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TRENDS 11TH EDITION BY ZERWEKH 100%
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TESTBANK
,Chapter 01: Role f f f f f f Transitions
.
abirb.com/test
MULTIPLE f f CHOICE
1. A graduate nurse has been hired as a nurse at a
f f f f f f f f f f f f f f f f f f f f
f local hospital. The new nurse is in the . honeymoon
f f f f f ff f f f f f f f f f f
f f
f phase of role transition when making
f f f f f f f f f f f
which of the following statements? a. ―I am so nervous about
f f f f f f f f f f f f f f f f f f
being on my own as a nurse.‖
f f f f ff f f f f f f f f
b. ―This will be a great learning experience.‖ . ff ff ff ff f f ff
c. ―I can‘t wait to have a steady paycheck.‖
f f f f f f f f f f f f f f
d. ―This job is perfect. mm mm mm ffmm ff mm I can finally do things my own way.‖ ffmm mm mm ffmm mm mm
ANS: f f D .
The honeymoon phase is when the student nurse sees the world
f f f f f f f f f f f f f f f f f f f f
fof nursing as quite rosy. Often, the new graduate is fascinated
f f f f f ff f f f f f f f f f f f f f f
fwith the thrill of arriving in the profession. Reality shock
f f f f f f f f f f f f f f f f f f f
foccurs when one moves into the workforce after several years
f f f f f f f f f f f f f f f ff f f
fof educational preparation. Recovery and resolution occur when
f f f f f f f f f f f f f f f
fthe graduate nurse is able to laugh at . encountered situations.
f ff f f f f f f f f f f f f f f f f f f
fDuring this time, tension decreases, perception increases, and the
f f f f f ff f f f f f f f f f f
fnurse is able to grow as a person.
f f f f f f f f f f f f f ff
.
PTS: 1 f f DIF: Cognitive Level: Application/Applying f f f f f f
REF: Table f f f f 1.1 OBJ: Identify the characteristics of reality shock. f f f f f f f f f f f f
TOP: Reality f f f f shock MSC: NCLEX®: Safe and effective care f f f f f f f f f f f f environment
.
2. Which of f fthe following actions by the graduate nurse is
f f f f f f f f f f f f f f f f
f f an f f inappropriate methodology to recover from reality shock? ff f f f f f f f f
a. Networking .
b. Obtaining a f f f f mentor
c. Returning to f f f f school
d. Joining f f a f f support f f group
.
ANS: f f C
The transition period is successfully managed when the graduate
f f f f f f f f f f f f f f f f
f is able to evaluate the work
f f f situation objectively and predict f f ff f f f f f f f f f f
effectively the actions and reactions of other staff.
f f f f f f f f ff f f f f f f
Nurturing
the ability to see humor in a situation may be a first step.
f f f f f f f f f f f f f f f f f f f f f f f f
f fReturning to school is a positive step . after the graduate f f f f ff f f f f f f f f f f f f f f
f has worked through role transition, has some clinical experience,
f f f f f f f f f f f ff f f f f
f and is ready to focus on a new career objective.
f f f f f f f f f f f f f f f f f f f
Networking, obtaining a mentor, and joining a support group f f f f f f f f f f f f f f f f
would give the graduate nurse an opportunity to talk to others
f f f f f f ff f f f f f f f f f f f f f f
experiencing the
f f . f f
, stress associated with reality shock. The nurse would benefit from ―talking
f f f f f f f f f f f f f f f f f f f f
through‖ issues and learning how to cope.
f f f f f f f f f f f f f f
PTS: 1 DIF: Cognitive Level:
f f f f f f
Application/Applying . REF: p. 9
f f OBJ: Describe methods f f ff f f f f f f f f
to promote a successful transition. TOP: Reality shock
f f f f f f f f ff f f f f f f
MSC: NCLEX®: Safe and effective care environment Not
f f f f f f f f f f f f f f f f applicable
.
3. A f f nurse is trying to avoid burnout. Which
f f f f f f f f f f f f f f of f f the f f following
actions is a valid way to achieve this?
f f f f f f f f ff f f f f f f
a. Refusing to constantly work extra shifts . mm mm mm fmm mm
b. Withdrawing from peer support group f f f f f f f f
c. ―Going native‖ f f
d. Changing jobs every 6 to 12 months f f f f f f f f f f f f f f .
ANS: f f A
One of the quickest ways to experience burnout is to
f f f f f f f f f f f f f f f f f f
―overwork the overtime.‖ Set priorities with your mental and
f f f f f f ff f f f f f f f f f f
physical health being the highest priority. Learning to say ―no‖
f f f f f f f f f f f f ff f f f f f f
to extra shifts is a positive means of coping of avoiding
f f f f f f f f f f f f f f f f f f f f f f
burnout. ―Going native‖ is the term that . describes how recent
ff f f f f f f f f f f f f f f f f f f f f
graduates begin to copy and identify the reality of their role-
f f f f ff f f f f f f f f f f f f f f f f
transition experience by rejecting the values from nursing school
f f f f f f ff f f f f f f f f
and functioning more like a team member at their place of
f f f f f f f f f f f f f f f f ff f f f f
employment. Withdrawing from peer support groups, ―going native,‖
f f f f f f f f f f f f f f ff
. f and changing jobs every 6 to 12 months would increase
f f f f f f f f f f f f f f f f f f f f f
the chance of the nurse experiencing
f f f f f f f f f f f f
burnout. The nurse should instead focus on his/her practice and
f f f f f f f f f f f f f f f f f f
seek out support from other
f f nurses.
f f f f ff f f
.
PTS: 1 DIF: Cognitive Level: Application/Applying
f f f f f f f f
REF: p. 7 OBJ: Describe methods to promote a
f f f f f f f f f f f f f f
successful transition. TOP: Reality shock
f f ff f f f f f f
MSC: NCLEX®: Safe and effective care environment Not
f f f f f f f f f f f f f f f f applicable f f .
4. Which of the following statements by the graduate
f f f f f f f f f f f f f f
nurse shows an understanding of reality
f f shock as it
f f f f ff f f f f f f f f
applies to nursing? .
f f f f f f f f
a. ―Reality shock is the period when a person moves from f f f f f f f f f f f f f f f f f f f f school
into the f f f f
b. workforce.‖―Reality shock is the realization that practice and f f f f f f f f f f f f f f
f f education are not the same.‖ f f ff f f f f
c. ―Reality shock is the period from graduation to becoming an ff f f f f f f f f f f f f f f f f
experienced nurse.‖.
f f ff
d. ―Reality shock is a transition phase that new graduates go through f f f f f f f f f f f f f f f f f f f f
before changing jobs.‖ f f f f f f
ANS: f f A .
, ―Reality shock‖ is a term often used to describe the reaction f f f f f f f f f f f f f f f f f f f f
experienced when one moves into the workforce after several
f f f f ff f f f f f f f f f f f f
years of educational preparation. The new graduate is caught in
f f f f f f f f ff f f f f f f f f f f
the situation of moving from a familiar, comfortable educational
f f f f f f f f f f f f f f ff f f
environment into a new role in . the workforce where the
f f f f f f f f f f f f f f f f f f f f ff
expectations are not clearly defined or may not even be
f f f f f f f f f f f f f f f f f f f f
realistic. The realization that practice and nursing school are
f f f f ff f f f f f f f f f f f f
not the same is often associated with ―going native.‖ When
f f f f f f f f f f f f f f f f f f f f
nurses move from one position to another, they have already
f f f f f f f f f f f f ff f f f f f f
experienced
f f
reality shock. Becoming an experienced nurse takes time and is not
f f f f f f f f f f f f f f f f f f f f
part of the definition of . reality shock.
f f f f f f ff f f f f f f f f
PTS: f f 1 f f DIF: f f Cognitive f f Level: f f Application/Applying f f . ff REF:
p. f f 5 f f OBJ: f f Identify f f the f f characteristics f f of f f reality f f shock.
TOP: f f Reality f f shock MSC: NCLEX®: f f f f Not f f applicable
5. A new graduate of less than 1 year describes his/her
f f f f f f f f f f f f f f f f f f
f f perception of a staff nurse position, stating: ―It feels great f f f f f f ff f f f f f f f f f f
f f to be a nurse! In fact, it‘s a snap! I can hardly believe
f f f f f f f f f f f f f f f f f f ff f f f f
f f there‘s no . instructor looking over my shoulder.‖ What phase
f f f f f f f f f f f f f f f f ff
f f of reality shock is the graduate experiencing?
f f f f f f f f f f f f
a. Recovery .
b. Shock and f f f f rejection
c. Honeymoon
d. Transition .
ANS: C f f
In f f the first phase of the role transition process (the honeymoon
f f f f f f f f f f f f f f f f f f
f f phase), the graduate nurse is thrilled with completing school and
f f f f ff f f f f f f f f f f f f
f f accepting the first job. Life is a bed of roses because everyone f f f f f f f f f f f f f f ff f f f f f f
f f knows nursing school is much harder than nursing practice. Shock
f f f f f f f f f f f f f f ff f f
f f and rejection . occur as the nurse tries to understand how
f f f f
f f
f f f f f f f f f f f f f f
f f nursing school and the ―real world‖ come together. Transition occurs
ff f f f f f f f f f f f f f f f f
f f as the nurse begins the move from student to nurse and refers
f f f f f f ff f f f f f f f f f f f f f f
f f to the entire process, not just a particular phase. The recovery
f f f f f f f f f f f f ff f f f f f f
f f phase is when the nurse can laugh at . situations that he/she
f f f f f f f f f f f f f f f f f f f f f f
f f is in and is able to cope with the situations that are being
f f f f f f f f f f f f f f f f f f f f f f f f
f f faced.
PTS: f f 1 DIF: Cognitive Level: Application/Applying f f f f f f
REF: f f p. 7 f f OBJ: Compare and contrast the phases of reality f f f f f f f f f f f f f f f f shock. f f .
TOP: f f Reality f f shock MSC: NCLEX®: Not applicable f f f f f f
6. A student in the f f f f f f last semester of nursing school has established a
f f f f f f f f f f f f f f f f
goal of making
f f f f ff f f a successful . rolef transition to graduate
f f f f f f f f f f f f f
nurse.
f f Which f f f f statement by the student indicates his/her f f ff f f f f f f f f
fI should care for
understanding
f of mm mm f mm
f mm
f f increased
how tonumbers of patients
achieve to enhance work
this goal? f f fmm f f mm mm
f f f f mm mm mm
a. organization mm