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Chapter 25: Making the Transition From Student to Professional Nurse Cherry:
Contemporary Nursing: Issues, Trends, and Management, 9th Edition
MULTIPLE CHOICE
1. During orientation, a novice nurse sits and ―virtually spends‖ the first few paychecks,
envisioning the money going into a personal bank account. In the dream state, the nurse
smiles and knows that the pain of nursing school was worth it. Which phase of reality shock
is the nurse experiencing? a. Honeymoon
b. Shock or rejection
c. Recovery
d. Resolution
ANS: A
During the honeymoon phase, the novice nurse has a positive image of nursing that
coincides with the reason for becoming a nurse; this feeling is experienced immediately
after the nurse begins work and often while still in orientation. During the shock or rejection
phase, there is inconsistency with what was learned in school and the work environment,
and the novice nurse lacks many of the skills needed to be independent in this new role. The
novice nurse begins to understand the new culture to a certain degree, thus there is less
tension and anxiety, and healing begins in the recovery phase. In the resolution phase, work
expectations are more easily met, and the nurse will have developed the ability to elicit
change.
DIF:Comprehension
2. A novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity
from a central line before antibiotic therapy is started. The novice reads and rereads the
procedure manual. An hour later he stands at the bedside of the patient and stares at the
central line, without knowing how to proceed. This phase of reality shock is identified with
what term?
a. Honeymoon
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b. Shock or rejection
c. Recovery
d. Resolution
ANS: B
During the shock or rejection phase, there is inconsistency with what was learned in school
and the work environment, and the novice nurse lacks many of the skills needed to be
independent in this new role. During the honeymoon phase, everything is just as the new
graduate imagined. The novice nurse begins to understand the new culture to a certain
degree, thus there is less tension and anxiety, and healing begins in the recovery phase. In
the resolution phase, work expectations are more easily met, and the nurse will have
developed the ability to elicit change.
DIF:Comprehension
3. According to Kramer, nurses in the shock phase should ask themselves what?
a. ―How can I fit in with other staff?‖
b. ―Why can‘t I perform as everyone expects?‖
c. ―What changes can I make to make me feel good about the choice to become a nurse?‖
d. ―How can I get the rest of the staff to change?‖
ANS: C
During the shock or rejection phase, novice nurses must ask themselves what they must do
to become the type of nurse envisioned and to make a contribution.
DIF:Application
4. The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor,
and is asked to participate in the next staff meeting. This introduction into nursing is
appropriately identified using what term? a. Biculturalism
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Chapter 25: Making the Transition From Student to Professional Nurse Cherry:
Contemporary Nursing: Issues, Trends, and Management, 9th Edition
MULTIPLE CHOICE
1. During orientation, a novice nurse sits and ―virtually spends‖ the first few paychecks,
envisioning the money going into a personal bank account. In the dream state, the nurse
smiles and knows that the pain of nursing school was worth it. Which phase of reality shock
is the nurse experiencing? a. Honeymoon
b. Shock or rejection
c. Recovery
d. Resolution
ANS: A
During the honeymoon phase, the novice nurse has a positive image of nursing that
coincides with the reason for becoming a nurse; this feeling is experienced immediately
after the nurse begins work and often while still in orientation. During the shock or rejection
phase, there is inconsistency with what was learned in school and the work environment,
and the novice nurse lacks many of the skills needed to be independent in this new role. The
novice nurse begins to understand the new culture to a certain degree, thus there is less
tension and anxiety, and healing begins in the recovery phase. In the resolution phase, work
expectations are more easily met, and the nurse will have developed the ability to elicit
change.
DIF:Comprehension
2. A novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity
from a central line before antibiotic therapy is started. The novice reads and rereads the
procedure manual. An hour later he stands at the bedside of the patient and stares at the
central line, without knowing how to proceed. This phase of reality shock is identified with
what term?
a. Honeymoon
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this document is illegal extra per year?
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b. Shock or rejection
c. Recovery
d. Resolution
ANS: B
During the shock or rejection phase, there is inconsistency with what was learned in school
and the work environment, and the novice nurse lacks many of the skills needed to be
independent in this new role. During the honeymoon phase, everything is just as the new
graduate imagined. The novice nurse begins to understand the new culture to a certain
degree, thus there is less tension and anxiety, and healing begins in the recovery phase. In
the resolution phase, work expectations are more easily met, and the nurse will have
developed the ability to elicit change.
DIF:Comprehension
3. According to Kramer, nurses in the shock phase should ask themselves what?
a. ―How can I fit in with other staff?‖
b. ―Why can‘t I perform as everyone expects?‖
c. ―What changes can I make to make me feel good about the choice to become a nurse?‖
d. ―How can I get the rest of the staff to change?‖
ANS: C
During the shock or rejection phase, novice nurses must ask themselves what they must do
to become the type of nurse envisioned and to make a contribution.
DIF:Application
4. The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor,
and is asked to participate in the next staff meeting. This introduction into nursing is
appropriately identified using what term? a. Biculturalism
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this document is illegal extra per year?
