Exam View - Chapter 01 Zerwekh: Nursing Today: Transitions
and Trends, 10th Edition
Nursing Administration (University of North Carolina at Greensboro)
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Chapter 01: Role Transitions
Zerwekh: Nursing Today: Transition and Trends, 10th Edition
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phas
making which of the following statements?
a. “I am so nervous about being on my own as a nurse.”
b. “This will be a great learning experience.”
c. “I can’t wait to have a steady paycheck.”
d. “This job is perfect. I can finally do things my own way.”
ANS: D
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
the thrill of arriving in the profession. Reality shock occurs when one moves into the workforce after s
preparation. Recovery and resolution occur when the graduate nurse is able to laugh at encountered situ
tension decreases, perception increases, and the nurse is able to grow as a person.
DIF: Cognitive Level: Application/Applying
OBJ: Identify the characteristics of transition shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover from
a. Networking
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work situation
predict the actions and reactions of other staff. Nurturing the ability to see the humor in a situation may
school is a positive step after the graduate has worked through role transition, has some clinical experie
a new career objective. Networking, obtaining a mentor, and joining a support group would give the gr
to talk to others experiencing the stress associated with reality shock. The nurse would benefit from “ta
learning how to cope.
DIF: Cognitive Level: Application/Applying
OBJ: Describe methods to promote a successful transition. TOP: Transition shock
MSC: NCLEX®: Safe and effective care environment—not applicable
3. A new nurse who has been off orientation for 4 months now is trying to avoid burnout. Which of the fo
way to achieve this?
a. Refusing to constantly work extra shifts
b. Withdrawing from peer support group
c. “Going native”
d. Changing jobs every 6 to 12 months
ANS: A
At this phase of the nurse’s career, he or she is in the Doing Stage of Transition. One common characte
inability to set reasonable boundaries related to work. Constantly working overtime will lead the new n
native” is the term that describes how recent graduates begin to copy and identify the reality of their ro
rejecting the values from nursing school and functioning more like a team member at their place of em
peer support groups, “going native,” and changing jobs every 6 to 12 months would increase the chanc
burnout. The nurse should instead focus on his/her practice and seek out support from other nurses.
DIF: Cognitive Level: Application/Applying
OBJ: Describe methods to promote a successful transition. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment—not applicable