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TEST BANK - Nursing Today: Transition and Trends, 11th
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, Test Bank - Nursing Today: Transition and Trends, 11th Edition
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TABLE OF CONTENTS a a

,Chapter 01: Role Transitions a a a




.
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MULTIPLE CHOICE a




1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is inthe .
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a
honeymoon phase of role transition when making which of the following statements? a a a a a a a a a a a




a 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.” a a a a a a .

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.” a a a a a a a a a a a




ANSWER: D a .
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 a DIF: Cognitive Level: Application/Applying a a a




REF: Table 1.1 a a OBJ: Identify the characteristics of reality shock. a a a a a a




TOP: Reality shock a a MSC: NCLEX®: Safe and effective care environment a a a a a a




.

2. Which of the following actions by the graduate nurse is an inappropriate methodologyto
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a recover from reality shock? a a a




a. Networking .
b. Obtaining a mentor a a




c. Returning to school a a




d. Joining a support group a a a




.
ANSWER: C a




The transition period is successfully managed when the graduate is able to evaluate the work
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asituation 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 positivestep .
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after the graduate has worked through role transition, has some clinical experience,and is
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ready to focus on a new career objective. Networking, obtaining a mentor, and joining a
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support group would give the graduate nurse an opportunity to talk to others experiencing the
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a .

, stress associated with reality shock. The nurse would benefit from “talking through” issuesand
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learning how to cope.
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PTS: 1 a DIF: Cognitive Level: Application/Applying . a a a a




REF: p. 9 a a 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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.

3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achievethis?
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a. Refusing to constantly work extra shifts a a a a a .
b. Withdrawing from peer support group a a a a




c. “Going native” a




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




ANSWER: A 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. “Going native” is the term that .
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describes how recent graduates begin to copy and identify the reality of theirrole-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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. and changing jobs 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
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other nurses.
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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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reality shock as it applies to nursing? .
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a. “Reality shock is the period when a person moves from school into the a a a a a a a a a a a a




b. workforce.”“Reality shock is the realization that practice and education are not the a a a a a a a a a a a




same.”
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c. “Reality shock is the period from graduation to becoming an experienced nurse.”. a a a a a a a a a a a




d. “Reality shock is a transition phase that new graduates go through before changing
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jobs.”
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ANSWER: A a .