https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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 s h o Nc kU. RTSOI PN:GRTeBa.lCityOM
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
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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
https://www.stuvia.com/user/lectkeshi
,https://www.stuvia.com/user/lectkeshi
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
M
4. Which of the following statements by an undergraduate nurse describes 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.‖
Med C