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TEST BANK FOR NURSING TODAY TRANSITION
AND TRENDS, 11TH EDITION, BY ZERWEKH
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, Table of Contents
Chapter 01 Role Transitions 1
Chapter 02 Personal Management-Time and Self-Care Strategies 12
Chapter 03 Mentorship, Preceptorship, and Nurse Residency Programs 22
Chapter 04 Employment Considerations-Opportunities, Resumes, and Interviewing 30
Chapter 05 NCLEX-RN® Exam and the New Graduate 40
Chapter 06 Historical Perspectives-Influences on the Present 51
Chapter 07 Nursing Education 60
Chapter 08 Nursing Theories 70
Chapter 09 Professional Image of Nursing 79
Chapter 10 Challenges of Nursing Management and Leadership 85
Chapter 11 Building Nursing Management Skills 97
Chapter 12 Effective Communication, Team Building, and Interprofessional Practice 108
Chapter 13 Conflict Management 118
Chapter 14 Delegation in the Clinical Setting 128
Chapter 15 The Health Care Organization and Patterns of Nursing Care Delivery 141
Chapter 16 Economics of the Health Care Delivery System 151
Chapter 17 Political Action in Nursing 161
Chapter 18 Collective Bargaining-Traditional (Union) and Nontraditional Approaches 172
Chapter 19 Ethical Issues 182
Chapter 20 Legal Issues 192
Chapter 21 Cultural and Spiritual Awareness 205
Chapter 22 Quality Patient Care 215
Chapter 23 Nursing Informatics 226
Chapter 24 Using Evidence-Based Practice and Nursing Research 235
Chapter 25 Workplace Issues 244
Chapter 26 Emergency Preparedness 254
,Chapter 01: Role Transitions
Multiple Choice
1. A Graduate Nurse Has Been Hired As A Nurse At A Local Hospital. The New
Nurse Is InThe 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 TheNurse Is Able To Grow As A Person.
.
Points: 1 Dif: Cognitive Level: Application/ApplyingRef:
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
MethodologyTo 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 PositiveStep . 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”
IssuesAnd Learning How To Cope.
Points: 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 AchieveThis?
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 TheirRole-Transition Experience By Rejecting The Values From
Nursing School And Functioning More Like A Team Member At Their Place Of
Employment. Withdrawing From Peer Support Groups, “Going Native,” And Changing
Jobs Every 6 To 12 Months Would Increase The ChanceOf The Nurse Experiencing
Burnout. The Nurse Should Instead Focus On His/Her Practice And Seek Out
Support FromOther Nurses.
.
Points: 1 Dif: Cognitive Level: Application/Applying
Ref: P. 7 Obj: Describe Methods To Promote A Successful
Transition.Top: Reality Shock
Msc: Nclex®: Safe And Effective Care Environment Not Applicable.
4. Which Of The Following Statements By The Graduate Nurse Shows An
Understanding OfReality Shock As It Applies To Nursing?.
a. “Reality Shock Is The Period When A Person Moves From School Into The Workforce.
b. ”Reality Shock Is The Realization That Practice And Education Are Not Thesame.”
c. “Reality Shock Is The Period From Graduation To Becoming An Experienced Nurse.”.
d. “Reality Shock Is A Transition Phase That New Graduates Go Through Before
ChangingJobs.”
Answer: A .
, “Reality Shock” Is A Term Often Used To Describe The Reaction Experienced When
One MovesInto The Workforce After Several Years Of Educational Preparation. The
New Graduate Is Caught In The Situation Of Moving From A Familiar, Comfortable
Educational Environment Into A New Role In . The Workforce Where The Expectations
Are Not Clearly Defined Or May Not Even Be Realistic. The Realization That Practice
And Nursing School Are Not The Same Is Often Associated With “Going Native.” When
Nurses Move From One Position To Another,They Have Already Experienced
Reality Shock. Becoming An Experienced Nurse Takes Time And Is Not Part Of
TheDefinitionof . Reality Shock.
Points: 1 Dif: Cognitive Level: Application/Applying .
Ref: P. 5obj: Identify The Characteristics Of Reality Shock.
Top: Reality Shock Msc: Nclex®: Not Applicable
5. A Student In The Last Semester Of Nursing School Has Established A Goal Of
Making ASuccessful . Role Transition To Graduate Nurse. Which Statement By The
Student Indicateshis/Her Understanding Of How To Achieve This Goal?
a. “I Should Care For Increased Numbers Of Patients To Enhance Work
OrganizationSkills.” .
b. “I Will Observe Staff Nurses As They Perform Nursing Procedures
ToRefinetechnique.”
c. “I Should Seek Increasingly Close Guidance From The Nursing Instructor To Reduce .
Errors.”
d. “I Will Evaluate My Progress Every 7 Weeks Or More To Allow Time For Growth.”
Answer: A
It Is Important For The Student To Start Taking Care Of Increased Numbers Of Patients
To Help With . Time Management And Work Organization. The Student Should Also Be
Able To FunctionWithout Close Guidance From The Nursing Instructor. Although It Is
Good For Students To Observe Staff, A
Student In The Final Semester Should Be Able To Perform Tasks With Minimal
Observation And . Should Instead Focus On Implementing Care And Time Management.
Waiting 7 Weeks To Evaluate Progress Would Not Be Helpful To The Student. Although
Regular Self-Evaluation Is An Important Process, It Is The Actual Experience Of Taking
Realistic Patient Assignments And . Working Typical Shift Hours That Assists With
Successful Role Transition.
Points: 1 Dif: Cognitive Level: Application/Applying
Ref: P. 13 Obj: Describe Methods To Promote A Successful Transition. .
Top: Reality Shock Msc: Nclex®: Not Applicable
, 6. A New Graduate Of Less Than 1 Year Describes His/Her Perception Of A Staff
Nurse Position,Stating: “It Feels Great To Be A Nurse! In Fact, It’s A Snap! I Can
Hardly BelieveThere’s No . Instructor Looking Over My Shoulder.” What Phase Of
Reality Shock Is The Graduate Experiencing?
a. Recovery .
b. Shock And Rejection
c. Honeymoon
d. Transition .
Answer: C
In The First Phase Of The Role Transition Process (The Honeymoon Phase), The Graduate
Nurse Is Thrilled With Completing School And Accepting The First Job. Life Is A Bed Of
Roses Because Everyone Knows Nursing School Is Much Harder Than Nursing Practice.
Shock And Rejection . Occur As The Nurse Tries To Understand How Nursing School And
The “Real World” Come Together.Transition Occurs As The Nurse Begins The Move From
Student To Nurse And RefersTo The Entire Process, Not Just A Particular Phase. The
Recovery Phase Is When The Nurse Can Laugh At . Situations That He/She Is In And Is Able
To Cope With The Situations That Are Being Faced.
Points: 1 Dif: Cognitive Level: Application/Applying Ref: P. 7
Obj: Compare And Contrast The Phases Of Reality
Shock. .Top: Reality Shock Msc: Nclex®: Not
Applicable
7. A New Graduate Has Worked 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 Tell 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
Answer: B
.
The Honeymoon Phase For The New Graduate Nurse Is Short Lived When The Graduate
Identifies The Conflicts Between The Way He/She Was Taught And The Reality Of What
Is Done. Shock And Rejection Cause Mental And Emotional Withdrawal, Moral Outrage,
And A Hypercritical Attitude, .Which Are Just Some Of The Symptoms Of The
Realization That The Honeymoon Is Over. Excessivemistrust, Frequent Pains And Illness,
A Decrease In Energy AndFatigue, Feeling Like A Failure Andblaming Oneself For Every
Mistake, A Hypercritical Attitude,And Feeling Morally Outraged Are Characteristics Of
The Shock And Rejection Phase. The Recovery Phase Is Characterized By A .
