TEST BANK - Nursing Today: Transition and Trends, 11th Edition (Zerwekh) Chapters 1 - 26 | All Chapters

TEST BANK - Nursing Today: Transition and Trends,
11th Edition (Zerwekh)
Chapters 1 - 26 | All Chapters

, Test Bank - Nursing Today: Transition and Trends, 11th Edition




TABLE OF CONTENTS

,Chapter 01: Role Transitions
.
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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.
.
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
1 1 1 1 1 1 1 1 1 1 1 1 1


1 recover from reality shock?
1 1 1



a. Networking .
b. Obtaining a mentor 1 1



c. Returning to school 1 1



d. Joining a support group 1 1 1


.
ANSWER: C 1


The transition period is successfully managed when the graduate is able to evaluate the work
1 1 1 1 1 1 1 1 1 1 1 1 1 1


1situation 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 positiveste
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p . after the graduate has worked through role transition, has some clinical experience,and is
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ready to focus on a new career objective. Networking, obtaining a mentor, and joining a sup
1 1 1 1 1 1 1 1 1 1 1 1 1 1 1



port group would give the graduate nurse an opportunity to talk to others experiencing the .
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, stress associated with reality shock. The nurse would benefit from ―talking through‖ issuesan
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d learning how to cope.
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PTS: 1 1 DIF: Cognitive Level: Application/Applying .
1 1 1 1


REF: p. 9 1 1



OBJ: Describe methods to promote a successful transition.
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TOP: Reality shock 1 1


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 achievethi
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s?
a. Refusing to constantly work extra shifts 1 1 1 1 1 .
b. Withdrawing from peer support group 1 1 1 1


c. ―Going native‖ 1


d. Changing jobs every 6 to 12 months . 1 1 1 1 1 1 1




ANSWER: A 1


One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities
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with your mental and physical health being the highest priority. Learning to say ―no‖ to extra
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shifts is a positive means of coping of avoiding burnout. ―Going native‖ is the term that . desc
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ribes how recent graduates begin to copy and identify the reality of theirrole-
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transition experience by rejecting the values from nursing school and functioning more like a
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team member at their place of employment. Withdrawing from peer support groups, ―going n
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ative,‖ . and changing jobs every 6 to 12 months would increase the chance of the nurse exper
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iencing
burnout. The nurse should instead focus on his/her practice and seek out support fromot
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her nurses.
1


.
PTS: 1 1 DIF: Cognitive Level: Application/Applying
1 1 1



REF: p. 7 1 1


OBJ: Describe methods to promote a successful transition.
1 1 1 1 1 1 1 1


TOP: Reality shock 1 1


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 ofre
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ality 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 thesa 1 1 1 1 1 1 1 1 1 1 1 1


me.‖
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 changingjo
1 1 1 1 1 1 1 1 1 1 1 1 1


bs.‖

ANSWER: A 1 .