A nursing manager has just hired several new graduates on an inpatient unit. Having heard of the "honeymoon phase" of transitioning into nursing, which action by the manager would be most helpful?
A. Educate the graduates on phases of reality shock.
B. Help the graduates concentrate on principles...
NUR 272 Final Exam Review 2024
Graded A
A nursing manager has just hired several new graduates on an inpatient unit. Having
heard of the "honeymoon phase" of transitioning into nursing, which action by the
manager would be most helpful?
A. Educate the graduates on phases of reality shock.
B. Help the graduates concentrate on principles of safe care.
C. Offer social events for new and seasoned nursing staff.
D. Remind the graduates that they should keep their positive attitudes. - Correct Ans-A.
Educate the graduates on phases of reality shock.
A nurse with 15 years' experience has been working in the intensive care unit (ICU) for
two months. The nurse's preceptor is expressing frustration to the unit manager
because the new nurse follows all the rules "to the letter" and is inflexible. Which action
by the manager is most helpful?
A. Encourage the preceptor to be patient and give the new nurse easier assignments.
B. Explain that as a nurse new to the ICU setting, this rule-bound practice is expected.
C. Discuss the situation with the new nurse and emphasize the nurse's years of
experience.
D. Mediate a conversation with the nurses where performance expectations are
reviewed. - Correct Ans-B. Explain that as a nurse new to the ICU setting, this rule-
bound practice is expected.
A nurse is preparing to give a performance review to a new graduate who has worked
on the unit for one year. Which action by the nurse leads the manager to conclude that
a successful professional transition is occurring for the new nurse?
A. Staff members relay that the nurse is easy to work with and is cooperative
B. Has not called in sick or been late during the entire time of employment
C. Picks up extra shifts and frequently works overtime to care for "my patients"
D. Able to adjust to workload without compromising safety or quality care - Correct Ans-
D. Able to adjust to workload without compromising safety or quality care
A nurse manager is teaching a seminar for managers on reality shock experienced by
new graduates. What information does the nurse manager provide? (Select all that
apply.)
A. Honeymoon phase: seems energetic and fascinated with nursing
B. Shock and rejection phase: blames everyone else for any mistakes
C. Shock and rejection phase: nurses may complain of minor illnesses
D. Shock and rejection phase: uses black humor to cope with work
E. Recovery phase: no longer catches contagious illnesses to which he or she is
exposed - Correct Ans-A. Honeymoon phase: seems energetic and fascinated with
nursing
C. Shock and rejection phase: nurses may complain of minor illnesses
,A nursing manager wants to plan a program to help decrease new graduates' stress.
Which activities should the nurse manager include in this program? (Select all that
apply.)
A. Creating a master plan for increasing responsibilities of new staff
B. Ensuring that new staff understand the unit's formal chain of command
C. Including formal skills practice and competency testing in a skills or scenario lab
D. Providing an orientation to facility benefits and time-off policies
E. Reviewing proper communication techniques for calling physicians - Correct Ans-A.
Creating a master plan for increasing responsibilities of new staff
C. Including formal skills practice and competency testing in a skills or scenario lab
D. Providing an orientation to facility benefits and time-off policies
What could be the consequences if a new graduate RN does not appropriately work
through the phases of reality shock?
A. The new graduate may not pass the NCLEX RN
B. The new graduate may become aggressive
C. The new graduate may leave the profession
D. The new graduate may adjust to their position as a nurse - Correct Ans-C. The new
graduate may leave the profession
Which statement best reflects reality shock?
A. I didn't expect nursing to be quite like this
B. I don't want to be a pediatric nurse
C. I think I was to stay in school forever
D. I know nursing is the perfect career for me - Correct Ans-A. I didn't expect nursing to
be quite like this
A student in the last semester of nursing school has established a goal of making a
successful role transition to graduate nurse. What activity will most effectively promote
attainment of this goal?
A. Caring for increased numbers of patients to enhance work organization skills
B. Spending hours a day in the OR observing the OR team
C. Practicing IV starts in the nursing school laboratory
D. Reviewing sample NCLEX questions every day - Correct Ans-A. Caring for increased
numbers of patients to enhance work organization skills
A new graduate has worked on a busy unit for 6 months since graduating from nursing
school. He 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 - Correct Ans-B. Shock and rejection
A graduate nurse has been out of school for 3 months and working in a staff nurse
position for the last 2 months. What type of transition is the nurse experiencing?
A. A growth transition
B. An organizational transition
C. A health -oriented transition
D. A situations transition - Correct Ans-D. A situations transition
What statement by a potential new graduate nurse should cause the most concern for
someone looking to hire this individual?
A. I just don't know if I can remember everything about the RN job
B. I won't need an orientation period because I did my school clinical rotation on this unit
C. Sometimes what they tell us in school might be different than the actual job
D. I am trying to become more organized in all areas of my life - Correct Ans-B. I won't
need an orientation period because I did my school clinical rotation on this unit
According to Patricia Benner, a nurse at the beginning of their career is known as
A. Novice
B. Competent
C. Proficient
D. Expert - Correct Ans-A. Novice
By the end of nine capstone shifts, most students have attained this level:
A. Novice
B. Advanced beginner
C. Proficient
D. Expert - Correct Ans-B. Advanced beginner
While there are many ways of facing stress, which particular method is considered
beneficial?
A. Learning what to expect
B. Refusing to take on more responsibility
C. Taking medication to handle the situation
D. Delegating tasks that are time consuming - Correct Ans-A. Learning what to expect
A student wants constructive criticism from their capstone preceptor. What question
denotes a willingness to receive feedback appropriately?
A. I know I messed up so just tell me all the things I did wrong
B. Don't emphasize the negative factors about this job or I will have a nervous
breakdown
C. Please let me know as soon as possible I need to change my actions
D. I will function much better if you give me positive feedback at all times - Correct Ans-
C. Please let me know as soon as possible I need to change my actions
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