MedmC
, Chapterm01:mRealitymShoc
kmMULTIPLEmCHOICE
1. Amgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital.mThemnewmnursemisminmthemhoneymoonmp
hasemofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. ―Imammsomnervousmaboutmbeingmonmmymownmasmamnurse.‖
b. ―Thismwillmbemamgreatmlearningmexperience.‖
c. ―Imcan‘tmwaitmtomhavemamsteadympaycheck.‖
d. ―Thismjobmismperfect.mImcanmfinallymdomthingsmmymownmway.‖
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmasmquitemrosy.mOften,mthemnewm
graduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession.mRealitymshockmoccursmwhenmonemmovesmi
ntomthemworkforcemaftermseveralmyearsmofmeducationalmpreparation.mRecoverymandmresolutionmoccurmwhenmthem
graduatemnursemismablemtomlaughmatmencounteredmsituations.mDuringmthismtime,mtensionmdecreases,mperceptionmin
creases,mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mIdentifymthemcharacteristicsmofmrealitymshoN
ckU.mR
TSOIP
N:GRTeBa.lC
ityOM
shock
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecoverm
frommrealitymshock?
a. Networking c. Returningmtomschool
b. Obtainingmammentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtomevaluatemthemworkmsituationmobj
ectivelymandmpredictmeffectivelymthemactionsmandmreactionsmofmothermstaff.mNurturingmthemabilitymtomseemhumorm
inmamsituationmmaymbemamfirstmstep.mReturningmtomschoolmismampositivemstepmaftermthemgraduatemhasmworkedmthro
ughmrolemtransition,mhasmsomemclinicalmexperience,mandmismreadymtomfocusmonmamnewmcareermobjective.mNetwork
ing,mobtainingmammentor,mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymtomtalkmt
omothersmexperiencingmthemstressmassociatedmwithmrealitymshock.mThemnursemwouldmbenefitmfromm‗talkingmthrou
gh‘missuesmandmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
MedmC
, 3. Amnursemismtryingmtomavoidmburnout.mWhichmofmthemfollowingmactionsmismamvalidmwaymtomachievemthis?
a. Refusingmtomconstantlymworkmextramshifts
b. Withdrawingmfrommpeermsupportmgroup
c. ―Goingmnative‖
d. Changingmjobsmeverym6mtom12mmonths
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom―overworkmthemovertime.‖mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority.mLearningmtomsaym―no‖mtomextramshiftsmismampositivemmeans
mofmcopingmofmavoidingmburnout.m―Goingmnative‖mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtomcop
ymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschoolman
dmfunctioningmmoremlikemamteammmembermatmtheirmplacemofmemployment.mWithdrawingmfrommpeermsupportmgrou
ps,m―goingmnative,‖mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchancemofmthemnursemexperi
encingmburnout.mThemnursemshouldminsteadmfocusmonmhis/hermpracticemandmseekmoutmsupportmfrommothermnurses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
M
4.mWhichmofmthemfollowingmstatementsmbymanmundergraduatemnursemdescribesmunderstandingmofmrealitymshockmasmitmapp
liesmtomnursing?
a. ―mRealitymshockmismthemperiodmwhenmampersonmmovesmfrommschoolmintomthemworkforce.
b. ―Realitymshockmismthemrealizationmthatmpracticemandmeducationmaremnotmthemsame.‖
c. ―Realitymshockmismthemperiodmfrommgraduationmtombecomingmanmexperiencedmnurse.‖
d. ―Realitymshockmismamtransitionmphasemthatmnewmgraduatesmgomthroughmbeforemchangingmjobs.‖
ANS:mA
―Realitymshock‖mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmovesmintomthemworkf
orcemaftermseveralmyearsmofmeducationalmpreparation.mThemnewmgraduatemismcaughtminmthemsituationmofmmovingm
frommamfamiliar,mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic.mThemrealizationmthatmpracticemandmnursingmschoolma
remnotmthemsamemismoftenmassociatedmwithm―goingmnative.‖mWhenmnursesmmovemfrommonempositionmtomanother,m
theymhavemalreadymexperiencedmrealitymshock.mBecomingmanmexperiencedmnursemtakesmtimemandmismnotmpartmofm
themdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
Medm
C
, 5. Amstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtran
sitionmtomgraduatemnurse.mWhichmstatementmbymthemstudentmindicatesmhis/hermunderstandingmofmhowmtomachieve
mthismgoal?
a. ―Imshouldmcaremformincreasedmnumbersmofmpatientsmtomenhancemworkmorganizationmskills.‖
b. ―Imwillmobservemstaffmnursesmasmtheymperformmnursingmproceduresmtomrefinemtechnique.‖
c. ―Imshouldmseekmincreasinglymclosemguidancemfrommthemnursingminstructormtomreducemerrors.‖
d. ―Imwillmevaluatemmymprogressmeverym7mweeksmormmoremtomallowmtimemformgrowth.‖
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemman
agementmandmworkmorganization.mThemstudentmshouldmalsombemablemtomfunctionmwithoutmclosemguidancemfromm
themnursingminstructor.mAlthoughmitmismgoodmformstudentsmtomobservemstaff,mamstudentminmthemfinalmsemestermsh
ouldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcarema
ndmtimemmanagement.mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent.mAlthoug
hmregularmself-
mevaluationmismanmimportantmprocess,mitmismthemactualmexperiencemofmtakingmrealisticmpatientmassignmentsmandm
workingmtypicalmshiftmhoursmthatmassistsmwithmsuccessfulmrolemtransition.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m6
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
6. Amnewmgraduatemofmlessmthanm1myearmdescribesmhis/hermperceptionmofmamstaffmnursemposition,mstating:m―Itm
feelsmgreatmtombemamnurse!mInmfact,mit‘smamsnap!mImcanmhardlymbelievemthere‘smnominstructormlookingmovermm
ymshoulder.‖mWhatmphasemofmrealitymshockmismthemgraduatemexperiencing?
a. Recovery c. Honeymoon
b. Shockmandmrejection d. Transition
ANS:mC
Inmthemfirstmphasemofmthemrolemtransitionmprocessm(themhoneymoonmphase),mthemgraduatemnursemismthrilledmwith
mcompletingmschoolmandmacceptingmthemfirstmjob.mLifemismambedmofmrosesmbecausemeveryonemknowsmnursingmsc
hoolmismmuchmhardermthanmnursingmpractice.mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstandmhow
mnursingmschoolmandmthem―realmworld‖mcomemtogether.mTransitionmoccursmasmthemnursembeginsmthemmovemfro
mmstudentmtomnursemandmrefersmtomthementiremprocess,mnotmjustmamparticularmphase.mThemrecoverymphasemismwhe
nmthemnursemcanmlaughmatmsituationsmthatmhe/shemisminmandmismablemtomcopemwithmthemsituationsmthatmarembeingmf
aced.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
Medm
C
, Chapterm01:mRealitymShoc
kmMULTIPLEmCHOICE
1. Amgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital.mThemnewmnursemisminmthemhoneymoonmp
hasemofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. ―Imammsomnervousmaboutmbeingmonmmymownmasmamnurse.‖
b. ―Thismwillmbemamgreatmlearningmexperience.‖
c. ―Imcan‘tmwaitmtomhavemamsteadympaycheck.‖
d. ―Thismjobmismperfect.mImcanmfinallymdomthingsmmymownmway.‖
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmasmquitemrosy.mOften,mthemnewm
graduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession.mRealitymshockmoccursmwhenmonemmovesmi
ntomthemworkforcemaftermseveralmyearsmofmeducationalmpreparation.mRecoverymandmresolutionmoccurmwhenmthem
graduatemnursemismablemtomlaughmatmencounteredmsituations.mDuringmthismtime,mtensionmdecreases,mperceptionmin
creases,mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mIdentifymthemcharacteristicsmofmrealitymshoN
ckU.mR
TSOIP
N:GRTeBa.lC
ityOM
shock
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecoverm
frommrealitymshock?
a. Networking c. Returningmtomschool
b. Obtainingmammentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtomevaluatemthemworkmsituationmobj
ectivelymandmpredictmeffectivelymthemactionsmandmreactionsmofmothermstaff.mNurturingmthemabilitymtomseemhumorm
inmamsituationmmaymbemamfirstmstep.mReturningmtomschoolmismampositivemstepmaftermthemgraduatemhasmworkedmthro
ughmrolemtransition,mhasmsomemclinicalmexperience,mandmismreadymtomfocusmonmamnewmcareermobjective.mNetwork
ing,mobtainingmammentor,mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymtomtalkmt
omothersmexperiencingmthemstressmassociatedmwithmrealitymshock.mThemnursemwouldmbenefitmfromm‗talkingmthrou
gh‘missuesmandmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
MedmC
, 3. Amnursemismtryingmtomavoidmburnout.mWhichmofmthemfollowingmactionsmismamvalidmwaymtomachievemthis?
a. Refusingmtomconstantlymworkmextramshifts
b. Withdrawingmfrommpeermsupportmgroup
c. ―Goingmnative‖
d. Changingmjobsmeverym6mtom12mmonths
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom―overworkmthemovertime.‖mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority.mLearningmtomsaym―no‖mtomextramshiftsmismampositivemmeans
mofmcopingmofmavoidingmburnout.m―Goingmnative‖mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtomcop
ymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschoolman
dmfunctioningmmoremlikemamteammmembermatmtheirmplacemofmemployment.mWithdrawingmfrommpeermsupportmgrou
ps,m―goingmnative,‖mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchancemofmthemnursemexperi
encingmburnout.mThemnursemshouldminsteadmfocusmonmhis/hermpracticemandmseekmoutmsupportmfrommothermnurses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
M
4.mWhichmofmthemfollowingmstatementsmbymanmundergraduatemnursemdescribesmunderstandingmofmrealitymshockmasmitmapp
liesmtomnursing?
a. ―mRealitymshockmismthemperiodmwhenmampersonmmovesmfrommschoolmintomthemworkforce.
b. ―Realitymshockmismthemrealizationmthatmpracticemandmeducationmaremnotmthemsame.‖
c. ―Realitymshockmismthemperiodmfrommgraduationmtombecomingmanmexperiencedmnurse.‖
d. ―Realitymshockmismamtransitionmphasemthatmnewmgraduatesmgomthroughmbeforemchangingmjobs.‖
ANS:mA
―Realitymshock‖mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmovesmintomthemworkf
orcemaftermseveralmyearsmofmeducationalmpreparation.mThemnewmgraduatemismcaughtminmthemsituationmofmmovingm
frommamfamiliar,mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic.mThemrealizationmthatmpracticemandmnursingmschoolma
remnotmthemsamemismoftenmassociatedmwithm―goingmnative.‖mWhenmnursesmmovemfrommonempositionmtomanother,m
theymhavemalreadymexperiencedmrealitymshock.mBecomingmanmexperiencedmnursemtakesmtimemandmismnotmpartmofm
themdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
Medm
C
, 5. Amstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtran
sitionmtomgraduatemnurse.mWhichmstatementmbymthemstudentmindicatesmhis/hermunderstandingmofmhowmtomachieve
mthismgoal?
a. ―Imshouldmcaremformincreasedmnumbersmofmpatientsmtomenhancemworkmorganizationmskills.‖
b. ―Imwillmobservemstaffmnursesmasmtheymperformmnursingmproceduresmtomrefinemtechnique.‖
c. ―Imshouldmseekmincreasinglymclosemguidancemfrommthemnursingminstructormtomreducemerrors.‖
d. ―Imwillmevaluatemmymprogressmeverym7mweeksmormmoremtomallowmtimemformgrowth.‖
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemman
agementmandmworkmorganization.mThemstudentmshouldmalsombemablemtomfunctionmwithoutmclosemguidancemfromm
themnursingminstructor.mAlthoughmitmismgoodmformstudentsmtomobservemstaff,mamstudentminmthemfinalmsemestermsh
ouldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcarema
ndmtimemmanagement.mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent.mAlthoug
hmregularmself-
mevaluationmismanmimportantmprocess,mitmismthemactualmexperiencemofmtakingmrealisticmpatientmassignmentsmandm
workingmtypicalmshiftmhoursmthatmassistsmwithmsuccessfulmrolemtransition.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m6
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
6. Amnewmgraduatemofmlessmthanm1myearmdescribesmhis/hermperceptionmofmamstaffmnursemposition,mstating:m―Itm
feelsmgreatmtombemamnurse!mInmfact,mit‘smamsnap!mImcanmhardlymbelievemthere‘smnominstructormlookingmovermm
ymshoulder.‖mWhatmphasemofmrealitymshockmismthemgraduatemexperiencing?
a. Recovery c. Honeymoon
b. Shockmandmrejection d. Transition
ANS:mC
Inmthemfirstmphasemofmthemrolemtransitionmprocessm(themhoneymoonmphase),mthemgraduatemnursemismthrilledmwith
mcompletingmschoolmandmacceptingmthemfirstmjob.mLifemismambedmofmrosesmbecausemeveryonemknowsmnursingmsc
hoolmismmuchmhardermthanmnursingmpractice.mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstandmhow
mnursingmschoolmandmthem―realmworld‖mcomemtogether.mTransitionmoccursmasmthemnursembeginsmthemmovemfro
mmstudentmtomnursemandmrefersmtomthementiremprocess,mnotmjustmamparticularmphase.mThemrecoverymphasemismwhe
nmthemnursemcanmlaughmatmsituationsmthatmhe/shemisminmandmismablemtomcopemwithmthemsituationsmthatmarembeingmf
aced.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
Medm
C
