A novice nurse is stressed due to always being behind with her assignments. She is overheard saying,
, "No one here worries about checking nasogastric tube placement before they give medications and hang feedings. Skipping that step would save me an extra 30 minutes to be used for charting. If they can do it, so can I." This nurse is experiencing which stage of reality shock?
a. loner.
b. "rutter."
c. change agent.
d. "native."
ANS: D
Correct: The novice nurse is mimicking the actions of the experienced nurse taking shortcuts that were not taught in school and not following policy and procedure.
Incorrect:
a. The "loner" stage occurs when the nurse prefers to be alone and often works night shift.
b. The "rutter" stage occurs when the nurse just views her work as a job rather than a profession—"Just let me make it through 8 hours and I'll go home."
c. The "change agent" would be working with administration to improve processes to streamline tasks to ensure time for reflection and other tasks
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