The nurse has elected to return to school to pursue a baccalaureate degree. After the first week of classes, the nurse is overwhelmed. Which stage of Spencer and Adams' model of transition is this nurse most likely experiencing?
1. Losing focus
2. Minimizing the impact
3. The pit
4. Letting go of the past
Correct Answer: 1
Losing focus is Stage 1 of Spencer and Adams' model of transition. In this stage, the individual has difficulty keeping things in perspective and may feel overwhelmed and panicked. Minimizing the impact is Stage 2, in which the individual may resist the change or ignore the need for change. The pit is Stage 3, and the individual may have feelings of depression, grief, anger, or powerlessness. Letting go of the past is Stage 4, in which there is a move toward optimism.
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