Nursing Today: Transition and Trends – 11th Edition (Zerwekh) – Complete Test Bank for Chapters 1–26

TEST BANK - Nursing Today: Transition and Trends, 11th
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bEdition (Zerwekh) b b




Chapters 1 - 26 | All Chapters
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, Test Bank - Nursing Today: Transition and Trends, 11th Edition
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TABLE OF CONTENTS b b

,Chapter 01: Role Transitions b b b



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MULTIPLE CHOICE b




1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is
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.b
binbthe b honeymoon bphase bof brole btransition bwhen bmaking bwhich bof bthe bfollowing


statements? 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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ANSWER: D b .
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.
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Realityshock occurs when one moves into the workforce after several years of
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educational preparation. Recovery and resolution occur when the graduate nurse is able
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to laugh at . encountered situations. During this time, tension decreases, perception
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b
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increases, and thenurse is able to grow as a person.
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.
PTS: 1 b DIF: Cognitive Level: Application/Applying
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REF: Table 1.1 b b OBJ: Identify the characteristics of reality shock.
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TOP: Reality shock b b MSC: NCLEX®: Safe and effective care environment b b b b b b

.

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



c. Returning to school b b



d. Joining a support group b b b


.
ANSWER: C b


The transition period is successfully managed when the graduate is able to evaluate the
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bwork situation 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
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bpositivestep . after the graduate has worked through role transition, has some clinical
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bexperience,and is ready to focus on a new career objective. Networking, obtaining a
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bmentor, and joining a support group would give the graduate nurse an opportunity to talk
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bto others experiencing the .
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, stress associated with reality shock. The nurse would benefit from ―talking through‖
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bissuesand learning how to cope.
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PTS: 1 b DIF: Cognitive Level: Application/Applying .
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REF: p. 9 b b OBJ: Describe methods to promote a successful
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transition.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
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achievethis?
b b



a. Refusing to constantly work extra shifts b b b b b .
b. Withdrawing from peer support group b b b b


c. ―Going native‖ b


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




ANSWER: A b


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 to say
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―no‖ to extra shifts is a positive means of coping of avoiding burnout. ―Going native‖ is
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the term that . describes how recent graduates begin to copy and identify the reality of
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theirrole-transition experience by rejecting the values from nursing school and
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functioning more like a team member at their place of employment. Withdrawing from
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peer support groups, ―going native,‖ . and changing jobs every 6 to 12 months would
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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
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fromother 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
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transition.TOP: Reality shock
b b b b


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
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ofreality shock as it applies to nursing? .
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a. ―Reality shock is the period when a person moves from school into the
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b. workforce.‖―Reality shock is the realization that practice and education are not b b b b b b b b b b


thesame.‖
b b




c. ―Reality shock 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
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changingjobs.‖
b b




ANSWER: A b .