TEST BANK FOR Nursing Today: Transition and Trends 11th Edition by JoAnn Zerwekh , Ashley Zerwekh Garneau ISBN:978-0323810159 COMPLETE GUIDE WITH RATIONALES 100% VERIFIED A+ GRADE ASSURED!!!!!!NEW LATEST UPDATE!!!!!

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,Chapter 01: Role Transitions
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MULTIPLE CHOICE HL




1. A graduate nurse has been hired as a nurse at a local hospital. The new nur
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se is in the . honeymoon phase of role transition when making which of the f
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ollowing 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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ANS: D HL .
The honeymoon phase is when the student nurse sees the world of nursing as quite r
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osy. Often, the new graduate is fascinated with the thrill of arriving in the profession.
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HLReality shock occurs when one moves into the workforce after several years of educ
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ational preparation. Recovery and resolution occur when the graduate nurse is able to
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Llaugh at . encountered situations. During this time, tension decreases, perception increa
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ses, and the nurse is able to grow as a person.
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.
PTS: 1 HL DIF: Cognitive Level: Application/Applying
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REF: Table 1.1 HL HL OBJ: Identify the characteristics of reality shock.
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TOP: Reality shock HL HL MSC: NCLEX®: Safe and effective care environmentHL HL HL HL HL HL

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



c. Returning to school HL HL



d. Joining a support group HL HL HL


.
ANS: C HL


The transition period is successfully managed when the graduate is able to evaluate
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the work situation objectively and predict effectively the actions and reactions of oth
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er staff.
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Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a p
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ositive step . after the graduate has worked through role transition, has some clinical
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HLexperience, and is ready to focus on a new career objective. Networking, obtaining
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La mentor, and joining a support group would give the graduate nurse an opportunity
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HLto talk to others experiencing the .
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, stress associated with reality shock. The nurse would benefit from “talking through” is
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sues and learning how to cope.
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PTS: 1 HL DIF: Cognitive Level: Application/Applying
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REF: p. 9 HL HL



OBJ: Describe methods to promote a successful transiti
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on. 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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achieve this? HL



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


c. “Going native” HL


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




ANS: A HL


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 t
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o say “no” to extra shifts is a positive means of coping of avoiding burnout. “Goin
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g native” is the term that . describes how recent graduates begin to copy and identif
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y the reality of their role-
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transition experience by rejecting the values from nursing school and functioning mo
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re like a team member at their place of employment. Withdrawing from peer suppor
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t groups, “going native,” . and changing jobs every 6 to 12 months would increase t
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he chance of the nurse experiencing
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burnout. The nurse should instead focus on his/her practice and seek out support fro
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m other nurses.
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PTS: 1 HL DIF: Cognitive Level: Application/Applying
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REF: p. 7 HL HL


OBJ: Describe methods to promote a successful transiti HL HL HL HL HL HL HL


on. 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 understandi
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ng of 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
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b. workforce.”“Reality shock is the realization that practice and education are no HL HL HL HL HL HL HL HL HL HL


t the same.”
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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 cha
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nging jobs.” HL




ANS: A HL .

, “Reality shock” is a term often used to describe the reaction experienced when one
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moves into the workforce after several years of educational preparation. The new gr
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aduate is caught in the situation of moving from a familiar, comfortable educational
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HLenvironment into a new role in . the workforce where the expectations are not clea
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rly defined or may not even be realistic. The realization that practice and nursing s
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chool are not the same is often associated with “going native.” When nurses move
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from one position to another, they have already experienced
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reality shock. Becoming an experienced nurse takes time and is not part of the defin
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ition of . reality shock.
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PTS: 1 HL



DIF: Cognitive Level: Application/Applying . REF: p
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. 5 OBJ: Identify the characteristics of reality shock.
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TOP: Reality shock
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5. A new graduate of less than 1 year describes his/her perception of a staff nurse p
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osition, stating: “It feels great to be a nurse! In fact, it’s a snap! I can hardly belie
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ve there’s no . instructor looking over my shoulder.” What phase of reality shock is
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the graduate experiencing?
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a. Recovery .
b. Shock and rejection HL HL


c. Honeymoon
d. Transition .
ANS: C HL


In the first phase of the role transition process (the honeymoon phase), the graduate nur
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se is thrilled with completing school and accepting the first job. Life is a bed of roses
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because everyone knows nursing school is much harder than nursing practice. Shock and
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HLrejection . occur as the nurse tries to understand how nursing school and the “real worl
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d” come together. Transition occurs as the nurse begins the move from student to nurse
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Land refers to the entire process, not just a particular phase. The recovery phase is when
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HLthe nurse can laugh at . situations that he/she is in and is able to cope with the situati
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ons that are being faced.
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PTS: 1 HL DIF: Cognitive Level: Application/Applying HL HL HL


REF: p. 7 HL OBJ: Compare and contrast the phases of reality shock.
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TOP: Reality shock
HL MSC: NCLEX®: Not applicable
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6. A student in the last semester of nursing school has established a goal of ma
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king a successful . role transition to graduate nurse. Which statement by the stu
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dent indicates his/her understanding of how to achieve this goal?
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a. “I should care for increased numbers of patients to enhance work organiz
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ation skills.” . HL




b. “I will observe staff nurses as they perform nursing procedures to r
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efine technique.” HL



c. “I should seek increasingly close guidance from the nursing instructor to reduce
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errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
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