Chapter 22 Making the Transition from Student to Professional Nurse

Chapter 22  Making the Transition from Student to Professional Nurse

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. During orientation, the novice nurse sits and “virtually spends” the first few paychecks, envisioning the money going into a personal bank account. In the dream state, the nurse smiles and knows that the pain of nursing school was worth it. Which phase of reality shock is the nurse experiencing?
A.
Honeymoon
B.
Shock or rejection
C.
Recovery
D.
Resolution

ANS: A
(A) is correct because during the honeymoon phase, the novice nurse has a positive image of nursing that coincides with the reason for becoming a nurse; this feeling is experienced immediately after the nurse begins work and often while still in orientation. (B) is incorrect because during the shock or rejection phase, the novice nurse is overwhelmed by fear and a sense of incompetence. (C) is incorrect because during the recovery phase, the novice nurse regains some confidence and begins to heal. (D) is incorrect because at the resolution phase, the novice nurse has adjusted to the work environment and can work through change.

DIF: Application REF: Pages 490-491

2. The novice nurse is assigned a patient who has an order to draw blood for culture and sensitivity from a central line before antibiotic therapy is started. The novice reads and rereads the procedure manual. An hour later, she stands at the bedside of the patient and stares at the central line, without knowing how to proceed. This phase of reality shock is termed
A.
honeymoon.
B.
shock or rejection.
C.
recovery.
D.
resolution.

ANS: B
(B) is correct because during the shock or rejection phase, there is inconsistency with what was learned in school and the work environment, and the novice nurse lacks many of the skills needed to be independent in this new role. (A) is incorrect because during the honeymoon phase, the novice nurse has not yet been faced with complicated tasks for which he or she feels uncomfortable or incompetent to perform. (C) is incorrect because the novice nurse lacks confidence in himself or herself, and no healing is evident. (D) is incorrect because the novice nurse has not reached the recovery phase, which precedes the resolution phase.

DIF: Application REF: Page 491

3. According to Kramer, nurses in the shock phase should ask themselves,
A.
“How can I fit in with other staff?”
B.
“Why can’t I perform as everyone expects?”
C.
“What changes can I make to make me feel good about the choice to become a nurse?”
D.
“How can I get the rest of the staff to change?”

ANS: C
(C) is correct because during the shock or rejection phase, novice nurses must ask themselves what they must do to become the type of nurse envisioned and to make a contribution. (A) is incorrect because “fitting in” comes with gaining confidence, which is the issue that is being faced by the graduate. (B) is incorrect because although becoming more organized and improving communication is part of resolving the shock phase, the novice should focus on positive accomplishments and should remember that a nurse cannot learn everything in school and many skills are learned after graduation. Expectations of new graduates are often unrealistic. (D) is incorrect because although being a change agent is beneficial, blaming others is not the best choice.

DIF: Comprehension REF: Page 491

4. The novice nurse arrives on the nursing unit, is introduced to the staff, is assigned a preceptor, and is asked to participate in the next staff meeting. This introduction into nursing is appropriately termed
A.
biculturalism.
B.
socialization.
C.
transition.
D.
going native.

ANS: B
(B) is correct because socialization involves the acceptance and integration of the novice nurse into the profession of nursing, as well as the identification of the novice nurse with the profession of nursing. (A) is incorrect because biculturalism is the blending of school values with those of the workplace. (C) is incorrect because transition involves competency when moving from the school to the work environment, and this situation does not require competency on the part of the novice nurse. (D) is incorrect because going native describes an inappropriate attempt to move from the shock phase to the recovery phase, where the novice nurse mimics the unsafe practices of experienced nurses.

DIF: Application REF: Page 504