TEST BANK FOR NURSING TODAY TRANSITION AND TRENDS
11TH EDITION BY ZERWEKH/COMPLETE GUIDE 2024-2025
,CHAPTER 01: Reality
ShockMULTIPLE
CHOICE
1. A graduate professional nurse has been hired as a professional nurse at a local medical center. The new
professional nurse is in the honeymoon phase ofrole transition when making which of the following
statements?
a. “I am so nervous about being on my own as a registered 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.”
RIGHT CHOICE:- D
Reasoning :->>> The honeymoon phase is when the student professional 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 graduateprofessional nurse is able to laugh at encountered situations. During this
time, tension decreases, perception increases, and the professional nurse is able to grow as a person.
POINTS:1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality shock Topic: Reality shock
MSC: NCLEX®: Safe and effective care environment—management of care
2. Which of the following actions by the graduate professional nurse is an inappropriate methodology to
recover fromreality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
RIGHT CHOICE:- C
Reasoning:->>>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 ina 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, obtaininga mentor, and joining a support group would give the graduate professional nurse an
opportunity to talk to others
experiencing the stress associated with reality shock. The professional nurse would benefit from ‘talking
through’ issuesand learning how to cope.
POINTS:1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOPIC: Reality
shockMSC: NCLEX®: Safe and effective care environment—management of
care
,3. A professional 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
RIGHT CHOICE:- A
Reasoning:->>>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 copingof 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 professional
nurse experiencing burnout. The professional nurse should instead focus on his/her practice and seek out
support from other registered nurses.
POINTS:1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOPIC: Reality
shockMSC: NCLEX®: Safe and effective care environment—management of
care
4. Which of the following statements by the an understanding of
reality shock as it graduate nurse shows
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 registered nurse.”
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
RIGHT CHOICE:- A
Reasoning:->>> “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 isoften associated with “going native.” When registered nurses move from one
position to another, they have already experienced reality shock. Becoming an experienced professional nurse
takes time and is not part of the definition of realityshock.
POINTS:1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Compare and contrast the phases of reality shock. TOPIC: Reality
shockMSC: 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 registered nurse. Which statement by the student indicates his/her understanding of how to achieve
this goal?
a. “I should care for increased numbers of clients to enhance work organization skills.”
b. “I will observe staff registered 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.”
RIGHT CHOICE:- A
Reasoning:->>>It is important for the student to start taking care of increased numbers of clients to help with
time management and work organization. The student should also be able to function without close guidance
from the nursing instructor. Although it is good for students to observe staff, a student in the final semester
should be able to perform tasks with minimal observation and should instead focus on implementing care and
time management. Waiting 7 weeks to evaluate progress would not be helpful to the student. Although regular
self- evaluation is an important process, it is the actual experience of taking realistic client assignments and
working typical shift hours that assists with successful role transition.
POINTS:1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Describe four possible resolutions for reality shock. TOPIC: Reality shock
MSC: NCLEX®: Not applicable
6. A new graduate of less than 1 year describes his/her perception of a staff professional nurse position,
stating: “It feels great to be a registered 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 c. Honeymoon
b. Shock and rejection d. Transition
RIGHT
CHOIC
E:- C
Reasoning:->>>In the first phase of the role transition process (the honeymoon phase), the graduate
professional nurse is thrilled with completing school and accepting the first job. Life is a bed of roses because
everyone knows nursing school is much harder than nursing practice. Shock and rejection occur as the
professional nurse tries to understand how nursing school and the “real world” come together. Transition
occurs as the professional nurse begins the move from student to professional nurse and refers to the entire
process, not just a particular phase. The recovery phase is when the professional nurse can laugh at situations
that he/she is in and is able to cope with the situations that are being faced.
POINTS:1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Compare and contrast the phases of reality shock. TOPIC: Reality
shockMSC: NCLEX®: Not applicable
11TH EDITION BY ZERWEKH/COMPLETE GUIDE 2024-2025
,CHAPTER 01: Reality
ShockMULTIPLE
CHOICE
1. A graduate professional nurse has been hired as a professional nurse at a local medical center. The new
professional nurse is in the honeymoon phase ofrole transition when making which of the following
statements?
a. “I am so nervous about being on my own as a registered 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.”
RIGHT CHOICE:- D
Reasoning :->>> The honeymoon phase is when the student professional 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 graduateprofessional nurse is able to laugh at encountered situations. During this
time, tension decreases, perception increases, and the professional nurse is able to grow as a person.
POINTS:1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality shock Topic: Reality shock
MSC: NCLEX®: Safe and effective care environment—management of care
2. Which of the following actions by the graduate professional nurse is an inappropriate methodology to
recover fromreality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
RIGHT CHOICE:- C
Reasoning:->>>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 ina 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, obtaininga mentor, and joining a support group would give the graduate professional nurse an
opportunity to talk to others
experiencing the stress associated with reality shock. The professional nurse would benefit from ‘talking
through’ issuesand learning how to cope.
POINTS:1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOPIC: Reality
shockMSC: NCLEX®: Safe and effective care environment—management of
care
,3. A professional 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
RIGHT CHOICE:- A
Reasoning:->>>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 copingof 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 professional
nurse experiencing burnout. The professional nurse should instead focus on his/her practice and seek out
support from other registered nurses.
POINTS:1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOPIC: Reality
shockMSC: NCLEX®: Safe and effective care environment—management of
care
4. Which of the following statements by the an understanding of
reality shock as it graduate nurse shows
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 registered nurse.”
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
RIGHT CHOICE:- A
Reasoning:->>> “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 isoften associated with “going native.” When registered nurses move from one
position to another, they have already experienced reality shock. Becoming an experienced professional nurse
takes time and is not part of the definition of realityshock.
POINTS:1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Compare and contrast the phases of reality shock. TOPIC: Reality
shockMSC: 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 registered nurse. Which statement by the student indicates his/her understanding of how to achieve
this goal?
a. “I should care for increased numbers of clients to enhance work organization skills.”
b. “I will observe staff registered 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.”
RIGHT CHOICE:- A
Reasoning:->>>It is important for the student to start taking care of increased numbers of clients to help with
time management and work organization. The student should also be able to function without close guidance
from the nursing instructor. Although it is good for students to observe staff, a student in the final semester
should be able to perform tasks with minimal observation and should instead focus on implementing care and
time management. Waiting 7 weeks to evaluate progress would not be helpful to the student. Although regular
self- evaluation is an important process, it is the actual experience of taking realistic client assignments and
working typical shift hours that assists with successful role transition.
POINTS:1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Describe four possible resolutions for reality shock. TOPIC: Reality shock
MSC: NCLEX®: Not applicable
6. A new graduate of less than 1 year describes his/her perception of a staff professional nurse position,
stating: “It feels great to be a registered 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 c. Honeymoon
b. Shock and rejection d. Transition
RIGHT
CHOIC
E:- C
Reasoning:->>>In the first phase of the role transition process (the honeymoon phase), the graduate
professional nurse is thrilled with completing school and accepting the first job. Life is a bed of roses because
everyone knows nursing school is much harder than nursing practice. Shock and rejection occur as the
professional nurse tries to understand how nursing school and the “real world” come together. Transition
occurs as the professional nurse begins the move from student to professional nurse and refers to the entire
process, not just a particular phase. The recovery phase is when the professional nurse can laugh at situations
that he/she is in and is able to cope with the situations that are being faced.
POINTS:1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Compare and contrast the phases of reality shock. TOPIC: Reality
shockMSC: NCLEX®: Not applicable
