Test bank for nursing today transition and trends 9th edition
by zerwekh
TEST BANK
For Nursing Today Transition and
Trends 9th Edition by Zerwekh
, Test bank for nursing today transition and trends 9th edition by
zerwekh
Chapter 01: Reality Shock
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the
honeymoon phase of role transition when making which of the following statements?
a. “I am so nervous about being on my own as a 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.”
ANS: D
The honeymoon phase is when the student 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 graduate nurse is able to laugh at encountered situations. During this
time, tension decreases, perception increases, and the nurse is able to grow as a person.
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality
MSC: NCLEX®: Safe and effective care environment—management of care
, Test bank for nursing today transition and trends 9th edition by
zerwekh
2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
a. Networking
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
ANS: C
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 in a 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, obtaining a mentor, and joining a support group
would give the graduate nurse an opportunity to talk to others
experiencing the stress associated with reality shock. The nurse would benefit from ‘talking
through’ issues and learning how to cope.
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock MSC: NCLEX®:
Safe and effective care environment—management of care
3. A 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
, Test bank for nursing today transition and trends 9th edition by
zerwekh
ANS: A
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 coping of 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 nurse experiencing burnout. The nurse should
instead focus on his/her practice and seek out support from other nurses.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock MSC: NCLEX®:
Safe and effective care environment—management of care
4. Which of the following statements by the an understanding of reality shock as it 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 nurse.”
d. “Reality zshock zis za ztransition zphase zthat znew zgraduates zgo zthrough zbefore zchanging
zjobs.”
ANS: zA
“Reality zshock” zis za zterm zoften zused zto zdescribe zthe zreaction zexperienced zwhen zone
zmoves zinto zthe zworkforce zafter zseveral zyears zof zeducational zpreparation. zThe znew
zgraduate zis zcaught zin zthe zsituation zof zmoving zfrom za zfamiliar, zcomfortable zeducational
zenvironment zinto za znew zrole zin zthe zworkforce zwhere zthe zexpectations zare znot zclearly
zdefined zor zmay znot zeven zbe zrealistic. zThe zrealization zthat zpractice zand znursing zschool zare
znot zthe zsame zis zoften zassociated zwith z“going znative.” zWhen znurses zmove zfrom zone
zposition zto zanother, zthey zhave zalready zexperienced zreality zshock. zBecoming zan
zexperienced znurse ztakes ztime zand zis znot zpart zof zthe zdefinition zof zreality zshock.
by zerwekh
TEST BANK
For Nursing Today Transition and
Trends 9th Edition by Zerwekh
, Test bank for nursing today transition and trends 9th edition by
zerwekh
Chapter 01: Reality Shock
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the
honeymoon phase of role transition when making which of the following statements?
a. “I am so nervous about being on my own as a 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.”
ANS: D
The honeymoon phase is when the student 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 graduate nurse is able to laugh at encountered situations. During this
time, tension decreases, perception increases, and the nurse is able to grow as a person.
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality
MSC: NCLEX®: Safe and effective care environment—management of care
, Test bank for nursing today transition and trends 9th edition by
zerwekh
2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
a. Networking
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
ANS: C
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 in a 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, obtaining a mentor, and joining a support group
would give the graduate nurse an opportunity to talk to others
experiencing the stress associated with reality shock. The nurse would benefit from ‘talking
through’ issues and learning how to cope.
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock MSC: NCLEX®:
Safe and effective care environment—management of care
3. A 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
, Test bank for nursing today transition and trends 9th edition by
zerwekh
ANS: A
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 coping of 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 nurse experiencing burnout. The nurse should
instead focus on his/her practice and seek out support from other nurses.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock MSC: NCLEX®:
Safe and effective care environment—management of care
4. Which of the following statements by the an understanding of reality shock as it 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 nurse.”
d. “Reality zshock zis za ztransition zphase zthat znew zgraduates zgo zthrough zbefore zchanging
zjobs.”
ANS: zA
“Reality zshock” zis za zterm zoften zused zto zdescribe zthe zreaction zexperienced zwhen zone
zmoves zinto zthe zworkforce zafter zseveral zyears zof zeducational zpreparation. zThe znew
zgraduate zis zcaught zin zthe zsituation zof zmoving zfrom za zfamiliar, zcomfortable zeducational
zenvironment zinto za znew zrole zin zthe zworkforce zwhere zthe zexpectations zare znot zclearly
zdefined zor zmay znot zeven zbe zrealistic. zThe zrealization zthat zpractice zand znursing zschool zare
znot zthe zsame zis zoften zassociated zwith z“going znative.” zWhen znurses zmove zfrom zone
zposition zto zanother, zthey zhave zalready zexperienced zreality zshock. zBecoming zan
zexperienced znurse ztakes ztime zand zis znot zpart zof zthe zdefinition zof zreality zshock.
