Nursing Today: Transition and Trends, 12th Edition
by JoAnn Zerwekh, and Ashley Zerwekh Garneau
All Chapters 1 to 26 Complete, Verified Edition
12TH
, TABLE OF CONTENTS
UNIT I: PROFESSIONAL GROWTH AND TRANSITION ................................................................................... 3
Chapter 01: role transitions ...................................................................................................................... 3
Chapter 02: personal management: time and self-care strategies ........................................................ 20
Chapter 03: mentorship, preceptorship, and nurse residency programs ................................................ 37
Chapter 04: employment considerations: opportunities, resumes, and interviewing ............................ 50
Chapter 05: NCLEX-RN® Exam and the New Graduate ........................................................................... 66
UNIT II: NURSING: A DEVELOPING PROFESSION ....................................................................................... 80
Chapter 06: Nursing History and the Image of Professional Nursing ..................................................... 80
Chapter 07: nursing education .............................................................................................................. 103
Chapter 08: nursing theory ................................................................................................................... 115
Chapter 09: effective communication, team building, and interprofessional practice ......................... 129
UNIT III: NURSING MANAGEMENT .......................................................................................................... 144
Chapter 10: conflict management ........................................................................................................ 144
Chapter 11: challenges of nursing management and leadership. ........................................................ 159
Chapter 12: clinical judgment ............................................................................................................... 177
Chapter 13: building nursing management skills.................................................................................. 187
Chapter 14: Delegation and Assignment in the Clinical Setting............................................................ 205
UNIT IV: CURRENT ISSUES IN HEALTH CARE ............................................................................................ 226
Chapter 15: the health care organization and patterns of nursing care delivery. ................................ 226
Chapter 16: economics in the health care delivery system ................................................................... 242
Chapter 17: political action in nursing .................................................................................................. 259
Chapter 18: collective bargaining: traditional (union) and nontraditional approaches ....................... 276
Chapter 19: ethical issues ..................................................................................................................... 293
Chapter 20: legal issues ........................................................................................................................ 310
UNIT V: CONTEMPORARY NURSING PRACTICE ....................................................................................... 331
Chapter 21: cultural and spiritual awareness ....................................................................................... 331
Chapter 22: quality patient care ........................................................................................................... 347
Chapter 23: Healthcare Information Technology and Its Impact on Nursing Practice ......................... 366
Chapter 24: using evidence-based practice and nursing research . ...................................................... 381
Chapter 25: workplace issues ................................................................................................................ 396
Chapter 26: emergency preparedness .................................................................................................. 413
,UNIT I: PROFESSIONAL GROWTH AND TRANSITION
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.
.
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 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.
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
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
by JoAnn Zerwekh, and Ashley Zerwekh Garneau
All Chapters 1 to 26 Complete, Verified Edition
12TH
, TABLE OF CONTENTS
UNIT I: PROFESSIONAL GROWTH AND TRANSITION ................................................................................... 3
Chapter 01: role transitions ...................................................................................................................... 3
Chapter 02: personal management: time and self-care strategies ........................................................ 20
Chapter 03: mentorship, preceptorship, and nurse residency programs ................................................ 37
Chapter 04: employment considerations: opportunities, resumes, and interviewing ............................ 50
Chapter 05: NCLEX-RN® Exam and the New Graduate ........................................................................... 66
UNIT II: NURSING: A DEVELOPING PROFESSION ....................................................................................... 80
Chapter 06: Nursing History and the Image of Professional Nursing ..................................................... 80
Chapter 07: nursing education .............................................................................................................. 103
Chapter 08: nursing theory ................................................................................................................... 115
Chapter 09: effective communication, team building, and interprofessional practice ......................... 129
UNIT III: NURSING MANAGEMENT .......................................................................................................... 144
Chapter 10: conflict management ........................................................................................................ 144
Chapter 11: challenges of nursing management and leadership. ........................................................ 159
Chapter 12: clinical judgment ............................................................................................................... 177
Chapter 13: building nursing management skills.................................................................................. 187
Chapter 14: Delegation and Assignment in the Clinical Setting............................................................ 205
UNIT IV: CURRENT ISSUES IN HEALTH CARE ............................................................................................ 226
Chapter 15: the health care organization and patterns of nursing care delivery. ................................ 226
Chapter 16: economics in the health care delivery system ................................................................... 242
Chapter 17: political action in nursing .................................................................................................. 259
Chapter 18: collective bargaining: traditional (union) and nontraditional approaches ....................... 276
Chapter 19: ethical issues ..................................................................................................................... 293
Chapter 20: legal issues ........................................................................................................................ 310
UNIT V: CONTEMPORARY NURSING PRACTICE ....................................................................................... 331
Chapter 21: cultural and spiritual awareness ....................................................................................... 331
Chapter 22: quality patient care ........................................................................................................... 347
Chapter 23: Healthcare Information Technology and Its Impact on Nursing Practice ......................... 366
Chapter 24: using evidence-based practice and nursing research . ...................................................... 381
Chapter 25: workplace issues ................................................................................................................ 396
Chapter 26: emergency preparedness .................................................................................................. 413
,UNIT I: PROFESSIONAL GROWTH AND TRANSITION
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.
.
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 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.
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
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
