WGU D455 CHAPTER 1 ROLE TRANSITIONS EXAM QUESTIONS WITH
VERIFIED ANSWERS
100% Correct 25
Incorrect 0
1 of 25
Definition
b. The nurse begins to objectively evaluate work experiences and
enjoy the humor of clinical situations.
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 great. Meeting with other new graduates can be
productive, but it is a part of the transition, not an indication of
successful transition.
Give this one a go later!
, 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 so nice.
d. The nurse meets regularly with other new graduates to compare and
A newdgisrcaudsusapterohbales mwso. rked 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
tells 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
A nurse manager is giving a presentation at a local community college. The nurse
manager understands 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 the last semester of nursing."
b. "A graduate nurse should be able to function competently as a registered
nurse at the entry level."
c. "A graduate nurse should be able to function in the role that was described in
the curriculum 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."
, A nurse has worked the past 5 days in a row to make some extra money. Today is
a scheduled day off. Which of the following actions would be the best for this
nurse to take?
a.Call the unit to see if they need the nurse to work.
b. Read nursing articles and take practice quizzes to stay up to date.
c.Take his/her small children to the zoo.
D o n 't k n ow ?
d. Work on a continuing education re q u ire e m e not .
2 of 25
Term
A nursing student is nearing the end of his/her clinical experience. The
student would like to care for patients who are typically challenging for
students in the first year of practice. Which patient would be the best
choice for this student?
a.A 62-year-old man with diabetes who needs outpatient care set up
b.A 30-year old woman with a kidney stone requiring IV pain
medications
c. A 45-year old man with chest tubes recovering from a car accident
d. A 25-year old woman who received blood yesterday
Give this one a go later!
c. Delegate obtaining informed consent to another nurse while staying with the
patient who is receiving blood.
Although the nurse must stay with the patient while hanging blood, it is important
that informed consent is obtained from the other patient before going to surgery.
The best action for the nurse to take would be to compromise and delegate
obtaining informed consent to another nurse. The other actions would be
inappropriate and possibly dangerous to the patients involved.
, a. Ask his/her instructor for extra skills practice during clinical hours.
The best way for the nursing student to improve skills is to get hands-on practice.
The student would benefit most from requesting extra skills practice during clinical
hours, where skills can be performed on real patients, with the guidance of a
clinical instructor. Therefore, watching skills videos, reviewing nursing textbooks,
and
observing other nurses would not help the student obtain hands-on practice.
c. A 45-year old man with chest tubes recovering from a car accident
The skills that nursing students have identified as the most challenging
include code blues, chest tubes, intravenous skills, central lines, blood
administration, and patient-controlled analgesia. The most appropriate patient
for the student to increase his/her skill level would be the 45-year old man
with chest tubes. The other patients are not considered to be a "challenging
patients" for most nursing students.
a. A 48-year-old man with heart failure who has oral and IV medications due and
needs a new IV started
To adequately prepare for role transition, the student nurse needs realistic
assignments and real-life experiences. It would be most appropriate for the student
to accept the "busy" patient, who requires oral and IV medications and needs to
have his IV restarted. The patient who can care for themselves independently and
the one who is leaving the hospital against medical advice would not provide
as much skill experience. Diabetic teaching is important but does not require the
time management and work organization skills of a "busy" patient.
Don't know?
3 of 25
Definition
VERIFIED ANSWERS
100% Correct 25
Incorrect 0
1 of 25
Definition
b. The nurse begins to objectively evaluate work experiences and
enjoy the humor of clinical situations.
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 great. Meeting with other new graduates can be
productive, but it is a part of the transition, not an indication of
successful transition.
Give this one a go later!
, 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 so nice.
d. The nurse meets regularly with other new graduates to compare and
A newdgisrcaudsusapterohbales mwso. rked 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
tells 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
A nurse manager is giving a presentation at a local community college. The nurse
manager understands 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 the last semester of nursing."
b. "A graduate nurse should be able to function competently as a registered
nurse at the entry level."
c. "A graduate nurse should be able to function in the role that was described in
the curriculum 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."
, A nurse has worked the past 5 days in a row to make some extra money. Today is
a scheduled day off. Which of the following actions would be the best for this
nurse to take?
a.Call the unit to see if they need the nurse to work.
b. Read nursing articles and take practice quizzes to stay up to date.
c.Take his/her small children to the zoo.
D o n 't k n ow ?
d. Work on a continuing education re q u ire e m e not .
2 of 25
Term
A nursing student is nearing the end of his/her clinical experience. The
student would like to care for patients who are typically challenging for
students in the first year of practice. Which patient would be the best
choice for this student?
a.A 62-year-old man with diabetes who needs outpatient care set up
b.A 30-year old woman with a kidney stone requiring IV pain
medications
c. A 45-year old man with chest tubes recovering from a car accident
d. A 25-year old woman who received blood yesterday
Give this one a go later!
c. Delegate obtaining informed consent to another nurse while staying with the
patient who is receiving blood.
Although the nurse must stay with the patient while hanging blood, it is important
that informed consent is obtained from the other patient before going to surgery.
The best action for the nurse to take would be to compromise and delegate
obtaining informed consent to another nurse. The other actions would be
inappropriate and possibly dangerous to the patients involved.
, a. Ask his/her instructor for extra skills practice during clinical hours.
The best way for the nursing student to improve skills is to get hands-on practice.
The student would benefit most from requesting extra skills practice during clinical
hours, where skills can be performed on real patients, with the guidance of a
clinical instructor. Therefore, watching skills videos, reviewing nursing textbooks,
and
observing other nurses would not help the student obtain hands-on practice.
c. A 45-year old man with chest tubes recovering from a car accident
The skills that nursing students have identified as the most challenging
include code blues, chest tubes, intravenous skills, central lines, blood
administration, and patient-controlled analgesia. The most appropriate patient
for the student to increase his/her skill level would be the 45-year old man
with chest tubes. The other patients are not considered to be a "challenging
patients" for most nursing students.
a. A 48-year-old man with heart failure who has oral and IV medications due and
needs a new IV started
To adequately prepare for role transition, the student nurse needs realistic
assignments and real-life experiences. It would be most appropriate for the student
to accept the "busy" patient, who requires oral and IV medications and needs to
have his IV restarted. The patient who can care for themselves independently and
the one who is leaving the hospital against medical advice would not provide
as much skill experience. Diabetic teaching is important but does not require the
time management and work organization skills of a "busy" patient.
Don't know?
3 of 25
Definition
