Test Bank - Nursing Today: Transition and Trends 9th Edition by JoAnn Zerwekh, All Chapters Included

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NURSINGTODAYTRANSITION ANDTRENDS9TH
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Chapter01:RealityShock f f f




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1. A graduate nurse has been hired as a nurseat a local hospital. The new nurse is in the
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honeymoon phase of
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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.”
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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: D ff




The honeymoon phase is when the student nurse sees the world of nursing as
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quite rosy. Often, the new graduate is fascinated with the thrill of arriving in the
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profession. Reality shock occurs when one moves into the workforce after several
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years ofeducational preparation. Recoveryand resolutionoccur when the graduate
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nurse is able to laugh at encountered situations. During this time, tension
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decreases, perception increases, and the nurse is able to grow as a person.
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PTS:1 DIF: Cognitive Level: ApplicationREF: p.7
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OBJ:IdentifythecharacteristicsofrealityshoNc kU.RTSOI
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PN:GRTeBa.lCityO Mshock MSC: NCLEX®: Safe andeffective care
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environment—management of care
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2. Which of the following actions bythe graduate nurse is an inappropriate
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ff methodologyto recover from realityshock? f ff ff ff f




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a. Networking c. Returning to school ff ff




b. Obtaining a mentor ff ff d. Joininga support group f ff ff




ANS: C ff




The transition period is successfully managed when the graduate is able to
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evaluate the work situation objectivelyand predict effectivelythe actions and
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reactions of other staff. Nurturing the abilityto see humor in a situation maybe a
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first step. Returning to school is a positive step after the graduate has worked
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through role transition, has some clinical experience, and is readyto focus ona new
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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
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through’ issues and learning how to cope.
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PTS:1 DIF: Cognitive Level: ApplicationREF: p.8
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OBJ: Describefour possible resolutions for realityshock.
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ff TOP: Realityshock MSC: NCLEX®: Safe and effective care
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environment—management of care
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3. A nurse is tryingto avoid burnout. Whichof thefollowing actions is a validwayto achieve this?
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a. Refusingto constantly work extra shifts f ff ff ff ff




b. Withdrawing from peer support group ff ff ff ff




c. “Going native” ff




d. Changing jobs every 6 to 12 months ff ff ff ff ff ff




ANS: A ff




One of the quickest ways to experience burnout is to “overwork the overtime.” Set
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priorities with your mental and physical health being the highest priority. Learning
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to say “no” to extra shifts is a positive meansof coping of avoiding burnout. “Going
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native” is the term that describes how recent graduates begin to copy and identify
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the realityof their role transition experience by rejecting the values from nursing
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school and functioning more like a team member at their place of employment.
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Withdrawing from peer support groups, “going native,” and changing jobs every 6
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to 12 months would increase the chance of the nurse experiencing burnout. The
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nurse should instead focus on his/her practice and seek out support from other
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nurses.
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PTS:1 DIF: Cognitive Level: ApplicationREF: p.9
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OBJ: Describe four possible resolutions for realityshock.
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ff TOP: Realityshock MSC: NCLEX®: Safe and effective care
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environment—management of care
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4. Whichofthefollowingsgtaratedmu aetnetsnubrysethsehows f f f f f f f f f f f


anunderstandingofrealityshockasit f f f f f f f


applies to nursing? f ff




a. “ Reality shock is the period when a person moves fromschool into the workforce.
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