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A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

The nurse is able to resolve conflict and identify appropriate and attainable goals.

The nurse experiences energy and excitement when providing nursing care.

The nurse realizes that there is hope when caring for patients who are dying.

The nurse is frustrated because of time constraints that were not experienced as a student.

Answer and Explanation

The Correct Answer is D

A. Resolving conflicts and setting goals indicates adjustment, not reality shock.

B. Energy and excitement reflect an idealistic phase rather than the reality shock phase.

C. Realizing hope is a positive outcome and does not reflect the shock phase of transitioning.

D. Frustration due to time constraints reflects the reality shock phase where the graduate nurse encounters unexpected challenges.

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Correct Answer is ["A","C"]

Explanation

A. Being silent is not always the best approach; effective communication involves active listening and constructive responses.

B. Understanding that anger can stem from frustration or fear helps in addressing the underlying issues.

C. While feeling uncomfortable is common, the goal is to manage the situation professionally, not to accept discomfort as a constant.

D. Considering a colleague’s point of view is important for effective conflict resolution and communication.

A. Client's hearing deficit B. Volume of the client's television C. Numerous visitors in the client's room D. Increase in pain after ambulation Adverse effects of opioid analgesic E. Using earphones while listening to music F. Using earphones while listening to music

Correct Answer is ["A","B","E","F"]

Explanation

A. Client's hearing deficit
Effective communication relies on the ability to hear and understand spoken messages. The client's hearing deficit impedes this process, making it difficult for the nurse to convey important information or assess the client’s needs.
B. Volume of the client's television
High TV volume can distract the client and make it hard for them to focus on or hear the nurse’s questions or instructions, thus impeding effective communication.
C. Numerous visitors in the client's room
The presence of visitors might affect communication, but based on the provided notes, it is not specifically identified as a current barrier.
D. Increase in pain after ambulation
Pain is a concern but does not directly interfere with the process of communication as long as it is managed appropriately.
E. Adverse effects of opioid analgesic
The client’s report of feeling “very sleepy” indicates that the opioid analgesic may be affecting their alertness and responsiveness, thus impeding effective communication.

F. Using earphones while listening to music
Earphones block out external sounds, including the nurse’s attempts to communicate, making it difficult for the client to hear or engage in a conversation.

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A graduate nurse experiences reality shock when transitioning to a staff nurse position on an oncology unit. Which of the following would be a reflection of that shock phase?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse manager teaches a group of graduate nurses how to respond to angry colleagues effectively. Which statement, if made by a graduate nurse, indicates a need for further instruction? Select all that apply

Correct Answer is ["A","C"]

Explanation

A nurse is caring for a client who is postoperative Exhibits Which of the following factors could present a barrier to the nurse effectively communicating with the client? Select all that apply.

Correct Answer is ["A","B","E","F"]

Explanation

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