Question 1

Which of the following actions by the graduate nurse is an inappropriate methodology to recover from reality shock?&#10;A) Networking&#10;B) Obtaining a mentor&#10;C) Returning to school&#10;D) Joining a support group

Accepted Answer

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 nurse an opportunity to talk to others experiencing the stress associated with reality shock.The nurse would benefit from 'talking through' issues and learning how to cope.

Question 2

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?&#10;A) &#34;A graduate nurse should be able to perform as independently as was demonstrated the last semester of nursing.&#34;&#10;B) &#34;A graduate nurse should be able to function competently as a registered nurse at the entry level.&#34;&#10;C) &#34;A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing.&#34;&#10;D) &#34;A graduate nurse should be able to be able to function independently with ability to make clinical nursing judgments.&#34;

Accepted Answer

The job expectations of a new graduate nurse are those of an entry-level new employee.This frequently includes an extended orientation to assist the new graduate to transition into the independent role of the nurse.The new graduate nurse is not expected to function independently with the ability to make clinical nursing judgments.School curriculum and how one functioned the last semester of school are usually not considered in the job expectations of a new graduate.

Question 3

The graduate nurse understands that transitions occur throughout life.What major factor does the nurse identify as influential in a successful transition from school to practice?&#10;A) Level of new knowledge and skills required in the new environment&#10;B) Amount of classwork required to obtain a degree&#10;C) Personal history of previous developmental transitions&#10;D) Influence of classmates and their transitional experiences

Accepted Answer

The transition from student to practice reflects a situational transition that is most often affected by the anticipation of changes in the new work environment.Classwork no longer affects this transition.A personal history of previous developmental transitions and the influence of classmates are not as prominent as the anticipated requirements to function in the new environment of work.

Question 4

A graduate nurse has clocked in for his/her second shift on a busy orthopedic unit.After accepting the assignment,the graduate nurse notices a fellow nurse complaining loudly at the nurse's station to other staff members.This fellow nurse is typically upset with floor assignments and thinks that the "new nurses get all the easy assignments." Which action would be best for the graduate nurse to take?

A) Join the conversation and tell the fellow nurse that he/she does not care for the assignment either.
B) Begin a conversation with another staff member about the fellow nurse who is complaining.
C) Steer clear of the nurse who is complaining and try to focus on the positive.
D) Begin complaining about his/her own assignment.

Accepted Answer

The graduate nurse would have the most success by steering clear of the complaining nurse and focus on the positive.Joining the conversation and focusing on the negative will not help the graduate nurse adjust to his/her new job.

Question 5

Which statement by the nursing student indicates an understanding of the importance of constructive feedback?&#10;A) &#34;I will wait until my clinical evaluation and then make any changes to my practice that are needed.&#34;&#10;B) &#34;I will request routine feedback from my instructor so I can make any changes needed to improve my skills.&#34;&#10;C) &#34;My instructor will let me know if I need to change anything.&#34;&#10;D) &#34;I will ask my colleagues if I needed to make any changes to my practice.&#34;

Accepted Answer

Students are responsible for their skills and growth as health care providers.To ensure that their nursing skills are adequate,students should request periodic feedback from their clinical instructors.Waiting for feedback or asking colleagues would be not an effective way for nursing students to obtain feedback in a timely manner.

Question 6

A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months.What type of transition is the nurse experiencing?&#10;A) A developmental transition&#10;B) An organizational transition&#10;C) A health-oriented transition&#10;D) A situational transition

Accepted Answer

A situational transition is a lifestyle change that occurs because of a new situation.Most often the changes are by choice-for instance,graduations,marriages,and new jobs.Developmental transitions include becoming a parent or going through a midlife crises.An organizational transition involves a change in leadership.A health-oriented transition involves dealing with an illness or health issue,such as coping with a chronic illness.

Question 7

A new nurse is caring for five patients on a busy surgical floor.While hanging blood for a patient,the nurse receives notice that another assigned patient is being taken for surgery.The nurse has not obtained informed consent from the patient.What action should the new nurse take?

A) Immediately leave the room he/she is in and obtain informed consent from the patient.
B) Allow the patient to go to surgery without obtaining informed consent.
C) Delegate obtaining informed consent to another nurse while staying with the patient who is receiving blood.
D) Ask the transporter to obtain informed consent from the patient.

Accepted Answer

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.

Question 8

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

Accepted Answer

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.

Question 9

A student nurse is interested in improving his/her nursing skills.What action would be the best for the student nurse to take?&#10;A) Ask his/her instructor for extra skills practice during clinical hours.&#10;B) Watch videos on how to perform the nursing skills that he/she needs to practice.&#10;C) Review his/her nursing textbooks.&#10;D) Observe nurses perform skills in his/her clinical setting.

Accepted Answer

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.

Question 10

A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience.Which patient should be added on to the clinical assignment to assist in this process?

A) A 48-year-old man with heart failure who has oral and IV medications due and needs a new IV started
B) A 38-year-old woman who cares for herself independently and is going home later today
C) A 25-year-old man who is leaving the hospital against medical advice
D) A 40-year-old man who needs education on diabetes management

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Accepted Answer

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 function without 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.

Question 11

A student nurse is in the last semester of nursing school.Which action by the nursing student indicates appropriate preparation for the transition experience?&#10;A) The nursing student requests additional experiences in performing skills and procedures.&#10;B) The nursing student maintains close contact with a nursing instructor to observe nursing procedures.&#10;C) The nursing student practices nursing assessments and care on one or two patients to become more competent.&#10;D) The nursing student increases communication with a nursing instructor to maintain a resource person after graduation.

Accepted Answer

The answer of A student nurse is in the last...

Question 12

A student in the last semester of nursing school wants to be sure of adequate preparation for the transition experience.Which patient should be added on to the clinical assignment to assist in this process?

A) A 48-year-old man with heart failure who has oral and IV medications due and needs a new IV started
B) A 38-year-old woman who cares for herself independently and is going home later today
C) A 25-year-old man who is leaving the hospital against medical advice
D) A 40-year-old man who needs education on diabetes management

Accepted Answer

The answer of A student in the last semester of...

Question 13

A graduate nurse has been reviewing the NCSBN's Transition to Practice model.The graduate nurse understands the intention of the model when making which of the following statements?&#10;A) &#34;The intention of the model is to mandate that all state boards of nursing provide a regulatory model for transition to practice.&#34;&#10;B) &#34;The intention of the model is to provide educational modules so that the new graduate does not need to work with a preceptor.&#34;&#10;C) &#34;The intention of the model is to have the new graduate take and pass the NCLEX Exam,obtain employment,and then enter a transition program.&#34;&#10;D) &#34;The intention of the model is to complete the formalized transition program within 6 weeks.&#34;

Accepted Answer

The answer of A graduate nurse has been reviewing the...

Question 14

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 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

Accepted Answer

The answer of A new graduate has worked on a...

Question 15

Which action by the graduate nurse shows that a successful transition to nursing has been made?&#10;A) The nurse begins to work with the nursing team and functions as others expect.&#10;B) The nurse begins to objectively evaluate work experiences and enjoy the humor of clinical situations.&#10;C) The nurse believes everything is great,patients are wonderful,and the new unit is so nice.&#10;D) The nurse meets regularly with other new graduates to compare and discuss problems.

Accepted Answer

The answer of Which action by the graduate nurse shows...

Question 16

A nurse is trying to avoid burnout.Which of the following actions is a valid way to achieve this?&#10;A) Refusing to constantly work extra shifts&#10;B) Withdrawing from peer support group&#10;C) &#34;Going native&#34;&#10;D) Changing jobs every 6 to 12 months

Accepted Answer

The answer of A nurse is trying to avoid burnout.Which...

Question 17

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 believe there'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

Accepted Answer

The answer of A new graduate of less than 1...

Question 18

The nurse has an adequate understanding of transitions when making which statement about situational transitions?&#10;A) &#34;This type of transition can occur with leadership change.&#34;&#10;B) &#34;This type of transition occurs only when one is dealing with a chronic illness.&#34;&#10;C) &#34;This type of transition can occur when one has a career change.&#34;&#10;D) &#34;This type of transition occurs during a midlife crises.&#34;

Accepted Answer

The answer of The nurse has an adequate understanding of...

Question 19

A graduate nurse has been hired as a nurse at a local hospital.The new nurse is in the honeymoon phase of role transition when making which of the following statements?&#10;A) &#34;I am so nervous about being on my own as a nurse.&#34;&#10;B) &#34;This will be a great learning experience.&#34;&#10;C) &#34;I can't wait to have a steady paycheck.&#34;&#10;D) &#34;This job is perfect.I can finally do things my own way.&#34;

Accepted Answer

The answer of A graduate nurse has been hired as...

Question 20

Which of the following statements by the graduate nurse shows an understanding of reality shock as it applies to nursing?&#10;A) &#34; Reality shock is the period when a person moves from school into the workforce.&#10;B) &#34;Reality shock is the realization that practice and education are not the same.&#34;&#10;C) &#34;Reality shock is the period from graduation to becoming an experienced nurse.&#34;&#10;D) &#34;Reality shock is a transition phase that new graduates go through before changing jobs.&#34;

Accepted Answer

The answer of Which of the following statements by the...

Question 21

A new nurse wants to make personal lifestyle changes to become a healthier individual.Which actions would help with reaching this goal? (Select all that apply.)&#10;A) Begin an exercise routine.&#10;B) Eat snacks late at night.&#10;C) Incorporate relaxation into his/her schedule.&#10;D) Begin eating nutritious meals and snacks.

Accepted Answer

The answer of A new nurse wants to make personal...

Question 22

A nurse manager is preparing a group of newly hired nurses to work on the unit.After educating them on reality shock,a student raises their hand and asks what physical and psychological symptoms the nurse may experience? The nurse manager replies: (Select all that apply.)

A) "It is not possible to experience any physical or psychological symptoms from reality shock."
B) "You may experience headaches."
C) "It is possible that you will experience gastrointestinal upset."
D) "You could experience insomnia."
E) "Women may experience menorrhagia."

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Accepted Answer

The answer of A nurse manager is preparing a group...

Question 23

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?&#10;A) Call the unit to see if they need the nurse to work.&#10;B) Read nursing articles and take practice quizzes to stay up to date.&#10;C) Take his/her small children to the zoo.&#10;D) Work on a continuing education requirement.

Accepted Answer

The answer of A nurse has worked the past 5...

Question 24

The new graduate has an understanding of the nursing journey ahead when stating:&#10;A) &#34;It is not acceptable for me to make any mistakes at all.&#34;&#10;B) &#34;I am not worried about issues with transition.I am tough.I will do just fine!&#34;&#10;C) &#34;I know that I will make some mistakes,but I will learn and grow from them.&#34;&#10;D) &#34;I am going to keep studying so that I am always right.&#34;

Accepted Answer

The answer of The new graduate has an understanding of...

Question 25

Which action would greatly help the graduate nurse when seeking out employment? (Select all that apply.)&#10;A) Plan out interviews.&#10;B) Ask to speak to nurses who work on the unit.&#10;C) Wait until the interview to gather all of the information.&#10;D) Find out what type of nursing care is delivered.&#10;E) Determine the length of orientation.

Accepted Answer

The answer of Which action would greatly help the graduate...

Deck 1: Role Transitions