copy and identify the reality of their role-transition experience by
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rejecting the values from nursing school and functioning more like a team member at their place
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of employment. Withdrawing from peer support groups, “going native,” . and changing jobs
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every 6 to 12 months would increase the chance of 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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hnurses.
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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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h reality shock as it applies to nursing? .
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a. “Realityshock is the period when a person moves from school into the h h h h h h h h h h h h
b. workforce.”“Reality shock is the realization that practice and education are not the h h h h h h h h h h h
h same.”
c. “Realityshock is the period from graduation to becoming an experienced nurse.”.
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d. “Reality shock is a transition phase that new graduates go through before changing
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h jobs.”
ANSWER: A h
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