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TEST BANK FOR NURSING TODAY TRANSITION
AND TRENDS, 11TH EDITION, BY ZERWEKH
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VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Table of Contents
Chapter 01 Role Transitions 1
Chapter 02 Personal Management-Time and Self-Care Strategies 12
Chapter 03 Mentorship, Preceptorship, and Nurse Residency Programs 22
Chapter 04 Employment Considerations-Opportunities, Resumes, and Interviewing 30
Chapter 05 NCLEX-RN® Exam and the New Graduate 40
Chapter 06 Historical Perspectives-Influences on the Present 51
Chapter 07 Nursing Education 60
Chapter 08 Nursing Theories 70
Chapter 09 Professional Image of Nursing 79
Chapter 10 Challenges of Nursing Management and Leadership 85
Chapter 11 Building Nursing Management Skills 97
Chapter 12 Effective Communication, Team Building, and Interprofessional Practice 108
Chapter 13 Conflict Management 118
Chapter 14 Delegation in the Clinical Setting 128
Chapter 15 The Health Care Organization and Patterns of Nursing Care Delivery 141
Chapter 16 Economics of the Health Care Delivery System 151
Chapter 17 Political Action in Nursing 161
Chapter 18 Collective Bargaining-Traditional (Union) and Nontraditional Approaches 172
Chapter 19 Ethical Issues 182
Chapter 20 Legal Issues 192
Chapter 21 Cultural and Spiritual Awareness 205
Chapter 22 Quality Patient Care 215
Chapter 23 Nursing Informatics 226
Chapter 24 Using Evidence-Based Practice and Nursing Research 235
Chapter 25 Workplace Issues 244
Chapter 26 Emergency Preparedness 254
,Chapter 01: Role Transitions
Multiple Choice
1. A Graduate Nurse Has Been Hired As A Nurse At A Local Hospital. The New
Nurse Is In The 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.”
Answer: 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 The Nurse Is Able To Grow As A Person.
.
Points: 1 DIFFICULTY: Cognitive Level:
Application/Applying REFERENCE: Table 1.1 OBJECTIVE:
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
Methodology To Recover From Reality Shock?
a. Networking .
b. Obtaining A Mentor
c. Returning To School
d. Joining A Support Group
.
Answer: 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
Positive Step . 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”
Issues And Learning How To Cope.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
. REFERENCE: P. 9 OBJECTIVE: 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 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 .
Answer: 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 Their Role-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
From Other Nurses.
.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
REFERENCE: P. 7 OBJECTIVE: 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 Of Reality Shock As It Applies To Nursing?.
a. “Reality Shock Is The Period When A Person Moves From School Into The Workforce.
b. ”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
Changing Jobs.”
Answer: A .
, “Reality Shock” Is A Term Often Used To Describe The Reaction Experienced When
One Moves Into The Workforce After Several Years Of Educational Preparation. The
New Graduate Is Caught In The Situation Of Moving From A Familiar, Comfortable
Educational Environment Into A New Role In . The Workforce Where The Expectations
Are Not Clearly Defined Or May Not Even Be Realistic. The Realization That Practice
And Nursing School Are Not The Same Is Often Associated With “Going Native.” When
Nurses Move From One Position To Another, They Have Already Experienced
Reality Shock. Becoming An Experienced Nurse Takes Time And Is Not Part Of The
Definitionof . Reality Shock.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying .
REFERENCE: P. 5OBJECTIVE: Identify The Characteristics Of Reality Shock.
Top: Reality Shock Msc: Nclex®: Not Applicable
5. A Student In The Last Semester Of Nursing School Has Established A Goal Of
Making A Successful . Role Transition To Graduate Nurse. Which Statement By
The Student Indicateshis/Her Understanding Of How To Achieve This Goal?
a. “I Should Care For Increased Numbers Of Patients To Enhance Work
Organization Skills.” .
b. “I Will Observe Staff Nurses As They Perform Nursing Procedures
To Refinetechnique.”
c. “I Should Seek Increasingly Close Guidance From The Nursing Instructor To Reduce .
Errors.”
d. “I Will Evaluate My Progress Every 7 Weeks Or More To Allow Time For Growth.”
Answer: A
It Is Important For The Student To Start Taking Care Of Increased Numbers Of Patients To
Help With . Time Management And Work Organization. The Student Should Also Be Able
To Function Without Close Guidance From The Nursing Instructor. Although It Is Good For
Students To Observe Staff, A
Student In The Final Semester Should Be Able To Perform Tasks With Minimal Observation
And . Should Instead Focus On Implementing Care And Time Management. Waiting 7
Weeks To Evaluate Progress Would Not Be Helpful To The Student. Although Regular Self-
Evaluation Is An Important Process, It Is The Actual Experience Of Taking Realistic Patient
Assignments And . Working Typical Shift Hours That Assists With Successful Role
Transition.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
REFERENCE: P. 13 OBJECTIVE: Describe Methods To Promote A Successful Transition. .
Top: Reality Shock Msc: Nclex®: Not Applicable
, 6. A New Graduate Of Less Than 1 Year Describes His/Her Perception Of A Staff
Nurse Position,Stating: “It Feels Great To Be A Nurse! In Fact, It’s A Snap! I Can
Hardly Believe There’s No . Instructor Looking Over My Shoulder.” What Phase Of
Reality Shock Is The Graduate Experiencing?
a. Recovery .
b. Shock And Rejection
c. Honeymoon
d. Transition .
Answer: C
In The First Phase Of The Role Transition Process (The Honeymoon Phase), The Graduate
Nurse Is Thrilled With Completing School And Accepting The First Job. Life Is A Bed Of
Roses Because Everyone Knows Nursing School Is Much Harder Than Nursing Practice.
Shock And Rejection . Occur As The Nurse Tries To Understand How Nursing School And
The “Real World” Come Together.Transition Occurs As The Nurse Begins The Move From
Student To Nurse And Refers To The Entire Process, Not Just A Particular Phase. The
Recovery Phase Is When The Nurse Can Laugh At . Situations That He/She Is In And Is Able
To Cope With The Situations That Are Being Faced.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
REFERENCE: P. 7 OBJECTIVE: Compare And Contrast The Phases Of
Reality Shock. . Top: Reality Shock Msc: Nclex®: Not
Applicable
7. A New Graduate Has Worked On A Busy Unit For 6 Months Since Graduating From Nursing
School. The Graduate Tells A Friend, “I’ve Never Been So Upset In All My Life! The Care
That Some Of The . Staff Give Our Patients Is Outrageously Bad. There’s Practically No
Attention To The Principles Of Asepsis The Way I Learned Them! The Staff Tell Me That
We Have To Cut Corners If We’re Going To Get All The Work Done. I Can’t Stand It!”
What Phase Of Reality Shock Is This Graduate . Experiencing?
a. Honeymoon
b. Shock And Rejection
c. Recovery .
d. Role Transformation
Answer: B
.
The Honeymoon Phase For The New Graduate Nurse Is Short Lived When The Graduate
Identifies The Conflicts Between The Way He/She Was Taught And The Reality Of What Is
Done. Shock And Rejection Cause Mental And Emotional Withdrawal, Moral Outrage, And
A Hypercritical Attitude, .Which Are Just Some Of The Symptoms Of The Realization That
The Honeymoon Is Over. Excessivemistrust, Frequent Pains And Illness, A Decrease In
Energy And Fatigue, Feeling Like A Failure Andblaming Oneself For Every Mistake, A
Hypercritical Attitude, And Feeling Morally Outraged Are Characteristics Of The Shock And
Rejection Phase. The Recovery Phase Is Characterized By A .
, Beginning Sense Of Humor (Usually The First Sigh), A Decrease In Tension, And An
Increase In The Ability To Cope With The Situations That He/She Is Faced With. Role
Transformation Is The Process Of Transforming From Student To Nurse. .
Points: 1 DIFFICULTY: Cognitive Level:
Application/Applying REFERENCE: P. 8 OBJECTIVE: Compare And
Contrast The Phases Of Reality Shock. Top: Reality Shock
Msc: Nclex®: Not Applicable.
8. A Graduate Nurse Has Been Out Of School For 3 Months And Working In A Staff
Nurse Position Forthe Past 2 Months. What Type Of Transition Is The Nurse
Experiencing? .
a. A Developmental Transition
b. An Organizational Transition
c. A Health-Oriented Transition
d. A Situational Transition .
Answer: D
A Situational Transition Is A Lifestyle Change That Occurs Because Of A New Situation.
Most Often The Changes Are By Choice—For Instance, Graduations, Marriages, And New
Jobs. .
Developmental Transitions Include Becoming A Parent Or Going Through A Midlife Crisis. An
Organizational Transition Involves A Change In Leadership. A Health-Oriented Transition
Involves Dealing With An Illness Or Health Issue, Such As Coping With A Chronic Illness. .
Points: 1 DIFFICULTY: Cognitive
Level: Application/Applying REFERENCE: P. 3
OBJECTIVE:
Discuss The Concepts Of Transitions.
Top: Types Of Transitions Msc: Nclex®: Not Applicable.
9. The Graduate Nurse Understands That Transitions Occur Throughout Life. What Major
Factor Doesthe Nurse Identify As Influential In A Successful Transition From School To
Practice? A. Level Of New Knowledge And Skills Required In The New Environment.
b. Amount Of Classwork Required To Obtain A Degree
c. Personal History Of Previous Developmental Transitions
d. Influence Of Classmates And Their Transitional Experiences.
Answer: A
The Transition From Student To Practice Reflects A Situational Transition That Is Most
Often Affected By The Anticipation Of Changes In The New Work Environment. Classwork
No Longer . Affects This Transition. A Personal History Of Previous Developmental
Transitions And The Influence Of Classmates Are Not As Prominent As The Anticipated
Requirements To Function In The New Environment Of Work.
.
Points: 1 DIFFICULTY: Cognitive Level: Comprehension/Understanding
, REFERENCE: P. 4 OBJECTIVE: Describe Methods To Promote A
Successful Transition. Top: Types Of Transitions Msc: Nclex®: Not Applicable .
10. A Nurse Manager Is Giving A Presentation At A Local Community College. The
Nurse Managerunderstands The Job Expectations Of A New Graduate When Making
Which Of The Following Statements? .
a. “A Graduate Nurse Should Be Able To Perform As Independently As Was
Demonstrated Thelast Semester Of Nursing.”
b. “A Graduate Nurse Should Be Able To Function Competently As A Registered
Nurse At Theentry Level.” .
c. “A Graduate Nurse Should Be Able To Function In The Role That Was
Described In Thecurriculum For The School Of Nursing.”
d. “A Graduate Nurse Should Be Able To Be Able To Function Independently With Ability .
To Make Clinical Nursing Judgments.”
Answer: B
The Job Expectations Of A New Graduate Nurse Are Those Of An Entry-Level New
Employee. This .Frequently Includes An Extended Orientation To Assist The New Graduate
To Transition Into The Independent Role Of The Nurse. The New Graduate Nurse Is Not
Expected To Function Independently With The Ability To Make Clinical Nursing
Judgments. School Curriculum And How . One Functioned The Last Semester Of School
Are Usually Not Considered In The Job Expectations Of A New Graduate.
Points: 1 DIFFICULTY: Cognitive Level:
Comprehension/Understanding . REFERENCE: P. 12OBJECTIVE: Discuss
The Concepts Of Transitions.
Top: Successful Transitions Msc: Nclex®: Not Applicable
11. Which Action By The Graduate Nurse Shows That A Successful Transition To Nursing Has Been
.
Made?
a. The Nurse Begins To Work With The Nursing Team And Functions As Others Expect.
b. The Nurse Begins To Objectively Evaluate Work Experiences And Enjoy The Humor Of .
Clinical Situations.
c. The Nurse Believes Everything Is Great, Patients Are Wonderful, And The New
Unit Is Sonice.
d. The Nurse Meets Regularly With Other New Graduates To. Compare
And Discussproblems.
Answer: B
Objectivity And Humor Are Two Of The Characteristics Of A Successful Transition. “Going
Native”
. Occurs When The Graduate Begins To Provide Care In The Manner That The Team Or
Group Wants It Done, Not Necessarily The Correct Way. The “Honeymoon Phase” Is When
Everything Is Going
TEST BANK FOR NURSING TODAY TRANSITION
AND TRENDS, 11TH EDITION, BY ZERWEKH
PRINTED PDF | ORIGINAL DIRECTLY FROM THE PUBLISHER | 100%
VERIFIED ANSWERS | DOWNLOAD IMMEDIATELY AFTER THE ORDER
, Table of Contents
Chapter 01 Role Transitions 1
Chapter 02 Personal Management-Time and Self-Care Strategies 12
Chapter 03 Mentorship, Preceptorship, and Nurse Residency Programs 22
Chapter 04 Employment Considerations-Opportunities, Resumes, and Interviewing 30
Chapter 05 NCLEX-RN® Exam and the New Graduate 40
Chapter 06 Historical Perspectives-Influences on the Present 51
Chapter 07 Nursing Education 60
Chapter 08 Nursing Theories 70
Chapter 09 Professional Image of Nursing 79
Chapter 10 Challenges of Nursing Management and Leadership 85
Chapter 11 Building Nursing Management Skills 97
Chapter 12 Effective Communication, Team Building, and Interprofessional Practice 108
Chapter 13 Conflict Management 118
Chapter 14 Delegation in the Clinical Setting 128
Chapter 15 The Health Care Organization and Patterns of Nursing Care Delivery 141
Chapter 16 Economics of the Health Care Delivery System 151
Chapter 17 Political Action in Nursing 161
Chapter 18 Collective Bargaining-Traditional (Union) and Nontraditional Approaches 172
Chapter 19 Ethical Issues 182
Chapter 20 Legal Issues 192
Chapter 21 Cultural and Spiritual Awareness 205
Chapter 22 Quality Patient Care 215
Chapter 23 Nursing Informatics 226
Chapter 24 Using Evidence-Based Practice and Nursing Research 235
Chapter 25 Workplace Issues 244
Chapter 26 Emergency Preparedness 254
,Chapter 01: Role Transitions
Multiple Choice
1. A Graduate Nurse Has Been Hired As A Nurse At A Local Hospital. The New
Nurse Is In The 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.”
Answer: 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 The Nurse Is Able To Grow As A Person.
.
Points: 1 DIFFICULTY: Cognitive Level:
Application/Applying REFERENCE: Table 1.1 OBJECTIVE:
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
Methodology To Recover From Reality Shock?
a. Networking .
b. Obtaining A Mentor
c. Returning To School
d. Joining A Support Group
.
Answer: 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
Positive Step . 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”
Issues And Learning How To Cope.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
. REFERENCE: P. 9 OBJECTIVE: 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 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 .
Answer: 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 Their Role-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
From Other Nurses.
.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
REFERENCE: P. 7 OBJECTIVE: 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 Of Reality Shock As It Applies To Nursing?.
a. “Reality Shock Is The Period When A Person Moves From School Into The Workforce.
b. ”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
Changing Jobs.”
Answer: A .
, “Reality Shock” Is A Term Often Used To Describe The Reaction Experienced When
One Moves Into The Workforce After Several Years Of Educational Preparation. The
New Graduate Is Caught In The Situation Of Moving From A Familiar, Comfortable
Educational Environment Into A New Role In . The Workforce Where The Expectations
Are Not Clearly Defined Or May Not Even Be Realistic. The Realization That Practice
And Nursing School Are Not The Same Is Often Associated With “Going Native.” When
Nurses Move From One Position To Another, They Have Already Experienced
Reality Shock. Becoming An Experienced Nurse Takes Time And Is Not Part Of The
Definitionof . Reality Shock.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying .
REFERENCE: P. 5OBJECTIVE: Identify The Characteristics Of Reality Shock.
Top: Reality Shock Msc: Nclex®: Not Applicable
5. A Student In The Last Semester Of Nursing School Has Established A Goal Of
Making A Successful . Role Transition To Graduate Nurse. Which Statement By
The Student Indicateshis/Her Understanding Of How To Achieve This Goal?
a. “I Should Care For Increased Numbers Of Patients To Enhance Work
Organization Skills.” .
b. “I Will Observe Staff Nurses As They Perform Nursing Procedures
To Refinetechnique.”
c. “I Should Seek Increasingly Close Guidance From The Nursing Instructor To Reduce .
Errors.”
d. “I Will Evaluate My Progress Every 7 Weeks Or More To Allow Time For Growth.”
Answer: A
It Is Important For The Student To Start Taking Care Of Increased Numbers Of Patients To
Help With . Time Management And Work Organization. The Student Should Also Be Able
To Function Without Close Guidance From The Nursing Instructor. Although It Is Good For
Students To Observe Staff, A
Student In The Final Semester Should Be Able To Perform Tasks With Minimal Observation
And . Should Instead Focus On Implementing Care And Time Management. Waiting 7
Weeks To Evaluate Progress Would Not Be Helpful To The Student. Although Regular Self-
Evaluation Is An Important Process, It Is The Actual Experience Of Taking Realistic Patient
Assignments And . Working Typical Shift Hours That Assists With Successful Role
Transition.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
REFERENCE: P. 13 OBJECTIVE: Describe Methods To Promote A Successful Transition. .
Top: Reality Shock Msc: Nclex®: Not Applicable
, 6. A New Graduate Of Less Than 1 Year Describes His/Her Perception Of A Staff
Nurse Position,Stating: “It Feels Great To Be A Nurse! In Fact, It’s A Snap! I Can
Hardly Believe There’s No . Instructor Looking Over My Shoulder.” What Phase Of
Reality Shock Is The Graduate Experiencing?
a. Recovery .
b. Shock And Rejection
c. Honeymoon
d. Transition .
Answer: C
In The First Phase Of The Role Transition Process (The Honeymoon Phase), The Graduate
Nurse Is Thrilled With Completing School And Accepting The First Job. Life Is A Bed Of
Roses Because Everyone Knows Nursing School Is Much Harder Than Nursing Practice.
Shock And Rejection . Occur As The Nurse Tries To Understand How Nursing School And
The “Real World” Come Together.Transition Occurs As The Nurse Begins The Move From
Student To Nurse And Refers To The Entire Process, Not Just A Particular Phase. The
Recovery Phase Is When The Nurse Can Laugh At . Situations That He/She Is In And Is Able
To Cope With The Situations That Are Being Faced.
Points: 1 DIFFICULTY: Cognitive Level: Application/Applying
REFERENCE: P. 7 OBJECTIVE: Compare And Contrast The Phases Of
Reality Shock. . Top: Reality Shock Msc: Nclex®: Not
Applicable
7. A New Graduate Has Worked On A Busy Unit For 6 Months Since Graduating From Nursing
School. The Graduate Tells A Friend, “I’ve Never Been So Upset In All My Life! The Care
That Some Of The . Staff Give Our Patients Is Outrageously Bad. There’s Practically No
Attention To The Principles Of Asepsis The Way I Learned Them! The Staff Tell Me That
We Have To Cut Corners If We’re Going To Get All The Work Done. I Can’t Stand It!”
What Phase Of Reality Shock Is This Graduate . Experiencing?
a. Honeymoon
b. Shock And Rejection
c. Recovery .
d. Role Transformation
Answer: B
.
The Honeymoon Phase For The New Graduate Nurse Is Short Lived When The Graduate
Identifies The Conflicts Between The Way He/She Was Taught And The Reality Of What Is
Done. Shock And Rejection Cause Mental And Emotional Withdrawal, Moral Outrage, And
A Hypercritical Attitude, .Which Are Just Some Of The Symptoms Of The Realization That
The Honeymoon Is Over. Excessivemistrust, Frequent Pains And Illness, A Decrease In
Energy And Fatigue, Feeling Like A Failure Andblaming Oneself For Every Mistake, A
Hypercritical Attitude, And Feeling Morally Outraged Are Characteristics Of The Shock And
Rejection Phase. The Recovery Phase Is Characterized By A .
, Beginning Sense Of Humor (Usually The First Sigh), A Decrease In Tension, And An
Increase In The Ability To Cope With The Situations That He/She Is Faced With. Role
Transformation Is The Process Of Transforming From Student To Nurse. .
Points: 1 DIFFICULTY: Cognitive Level:
Application/Applying REFERENCE: P. 8 OBJECTIVE: Compare And
Contrast The Phases Of Reality Shock. Top: Reality Shock
Msc: Nclex®: Not Applicable.
8. A Graduate Nurse Has Been Out Of School For 3 Months And Working In A Staff
Nurse Position Forthe Past 2 Months. What Type Of Transition Is The Nurse
Experiencing? .
a. A Developmental Transition
b. An Organizational Transition
c. A Health-Oriented Transition
d. A Situational Transition .
Answer: D
A Situational Transition Is A Lifestyle Change That Occurs Because Of A New Situation.
Most Often The Changes Are By Choice—For Instance, Graduations, Marriages, And New
Jobs. .
Developmental Transitions Include Becoming A Parent Or Going Through A Midlife Crisis. An
Organizational Transition Involves A Change In Leadership. A Health-Oriented Transition
Involves Dealing With An Illness Or Health Issue, Such As Coping With A Chronic Illness. .
Points: 1 DIFFICULTY: Cognitive
Level: Application/Applying REFERENCE: P. 3
OBJECTIVE:
Discuss The Concepts Of Transitions.
Top: Types Of Transitions Msc: Nclex®: Not Applicable.
9. The Graduate Nurse Understands That Transitions Occur Throughout Life. What Major
Factor Doesthe Nurse Identify As Influential In A Successful Transition From School To
Practice? A. Level Of New Knowledge And Skills Required In The New Environment.
b. Amount Of Classwork Required To Obtain A Degree
c. Personal History Of Previous Developmental Transitions
d. Influence Of Classmates And Their Transitional Experiences.
Answer: A
The Transition From Student To Practice Reflects A Situational Transition That Is Most
Often Affected By The Anticipation Of Changes In The New Work Environment. Classwork
No Longer . Affects This Transition. A Personal History Of Previous Developmental
Transitions And The Influence Of Classmates Are Not As Prominent As The Anticipated
Requirements To Function In The New Environment Of Work.
.
Points: 1 DIFFICULTY: Cognitive Level: Comprehension/Understanding
, REFERENCE: P. 4 OBJECTIVE: Describe Methods To Promote A
Successful Transition. Top: Types Of Transitions Msc: Nclex®: Not Applicable .
10. A Nurse Manager Is Giving A Presentation At A Local Community College. The
Nurse Managerunderstands The Job Expectations Of A New Graduate When Making
Which Of The Following Statements? .
a. “A Graduate Nurse Should Be Able To Perform As Independently As Was
Demonstrated Thelast Semester Of Nursing.”
b. “A Graduate Nurse Should Be Able To Function Competently As A Registered
Nurse At Theentry Level.” .
c. “A Graduate Nurse Should Be Able To Function In The Role That Was
Described In Thecurriculum For The School Of Nursing.”
d. “A Graduate Nurse Should Be Able To Be Able To Function Independently With Ability .
To Make Clinical Nursing Judgments.”
Answer: B
The Job Expectations Of A New Graduate Nurse Are Those Of An Entry-Level New
Employee. This .Frequently Includes An Extended Orientation To Assist The New Graduate
To Transition Into The Independent Role Of The Nurse. The New Graduate Nurse Is Not
Expected To Function Independently With The Ability To Make Clinical Nursing
Judgments. School Curriculum And How . One Functioned The Last Semester Of School
Are Usually Not Considered In The Job Expectations Of A New Graduate.
Points: 1 DIFFICULTY: Cognitive Level:
Comprehension/Understanding . REFERENCE: P. 12OBJECTIVE: Discuss
The Concepts Of Transitions.
Top: Successful Transitions Msc: Nclex®: Not Applicable
11. Which Action By The Graduate Nurse Shows That A Successful Transition To Nursing Has Been
.
Made?
a. The Nurse Begins To Work With The Nursing Team And Functions As Others Expect.
b. The Nurse Begins To Objectively Evaluate Work Experiences And Enjoy The Humor Of .
Clinical Situations.
c. The Nurse Believes Everything Is Great, Patients Are Wonderful, And The New
Unit Is Sonice.
d. The Nurse Meets Regularly With Other New Graduates To. Compare
And Discussproblems.
Answer: B
Objectivity And Humor Are Two Of The Characteristics Of A Successful Transition. “Going
Native”
. Occurs When The Graduate Begins To Provide Care In The Manner That The Team Or
Group Wants It Done, Not Necessarily The Correct Way. The “Honeymoon Phase” Is When
Everything Is Going
