Zerwekh: Nursing Today: Transition and Trends, 10th Edition Test Bank All Chapters

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NURSING TODAY, 11TH EDITION.
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g TRANSITION AND TRENDS. EDITORS : JOANN
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gZERWEKH & ASHLEY GARNEAU TEST BANK
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ALL CHAPTERS COVERED
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Chapter01:RoleTransitions g g g




MULTIPLE CHOICE g




1. Agraduatenursehasbeenhiredasanurseatalocalhospiat bai lr b. . T
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cohme/ t ens e
t b w nurseisinthe g g g g g g g g g g g
b
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ghoneymoon phaseof role transition when making which ofthefollowing statements? g g g g g g g g g g g




a. “Iamsonervous aboutbeing onmyownas anurse.”
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b. “Thiswill beagreat learningexperience.” g g g g g g




c. “Ican’t wait to haveasteadypaycheck.” g g g g g g




d. “Thisjobisperfect. Ican finallydo thingsmyown way.” g g g g g g g g g g g




ANS:D g




The honeymoon phase is when thestudent nursesees the world ofnursing as quiterosy. Often,the
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new graduate is fascinated withthethrill ofarriving intheprofession.Reality shock occurs when
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one moves into the workforce after several years ofeducational preparation.Recoveryandresolution
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occurwhenthegr a d aubai rtbe. c no mu /rt se set isabletolaughatencountered situations. During this time,
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tension decreases, perceptionincreases, and thenurseis able to grow as a person.
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PTS: 1 DIF: CognitiveLevel:Application/Applying g g




REF: Table 1.1
g OBJ: Identify the characteristics of reality g g g g g g




shock.
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TOP: Realityshock MSC: NCLEX®: Safeandeffectivecareenvironment g g g g g g g




2. Whichofthe followingactions by thegraduate nurseis an inappropriate methodology
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g torecover from reality shock? g g g




a. Networking
b. Obtainingamentor g g




c. Returningtoschool g g




d. Joiningasupport group g g g




ANS:C g




Thetransition periodissuccessfully managed when thegraduate is ableto evaluate thework
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situation objectively and predict effectively the actions and reactions of other staff.
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Nurturingbtheabilitytoseehumorinasituationmaybeafirststep.Ra bei tr bu. rc onmi n/ t ge s tt o schoolisapositiveb g g g g g g g g g g g g g g g g g




step after the graduate has worked through role transition, has some clinical experience, and is ready
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to focus onanew career objective. Networking, obtainingamentor, and joining a
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support group would give the graduate nurse an opportuni atyb i rtbo. c ot mal/tkestto others experiencing the
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stress associated with reality shock. The nurse would benefit from “talking through” issues and
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learning how to cope.
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PTS: 1 DIF: CognitiveLevel:Application/Appalbyiribn.gc om/test g g




REF: p. 9
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OBJ: Describemethods to promotea successful
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transition.TOP: Reality shock
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MSC: NCLEX®: Safeandeffectivecareenvironment Notapplicable g g g g g g g g




3. A nurseis trying toavoid burnout. Whichof thefollowing actionsis avalid wayto
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achievethis?
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a. Refusingto constantlyworkextrashifts g g g g g




b. Withdrawingfrompeersupport group g g g g

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c. “Goingnative”
d. Changingjobs every6 to 12 months g g g g g g




ANS:A g




Oneof the quickest ways toexperience burnout is to “overwork the overtime.” Set priorities with
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yourmentaland physical health beingthehighest priority. Learningtosay “no” toextra shiftsisa
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positivemeans ofcopingofavoidingburnout.“ aGb ior bi .nc ogmn/ t ae st ti v e” isthetermthatdescribes how recent
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graduates begin to copy and identify the reality of their role-transition experiencebyrejecting the
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valuesfrom nursingschool andfunctioningmorelikeateam memberattheirplaceof
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gemployment. Withdrawingfrom peersupporta bigroups, “going native,” g g g g g g g




rb .c o m /t es t g




and changingjobs every6 to12months would increase th e c h a n c e o fthenurseexperiencing
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burnout. Thenurseshould instead focus onhis/herpracticeand seek out support from othernurses.
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PTS: 1 DIF: Cognitive Level: Application/Applying g g g g




REF: p. 7
g OBJ: Describe methods to promote a successful g g g g g g g




transition.TOP: Reality shock
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MSC:NCLEX®: Safeandeffectivecare environment Notappalibcirabb.cloem/test
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4. Whichofthe followingstatements bythe graduate nurseshows anunderstanding of
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grealityshock as it applies to nursing? g g g g g




a. “Reality shock istheperiod when apersonmovesfrom schoolinto g g g g g g g g g g g




gtheworkforce.”
b. “Realityshockistherealization thatpracticeand education arenotthesame.” g g g g g g g g g g g g




c. “Realityshock is theperiod from graduation to becomai bni grb .ac onme/txespt erienced nurse.” g g g g g g g g g




d. “Reality shock isatransition phasethat new graduates go throughbefore g g g g g g g g g g g




gchangingjobs.”
ANS:A g




“Realityshock”isatermoftenusedtodescribethereactionexperiencedwhenonemovesintothe
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workforce after several years of educational preparation. The new graduate is caughtin
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thesituationofmovingfromafamiliar,comfortablee ducat i o na bai lr be. cno vmi/ treos nt mentinto anewroleinthe g g g g g

g
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workforce wherethe expectations arenot clearlydefined ormaynot even berealistic. The realization
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that practice and nursing school are not the same is often associated with
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“goingnative.” When nurses move from one position to another, they have already experienced g g g g g g g g g g g g




realityshock.Becoming anexperiencednursetakestimeaanb idr b .icso mn /ot et s pt b artofthe definition of
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reality shock.
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PTS: 1 DIF: CognitiveLevel:Application/Applying g g




REF: p. 5
g OBJ: Identify the characteristics of g g g g




a birb . c om /t est
reality s h o ck .
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TOP: Realityshock MSC: NCLEX®: Not applicable g g g g




5. Astudentinthelastsemesterofnursingschoolhasestabliasbhi rbe .dc oam /gt eos at b l ofmakinga
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successfulroletransition tograduatenurse.Whichstatement bythestudentindicates
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his/her understanding of how to achieve this goal?
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a. “Ishould careforincreased numbersofpatients toenhancework organization g g g g g g g g g g




skills.”
b. “Iwill observestaffnurses astheyperform nursingprocedures to
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refinetechnique.” g




c. “Ishould seek increasinglycloseguidancefromthen uarbsi ribn. cgo mi n/ t se ts rt uctorto
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reduce errors.” g g




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