, Chapterws01:wsRealitywsShockwsMULT
IPLEwsCHOICE
1.wsAwsgraduatewsnursewshaswsbeenwshiredwsaswsawsnursewsatwsawslocalwshospital.wsThewsnewwsnursewsiswsinwsthewshoneymo
onwsphasewsofwsrolewstransitionwswhenwsmakingwswhichwsofwsthewsfollowingwsstatements?
a. ―Iwsamwssowsnervouswsaboutwsbeingwsonwsmywsownwsaswsawsnurse.‖
b. ―Thiswswillwsbewsawsgreatwslearningwsexperience.‖
c. ―Iwscan‘twswaitwstowshavewsawssteadywspaycheck.‖
d. ―Thiswsjobwsiswsperfect.wsIwscanwsfinallywsdowsthingswsmywsownwsway.‖
ANS:wsD
Thewshoneymoonwsphasewsiswswhenwsthewsstudentwsnursewsseeswsthewsworldwsofwsnursingwsaswsquitewsrosy.wsOften,wsthe
wsnewwsgraduatewsiswsfascinatedwswithwsthewsthrillwsofwsarrivingwsinwsthewsprofession.wsRealitywsshockwsoccurswswhenws
onewsmoveswsintowsthewsworkforcewsafterwsseveralwsyearswsofwseducationalwspreparation.wsRecoverywsandwsresolutionws
occurwswhenwsthewsgraduatewsnursewsiswsablewstowslaughwsatwsencounteredwssituations.wsDuringwsthiswstime,wstensionwsd
ecreases,wsperceptionwsincreases,wsandwsthewsnursewsiswsablewstowsgrowwsaswsawsperson.
PTS:ws1wsDIF:wsCognitivewsLevel:wsApplicationwsREF:wsp.ws7
OBJ:wsIdentifywsthewscharacteristicswsofwsrealitywss h o Nc kU. wsRTSOIPN:GRTeBa.lC
ityOM
shock
MSC:wsNCLEX®:wsSafewsandwseffectivewscarewsenvironment—managementwsofwscare
2. Whichwsofwsthewsfollowingwsactionswsbywsthewsgraduatewsnursewsiswsanwsinappropriatewsmethodologywstowsrec
overwsfromwsrealitywsshock?
a. Networking c. Returningwstowsschool
b. Obtainingwsawsmentor d. Joiningwsawssupportwsgroup
ANS:wsC
Thewstransitionwsperiodwsiswssuccessfullywsmanagedwswhenwsthewsgraduatewsiswsablewstowsevaluatewsthewsworkwssituatio
nwsobjectivelywsandwspredictwseffectivelywsthewsactionswsandwsreactionswsofwsotherwsstaff.wsNurturingwsthewsabilitywstows
seewshumorwsinwsawssituationwsmaywsbewsawsfirstwsstep.wsReturningwstowsschoolwsiswsawspositivewsstepwsafterwsthewsgraduat
ewshaswsworkedwsthroughwsrolewstransition,wshaswssomewsclinicalwsexperience,wsandwsiswsreadywstowsfocuswsonwsawsnewwsc
areerwsobjective.wsNetworking,wsobtainingwsawsmentor,wsandwsjoiningwsawssupportwsgroupwswouldwsgivewsthewsgraduate
wsnursewsanwsopportunitywstowstalkwstowsotherswsexperiencingwsthewsstresswsassociatedwswithwsrealitywsshock.wsThewsnur
sewswouldwsbenefitwsfromws‗talkingwsthrough‘wsissueswsandwslearningwshowwstowscope.
PTS:ws1wsDIF:wsCognitivewsLevel:wsApplicationwsREF:wsp.ws8
OBJ:wsDescribewsfourwspossiblewsresolutionswsforwsrealitywsshock.wsTOP:wsRealitywss
hockwsMSC:wsNCLEX®:wsSafewsandwseffectivewscarewsenvironment—
managementwsofwscare
Medws
C
, 3. Awsnursewsiswstryingwstowsavoidwsburnout.wsWhichwsofwsthewsfollowingwsactionswsiswsawsvalidwswaywstowsachievewsthis?
a. Refusingwstowsconstantlywsworkwsextrawsshifts
b. Withdrawingwsfromwspeerwssupportwsgroup
c. ―Goingwsnative‖
d. Changingwsjobswseveryws6wstows12wsmonths
ANS:wsA
Onewsofwsthewsquickestwswayswstowsexperiencewsburnoutwsiswstows―overworkwsthewsovertime.‖wsSetwsprioritieswswithwsy
ourwsmentalwsandwsphysicalwshealthwsbeingwsthewshighestwspriority.wsLearningwstowssayws―no‖wstowsextrawsshiftswsiswsawspo
sitivewsmeanswsofwscopingwsofwsavoidingwsburnout.ws―Goingwsnative‖wsiswsthewstermwsthatwsdescribeswshowwsrecentwsgra
duateswsbeginwstowscopywsandwsidentifywsthewsrealitywsofwstheirwsrolewstransitionwsexperiencewsbywsrejectingwsthewsvalue
swsfromwsnursingwsschoolwsandwsfunctioningwsmorewslikewsawsteamwsmemberwsatwstheirwsplacewsofwsemployment.wsWith
drawingwsfromwspeerwssupportwsgroups,ws―goingwsnative,‖wsandwschangingwsjobswseveryws6wstows12wsmonthswswouldwsi
ncreasewsthewschancewsofwsthewsnursewsexperiencingwsburnout.wsThewsnursewsshouldwsinsteadwsfocuswsonwshis/herwsprac
ticewsandwsseekwsoutwssupportwsfromwsotherwsnurses.
PTS:ws1wsDIF:wsCognitivewsLevel:wsApplicationwsREF:wsp.ws9
OBJ:wsDescribewsfourwspossiblewsresolutionswsforwsrealitywsshock.wsTOP:wsRealitywss
hockwsMSC:wsNCLEX®:wsSafewsandwseffectivewscarewsenvironment—
managementwsofwscare
M
4.wsWhichwsofwsthewsfollowingwsstatementswsbywsanwsundergraduatewsnursewsdescribeswsunderstandingwsofwsrealitywsshoc
kwsaswsitwsapplieswstowsnursing?
a. ―wsRealitywsshockwsiswsthewsperiodwswhenwsawspersonwsmoveswsfromwsschoolwsintowsthewsworkforce.
b. ―Realitywsshockwsiswsthewsrealizationwsthatwspracticewsandwseducationwsarewsnotwsthewssame.‖
c. ―Realitywsshockwsiswsthewsperiodwsfromwsgraduationwstowsbecomingwsanwsexperiencedwsnurse.‖
d. ―Realitywsshockwsiswsawstransitionwsphasewsthatwsnewwsgraduateswsgowsthroughwsbeforewschangingwsjobs.‖
ANS:wsA
―Realitywsshock‖wsiswsawstermwsoftenwsusedwstowsdescribewsthewsreactionwsexperiencedwswhenwsonewsmoveswsintowsthew
sworkforcewsafterwsseveralwsyearswsofwseducationalwspreparation.wsThewsnewwsgraduatewsiswscaughtwsinwsthewssituationw
sofwsmovingwsfromwsawsfamiliar,wscomfortablewseducationalwsenvironmentwsintowsawsnewwsrolewsinwsthewsworkforcewsw
herewsthewsexpectationswsarewsnotwsclearlywsdefinedwsorwsmaywsnotwsevenwsbewsrealistic.wsThewsrealizationwsthatwspractic
ewsandwsnursingwsschoolwsarewsnotwsthewssamewsiswsoftenwsassociatedwswithws―goingwsnative.‖wsWhenwsnurseswsmovewsf
romwsonewspositionwstowsanother,wstheywshavewsalreadywsexperiencedwsrealitywsshock.wsBecomingwsanwsexperiencedwsn
ursewstakeswstimewsandwsiswsnotwspartwsofwsthewsdefinitionwsofwsrealitywsshock.
PTS:ws1wsDIF:wsCognitivewsLevel:wsApplicationwsREF:wsp.ws6
OBJ:wsComparewsandwscontrastwsthewsphaseswsofwsrealitywsshock.wsTOP:wsRealitywssh
ockwsMSC:wsNCLEX®:wsNotwsapplicable
Medws
C
, 5.wsAwsstudentwsinwsthewslastwssemesterwsofwsnursingwsschoolwshaswsestablishedwsawsgoalwsofwsmakingwsawssuccessfulwsrol
ewstransitionwstowsgraduatewsnurse.wsWhichwsstatementwsbywsthewsstudentwsindicateswshis/herwsunderstandingwsofwshowwst
owsachievewsthiswsgoal?
a. ―Iwsshouldwscarewsforwsincreasedwsnumberswsofwspatientswstowsenhancewsworkwsorganizationwsskills.‖
b. ―Iwswillwsobservewsstaffwsnurseswsaswstheywsperformwsnursingwsprocedureswstowsrefinewstechnique.‖
c. ―Iwsshouldwsseekwsincreasinglywsclosewsguidancewsfromwsthewsnursingwsinstructorwstowsreducewserrors.‖
d. ―Iwswillwsevaluatewsmywsprogresswseveryws7wsweekswsorwsmorewstowsallowwstimewsforwsgrowth.‖
ANS:wsA
Itwsiswsimportantwsforwsthewsstudentwstowsstartwstakingwscarewsofwsincreasedwsnumberswsofwspatientswstowshelpwswithwstim
ewsmanagementwsandwsworkwsorganization.wsThewsstudentwsshouldwsalsowsbewsablewstowsfunctionwswithoutwsclosewsgui
dancewsfromwsthewsnursingwsinstructor.wsAlthoughwsitwsiswsgoodwsforwsstudentswstowsobservewsstaff,wsawsstudentwsinwsthe
wsfinalwssemesterwsshouldwsbewsablewstowsperformwstaskswswithwsminimalwsobservationwsandwsshouldwsinsteadwsfocusws
onwsimplementingwscarewsandwstimewsmanagement.wsWaitingws7wsweekswstowsevaluatewsprogresswswouldwsnotwsbewshel
pfulwstowsthewsstudent.wsAlthoughwsregularwsself-
wsevaluationwsiswsanwsimportantwsprocess,wsitwsiswsthewsactualwsexperiencewsofwstakingwsrealisticwspatientwsassignments
wsandwsworkingwstypicalwsshiftwshourswsthatwsassistswswithwssuccessfulwsrolewstransition.
PTS:ws1wsDIF:wsCognitivewsLevel:wsApplicationwsREF:wsp.ws6
OBJ:wsDescribewsfourwspossiblewsresolutionswsforwsrealitywsshock.wsTOP:wsRealityws
shockwsMSC:wsNCLEX®:wsNotwsapplicable
NURSINGTB.COM
6. Awsnewwsgraduatewsofwslesswsthanws1wsyearwsdescribeswshis/herwsperceptionwsofwsawsstaffwsnursewsposition,wsstating:
ws―Itwsfeelswsgreatwstowsbewsawsnurse!wsInwsfact,wsit‘swsawssnap!wsIwscanwshardlywsbelievewsthere‘swsnowsinstructorwsloo
kingwsoverwsmywsshoulder.‖wsWhatwsphasewsofwsrealitywsshockwsiswsthewsgraduatewsexperiencing?
a. Recovery c. Honeymoon
b. Shockwsandwsrejection d. Transition
ANS:wsC
Inwsthewsfirstwsphasewsofwsthewsrolewstransitionwsprocessws(thewshoneymoonwsphase),wsthewsgraduatewsnursewsiswsthrilled
wswithwscompletingwsschoolwsandwsacceptingwsthewsfirstwsjob.wsLifewsiswsawsbedwsofwsroseswsbecausewseveryonewsknowsws
nursingwsschoolwsiswsmuchwsharderwsthanwsnursingwspractice.wsShockwsandwsrejectionwsoccurwsaswsthewsnursewstrieswstow
sunderstandwshowwsnursingwsschoolwsandwsthews―realwsworld‖wscomewstogether.wsTransitionwsoccurswsaswsthewsnursews
beginswsthewsmovewsfromwsstudentwstowsnursewsandwsreferswstowsthewsentirewsprocess,wsnotwsjustwsawsparticularwsphase.ws
Thewsrecoverywsphasewsiswswhenwsthewsnursewscanwslaughwsatwssituationswsthatwshe/shewsiswsinwsandwsiswsablewstowscopews
withwsthewssituationswsthatwsarewsbeingwsfaced.
PTS:ws1wsDIF:wsCognitivewsLevel:wsApplicationwsREF:wsp.ws7
OBJ:wsComparewsandwscontrastwsthewsphaseswsofwsrealitywsshock.wsTOP:wsRealitywssh
ockwsMSC:wsNCLEX®:wsNotwsapplicable
Medws
C