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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 B

Explanation

A. This statement is confrontational and not constructive.

B. This statement expresses the nurse’s past experience and willingness to reassess the system, showing assertiveness.

C. This statement is confrontational and does not address the issue constructively.

D. This statement contradicts the nurse’s past experience and is not honest.

A. "Therapeutic communication is important for nurse-to-nurse interactions, but is not as critical for nurse-to-client interactions." B. "Therapeutic communication is no different than how we communicate in general conversation outside of health care." C. "Therapeutic communication is not as important as medication in the care of our clients." D. "Therapeutic communication is a key component of mental health nursing and the therapeutic nurse-client relationship that improves the emotional well-being of the client."

Correct Answer is D

Explanation

A. Therapeutic communication is crucial for both nurse-to-nurse and nurse-to-client interactions to promote effective care and relationships.

B. Therapeutic communication involves specific techniques and principles that differ from general conversation.

C. Therapeutic communication is as important as medication; it supports overall client care and emotional well-being.

D. Therapeutic communication is essential for creating a therapeutic relationship that supports clients’ emotional health.

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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

A new blood glucose bedside monitoring system is introduced at a staff meeting. A nurse who has previously used this system remembers that the meter would show error messages frequently. Which statement by the nurse demonstrates assertiveness?

Correct Answer is B

Explanation

A nurse is teaching a newly licensed nurse about the importance of therapeutic communication. Which of the following statements should the nurse include in the teaching?

Correct Answer is D

Explanation

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

The client-nurse helping relationship is established for the benefit of:

A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?

A nurse instructs colleagues about the use of humor with patients. Which statement, if made by a colleague, indicates that the teaching is effective?

A nurse is preparing to review discharge instructions with a client who reports having hearing loss. Which of the following actions should the nurse plan to take?

The nurse cares for a patient with urinary incontinence after a stroke. Which response by the nurse is best?

The home care nurse visits a mother and her newborn 2 days after discharge from the hospital. The mother states, "My baby cries all the time. I must not be a very good mother." Which response by the nurse is nontherapeutic?