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