NURSING TODAY: TRANSITION AND TRENDS, 11TH EDITION
By JoAnn Zerwekh and Ashley Zerwekh Garneau
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,Chapter 1: 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
2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
a. Networking
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
ANS: C
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
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
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, jobs."
ANS: A
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."
b. "I will observe staff nurses as they perform nursing procedures to refine technique."
c. "I should seek increasingly close guidance from the nursing instructor to reduce
errors."
d. "I will evaluate my progress every 7 weeks or more to allow time for growth."
ANS: A
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position,
stating: "It feels great to be a nurse! In fact, it's a snap! I can hardly believe there's no
instructor looking over my shoulder." What phase of reality shock is the graduate
experiencing?
a. Recovery
b. Shock and rejection
c. Honeymoon
d. Transition
ANS: C
7. A new graduate has worked on a busy unit for 6 months since graduating from nursing
school. The graduate tells a friend, "I've never been so upset in all my life! The care that
some of the staff give our patients is outrageously bad... I can't stand it!" What phase of
reality shock is this graduate experiencing?
a. Honeymoon
b. Shock and rejection
c. Recovery
d. Role transformation
ANS: B
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, 8. A graduate nurse has been out of school for 3 months and working in a staff nurse
position for the past 2 months. What type of transition is the nurse experiencing?
a. A developmental transition
b. An organizational transition
c. A health-oriented transition
d. A situational transition
ANS: D
9. The graduate nurse understands that transitions occur throughout life. What major factor
does the nurse identify as influential in a successful transition from school to practice?
a. Level of new knowledge and skills required in the new environment
b. Amount of classwork required to obtain a degree
c. Personal history of previous developmental transitions
d. Influence of classmates and their transitional experiences.
ANS: A
10. A nurse manager is giving a presentation at a local community college. The nurse
manager understands the job expectations of a new graduate when making which of the
following statements?
a. "A graduate nurse should be able to perform as independently as was demonstrated the
last semester of nursing."
b. "A graduate nurse should be able to function competently as a registered nurse at the
entry level."
c. "A graduate nurse should be able to function in the role that was described in the
curriculum for the school of nursing."
d. "A graduate nurse should be able to be able to function independently with ability to
make clinical nursing judgments."
ANS: B
11. Which action by the graduate nurse shows that a successful transition to nursing has been
made?
a. The nurse begins to work with the nursing team and functions as others expect.
b. The nurse begins to objectively evaluate work experiences and enjoy the humor of
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