A newly licensed nurse is experiencing reality shock.
Which of the following is an appropriate action by the nurse?
Adopt attitudes and habits of coworkers.
Volunteering for extra shifts.
Integrate nursing school and work environment values.
Seek mentorship from an experienced nurse.
The Correct Answer is C
Choice A rationale
Adopting attitudes and habits of coworkers, especially during reality shock, can lead to assimilation into potentially negative or unhealthy work cultures. This might hinder the development of independent critical thinking and professional identity, potentially perpetuating the negative aspects of reality shock rather than resolving them constructively by integrating diverse perspectives.
Choice B rationale
Volunteering for extra shifts when experiencing reality shock can exacerbate burnout and stress. This action often leads to increased workload and less time for self-care or reflection, making it more difficult for the newly licensed nurse to adapt to the demands of the profession and integrate their learning effectively, intensifying the shock.
Choice C rationale
Integrating nursing school and work environment values involves critically evaluating and synthesizing the theoretical knowledge and ideals learned in academia with the practical realities and expectations of the clinical setting. This process helps reconcile discrepancies, build a more comprehensive professional identity, and reduce the cognitive dissonance associated with reality shock.
Choice D rationale
Seeking mentorship from an experienced nurse provides valuable guidance, support, and practical insights. While beneficial, this choice focuses on a single supportive relationship rather than the broader process of internalizing and reconciling different value systems, which is central to overcoming reality shock through a holistic integration of values and practices.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Using silence when a team discussion becomes uncomfortable is generally a passive response, not assertive. Assertiveness involves expressing one's thoughts and feelings openly and respectfully, even in challenging situations, rather than withdrawing or avoiding communication.
Choice B rationale
Discussing feeling unprepared for an assignment with the charge nurse is an assertive action. It demonstrates self-awareness and responsible communication, advocating for one's professional needs while also ensuring patient safety by addressing potential deficiencies in preparation.
Choice C rationale
Apologizing to a coworker for needing help finishing an assignment is more indicative of a passive or submissive communication style. While politeness is important, an assertive individual would focus on expressing their need for assistance directly and professionally without excessive apology.
Choice D rationale
Avoiding confrontation by deferring to others' opinions is a passive communication strategy. Assertiveness involves expressing one's own opinions and ideas, even if they differ from others, and engaging in constructive dialogue rather than simply yielding to avoid conflict. .
Correct Answer is D
Explanation
Choice A rationale
Providing patient-centered care involves tailoring interventions to individual patient preferences and values, emphasizing respect for autonomy and shared decision-making. This competency promotes a holistic approach, integrating the patient's cultural background, personal beliefs, and unique needs into the care plan to optimize therapeutic outcomes and patient satisfaction.
Choice B rationale
Employing evidence-based practice necessitates integrating the best available research evidence with clinical expertise and patient values. This scientific approach ensures that nursing interventions are grounded in robust empirical data, enhancing the effectiveness and safety of care while minimizing reliance on outdated or unproven methods.
Choice C rationale
Delivering care in a safe manner requires diligent application of principles to prevent medical errors, reduce adverse events, and minimize risks to patients. This involves adhering to safety protocols, utilizing technology for error reduction, and fostering a culture of safety where near misses and errors are reported for system improvement.
Choice D rationale
Working in interdisciplinary teams involves effective communication, mutual respect, and collaborative decision-making among healthcare professionals from various disciplines. This competency is crucial for coordinated care delivery, allowing for comprehensive patient assessments, shared care planning, and seamless transitions across different healthcare settings.
Choice E rationale
Partnering with the consumer emphasizes active patient and family engagement in their healthcare journey, recognizing them as integral members of the healthcare team. This collaboration fosters shared understanding, empowers individuals to make informed decisions, and promotes adherence to treatment plans, ultimately leading to improved health outcomes.
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