p p p p p p p
11THgEDITIONgBYgZERWEKHg100%gverified
g p p p p p
TESTBANK
,Chapter 01: Role Transitions
p p p
.
abirb.com/test
MULTIPLE CHOICE p
1. A graduate nurse has been hired as a nurse at a local hospital. The
p p p p p p p p p p p p p
p new nurse is inthe
p honeymoon phase of role transition when making
p p p
. p
p p p p p p
p which of the following statements?
p a. ―I am so nervous about being
p p p p p p p p p
p on my own as a nurse.‖
p p p p p
b. ―This will be a great learning experience.‖ p p p p p p .
c. ―I can‘t wait to have a steady paycheck.‖
p p p p p p p
d. ―This gjob gis gperfect. gIgcan gfinallygdo gthings gmygown gway.‖
p p p p p p p p
ANS: D p .
The honeymoon phase is when the student nurse sees the world of
p p p p p p p p p p p
pnursing as quite rosy. Often, the new graduate is fascinated with the
p p p p p p p p p p p
pthrill of arriving in the profession. Realityshock occurs when one moves into
p p p p p p p p p p p
pthe workforce after several years of educational preparation. Recovery and
p p p p p p p p p
presolution occur when the graduate nurse is able to laugh at . encountered
p p p p p p p p p p p p
psituations. During this time, tension decreases, perception increases, and
p p p p p p p p
p thenurse is able to grow as a person. p p p p p p p
.
PTS: 1 DIF: Cognitive Level: Application/Applying
p p p p
pREF: Table 1.1 OBJ: Identify the characteristics of reality
p p p p p p p
pshock.
TOP: Reality shock p MSC: NCLEX®: Safe and effective care environment p p p p p p p
.
2. Which of the following actions by the graduate nurse is an
p p p p p p p p p p
p inappropriate methodologyto recover from reality shock? p p p p p
a. Networking .
b. Obtaining a mentor p p
c. Returning to school p p
d. Joining a support group p p p
.
ANS: C p
The transition period is successfully managed when the graduate is able to
p p p p p p p p p p p
evaluate the work situation objectively and predict effectively the actions
p p p p p p p p p p
and reactions of other staff.
p p p p p
Nurturing
the ability to see humor in a situation may be a first step. Returning to
p p p p p p p p p p p p p p
school is a positivestep . after the graduate has worked through role transition,
p p p p p p p p p p p p p
has some clinical experience, and is ready to focus on a new career objective.
p p p p p p p p p p p p p p
Networking, obtaining a mentor, and joining a support group would give
p p p p p p p p p p p
the graduate nurse an opportunity to talk to others experiencing the
p p . p p p p p p p p p
, stress associated with reality shock. The nurse would benefit from ―talking
p p p p p p p p p p
through‖ issuesand learning how to cope.
p p p p p p
PTS: 1 DIF: Cognitive Level: Application/Applying .
p p p p p
pREF: p. 9 OBJ: Describe methods to promote a successful
p p p p p p p p
ptransition. TOP: Reality shock p p p
MSC: NCLEX®: Safe and effective care environment Not applicable
p p p p p p p p
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid
p p p p p p p p p p p p p p
p way to achievethis?
p p
a. Refusing gto gconstantlygwork gextra gshifts p p p p p .
b. Withdrawing from peer support group p p p p
c. ―Going native‖ p
d. Changing jobs every 6 to 12 months p p p p p p p .
ANS: A p
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set
p p p p p p p p p p p p p
priorities with your mental and physical health being the highest priority.
p p p p p p p p p p p
Learning to say ―no‖ to extra shifts is a positive means of coping of avoiding
p p p p p p p p p p p p p p p
burnout.
p
―Going native‖ is the term that . describes how recent graduates begin to
p p p p p p p p p p p p
copy and identify the reality of theirrole-transition experience by rejecting the
p p p p p p p p p p p
values from nursing school and functioning more like a team member at their
p p p p p p p p p p p p p
place of employment. Withdrawing from peer support groups, ―going native,‖ .
p p p p p p p p p p p
and changing jobs every 6 to 12 months would increase the chance of the
p p p p p p p p p p p p p p
nurse experiencing
p p
burnout. The nurse should instead focus on his/her practice and seek
p p p p p p p p p p
out support fromother
p p nurses. p
.
PTS: 1 DIF: Cognitive Level: Application/Applying
p p p p
pREF: p. 7 OBJ: Describe methods to promote a
p p p p p p p
psuccessful transition. TOP: Reality shock p p p p
MSC: NCLEX®: Safe and effective care environment Not applicable
p p p p p p p p p .
4. Which of the following statements by the graduate nurse shows
p p p p p p p p p
p an understanding ofreality shock as it applies to nursing? .
p p p p p p p p p
a. ―Reality shock is the period when a person moves from school into the p p p p p p p p p p p p
b. workforce.‖―Reality shock is the realization that practice and education p p p p p p p p
p are not thesame.‖ p p
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖.
p p p p p p p p p p p
d. ―Reality shock is a transition phase that new graduates go through p p p p p p p p p p
p before changingjobs.‖ p
ANS: A p .
, ―Reality shock‖ is a term often used to describe the reaction experienced when p p p p p p p p p p p p
one movesinto the workforce after several years of educational preparation. The
p p p p p p p p p p p
new graduate is caught in the situation of moving from a familiar, comfortable
p p p p p p p p p p p p p
educational environment into a new role in . the workforce where the
p p p p p p p p p p p p
expectations are not clearly defined or may not even be realistic. The
p p p p p p p p p p p p
realization that practice and nursing school are not the same is often associated
p p p p p p p p p p p p p
with ―going native.‖ When nurses move from one position to another, they
p p p p p p p p p p p p
have already experienced
p p p
reality shock. Becoming an experienced nurse takes time and is not part of the
p p p p p p p p p p p p p
definitionof . reality shock.
p p p p
PTS: 1 DIF: Cognitive Level: Application/Applying
p p p p p p
. p REF:
p. 5OBJ: Identify the characteristics of reality shock.
p p p p p p p p
TOP: Reality shock p p MSC: NCLEX®: Not applicable p p p
5. A new graduate of less than 1 year describes his/her perception of a staff
p p p p p p p p p p p p p
p nurse position,stating: ―It feels great to be a nurse! In fact, it‘s a snap! I
p p p p p p p p p p p p p p p
p can hardly believe there‘s no . instructor looking over my shoulder.‖ What
p p p p p p p p p p p
p phase of reality shock is the graduate experiencing?
p p p p p p p
a. Recovery .
b. Shock and rejection p p
c. g g g Honeymoon
p p p
d. Transition .
ANS: C p
In the first phase of the role transition process (the honeymoon phase), the graduate
p p p p p p p p p p p p p
pnurse is thrilled with completing school and accepting the first job. Life is a bed
p p p p p p p p p p p p p p
p of roses because everyone knows nursing school is much harder than nursing
p p p p p p p p p p p
p practice. Shock and rejection . occur as the nurse tries to understand how nursing
p p p p
p
p p p p p p p p
p school and the ―real world‖ come together.Transition occurs as the nurse begins
p p p p p p p p p p p p
p the move from student to nurse and refers to the entire process, not just a
p p p p p p p p p p p p p p
p particular phase. The recovery phase is when the nurse can laugh at . p p p p p p p p p p p p
p situations that he/she is in and is able to cope with the situations that are being p p p p p p p p p p p p p p p
p faced.
PTS: 1 DIF: Cognitive Level: Application/Applying
p p p p
REF: p. 7 OBJ: Compare and contrast the phases of reality shock.
p p p p p p p p p p p .
TOP: Reality shock p MSC: NCLEX®: Not applicable p p p p
6. A student in the last semester of nursing school has established a goal of
p p p p p p p p p p p p p
making a successful . role transition to graduate nurse. Which statement
p p p p p p p p p p p
by the student indicateshis/her understanding of how to achieve this
p p p p p p p p p p
goal?
p
a. ―Igshould gcare gfor gincreased gnumbers gof gpatients gto genhance gwork
p p p p p p p p p p p
gorganization skills.‖ p. p
b. ―I will observe staff nurses as they perform nursing procedures
p p p p p p p p p
p to refinetechnique.‖ p
c. ―I should seek increasingly close guidance from the nursing instructor to reduce
p p p p p p p p p p p p .
errors.‖
d. ―I will evaluate my progress every 7 weeks or more to allow time for growth.‖
p p p p p p p p p p p p p p