NURSINGTODAYTRANSITIONANDTRENDS9TH E
v
DITIONZERWEKHTESTBANK
TESTBANK
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v v
, NURSINGvTODAYvTRANSITIONvANDvTRENDSv9THvEDITIONvZERWEKHvTEST
Chapterv01:vRealityvShockvMULTIPL
EvCHOICE
1. Avgraduatevnursevhasvbeenvhiredvasvavnursevatvavlocalvhospital.vThevnewvnursevisvinvthevhoneymoonvphasevofv
rolevtransitionvwhenvmakingvwhichvofvthevfollowingvstatements?
a. “Ivamvsovnervousvaboutvbeingvonvmyv ownv asv avnurse.”
b. “Thisvwillvbevav greatvlearningv experience.”
c. “Ivcan’tv waitv tovhavevavsteadyvpaycheck.”
d. “Thisvjobvisvperfect.v Ivcanv finallyvdov thingsvmyvownv way.”
ANS:vD
Thevhoneymoonvphasevisvwhenvthevstudentvnursevseesvthevworldvofvnursingvasvquitevrosy.vOften,vthevnewvgraduat
evisvfascinatedvwithvthevthrillvofvarrivingvinvthevprofession.vRealityvshockvoccursvwhenvonevmovesvintovthevworkf
orcevaftervseveralvyearsvofveducationalvpreparation.vRecoveryvandvresolutionvoccurvwhenvthevgraduatevnursevisvab
levtovlaughvatvencounteredvsituations.vDuringvthisvtime,vtensionvdecreases,vperceptionvincreases,vandvthevnursevisv
ablevtovgrowvasvavperson.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v7
OBJ:vIdentifyvthevcharacteristicsvofvrealityvshvo Nc vkU.vRT SOI PN:GRTeBa .l Ci t yO M
s h o c k vMS
C:vNCLEX®:vSafevandveffectivevcarevenvironment—management ofvcare II
2. Whichvofvthevfollowingvactionsvbyvthevgraduatevnursevisvanvinappropriatevmethodologyvtovrecovervfromv
realityvshock?
a. Networking c. Returningvtov school
b. Obtainingv av mentor d. Joiningvavsupportvgroup
ANS:vC
Thevtransitionvperiodvisvsuccessfullyvmanagedvwhenvthevgraduatevisvablevtovevaluatevthevworkvsituationvobjectiv
elyvandvpredictveffectivelyvthevactionsvandvreactionsvofvothervstaff.vNurturingvthevabilityvtovseevhumorv invavsitua
tionvmayvbevavfirstvstep.vReturningvtovschoolvisvavpositivevstepvaftervthevgraduatevhasvworkedvthroughvrolevtransit
ion,vhasvsomevclinicalvexperience,vandvisvreadyvtovfocusvonvavnewvcareervobjective.vNetworking,vobtainingvavme
ntor,vandvjoiningvavsupportvgroupvwouldvgivevthevgraduatevnursevanvopportunityvtovtalkvtovothersvexperiencingvt
hevstressvassociatedvwithvrealityvshock.vThevnursevwouldvbenefitvfromv‘talkingvthrough’vissues
andvlearningvhowvtovcope.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v8
OBJ:vDescribevfourvpossiblevresolutionsvforvrealityvshock.vTOP:vRealityvshockvMS
C:vNCLEX®:vSafevandveffectivevcarevenvironment—managementvofvcare
NURSINGTB.COM
, NURSINGvTODAYvTRANSITIONvANDvTRENDSv9THvEDITIONvZERWEKHvTEST
3. Avnursevisvtryingvtovavoidvburnout.vWhichvofvthevfollowingvactionsvisvavvalidvwayvtovachievevthis?
a. Refusingvtovconstantlyv workvextrav shifts
b. Withdrawingvfromvpeervsupportvgroup
c. “Goingvnative”
d. Changingvjobsveveryv6v tov 12v months
ANS:vA
Onevofvthevquickestvwaysvtovexperiencevburnoutvisvtov“overworkvthevovertime.”vSetvprioritiesvwithvyourvmentalva
ndvphysicalvhealthvbeingvthevhighestvpriority.vLearningvtovsayv“no”vtovextravshiftsvisvavpositivevmeansvofvcopingvo
fvavoidingvburnout.v“Goingvnative”visvthevtermvthatvdescribesvhowvrecentvgraduatesvbeginvtovcopyvandvidentifyvt
hevrealityvofvtheirvrolevtransitionvexperiencevbyvrejectingvthevvaluesvfromvnursingvschoolvandvfunctioningvmorevl
ikevavteamvmembervatvtheirvplacevofvemployment.vWithdrawingvfromvpeervsupportvgroups,v“goingvnative,”vandvc
hangingvjobsveveryv6vtov12vmonthsvwouldvincreasevthevchancevofvthevnursevexperiencingvburnout.vThevnursevsho
uldvinsteadvfocusvonvhis/hervpracticevandvseekvoutvsupportvfromvothervnurses.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v9
OBJ:vDescribevfourvpossiblevresolutionsvforvrealityvshock.vTOP:vRealityvshockvMS
C:vNCLEX®:vSafevandveffectivevcarevenvironment—managementvofvcare
NURSINGTB.COM
4. Whichvofvthevfollowingvsgtraatedm
u aetnetns ubrys e thsheows v anvunderstandingofvrealityvshockvasvit
II II I
appliesvtovnursing?
a. “vRealityvshockvisvthevperiodv whenv avpersonv movesv fromvschoolvintov thevworkforce.
b. “Realityvshockvisvthevrealizationv thatvpracticevandveducationv arevnotvthevsame.”
c. “Realityvshockvisvthevperiodv fromvgraduationvtovbecomingvanvexperiencedvnurse.”
d. “Realityvshockvisvav transitionvphasevthatvnewvgraduatesvgov throughvbeforevchangingvjobs.”
ANS:vA
“Realityvshock”visvavtermvoftenvusedvtovdescribevthevreactionvexperiencedvwhenvonevmovesvintovthevworkforcevaf
tervseveralvyearsvofveducationalvpreparation.vThevnewvgraduatevisvcaughtvinvthevsituationvofvmovingvfromvavfami
liar,vcomfortableveducationalvenvironmentvintovavnewvrolevinvthevworkforcevwherevthevexpectationsvarevnotvclear
lyvdefinedvorvmayvnotvevenvbevrealistic.vThevrealizationvthatvpracticevandvnursingvschoolvarevnotvthevsamevisvoften
vassociatedvwithv“goingvnative.”vWhenvnursesvmovevfromvonevpositionvtovanother,vtheyvhavevalreadyvexperience
dvrealityvshock.vBecomingvanvexperiencedvnursevtakesvtimevandvisvnotvpartvofvthevdefinitionvofvrealityvshock.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v6
OBJ:vComparevandvcontrastvthevphasesvofvrealityvshock.vTOP:vRealityvshockv
MSC:vNCLEX®:vNotvapplicable
NURSINGTB.COM
, NURSINGvTODAYvTRANSITIONvANDvTRENDSv9THvEDITIONvZERWEKHvTEST
5.vAvstudentvinvthevlastvsemestervofvnursingvschoolvhasvestablishedvavgoalvofvmakingvavsuccessfulvrolevtransitionvt
ovgraduatevnurse.vWhichvstatementvbyvthevstudentvindicatesvhis/hervunderstandingvofvhowvtovachievevthisvgoal?
a. “Ivshouldvcarevforvincreasedvnumbersvofvpatientsvtov enhancevworkvorganizationv skills.”
b. “Ivwillvobservevstaffvnursesvasvtheyvperformvnursingvproceduresvtov refinevtechnique.”
c. “Ivshouldvseekvincreasinglyvclosevguidancevfromvthevnursingvinstructorvtov reduceverrors.”
d. “Ivwillvevaluatev myvprogressveveryv7v weeksvorv morevtovallowvtimev forv growth.”
ANS:vA
Itvisvimportantvforvthevstudentvtovstartvtakingvcarevofvincreasedvnumbersvofvpatientsvtovhelpvwithvtimevmanagemen
tvandvworkvorganization.vThevstudentvshouldvalsovbevablevtovfunctionvwithoutvclosevguidancevfromvthevnursingvi
nstructor.vAlthoughvitvisvgoodvforvstudentsvtovobservevstaff,vavstudentvinvthevfinalvsemestervshouldvbevablevtovperf
ormvtasksvwithvminimalvobservationvandvshouldvinsteadvfocusvonvimplementingvcarevandvtimevmanagement.vWa
itingv7vweeksvtovevaluatevprogressvwouldvnotvbevhelpfulvtovthevstudent.vAlthoughvregularvself-
vevaluationvisvanvimportantvprocess,vitvisvthevactualvexperiencevofvtakingvrealisticvpatientvassignmentsvandvworki
ngvtypicalvshiftvhoursvthatvassistsvwithvsuccessfulvrolevtransition.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v6
OBJ:vDescribevfourvpossiblevresolutionsvforvrealityvshock.vTOP:vRealityvshock
MSC:vNCLEX®:vNotvapplicable
v
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6.vAvnewvgraduatevofvlessvthanv1vyearvdescribesvhis/hervperceptionvofvavstaffvnursevposition,vstating:v“Itvfeelsv
greatvtovbevavnurse!vInvfact,vit’svavsnap!vIvcanvhardlyvbelievevthere’svnovinstructorvlookingvovervmyvshoulder.”v
Whatvphasevofvrealityvshockvisvthevgraduatevexperiencing?
a. Recovery c. Honeymoon
b. Shockvandv rejection d. Transition
ANS:vC
Invthevfirstvphasevofvthevrolevtransitionvprocessv(thevhoneymoonvphase),vthevgraduatevnursevisvthrilledvwithvcompl
etingvschoolvandvacceptingvthevfirstvjob.vLifevisvavbedvofvrosesvbecauseveveryonevknowsvnursingvschoolvisvmuchvha
rdervthanvnursingvpractice.vShockvandvrejectionvoccurvasvthevnursevtriesvtovunderstandvhowvnursingvschoolvandvt
hev“realvworld”vcomevtogether.vTransitionvoccursvasvthevnursevbeginsvthevmovevfromvstudentvtovnursevandvrefers
vtovtheventirevprocess,vnotvjustvavparticularvphase.vThevrecoveryvphasevisvwhenvthevnursevcanvlaughvatvsituationsvt
hatvhe/shevisvinvandvisvablevtovcopevwithvthevsituationsvthatvarevbeingvfaced.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v7
OBJ:vComparevandvcontrastvthevphasesvofvrealityvshock.vTOP:vRealityvshockv
MSC:vNCLEX®:vNotvapplicable
NURSINGTB.COM
v
DITIONZERWEKHTESTBANK
TESTBANK
NURSINGTESTBANKS
v v
, NURSINGvTODAYvTRANSITIONvANDvTRENDSv9THvEDITIONvZERWEKHvTEST
Chapterv01:vRealityvShockvMULTIPL
EvCHOICE
1. Avgraduatevnursevhasvbeenvhiredvasvavnursevatvavlocalvhospital.vThevnewvnursevisvinvthevhoneymoonvphasevofv
rolevtransitionvwhenvmakingvwhichvofvthevfollowingvstatements?
a. “Ivamvsovnervousvaboutvbeingvonvmyv ownv asv avnurse.”
b. “Thisvwillvbevav greatvlearningv experience.”
c. “Ivcan’tv waitv tovhavevavsteadyvpaycheck.”
d. “Thisvjobvisvperfect.v Ivcanv finallyvdov thingsvmyvownv way.”
ANS:vD
Thevhoneymoonvphasevisvwhenvthevstudentvnursevseesvthevworldvofvnursingvasvquitevrosy.vOften,vthevnewvgraduat
evisvfascinatedvwithvthevthrillvofvarrivingvinvthevprofession.vRealityvshockvoccursvwhenvonevmovesvintovthevworkf
orcevaftervseveralvyearsvofveducationalvpreparation.vRecoveryvandvresolutionvoccurvwhenvthevgraduatevnursevisvab
levtovlaughvatvencounteredvsituations.vDuringvthisvtime,vtensionvdecreases,vperceptionvincreases,vandvthevnursevisv
ablevtovgrowvasvavperson.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v7
OBJ:vIdentifyvthevcharacteristicsvofvrealityvshvo Nc vkU.vRT SOI PN:GRTeBa .l Ci t yO M
s h o c k vMS
C:vNCLEX®:vSafevandveffectivevcarevenvironment—management ofvcare II
2. Whichvofvthevfollowingvactionsvbyvthevgraduatevnursevisvanvinappropriatevmethodologyvtovrecovervfromv
realityvshock?
a. Networking c. Returningvtov school
b. Obtainingv av mentor d. Joiningvavsupportvgroup
ANS:vC
Thevtransitionvperiodvisvsuccessfullyvmanagedvwhenvthevgraduatevisvablevtovevaluatevthevworkvsituationvobjectiv
elyvandvpredictveffectivelyvthevactionsvandvreactionsvofvothervstaff.vNurturingvthevabilityvtovseevhumorv invavsitua
tionvmayvbevavfirstvstep.vReturningvtovschoolvisvavpositivevstepvaftervthevgraduatevhasvworkedvthroughvrolevtransit
ion,vhasvsomevclinicalvexperience,vandvisvreadyvtovfocusvonvavnewvcareervobjective.vNetworking,vobtainingvavme
ntor,vandvjoiningvavsupportvgroupvwouldvgivevthevgraduatevnursevanvopportunityvtovtalkvtovothersvexperiencingvt
hevstressvassociatedvwithvrealityvshock.vThevnursevwouldvbenefitvfromv‘talkingvthrough’vissues
andvlearningvhowvtovcope.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v8
OBJ:vDescribevfourvpossiblevresolutionsvforvrealityvshock.vTOP:vRealityvshockvMS
C:vNCLEX®:vSafevandveffectivevcarevenvironment—managementvofvcare
NURSINGTB.COM
, NURSINGvTODAYvTRANSITIONvANDvTRENDSv9THvEDITIONvZERWEKHvTEST
3. Avnursevisvtryingvtovavoidvburnout.vWhichvofvthevfollowingvactionsvisvavvalidvwayvtovachievevthis?
a. Refusingvtovconstantlyv workvextrav shifts
b. Withdrawingvfromvpeervsupportvgroup
c. “Goingvnative”
d. Changingvjobsveveryv6v tov 12v months
ANS:vA
Onevofvthevquickestvwaysvtovexperiencevburnoutvisvtov“overworkvthevovertime.”vSetvprioritiesvwithvyourvmentalva
ndvphysicalvhealthvbeingvthevhighestvpriority.vLearningvtovsayv“no”vtovextravshiftsvisvavpositivevmeansvofvcopingvo
fvavoidingvburnout.v“Goingvnative”visvthevtermvthatvdescribesvhowvrecentvgraduatesvbeginvtovcopyvandvidentifyvt
hevrealityvofvtheirvrolevtransitionvexperiencevbyvrejectingvthevvaluesvfromvnursingvschoolvandvfunctioningvmorevl
ikevavteamvmembervatvtheirvplacevofvemployment.vWithdrawingvfromvpeervsupportvgroups,v“goingvnative,”vandvc
hangingvjobsveveryv6vtov12vmonthsvwouldvincreasevthevchancevofvthevnursevexperiencingvburnout.vThevnursevsho
uldvinsteadvfocusvonvhis/hervpracticevandvseekvoutvsupportvfromvothervnurses.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v9
OBJ:vDescribevfourvpossiblevresolutionsvforvrealityvshock.vTOP:vRealityvshockvMS
C:vNCLEX®:vSafevandveffectivevcarevenvironment—managementvofvcare
NURSINGTB.COM
4. Whichvofvthevfollowingvsgtraatedm
u aetnetns ubrys e thsheows v anvunderstandingofvrealityvshockvasvit
II II I
appliesvtovnursing?
a. “vRealityvshockvisvthevperiodv whenv avpersonv movesv fromvschoolvintov thevworkforce.
b. “Realityvshockvisvthevrealizationv thatvpracticevandveducationv arevnotvthevsame.”
c. “Realityvshockvisvthevperiodv fromvgraduationvtovbecomingvanvexperiencedvnurse.”
d. “Realityvshockvisvav transitionvphasevthatvnewvgraduatesvgov throughvbeforevchangingvjobs.”
ANS:vA
“Realityvshock”visvavtermvoftenvusedvtovdescribevthevreactionvexperiencedvwhenvonevmovesvintovthevworkforcevaf
tervseveralvyearsvofveducationalvpreparation.vThevnewvgraduatevisvcaughtvinvthevsituationvofvmovingvfromvavfami
liar,vcomfortableveducationalvenvironmentvintovavnewvrolevinvthevworkforcevwherevthevexpectationsvarevnotvclear
lyvdefinedvorvmayvnotvevenvbevrealistic.vThevrealizationvthatvpracticevandvnursingvschoolvarevnotvthevsamevisvoften
vassociatedvwithv“goingvnative.”vWhenvnursesvmovevfromvonevpositionvtovanother,vtheyvhavevalreadyvexperience
dvrealityvshock.vBecomingvanvexperiencedvnursevtakesvtimevandvisvnotvpartvofvthevdefinitionvofvrealityvshock.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v6
OBJ:vComparevandvcontrastvthevphasesvofvrealityvshock.vTOP:vRealityvshockv
MSC:vNCLEX®:vNotvapplicable
NURSINGTB.COM
, NURSINGvTODAYvTRANSITIONvANDvTRENDSv9THvEDITIONvZERWEKHvTEST
5.vAvstudentvinvthevlastvsemestervofvnursingvschoolvhasvestablishedvavgoalvofvmakingvavsuccessfulvrolevtransitionvt
ovgraduatevnurse.vWhichvstatementvbyvthevstudentvindicatesvhis/hervunderstandingvofvhowvtovachievevthisvgoal?
a. “Ivshouldvcarevforvincreasedvnumbersvofvpatientsvtov enhancevworkvorganizationv skills.”
b. “Ivwillvobservevstaffvnursesvasvtheyvperformvnursingvproceduresvtov refinevtechnique.”
c. “Ivshouldvseekvincreasinglyvclosevguidancevfromvthevnursingvinstructorvtov reduceverrors.”
d. “Ivwillvevaluatev myvprogressveveryv7v weeksvorv morevtovallowvtimev forv growth.”
ANS:vA
Itvisvimportantvforvthevstudentvtovstartvtakingvcarevofvincreasedvnumbersvofvpatientsvtovhelpvwithvtimevmanagemen
tvandvworkvorganization.vThevstudentvshouldvalsovbevablevtovfunctionvwithoutvclosevguidancevfromvthevnursingvi
nstructor.vAlthoughvitvisvgoodvforvstudentsvtovobservevstaff,vavstudentvinvthevfinalvsemestervshouldvbevablevtovperf
ormvtasksvwithvminimalvobservationvandvshouldvinsteadvfocusvonvimplementingvcarevandvtimevmanagement.vWa
itingv7vweeksvtovevaluatevprogressvwouldvnotvbevhelpfulvtovthevstudent.vAlthoughvregularvself-
vevaluationvisvanvimportantvprocess,vitvisvthevactualvexperiencevofvtakingvrealisticvpatientvassignmentsvandvworki
ngvtypicalvshiftvhoursvthatvassistsvwithvsuccessfulvrolevtransition.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v6
OBJ:vDescribevfourvpossiblevresolutionsvforvrealityvshock.vTOP:vRealityvshock
MSC:vNCLEX®:vNotvapplicable
v
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6.vAvnewvgraduatevofvlessvthanv1vyearvdescribesvhis/hervperceptionvofvavstaffvnursevposition,vstating:v“Itvfeelsv
greatvtovbevavnurse!vInvfact,vit’svavsnap!vIvcanvhardlyvbelievevthere’svnovinstructorvlookingvovervmyvshoulder.”v
Whatvphasevofvrealityvshockvisvthevgraduatevexperiencing?
a. Recovery c. Honeymoon
b. Shockvandv rejection d. Transition
ANS:vC
Invthevfirstvphasevofvthevrolevtransitionvprocessv(thevhoneymoonvphase),vthevgraduatevnursevisvthrilledvwithvcompl
etingvschoolvandvacceptingvthevfirstvjob.vLifevisvavbedvofvrosesvbecauseveveryonevknowsvnursingvschoolvisvmuchvha
rdervthanvnursingvpractice.vShockvandvrejectionvoccurvasvthevnursevtriesvtovunderstandvhowvnursingvschoolvandvt
hev“realvworld”vcomevtogether.vTransitionvoccursvasvthevnursevbeginsvthevmovevfromvstudentvtovnursevandvrefers
vtovtheventirevprocess,vnotvjustvavparticularvphase.vThevrecoveryvphasevisvwhenvthevnursevcanvlaughvatvsituationsvt
hatvhe/shevisvinvandvisvablevtovcopevwithvthevsituationsvthatvarevbeingvfaced.
PTS:v1vDIF:vCognitivevLevel:vApplicationvREF:vp.v7
OBJ:vComparevandvcontrastvthevphasesvofvrealityvshock.vTOP:vRealityvshockv
MSC:vNCLEX®:vNotvapplicable
NURSINGTB.COM
