Nursing Today Transition and Trends
9th Edition
By JoAnn Zerwekh
TEST BANK
,TABLE OF CONTENT
UNIT I: PROFESSIONAL GROWTH AND TRANSITION
1. Role Transitions
2. Personal Management: Time and Self-Care Strategies
3. Mentorship, Preceptorship, and Nurse Residency Programs
4. Employment Considerations:Opportunities, Resumes, and Interviewing
5. NCLEX-RN Exam® and the New Graduate
UNIT II: NURSING: A DEVELOPING PROFESSION
6. Historical Perspectives: Influences on the Present
7. Nursing Education
8. Nursing Theories
9. Professional Image of Nursing
UNIT III: NURSING MANAGEMENT
10. Challenges of Nursing Management and Leadership
11. Building Nursing Management Skills
12. Effective Communication, Team Building, and Interprofessional Practice
13. Conflict Management
14. Delegation in the Clinical Setting
UNIT IV: CURRENT ISSUES IN HEALTH CARE
15. The Health Care Organization and Patterns of Nursing Care Delivery
16. Economics of the Health Care Delivery System
17. Political Action in Nursing, 397
18. Collective Bargaining: Traditional (Union) and Nontraditional Approaches
19. Ethical Issues
20. Legal Issues
UNIT V: CONTEMPORARY NURSING PRACTICE
21. Cultural and Spiritual Awareness
22. Quality Patient Care
23. Nursing Informatics
24. Using Evidence-Based Practice and Nursing Research
25. Workplace Issues
26. Emergency Preparedness
,Chapter 01: Reality Shock
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of
role transition when making which of the following statements?
a. “I am so nervous about being on my own as a nurse.”
b. “This will be a great learning experience.”
c. “I can’t wait to have a steady paycheck.”
d. “This job is perfect. I can finally do things my own way.”
ANS: D
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves into
the workforce after several years of educational preparation. Recovery and resolution occur when the graduate
nurse is able to laugh at encountered situations. During this time, tension decreases, perception increases, and
the nurse is able to grow as a person.
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality shoN
ckU. R
TSOIP
N:GRTeBa.lC
ityOM
shock
MSC: NCLEX®: Safe and effective care environment—management of care
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover from
reality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work situation
objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see humor in
a situation may be a first step. Returning to school is a positive step after the graduate has worked through role
transition, has some clinical experience, and is ready to focus on a new career objective. Networking, obtaining
a mentor, and joining a support group would give the graduate nurse an opportunity to talk to others
experiencing the stress associated with reality shock. The nurse would benefit from ‘talking through’ issues
and learning how to cope.
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment—management of care
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
, a. Refusing to constantly work extra shifts
b. Withdrawing from peer support group
c. “Going native”
d. Changing jobs every 6 to 12 months
ANS: A
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with your mental
and physical health being the highest priority. Learning to say “no” to extra shifts is a positive means of coping
of avoiding burnout. “Going native” is the term that describes how recent graduates begin to copy and identify
the reality of their role transition experience by rejecting the values from nursing school and functioning more
like a team member at their place of employment. Withdrawing from peer support groups, “going native,” and
changing jobs every 6 to 12 months would increase the chance of the nurse experiencing burnout. The nurse
should instead focus on his/her practice and seek out support from other nurses.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment—management of care
NURSINGTB.COM
4. Which of the following statements by the graduate nurse shows an understanding of reality shock as it
applies to nursing?
a. “ Reality shock is the period when a person moves from school into the workforce.
b. “Reality shock is the realization that practice and education are not the same.”
c. “Reality shock is the period from graduation to becoming an experienced nurse.”
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
ANS: A
“Reality shock” is a term often used to describe the reaction experienced when one moves into the workforce
after several years of educational preparation. The new graduate is caught in the situation of moving from a
familiar, comfortable educational environment into a new role in the workforce where the expectations are not
clearly defined or may not even be realistic. The realization that practice and nursing school are not the same is
often associated with “going native.” When nurses move from one position to another, they have already
experienced reality shock. Becoming an experienced nurse takes time and is not part of the definition of reality
shock.
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
MSC: NCLEX®: Not applicable
5. A student in the last semester of nursing school has established a goal of making a successful role transition
to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization skills.”
9th Edition
By JoAnn Zerwekh
TEST BANK
,TABLE OF CONTENT
UNIT I: PROFESSIONAL GROWTH AND TRANSITION
1. Role Transitions
2. Personal Management: Time and Self-Care Strategies
3. Mentorship, Preceptorship, and Nurse Residency Programs
4. Employment Considerations:Opportunities, Resumes, and Interviewing
5. NCLEX-RN Exam® and the New Graduate
UNIT II: NURSING: A DEVELOPING PROFESSION
6. Historical Perspectives: Influences on the Present
7. Nursing Education
8. Nursing Theories
9. Professional Image of Nursing
UNIT III: NURSING MANAGEMENT
10. Challenges of Nursing Management and Leadership
11. Building Nursing Management Skills
12. Effective Communication, Team Building, and Interprofessional Practice
13. Conflict Management
14. Delegation in the Clinical Setting
UNIT IV: CURRENT ISSUES IN HEALTH CARE
15. The Health Care Organization and Patterns of Nursing Care Delivery
16. Economics of the Health Care Delivery System
17. Political Action in Nursing, 397
18. Collective Bargaining: Traditional (Union) and Nontraditional Approaches
19. Ethical Issues
20. Legal Issues
UNIT V: CONTEMPORARY NURSING PRACTICE
21. Cultural and Spiritual Awareness
22. Quality Patient Care
23. Nursing Informatics
24. Using Evidence-Based Practice and Nursing Research
25. Workplace Issues
26. Emergency Preparedness
,Chapter 01: Reality Shock
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase of
role transition when making which of the following statements?
a. “I am so nervous about being on my own as a nurse.”
b. “This will be a great learning experience.”
c. “I can’t wait to have a steady paycheck.”
d. “This job is perfect. I can finally do things my own way.”
ANS: D
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves into
the workforce after several years of educational preparation. Recovery and resolution occur when the graduate
nurse is able to laugh at encountered situations. During this time, tension decreases, perception increases, and
the nurse is able to grow as a person.
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality shoN
ckU. R
TSOIP
N:GRTeBa.lC
ityOM
shock
MSC: NCLEX®: Safe and effective care environment—management of care
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover from
reality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work situation
objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see humor in
a situation may be a first step. Returning to school is a positive step after the graduate has worked through role
transition, has some clinical experience, and is ready to focus on a new career objective. Networking, obtaining
a mentor, and joining a support group would give the graduate nurse an opportunity to talk to others
experiencing the stress associated with reality shock. The nurse would benefit from ‘talking through’ issues
and learning how to cope.
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment—management of care
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
, a. Refusing to constantly work extra shifts
b. Withdrawing from peer support group
c. “Going native”
d. Changing jobs every 6 to 12 months
ANS: A
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with your mental
and physical health being the highest priority. Learning to say “no” to extra shifts is a positive means of coping
of avoiding burnout. “Going native” is the term that describes how recent graduates begin to copy and identify
the reality of their role transition experience by rejecting the values from nursing school and functioning more
like a team member at their place of employment. Withdrawing from peer support groups, “going native,” and
changing jobs every 6 to 12 months would increase the chance of the nurse experiencing burnout. The nurse
should instead focus on his/her practice and seek out support from other nurses.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment—management of care
NURSINGTB.COM
4. Which of the following statements by the graduate nurse shows an understanding of reality shock as it
applies to nursing?
a. “ Reality shock is the period when a person moves from school into the workforce.
b. “Reality shock is the realization that practice and education are not the same.”
c. “Reality shock is the period from graduation to becoming an experienced nurse.”
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
ANS: A
“Reality shock” is a term often used to describe the reaction experienced when one moves into the workforce
after several years of educational preparation. The new graduate is caught in the situation of moving from a
familiar, comfortable educational environment into a new role in the workforce where the expectations are not
clearly defined or may not even be realistic. The realization that practice and nursing school are not the same is
often associated with “going native.” When nurses move from one position to another, they have already
experienced reality shock. Becoming an experienced nurse takes time and is not part of the definition of reality
shock.
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
MSC: NCLEX®: Not applicable
5. A student in the last semester of nursing school has established a goal of making a successful role transition
to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization skills.”
