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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 C

Explanation

A. The right to refuse without feeling guilty is an example of an assertive right that acknowledges personal boundaries.

B. The right to determine your own priorities reflects assertiveness in managing your time and responsibilities.

C. The right to make decisions for the patient is not an assertive right. It is the role of the patient to make their own decisions, with the nurse providing support and information.

D. The right to make mistakes and be responsible for them acknowledges that everyone is human and learning from mistakes is part of growth.

A. "Why did you make the choice to behave negatively?" B. "You were made aware of the consequences of negative behavior." C. "I understand that you are angry. However, I followed the appropriate protocol." D. "You need to calm down before discussing this matter any further."

Correct Answer is C

Explanation

A. This question can come across as accusatory and judgmental.

B. This statement is factual but lacks empathy and can be perceived as dismissive.

C. This statement acknowledges the patient's feelings and explains the nurse's actions assertively.

D. This statement can be perceived as dismissive and does not address the patient's feelings or provide an explanation.

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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

Which of the following is NOT an example of an assertive right?

Correct Answer is C

Explanation

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?

Correct Answer is C

Explanation

A client uses offensive language when communicating with the nurse. The nurse plans to confront the client in a caring, respectful manner. What is the element of confrontation that the nurse should do first?

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