NURSING TODAY: TRANSITION AND TRENDS 11TH
EDITION
BY JOANN ZERWEKH EDD RN (EDITOR) ALL
CHAPTERS.
, Table Of Contents
Chapter 01: Role Transitions ........................................................................................................................................................... 3
Chapter 02: Personal Management: Time And Self-Care Strategies ............................................................................................. 17
Chapter 03: Mentorship, Preceptorship, And Nurse Residency Programs .................................................................................... 30
Chapter 04: Employment Considerations: Opportunities, Resumes, And Interviewing ................................................................ 40
Chapter 05: Nclex-Rn® And The New Graduate .......................................................................................................................... 52
Chapter 06: Historical Perspectives: Influences On The Present ................................................................................................... 67
Chapter 07: Nursing Education ...................................................................................................................................................... 79
Chapter 08: Nursing Theory........................................................................................................................................................... 91
Chapter 09: Professional Image Of Nursing ................................................................................................................................ 102
Chapter 10: Challenges Of Nursing Management Andleadership. .............................................................................................. 110
Chapter 11: Building Nursing Management Skills ...................................................................................................................... 124
Chapter 12: Effective Communication, Team Building, And Interprofessional Practice ............................................................ 138
Chapter 13: Conflict Management ............................................................................................................................................... 151
Chapter 14: Delegation In The Clinical Setting ........................................................................................................................... 164
Chapter 15: The Health Care Organization And Patterns Of Nursing Care Delivery.................................................................. 181
Chapter 16: Economics In The Health Care Delivery System ..................................................................................................... 194
Chapter 17: Political Action In Nursing....................................................................................................................................... 207
Chapter 18: Collective Bargaining: Traditional (Union) And Nontraditional Approaches ......................................................... 221
Chapter 19: Ethical Issues ............................................................................................................................................................ 234
Chapter 20: Legal Issues .............................................................................................................................................................. 247
Chapter 21: Cultural And Spiritual Awareness ............................................................................................................................ 264
Chapter 22: Quality Patient Care ................................................................................................................................................. 276
Chapter 23: Nursing Informatics .................................................................................................................................................. 291
Chapter 24: Using Evidence-Based Practice And Nursing Research .......................................................................................... 303
Chapter 25: Workplace Issues...................................................................................................................................................... 315
Chapter 26: Emergency Preparedness .......................................................................................................................................... 329
,Chapter 01: Role Transitions
.
Abirb.Com/Test
Multiple Choice
1. A Graduate Nurse Has Been Hired As A Nurse At A Local Hospital. The New
Nurse Is InThe . Honeymoon Phase Of Role Transition When 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 Graduate Is Fascinated With The Thrill Of Arriving In The
Profession. Reality Shock Occurs When One Moves Into The Workforce After Several
Years Of Educational Preparation. Recovery And Resolution Occur When The Graduate
Nurse Is Able To Laugh At . Encountered Situations. During This Time, Tension
Decreases, Perception Increases, And TheNurse Is Able To Grow As A Person.
.
Pts: 1 Dif: Cognitive Level: Application/Applying
Ref: Table 1.1 Obj: Identify The Characteristics Of Reality Shock.
Top: Reality Shock Msc: Nclex®: Safe And Effective Care Environment
.
2. Which Of The Following Actions By The Graduate Nurse Is An Inappropriate
MethodologyTo Recover From Reality Shock?
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 Objectively And Predict Effectively The Actions And
Reactions Of Other Staff.
Nurturing
The Ability To See Humor In A Situation May Be A First Step. Returning To School Is
A PositiveStep . After The Graduate Has Worked Through Role Transition, Has Some
Clinical Experience, And Is Ready To Focus On A New Career Objective. Networking,
Obtaining A Mentor, And Joining A Support Group Would Give The Graduate Nurse An
Opportunity To Talk To Others Experiencing The .
, Stress Associated With Reality Shock. The Nurse Would Benefit From “Talking Through”
IssuesAnd Learning How To Cope.
Pts: 1 Dif: Cognitive Level: Application/Applying .
Ref: P. 9 Obj: Describe Methods To Promote A Successful
Transition.Top: Reality Shock
Msc: Nclex®: Safe And Effective Care Environment Not Applicable
.
3. A Nurse Is Trying To Avoid Burnout. Which Of The Following Actions Is A Valid Way
To AchieveThis?
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
One Of The Quickest Ways To Experience Burnout Is To “Overwork The Overtime.” Set
Priorities With Your Mental And Physical Health Being The Highest Priority. Learning
To Say “No” To Extra Shifts Is A Positive Means Of Coping Of Avoiding Burnout.
“Going Native” Is The Term That . Describes How Recent Graduates Begin To Copy And
Identify The Reality Of TheirRole-Transition Experience By Rejecting The Values From
Nursing School And Functioning More Like A Team Member At Their Place Of
Employment. Withdrawing From Peer Support Groups, “Going Native,” . And Changing
Jobs Every 6 To 12 Months Would Increase The Chance Of The Nurse Experiencing
Burnout. The Nurse Should Instead Focus On His/Her Practice And Seek Out
Support FromOther Nurses.
.
Pts: 1 Dif: Cognitive Level: Application/Applying
Ref: P. 7 Obj: Describe Methods To Promote A Successful
Transition.Top: Reality Shock
Msc: Nclex®: Safe And Effective Care Environment Not Applicable .
4. Which Of The Following Statements By The Graduate Nurse Shows An
Understanding OfReality Shock As It Applies To Nursing? .
a. “Reality Shock Is The Period When A Person Moves From School Into The
b. Workforce.”“Reality Shock Is The Realization That Practice And Education Are
Not TheSame.”
c. “Reality Shock Is The Period From Graduation To Becoming An Experienced Nurse.”.
d. “Reality Shock Is A Transition Phase That New Graduates Go Through Before
ChangingJoBS.”
ANS: A .
EDITION
BY JOANN ZERWEKH EDD RN (EDITOR) ALL
CHAPTERS.
, Table Of Contents
Chapter 01: Role Transitions ........................................................................................................................................................... 3
Chapter 02: Personal Management: Time And Self-Care Strategies ............................................................................................. 17
Chapter 03: Mentorship, Preceptorship, And Nurse Residency Programs .................................................................................... 30
Chapter 04: Employment Considerations: Opportunities, Resumes, And Interviewing ................................................................ 40
Chapter 05: Nclex-Rn® And The New Graduate .......................................................................................................................... 52
Chapter 06: Historical Perspectives: Influences On The Present ................................................................................................... 67
Chapter 07: Nursing Education ...................................................................................................................................................... 79
Chapter 08: Nursing Theory........................................................................................................................................................... 91
Chapter 09: Professional Image Of Nursing ................................................................................................................................ 102
Chapter 10: Challenges Of Nursing Management Andleadership. .............................................................................................. 110
Chapter 11: Building Nursing Management Skills ...................................................................................................................... 124
Chapter 12: Effective Communication, Team Building, And Interprofessional Practice ............................................................ 138
Chapter 13: Conflict Management ............................................................................................................................................... 151
Chapter 14: Delegation In The Clinical Setting ........................................................................................................................... 164
Chapter 15: The Health Care Organization And Patterns Of Nursing Care Delivery.................................................................. 181
Chapter 16: Economics In The Health Care Delivery System ..................................................................................................... 194
Chapter 17: Political Action In Nursing....................................................................................................................................... 207
Chapter 18: Collective Bargaining: Traditional (Union) And Nontraditional Approaches ......................................................... 221
Chapter 19: Ethical Issues ............................................................................................................................................................ 234
Chapter 20: Legal Issues .............................................................................................................................................................. 247
Chapter 21: Cultural And Spiritual Awareness ............................................................................................................................ 264
Chapter 22: Quality Patient Care ................................................................................................................................................. 276
Chapter 23: Nursing Informatics .................................................................................................................................................. 291
Chapter 24: Using Evidence-Based Practice And Nursing Research .......................................................................................... 303
Chapter 25: Workplace Issues...................................................................................................................................................... 315
Chapter 26: Emergency Preparedness .......................................................................................................................................... 329
,Chapter 01: Role Transitions
.
Abirb.Com/Test
Multiple Choice
1. A Graduate Nurse Has Been Hired As A Nurse At A Local Hospital. The New
Nurse Is InThe . Honeymoon Phase Of Role Transition When 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 Graduate Is Fascinated With The Thrill Of Arriving In The
Profession. Reality Shock Occurs When One Moves Into The Workforce After Several
Years Of Educational Preparation. Recovery And Resolution Occur When The Graduate
Nurse Is Able To Laugh At . Encountered Situations. During This Time, Tension
Decreases, Perception Increases, And TheNurse Is Able To Grow As A Person.
.
Pts: 1 Dif: Cognitive Level: Application/Applying
Ref: Table 1.1 Obj: Identify The Characteristics Of Reality Shock.
Top: Reality Shock Msc: Nclex®: Safe And Effective Care Environment
.
2. Which Of The Following Actions By The Graduate Nurse Is An Inappropriate
MethodologyTo Recover From Reality Shock?
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 Objectively And Predict Effectively The Actions And
Reactions Of Other Staff.
Nurturing
The Ability To See Humor In A Situation May Be A First Step. Returning To School Is
A PositiveStep . After The Graduate Has Worked Through Role Transition, Has Some
Clinical Experience, And Is Ready To Focus On A New Career Objective. Networking,
Obtaining A Mentor, And Joining A Support Group Would Give The Graduate Nurse An
Opportunity To Talk To Others Experiencing The .
, Stress Associated With Reality Shock. The Nurse Would Benefit From “Talking Through”
IssuesAnd Learning How To Cope.
Pts: 1 Dif: Cognitive Level: Application/Applying .
Ref: P. 9 Obj: Describe Methods To Promote A Successful
Transition.Top: Reality Shock
Msc: Nclex®: Safe And Effective Care Environment Not Applicable
.
3. A Nurse Is Trying To Avoid Burnout. Which Of The Following Actions Is A Valid Way
To AchieveThis?
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
One Of The Quickest Ways To Experience Burnout Is To “Overwork The Overtime.” Set
Priorities With Your Mental And Physical Health Being The Highest Priority. Learning
To Say “No” To Extra Shifts Is A Positive Means Of Coping Of Avoiding Burnout.
“Going Native” Is The Term That . Describes How Recent Graduates Begin To Copy And
Identify The Reality Of TheirRole-Transition Experience By Rejecting The Values From
Nursing School And Functioning More Like A Team Member At Their Place Of
Employment. Withdrawing From Peer Support Groups, “Going Native,” . And Changing
Jobs Every 6 To 12 Months Would Increase The Chance Of The Nurse Experiencing
Burnout. The Nurse Should Instead Focus On His/Her Practice And Seek Out
Support FromOther Nurses.
.
Pts: 1 Dif: Cognitive Level: Application/Applying
Ref: P. 7 Obj: Describe Methods To Promote A Successful
Transition.Top: Reality Shock
Msc: Nclex®: Safe And Effective Care Environment Not Applicable .
4. Which Of The Following Statements By The Graduate Nurse Shows An
Understanding OfReality Shock As It Applies To Nursing? .
a. “Reality Shock Is The Period When A Person Moves From School Into The
b. Workforce.”“Reality Shock Is The Realization That Practice And Education Are
Not TheSame.”
c. “Reality Shock Is The Period From Graduation To Becoming An Experienced Nurse.”.
d. “Reality Shock Is A Transition Phase That New Graduates Go Through Before
ChangingJoBS.”
ANS: A .
