RNSG 2221 Modules 1-6 (midterm exam) |\ |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
term used to describe the reaction experienced when one moves
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
into the workforce after several years of educational preparation
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Reality shock
|\ |\ |\ |\ |\
Phase of reality shock:
|\ |\ |\
Sees the world of nursing looking quite rosy.
|\ |\ |\ |\ |\ |\ |\
Often fascinated with the thrill of "arriving" in the profession. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Honeymoon phase |\ |\ |\
Phase of reality shock:
|\ |\ |\
Beginning to have a sense of humor (first sign) |\ |\ |\ |\ |\ |\ |\ |\
Decrease in tension. |\ |\
Increase in ability to be objective. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Recovery phase |\
Phase of reality shock:
|\ |\ |\
Has excessive mistrust.
|\ |\
Experiences increased concern over minor pains/ illnesses. |\ |\ |\ |\ |\ |\
Feels like a failure & blames self for every mistake.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Bands together/ depends on people who hold the same values.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Has a hypercritical attitude.
|\ |\ |\
,Feels moral outrage. - CORRECT ANSWERS ✔✔Shock & Rejection
|\ |\ |\ |\ |\ |\ |\ |\ |\
phase
A nurse with 15 years' experience has been working in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intensive care unit (ICU) for two months. The nurse's preceptor is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
expressing frustration to the unit manager because the new
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse follows all the rules "to the letter" and is inflexible. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action by the manager is most helpful?
|\ |\ |\ |\ |\ |\
A. Encourage the preceptor to be patient and give the new nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
easier assignments. |\ |\
B. Explain that as a nurse new to the ICU setting, this rule-bound
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
practice is expected. |\ |\ |\
C. Discuss the situation with the new nurse and emphasize the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse's years of experience. |\ |\ |\ |\
D. Mediate a conversation with the nurses where performance
|\ |\ |\ |\ |\ |\ |\ |\ |\
expectations are reviewed. - CORRECT ANSWERS ✔✔B) |\ |\ |\ |\ |\ |\
A nurse manager is teaching a seminar for managers on reality
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shock experienced by new graduates. What information does the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse manager provide? (Select all that apply.)
|\ |\ |\ |\ |\ |\
A. Honeymoon phase: seems energetic and fascinated with
|\ |\ |\ |\ |\ |\ |\ |\
nursing
B. Shock and rejection phase: blames everyone else for any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mistakes |\
C. Shock and rejection phase: nurses may complain of minor
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
illnesses |\
D. Shock and rejection phase: uses black humor to cope with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
work |\
, E. Recovery phase: no longer catches contagious illnesses to
|\ |\ |\ |\ |\ |\ |\ |\ |\
which he or she is exposed - CORRECT ANSWERS ✔✔A, C
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Role transition:
|\
conscientious, deliberate planning. |\ |\
begins to see nursing actions in the light of patient's long term
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plans.
demonstrates ability to cope with & manage different & |\ |\ |\ |\ |\ |\ |\ |\ |\
unexpected situations that occur. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Competent [2-3 yrs clinical experience] |\ |\ |\ |\
Role transition:
|\
no clinical experience in situation where experience is expected.
|\ |\ |\ |\ |\ |\ |\ |\
needs rules to guide performance.
|\ |\ |\ |\
experiences difficulty in applying theoretical concepts to patient
|\ |\ |\ |\ |\ |\ |\ |\
care. - CORRECT ANSWERS ✔✔Novice [nursing student OR
|\ |\ |\ |\ |\ |\ |\ |\
experienced nurse in a new setting] |\ |\ |\ |\ |\
Role transition:
|\
demonstrates ability to delivery marginally acceptable care. |\ |\ |\ |\ |\ |\
requires previous experience in an actual situation to recognize
|\ |\ |\ |\ |\ |\ |\ |\ |\
it.
begins to understand the principles that dictate nursing
|\ |\ |\ |\ |\ |\ |\ |\
interventions.
continues to concentrate on rules & absorbs minimum info
|\ |\ |\ |\ |\ |\ |\ |\ |\
regarding a situation. - CORRECT ANSWERS ✔✔Advanced
|\ |\ |\ |\ |\ |\ |\
beginner [last semester nursing student OR graduate nurse]
|\ |\ |\ |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
term used to describe the reaction experienced when one moves
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
into the workforce after several years of educational preparation
|\ |\ |\ |\ |\ |\ |\ |\
- CORRECT ANSWERS ✔✔Reality shock
|\ |\ |\ |\ |\
Phase of reality shock:
|\ |\ |\
Sees the world of nursing looking quite rosy.
|\ |\ |\ |\ |\ |\ |\
Often fascinated with the thrill of "arriving" in the profession. -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Honeymoon phase |\ |\ |\
Phase of reality shock:
|\ |\ |\
Beginning to have a sense of humor (first sign) |\ |\ |\ |\ |\ |\ |\ |\
Decrease in tension. |\ |\
Increase in ability to be objective. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\
✔✔Recovery phase |\
Phase of reality shock:
|\ |\ |\
Has excessive mistrust.
|\ |\
Experiences increased concern over minor pains/ illnesses. |\ |\ |\ |\ |\ |\
Feels like a failure & blames self for every mistake.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Bands together/ depends on people who hold the same values.
|\ |\ |\ |\ |\ |\ |\ |\ |\
Has a hypercritical attitude.
|\ |\ |\
,Feels moral outrage. - CORRECT ANSWERS ✔✔Shock & Rejection
|\ |\ |\ |\ |\ |\ |\ |\ |\
phase
A nurse with 15 years' experience has been working in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
intensive care unit (ICU) for two months. The nurse's preceptor is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
expressing frustration to the unit manager because the new
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse follows all the rules "to the letter" and is inflexible. Which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
action by the manager is most helpful?
|\ |\ |\ |\ |\ |\
A. Encourage the preceptor to be patient and give the new nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
easier assignments. |\ |\
B. Explain that as a nurse new to the ICU setting, this rule-bound
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
practice is expected. |\ |\ |\
C. Discuss the situation with the new nurse and emphasize the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nurse's years of experience. |\ |\ |\ |\
D. Mediate a conversation with the nurses where performance
|\ |\ |\ |\ |\ |\ |\ |\ |\
expectations are reviewed. - CORRECT ANSWERS ✔✔B) |\ |\ |\ |\ |\ |\
A nurse manager is teaching a seminar for managers on reality
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
shock experienced by new graduates. What information does the
|\ |\ |\ |\ |\ |\ |\ |\ |\
nurse manager provide? (Select all that apply.)
|\ |\ |\ |\ |\ |\
A. Honeymoon phase: seems energetic and fascinated with
|\ |\ |\ |\ |\ |\ |\ |\
nursing
B. Shock and rejection phase: blames everyone else for any
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
mistakes |\
C. Shock and rejection phase: nurses may complain of minor
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
illnesses |\
D. Shock and rejection phase: uses black humor to cope with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
work |\
, E. Recovery phase: no longer catches contagious illnesses to
|\ |\ |\ |\ |\ |\ |\ |\ |\
which he or she is exposed - CORRECT ANSWERS ✔✔A, C
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Role transition:
|\
conscientious, deliberate planning. |\ |\
begins to see nursing actions in the light of patient's long term
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
plans.
demonstrates ability to cope with & manage different & |\ |\ |\ |\ |\ |\ |\ |\ |\
unexpected situations that occur. - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Competent [2-3 yrs clinical experience] |\ |\ |\ |\
Role transition:
|\
no clinical experience in situation where experience is expected.
|\ |\ |\ |\ |\ |\ |\ |\
needs rules to guide performance.
|\ |\ |\ |\
experiences difficulty in applying theoretical concepts to patient
|\ |\ |\ |\ |\ |\ |\ |\
care. - CORRECT ANSWERS ✔✔Novice [nursing student OR
|\ |\ |\ |\ |\ |\ |\ |\
experienced nurse in a new setting] |\ |\ |\ |\ |\
Role transition:
|\
demonstrates ability to delivery marginally acceptable care. |\ |\ |\ |\ |\ |\
requires previous experience in an actual situation to recognize
|\ |\ |\ |\ |\ |\ |\ |\ |\
it.
begins to understand the principles that dictate nursing
|\ |\ |\ |\ |\ |\ |\ |\
interventions.
continues to concentrate on rules & absorbs minimum info
|\ |\ |\ |\ |\ |\ |\ |\ |\
regarding a situation. - CORRECT ANSWERS ✔✔Advanced
|\ |\ |\ |\ |\ |\ |\
beginner [last semester nursing student OR graduate nurse]
|\ |\ |\ |\ |\ |\ |\
