A staff nurse finds a newly licensed, newly hired staff nurse crying in the break room halfway through a shift. The new nurse says, "I am just not getting this. I had no idea nursing would be this hard
" The experienced nurse says, "Reality shock is terrible, but you will get through it." What does the nurse mean by reality shock? 1. A period of time when it becomes clear the new nurse is not able to function as a registered nurse
2. A period of surprise and disequilibrium about the nursing role
3. A period when expectations of the role are unclear
4. A period of time when managers determine if the new nurse is a good fit for the profession of nursing
2
Rationale 1: There is no indication that the new nurse cannot eventually function as a registered nurse.
Rationale 2: Reality shock is the period of transition from a protected student role to a professional role in which the nurse is responsible and accountable for the care of several clients.
Rationale 3: Being unclear about the role is role ambiguity.
Rationale 4: It would be unfair for the manager to determine the nurse's fitness for the profession during reality shock.
Global Rationale:
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The nurse is conducting a class on health promotion and uses the following definition:
"The ability to perform daily tasks vigorously and alertly, with energy left over for enjoying leisure-time activities and meeting emergency demands." Which area is the nurse stressing? 1. Physical fitness. 2. Emotional health. 3. Physical health. 4. Psychologic well-being.
The nurse administers a narcotic analgesic to the postoperative patient. What is the best way for the nurse to evaluate response to the medication?
A) Observe the patient without her awareness. B) Use a pain assessment tool before and 30 minutes after administration. C) Assess vital signs. D) Measure oxygen saturation.
A patient who is terminally ill asks a nurse what is meant by a medical power of attorney. What is the nurse's best explanation of this written document?
a. "It allows another person to manage your financial affairs." b. "It allows the physician to make any medical decisions that need to be made for you." c. "It says you have given up all rights to make medical decisions for yourself." d. "It allows you to select someone to make health care decisions for you only if you are unable to do so for yourself."
The reconstituted family is most likely to experience
a. economic instability c. social isolation b. equal power sharing d. significant relation-ship losses