During orientation a 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
Correct: 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.
Incorrect:
b. During the shock or rejection phase, the novice nurse is overwhelmed by fear and a sense of incompetence.
c. During the recovery phase, the novice nurse regains some confidence and begins to heal.
d. At the resolution phase, the novice nurse has adjusted to the work environment and can work through change.
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A client tells the nurse she is supplementing her selective serotonin reuptake inhibitor with St John's wort. The priority action the nurse should take is to
a. inquire as to what degree the depression has lifted. b. advise the client of the danger of selective serotonin syndrome. c. suggest that adding valerian to the treatment regimen may produce even better results. d. remind the client of the possibility of insomnia if the drugs are taken late in the day.
More nurses are stepping into the role of the advanced practice nurse. Which of the following would be the nurse to provide care for children under the age of 18?
A) Women's health nurse practitioner B) Case manager C) Clinical nurse specialist D) Pediatric nurse practitioner
A nurse is using a clinical practice guideline. Which of the following describes the situations that the nurse may be facing? (Select all that apply.)
a. Recommending the administration of the influenza vaccination to a client b. Creating agency policies and procedures c. Developing a program targeting obesity prevention d. Researching interventions that would im-prove care for a tuberculosis client e. Documenting the assessment of a client with congestive heart failure
A nurse case manager meets with an elderly couple in their home. The wife, disabled with severe rheumatoid arthritis, admits to increased depression and anxiety and concern about the husband's ability to care for her
The nurse understands that the wife's mental health will improve BEST if the nurse: a. ignores the wife's complaints and redirects her to more positive topics b. takes the wife to visit people confined to a nursing home c. addresses the mental and physical health of the caregiver husband d. refers the wife for psychopharmacological treatment