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TEST BANK FOR NURSING TODAY TRANSITION AND TRENDS 11TH EDITION BY ZERWEKH – (2024) ||CHAPTER 1-26||WITH CORRECT ANSWERS AND RATIONALES$20.49
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TEST BANK FOR NURSING TODAY TRANSITION AND TRENDS 11TH EDITION BY
ZERWEKH – (2024) ||CHAPTER 1-26||WITH CORRECT ANSWERS AND RATIONALES
,Chapter 01: Role Transitions
.
abirb.com/test
MULTIPLE CHOICE
1. A graduate caregiver has been hired as a caregiver at a local hospital. The new
caregiver 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 caregiver.”
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.”
CORRECT ANSWER:D .
The honeymoon phase is when the learner caregiver 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 caregiver is
able to laugh at . encountered situations. During this time, tension decreases, perception
increases, and thecaregiver is able to grow as a person.
.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: 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 caregiver is an inappropriate
methodologyto recover from reality shock?
a. Networking .
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
.
CORRECT 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 positive
step . 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 caregiver an opportunity to talk to others
experiencing the .
, stress associated with reality shock. The caregiver would benefit from “talking through”
issuesand learning how to cope.
PTS: 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 caregiver 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 .
CORRECT 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 their
role-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
chance of the caregiver experiencing
burnout. The caregiver should instead focus on his/her practice and seek out support
fromother caregivers.
.
PTS: 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 caregiver shows an
understanding ofreality shock as it applies to nursing? .
a. “Reality shock is the period when a person moves from school into the
b. workforce.”“Reality shock is the realization that practice and education are not the
same.”
c. “Reality shock is the period from graduation to becoming an experienced caregiver.”.
d. “Reality shock is a transition phase that new graduates go through before changing
jobs.”
CORRECT ANSWER:A .
, “Reality shock” is a term often used to describe the reaction experienced when one moves
into 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 caregivers move from one position to
another, they have already experienced
reality shock. Becoming an experienced caregiver takes time and is not part of the
definitionof . reality shock.
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p. 5
OBJ: Identify the characteristics of reality shock.
TOP: Reality shock MSC: NCLEX®: Not applicable
5. A learner in the last semester of nursing school has established a goal of making a
successful . role transition to graduate caregiver. Which statement by the learner
indicateshis/her understanding of how to achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization
skills.” .
b. “I will observe staff caregivers as they perform nursing procedures to
refinetechnique.”
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.”
CORRECT ANSWER:A
It is important for the learner to start taking care of increased numbers of patients to help
with . time management and work organization. The learner should also be able to function
without close guidance from the nursing instructor. Although it is good for learners to
observe staff, a
learner 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 learner. 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.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 13 OBJ: Describe methods to promote a successful transition. .
TOP: Reality shock MSC: NCLEX®: Not applicable
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