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, NURSINGzTODAYzTRANSITIONzANDzTRENDSz9THzEDITIONzZERWEKHzTEST
Chapterz01:zRealityzShockz
MULTIPLEzCHOICE
1. Azgraduateznursezhaszbeenzhiredzaszaznursezatzazlocalzhospital.zTheznewznurseziszinzthezhoneymoonzphasezofz
roleztransitionzwhenzmakingz whichzofzthezfollowingzstatements?
a. “Izamzsoz nervousz aboutzbeingzonz myz ownz aszaznurse.”
b. “Thiszwillzbezazgreatzlearningz experience.”
c. “Izcan’tz waitz tozhavezazsteadyzpaycheck.”
d. “Thiszjobz iszperfect.z Izcanz finallyzdoz thingszmyzownzway.”
ANS:zD
Thezhoneymoonzphaseziszwhenzthezstudentznursezseeszthezworldzofznursingzaszquitezrosy.zOften,ztheznewzgradu
ateziszfascinatedzwithzthezthrillzofzarrivingzinzthezprofession.zRealityzshockzoccurszwhenzonezmoveszintozthezwo
rkforcezafterzseveralzyearszofzeducationalzpreparation.zRecoveryzandzresolutionzoccurzwhenzthezgraduateznursezi
szableztozlaughzatzencounteredzsituations.zDuringzthisztime,ztensionzdecreases,zperceptionzincreases,zandztheznur
seziszableztozgrowzaszazperson.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z7
OBJ:zIdentifyzthezcharacteristicszofzrealityzs hzo NczkU.zRTSOIPN:GRTeBa.lC
ityOM
shockzMSC:
NCLEX®:zSafezandzeffectivezcarezenvironment—management ofzcare
z II
2. Whichzofzthezfollowingzactionszbyzthezgraduateznurseziszanzinappropriatezmethodologyztozrecoverzfromz
realityzshock?
a. Networking c. Returningztoz school
b. Obtainingzaz mentor d. Joiningzazsupportzgroup
ANS:zC
Theztransitionzperiodziszsuccessfullyzmanagedzwhenzthezgraduateziszableztozevaluatezthezworkzsituationzobjecti
velyzandz predictzeffectivelyzthezactionsz andzreactionszofzotherzstaff.zNurturingzthezabilityz toz seezhumorzinzazsit
uationzmayzbezazfirstzstep.zReturningztozschoolziszazpositivezstepzafterzthezgraduatezhaszworkedzthroughzroleztra
nsition,zhaszsomezclinicalzexperience,zandziszreadyztozfocuszonzaznewzcareerzobjective.zNetworking,zobtainingza
z mentor,zandzjoiningzazsupportzgroupzwouldzgivezthezgraduateznursezanzopportunityztoz talkztozotherszexperienci
ngzthezstresszassociatedzwithzrealityzshock.zTheznursezwouldzbenefitzfromz‘talkingzthrough’zissues
andzlearningzhowztozcope.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z8
OBJ:zDescribezfourzpossiblezresolutionszforzrealityzshock.zTOP:zRealityzshockzMS
C:zNCLEX®:zSafezandzeffectivezcarezenvironment—managementzofzcare
NURSINGTB.COM
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3. Aznursezisztryingztozavoidzburnout.zWhichzofzthezfollowingzactionsziszazvalidzwayztozachievezthis?
a. Refusingztozconstantlyz workzextraz shifts
b. Withdrawingzfromzpeerzsupportzgroup
c. “Goingznative”
d. Changingzjobsz everyz6z toz 12z months
ANS:zA
Onezofzthezquickestzwaysztoz experiencezburnoutzisztoz“overworkzthezovertime.”zSetzprioritieszwithzyourz mentalz
andzphysicalzhealthzbeingzthezhighestzpriority.zLearningztozsayz“no”ztozextrazshiftsziszazpositivezmeanszofzcopingz
ofzavoidingzburnout.z“Goingznative”zisztheztermzthatzdescribeszhowzrecentzgraduateszbeginztozcopyzandzidentifyz
thezrealityzofztheirzroleztransitionzexperiencezbyzrejectingzthezvalueszfromznursingzschoolzandzfunctioningzmorez
likezazteamzmemberzatztheirz placezofzemployment.zWithdrawingzfromzpeerzsupportzgroups,z“goingznative,”zandz
changingzjobszeveryz6ztoz12zmonthszwouldzincreasezthezchancezofztheznursezexperiencingzburnout.zTheznursezs
houldzinsteadzfocuszonzhis/herzpracticezandzseekzoutzsupportzfromzotherznurses.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z9
OBJ:zDescribezfourzpossiblezresolutionszforzrealityzshock.zTOP:zRealityzshockzMS
C:zNCLEX®:zSafezandzeffectivezcarezenvironment—managementzofzcare
NURSINGTB.COM
4. Whichzofzthezfollowingzsgtraatedm
uaetnetnsubrysethsheowszzanzunderstanding ofzrealityzshockzaszit
II II II
appliesztoznursing?
a. “zRealityzshockziszthezperiodz whenz azpersonz movesz fromzschoolzintoz thezworkforce.
b. “Realityzshockziszthezrealizationz thatzpracticezandz educationz areznotzthezsame.”
c. “Realityzshockziszthezperiodz fromzgraduationztozbecomingz anz experiencedz nurse.”
d. “Realityzshockziszaz transitionzphasezthatz newzgraduateszgoz throughzbeforezchangingzjobs.”
ANS:zA
“Realityzshock”ziszaztermzoftenzusedztozdescribezthezreactionzexperiencedzwhenzonezmoveszintozthezworkforceza
fterzseveralzyearszofzeducationalzpreparation.zTheznewzgraduateziszcaughtzinzthezsituationzofzmovingzfromzazfa
miliar,zcomfortablezeducationalzenvironmentzintozaznewzrolezinzthezworkforcezwherezthezexpectationszareznotzcl
earlyzdefinedzorzmayznotzevenzbezrealistic.zThezrealizationzthatzpracticezandznursingzschoolzareznotzthezsameziszof
tenzassociatedzwithz“goingznative.”zWhenznurseszmovezfromzonezpositionztozanother,ztheyzhavezalreadyzexperie
ncedzrealityzshock.zBecomingzanzexperiencedznurseztakesztimezandzisznotzpartzofzthezdefinitionzofzrealityzshock.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z6
OBJ:zComparezandzcontrastzthezphaseszofzrealityzshock.zTOP:zRealityzshockz
MSC:zNCLEX®:zNotzapplicable
NURSINGTB.COM
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5. Azstudentzinzthezlastzsemesterzofznursingzschoolzhaszestablishedzazgoalzofzmakingzazsuccessfulzroleztransitionz
tozgraduateznurse.zWhichzstatementzbyzthezstudentzindicateszhis/herzunderstandingzofzhowztozachievezthiszgoal?
a. “Izshouldzcarezforzincreasedz numberszofzpatientsztoz enhancezworkzorganizationz skills.”
b. “Izwillz observezstaffznurseszasztheyzperformznursingzproceduresztoz refineztechnique.”
c. “Izshouldz seekzincreasinglyzclosezguidancezfromztheznursingz instructorztoz reducezerrors.”
d. “Izwillz evaluatez myzprogresszeveryz7z weekszorz moreztoz allowztimezforz growth.”
ANS:zA
Itziszimportantzforzthezstudentztozstartztakingzcarezofzincreasedznumberszofzpatientsztozhelpzwithztimezmanagem
entzandzworkzorganization.zThezstudentzshouldz alsozbezableztozfunctionzwithoutzclosezguidancezfromztheznursin
gzinstructor.zAlthoughzitziszgoodzforzstudentsztozobservezstaff,zazstudentzinzthezfinalzsemesterzshouldzbezableztoz
performztaskszwithzminimalzobservationzandzshouldzinsteadzfocuszonzimplementingzcarezandztimezmanagemen
t.zWaitingz7zweeksztozevaluatezprogresszwouldznotzbezhelpfulztozthezstudent.zAlthoughzregularzself-
zevaluationziszanzimportantzprocess,zitzisz thezactualzexperiencezofztakingzrealisticzpatientzassignmentszandzwork
ingztypicalzshiftzhourszthatzassistszwithzsuccessfulzroleztransition.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z6
OBJ:zDescribezfourzpossiblezresolutionszforzrealityzshock.zTOP:zRealityzshockz
MSC:zNCLEX®:zNotzapplicable
NURSINGTB.COM
6. Aznewzgraduatezofzlesszthanz1zyearzdescribeszhis/herzperceptionzofzazstaffznursezposition,zstating:z“Itzfeels
zgreatztozbezaznurse!zInzfact,zit’szazsnap!zIzcanzhardlyzbelievezthere’sznozinstructorzlookingzoverzmyzshoulder.
”zWhatzphasezofzrealityzshockziszthezgraduatezexperiencing?
a. Recovery c. Honeymoon
b. Shockzandzrejection d. Transition
ANS:zC
Inzthezfirstzphasezofzthezroleztransitionzprocessz(thezhoneymoonzphase),zthezgraduateznurseziszthrilledzwithzcom
pletingzschoolzandzacceptingzthezfirstzjob.zLifeziszazbedzofzroseszbecausezeveryonezknowsznursingzschoolziszmuch
zharderzthanznursingzpractice.zShockzandzrejectionzoccurzasztheznurseztriesztozunderstandzhowznursingzschoolza
ndzthez“realzworld”zcomeztogether.zTransitionzoccurszasztheznursezbeginszthezmovezfromzstudentztoznursezandzr
efersztozthezentirezprocess,znotzjustzazparticularzphase.zThezrecoveryzphaseziszwhenztheznursezcanzlaughzatzsitua
tionszthatzhe/sheziszinzandziszableztozcopezwithzthezsituationszthatzarezbeingzfaced.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z7
OBJ:zComparezandzcontrastzthezphaseszofzrealityzshock.zTOP:zRealityzshockz
MSC:zNCLEX®:zNotzapplicable
NURSINGTB.COM
z
DITIONZERWEKHTESTBANK
TESTBANK
NURSINGTESTBANKS
z z
, NURSINGzTODAYzTRANSITIONzANDzTRENDSz9THzEDITIONzZERWEKHzTEST
Chapterz01:zRealityzShockz
MULTIPLEzCHOICE
1. Azgraduateznursezhaszbeenzhiredzaszaznursezatzazlocalzhospital.zTheznewznurseziszinzthezhoneymoonzphasezofz
roleztransitionzwhenzmakingz whichzofzthezfollowingzstatements?
a. “Izamzsoz nervousz aboutzbeingzonz myz ownz aszaznurse.”
b. “Thiszwillzbezazgreatzlearningz experience.”
c. “Izcan’tz waitz tozhavezazsteadyzpaycheck.”
d. “Thiszjobz iszperfect.z Izcanz finallyzdoz thingszmyzownzway.”
ANS:zD
Thezhoneymoonzphaseziszwhenzthezstudentznursezseeszthezworldzofznursingzaszquitezrosy.zOften,ztheznewzgradu
ateziszfascinatedzwithzthezthrillzofzarrivingzinzthezprofession.zRealityzshockzoccurszwhenzonezmoveszintozthezwo
rkforcezafterzseveralzyearszofzeducationalzpreparation.zRecoveryzandzresolutionzoccurzwhenzthezgraduateznursezi
szableztozlaughzatzencounteredzsituations.zDuringzthisztime,ztensionzdecreases,zperceptionzincreases,zandztheznur
seziszableztozgrowzaszazperson.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z7
OBJ:zIdentifyzthezcharacteristicszofzrealityzs hzo NczkU.zRTSOIPN:GRTeBa.lC
ityOM
shockzMSC:
NCLEX®:zSafezandzeffectivezcarezenvironment—management ofzcare
z II
2. Whichzofzthezfollowingzactionszbyzthezgraduateznurseziszanzinappropriatezmethodologyztozrecoverzfromz
realityzshock?
a. Networking c. Returningztoz school
b. Obtainingzaz mentor d. Joiningzazsupportzgroup
ANS:zC
Theztransitionzperiodziszsuccessfullyzmanagedzwhenzthezgraduateziszableztozevaluatezthezworkzsituationzobjecti
velyzandz predictzeffectivelyzthezactionsz andzreactionszofzotherzstaff.zNurturingzthezabilityz toz seezhumorzinzazsit
uationzmayzbezazfirstzstep.zReturningztozschoolziszazpositivezstepzafterzthezgraduatezhaszworkedzthroughzroleztra
nsition,zhaszsomezclinicalzexperience,zandziszreadyztozfocuszonzaznewzcareerzobjective.zNetworking,zobtainingza
z mentor,zandzjoiningzazsupportzgroupzwouldzgivezthezgraduateznursezanzopportunityztoz talkztozotherszexperienci
ngzthezstresszassociatedzwithzrealityzshock.zTheznursezwouldzbenefitzfromz‘talkingzthrough’zissues
andzlearningzhowztozcope.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z8
OBJ:zDescribezfourzpossiblezresolutionszforzrealityzshock.zTOP:zRealityzshockzMS
C:zNCLEX®:zSafezandzeffectivezcarezenvironment—managementzofzcare
NURSINGTB.COM
, NURSINGzTODAYzTRANSITIONzANDzTRENDSz9THzEDITIONzZERWEKHzTEST
3. Aznursezisztryingztozavoidzburnout.zWhichzofzthezfollowingzactionsziszazvalidzwayztozachievezthis?
a. Refusingztozconstantlyz workzextraz shifts
b. Withdrawingzfromzpeerzsupportzgroup
c. “Goingznative”
d. Changingzjobsz everyz6z toz 12z months
ANS:zA
Onezofzthezquickestzwaysztoz experiencezburnoutzisztoz“overworkzthezovertime.”zSetzprioritieszwithzyourz mentalz
andzphysicalzhealthzbeingzthezhighestzpriority.zLearningztozsayz“no”ztozextrazshiftsziszazpositivezmeanszofzcopingz
ofzavoidingzburnout.z“Goingznative”zisztheztermzthatzdescribeszhowzrecentzgraduateszbeginztozcopyzandzidentifyz
thezrealityzofztheirzroleztransitionzexperiencezbyzrejectingzthezvalueszfromznursingzschoolzandzfunctioningzmorez
likezazteamzmemberzatztheirz placezofzemployment.zWithdrawingzfromzpeerzsupportzgroups,z“goingznative,”zandz
changingzjobszeveryz6ztoz12zmonthszwouldzincreasezthezchancezofztheznursezexperiencingzburnout.zTheznursezs
houldzinsteadzfocuszonzhis/herzpracticezandzseekzoutzsupportzfromzotherznurses.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z9
OBJ:zDescribezfourzpossiblezresolutionszforzrealityzshock.zTOP:zRealityzshockzMS
C:zNCLEX®:zSafezandzeffectivezcarezenvironment—managementzofzcare
NURSINGTB.COM
4. Whichzofzthezfollowingzsgtraatedm
uaetnetnsubrysethsheowszzanzunderstanding ofzrealityzshockzaszit
II II II
appliesztoznursing?
a. “zRealityzshockziszthezperiodz whenz azpersonz movesz fromzschoolzintoz thezworkforce.
b. “Realityzshockziszthezrealizationz thatzpracticezandz educationz areznotzthezsame.”
c. “Realityzshockziszthezperiodz fromzgraduationztozbecomingz anz experiencedz nurse.”
d. “Realityzshockziszaz transitionzphasezthatz newzgraduateszgoz throughzbeforezchangingzjobs.”
ANS:zA
“Realityzshock”ziszaztermzoftenzusedztozdescribezthezreactionzexperiencedzwhenzonezmoveszintozthezworkforceza
fterzseveralzyearszofzeducationalzpreparation.zTheznewzgraduateziszcaughtzinzthezsituationzofzmovingzfromzazfa
miliar,zcomfortablezeducationalzenvironmentzintozaznewzrolezinzthezworkforcezwherezthezexpectationszareznotzcl
earlyzdefinedzorzmayznotzevenzbezrealistic.zThezrealizationzthatzpracticezandznursingzschoolzareznotzthezsameziszof
tenzassociatedzwithz“goingznative.”zWhenznurseszmovezfromzonezpositionztozanother,ztheyzhavezalreadyzexperie
ncedzrealityzshock.zBecomingzanzexperiencedznurseztakesztimezandzisznotzpartzofzthezdefinitionzofzrealityzshock.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z6
OBJ:zComparezandzcontrastzthezphaseszofzrealityzshock.zTOP:zRealityzshockz
MSC:zNCLEX®:zNotzapplicable
NURSINGTB.COM
, NURSINGzTODAYzTRANSITIONzANDzTRENDSz9THzEDITIONzZERWEKHzTEST
5. Azstudentzinzthezlastzsemesterzofznursingzschoolzhaszestablishedzazgoalzofzmakingzazsuccessfulzroleztransitionz
tozgraduateznurse.zWhichzstatementzbyzthezstudentzindicateszhis/herzunderstandingzofzhowztozachievezthiszgoal?
a. “Izshouldzcarezforzincreasedz numberszofzpatientsztoz enhancezworkzorganizationz skills.”
b. “Izwillz observezstaffznurseszasztheyzperformznursingzproceduresztoz refineztechnique.”
c. “Izshouldz seekzincreasinglyzclosezguidancezfromztheznursingz instructorztoz reducezerrors.”
d. “Izwillz evaluatez myzprogresszeveryz7z weekszorz moreztoz allowztimezforz growth.”
ANS:zA
Itziszimportantzforzthezstudentztozstartztakingzcarezofzincreasedznumberszofzpatientsztozhelpzwithztimezmanagem
entzandzworkzorganization.zThezstudentzshouldz alsozbezableztozfunctionzwithoutzclosezguidancezfromztheznursin
gzinstructor.zAlthoughzitziszgoodzforzstudentsztozobservezstaff,zazstudentzinzthezfinalzsemesterzshouldzbezableztoz
performztaskszwithzminimalzobservationzandzshouldzinsteadzfocuszonzimplementingzcarezandztimezmanagemen
t.zWaitingz7zweeksztozevaluatezprogresszwouldznotzbezhelpfulztozthezstudent.zAlthoughzregularzself-
zevaluationziszanzimportantzprocess,zitzisz thezactualzexperiencezofztakingzrealisticzpatientzassignmentszandzwork
ingztypicalzshiftzhourszthatzassistszwithzsuccessfulzroleztransition.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z6
OBJ:zDescribezfourzpossiblezresolutionszforzrealityzshock.zTOP:zRealityzshockz
MSC:zNCLEX®:zNotzapplicable
NURSINGTB.COM
6. Aznewzgraduatezofzlesszthanz1zyearzdescribeszhis/herzperceptionzofzazstaffznursezposition,zstating:z“Itzfeels
zgreatztozbezaznurse!zInzfact,zit’szazsnap!zIzcanzhardlyzbelievezthere’sznozinstructorzlookingzoverzmyzshoulder.
”zWhatzphasezofzrealityzshockziszthezgraduatezexperiencing?
a. Recovery c. Honeymoon
b. Shockzandzrejection d. Transition
ANS:zC
Inzthezfirstzphasezofzthezroleztransitionzprocessz(thezhoneymoonzphase),zthezgraduateznurseziszthrilledzwithzcom
pletingzschoolzandzacceptingzthezfirstzjob.zLifeziszazbedzofzroseszbecausezeveryonezknowsznursingzschoolziszmuch
zharderzthanznursingzpractice.zShockzandzrejectionzoccurzasztheznurseztriesztozunderstandzhowznursingzschoolza
ndzthez“realzworld”zcomeztogether.zTransitionzoccurszasztheznursezbeginszthezmovezfromzstudentztoznursezandzr
efersztozthezentirezprocess,znotzjustzazparticularzphase.zThezrecoveryzphaseziszwhenztheznursezcanzlaughzatzsitua
tionszthatzhe/sheziszinzandziszableztozcopezwithzthezsituationszthatzarezbeingzfaced.
PTS:z1zDIF:zCognitivezLevel:zApplicationzREF:zp.z7
OBJ:zComparezandzcontrastzthezphaseszofzrealityzshock.zTOP:zRealityzshockz
MSC:zNCLEX®:zNotzapplicable
NURSINGTB.COM
