TEST BANK
Nursing Today: Transition and Trends
JoAnn Zerwekh, Ashley Zerwekh Garneau
M
11th Edition
ED
C
O
N
N
O
IS
SE
U
R
, Chapter 01: Role Transitions
Zerwekh: Nursing Today: Transitions and Trends, 11th Edition
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.”
M
b. “This will be a great learning experience.” .
c. “I can’t wait to have a steady paycheck.”
ED
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
C
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
O
nurse is able to grow as a person.
.
PTS: 1 DIF: Cognitive Level: Application/Applying
N
REF: Table 1.1 OBJ: Identify the characteristics of reality shock.
TOP: Reality shock MSC: NCLEX®: Safe and effective care environment
N
.
2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
O
a. Networking .
b. Obtaining a mentor
c. Returning to school
IS
d. Joining a support group
.
ANS: C
SE
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,
U
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 .
R
, stress associated with reality shock. The nurse would benefit from “talking through” issues
and learning how to cope.
PTS: 1 DIF: Cognitive Level: Application/Applying .
REF: p. 9 OBJ: Describe methods to promote a successful transition.
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment Not applicable
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
M
a. Refusing to constantly work extra shifts .
b. Withdrawing from peer support group
c. “Going native”
ED
d. Changing jobs every 6 to 12 months .
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
C
“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
O
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
N
increase the chance of the nurse experiencing
burnout. The nurse should instead focus on his/her practice and seek out support from
other nurses.
N
.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 7 OBJ: Describe methods to promote a successful transition.
O
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment Not applicable .
IS
4. Which of the following statements by the graduate nurse shows an understanding of reality
shock as it applies to nursing? .
a. “Reality shock is the period when a person moves from school into the
SE
b. workforce.”“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 shock is a transition phase that new graduates go through before changing jobs.”
U
ANS: A .
R
, “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 is
often associated with “going native.” When nurses move from one position to another,
they have already experienced
reality shock. Becoming an experienced nurse takes time and is not part of the definition
of . reality shock.
M
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p. 5
OBJ: Identify the characteristics of reality shock.
ED
TOP: Reality shock MSC: 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 nurse. Which statement by the student indicates his/her
understanding of how to achieve this goal?
C
a. “I should care for increased numbers of patients to enhance work organization
skills.” .
b. “I will observe staff nurses as they perform nursing procedures to refine
O
technique.”
c. “I should seek increasingly close guidance from the nursing instructor to reduce .
N
errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
N
ANS: A
O
It is important for the student to start taking care of increased numbers of patients 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
IS
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
SE
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 patient assignments and .
working typical shift hours that assists with successful role transition.
PTS: 1 DIF: Cognitive Level: Application/Applying
U
REF: p. 13 OBJ: Describe methods to promote a successful transition. .
R
TOP: Reality shock MSC: NCLEX®: Not applicable
Nursing Today: Transition and Trends
JoAnn Zerwekh, Ashley Zerwekh Garneau
M
11th Edition
ED
C
O
N
N
O
IS
SE
U
R
, Chapter 01: Role Transitions
Zerwekh: Nursing Today: Transitions and Trends, 11th Edition
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.”
M
b. “This will be a great learning experience.” .
c. “I can’t wait to have a steady paycheck.”
ED
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
C
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
O
nurse is able to grow as a person.
.
PTS: 1 DIF: Cognitive Level: Application/Applying
N
REF: Table 1.1 OBJ: Identify the characteristics of reality shock.
TOP: Reality shock MSC: NCLEX®: Safe and effective care environment
N
.
2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
O
a. Networking .
b. Obtaining a mentor
c. Returning to school
IS
d. Joining a support group
.
ANS: C
SE
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,
U
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 .
R
, stress associated with reality shock. The nurse would benefit from “talking through” issues
and learning how to cope.
PTS: 1 DIF: Cognitive Level: Application/Applying .
REF: p. 9 OBJ: Describe methods to promote a successful transition.
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment Not applicable
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
M
a. Refusing to constantly work extra shifts .
b. Withdrawing from peer support group
c. “Going native”
ED
d. Changing jobs every 6 to 12 months .
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
C
“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
O
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
N
increase the chance of the nurse experiencing
burnout. The nurse should instead focus on his/her practice and seek out support from
other nurses.
N
.
PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 7 OBJ: Describe methods to promote a successful transition.
O
TOP: Reality shock
MSC: NCLEX®: Safe and effective care environment Not applicable .
IS
4. Which of the following statements by the graduate nurse shows an understanding of reality
shock as it applies to nursing? .
a. “Reality shock is the period when a person moves from school into the
SE
b. workforce.”“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 shock is a transition phase that new graduates go through before changing jobs.”
U
ANS: A .
R
, “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 is
often associated with “going native.” When nurses move from one position to another,
they have already experienced
reality shock. Becoming an experienced nurse takes time and is not part of the definition
of . reality shock.
M
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p. 5
OBJ: Identify the characteristics of reality shock.
ED
TOP: Reality shock MSC: 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 nurse. Which statement by the student indicates his/her
understanding of how to achieve this goal?
C
a. “I should care for increased numbers of patients to enhance work organization
skills.” .
b. “I will observe staff nurses as they perform nursing procedures to refine
O
technique.”
c. “I should seek increasingly close guidance from the nursing instructor to reduce .
N
errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
N
ANS: A
O
It is important for the student to start taking care of increased numbers of patients 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
IS
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
SE
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 patient assignments and .
working typical shift hours that assists with successful role transition.
PTS: 1 DIF: Cognitive Level: Application/Applying
U
REF: p. 13 OBJ: Describe methods to promote a successful transition. .
R
TOP: Reality shock MSC: NCLEX®: Not applicable
