Making the transition from student to professional nurse (exam1)

Question 1

what are the phases of shock?

Answer 1

honeymoon
shock/rejection
recovery
resolution

Question 2

what is the honeymoon phase?

Answer 2

everything in the work world is just as the new grad imagined, most often occurs during the orientation period. Guided by desire to do their roles and responsibilities.

Question 3

what is the shock/rejection phase?

Answer 3

new nurse encounters – conflicting viewpoints, different ways of performing skills, and lack of security of an expert available as a resource. Nurse may feel frightened or may react by forming a cold, hard shell.

Question 4

what are inappropriate approaches for dealing with the shock phase?

Answer 4

native
runaway
rutter
burned out
compassion fatigue
loner
new nurse on the block

Question 5

adopts ways of least resistance and mimics other nurses

Answer 5

native

Question 6

real world too hard, leave profession or returns to grad school with a different goal in mind

Answer 6

runaway

Question 7

considers nursing just a job

Answer 7

rutter

Question 8

bottles up conflict; fatigue, depressed, angry

Answer 8

burned out

Question 9

adopts the attitude to “just do the job and keep your mouth shut”

Answer 9

loner

Question 10

changes job frequently and is always the new nurse who has to be taught

Answer 10

new nurse on the block

Question 11

what is the recovery phase?

Answer 11

Novice nurse begins to understand the new culture. Novice nurse experiences less anxiety, and healing beings

Question 12

what is the resolution phase?

Answer 12

Novice nurse adjusts to the new environment, work expectations are more easily met, and the nurse has developed the ability to elicit change.

Question 13

what is compassion fatigue?

Answer 13

decline in compassion over time from exposure to events that have traumatized patients.

occurs in highly emotional traumatic areas, such as the ED, hospice, and mental health settings. CF is about ongoing exposure to emotional and stressful situations at work w/o ways to “disconnect”.

Question 14

what are S/S of burnout?

Answer 14

fatigue, negativity in personal relations, difficulty sleeping, excessive stress, anxiety, vulnerability to disease, depression, and ETOH or substance abuse. The more intelligent and hard working the RN is, the more prone they are to burnout. Any of these symptoms can be reduced.

Question 15

what are keys to survival during transitions?

Answer 15

Never fail to ask for help

Use available facility resources

Reenergize with professional associations

Stay connected with friends

Evaluate your growth realistically

Stay focused on your goals