Case Study 1 A. What are some of the indicators that Jane was initially in the "honeymoon" phase of reality shock? Excited to begin new career. Bought new scrubs, shoes, books, & stethoscope. Felt prepared and confident. B. How did Jane manifest characteristics of the "shock and rejection" phase? Felt physically sick, overwhelmed with responsibility, double checking everything, doubting her ability, burstsinto tears. C. Whatsteps could Jane take to adapt to her new environmentsuccessfully and cope with the reality shock? Ask for help, learn from her mistakes, take it one day at a time, ask for pointers on time management. Case Study 4 A. What transitions have each of these nurses experienced in their stories? Lou- married with 2 kids, threaten of divorce, went back to school 1o years ago, bounced from different units. Cindytrouble with gradesfrom high school, thought about dropping out several times, engaged with a wedding in two weeks. Tina- divorced mother of 3, long time to get through nursing school, bought a home and plans to go back to school in the fall. B. Which nurse is most likely to have experienced reality shock during the transition from student to nurse? Cindy, because she is a new grad who is recently engaged and planning an upcoming wedding in 2 weeks. C. Everybody has a story. Which story best represents your own experiences? I could relate more with Cindy. Case Study 5 A. Based on the evidence provided in Boxes 1-1 and 1-2, how do each of the programs assist the role transition? They each have an orientation that allows new nurses to get familiar with the facility. B. All three programs have similarities and differences. Reflect on what you believe are your own learning needs during the transition period. What are the positives and negatives for each of the programs to meet your learning needs? Program 1 doesn’t really support transition and I feel as though a proper transition is important to feel comfortable when going into the facility. Program 2 allows for weekly and biweekly meetings which is flexible, and review progress which I feel would be helpful for me to know that I’m on the right path. Option 3 offers week long classes and also once a week classes for a period of 1-6 months, and allows focus on the graduates needs which I feel would help me the most. Chapter 3 Case Studies Case Study 1 A. Judy left brain, John right brain B. What suggestions would you give Judy and John to help them study better? Both should set aside time for studying, study for an hour and then take a small break, go to a place that is quite and free of distractions, reward yourself, use a calendar with a schedule of class assignments and a to-do list. C. How could Judy and John create an effective study space? By finding an area where they are comfortable but not too comfortable where it promotes sleep, finding an area that they can have everything they need in one spot to minimize the distraction, placing a quite sign to avoid disruptions, taking breaks to prevent overload and frustration. D. Use calendars, reminders, declutter, color code,set a day to day to do list E. Which of the suggested tactics for managing electronic communication do you currently use? Which of the tactics do you not currently use? Prioritize the list based on your own needs for managing electronic communication. Cell phone, email, Facebook. I check my email in the morning reply to things that need responses and then check it the next morning. I use my cell and Facebook interchangeably but turn the phone on silent during blocks of study time. Case Study 2 A. I think some of the things in the box would help her better manage her time and help her with her feelings of self-doubt. A mentor could remind her that she is new and doesn’t know everything and that it is ok to still be in the learning stage and ask questions and over all I think it would make her feel more comfortable to have someone let her know she isn’t the only one who goes through these feelings and to stick it out. B. Take breaks,schedule time for herself, don’t agree to something that puts you in a difficult place, its ok to say no, make a to-do list avoid perfectionism, schedule fun activities to avoid burn out. C. Is Leslie a right or left-brain thinker? Defend your position. Right brain thinker. She expresses emotions, takes care of herself, tries to eat healthy. D. Based on your interpretation of Leslie'stype of thinker, create a list of activitiesfor her, using the side of the brain that is dominant. Listening to music, expressing emotion, color coded items, music, using creative strategies, trusting her intuition. Case Study 3 A. Whatsymptoms doesJoe exhibit that make him a candidate for early burnout? Evaluates his performance negatively, always accepts extra shifts, lack of sleep, doesn’t accept praise, finds faults. B. Whatsuggestions would you give Joe to alleviate the early signs of mental and physical burnout? Get more sleep, don’t take on more than you can handle, accept praise, take care of his self. C. Joe tells you that the transition period from student nurse to registered nurse wasthe worst time of hislife. How would you respond? How would you turn this into a positive interaction? I would start by asking him why, then telling him what a great job he did and that most if not all new grads feel this way and that its okay to reach out for help and that he did something right to still be continuing in his profession.