NURSINGTODAYTRANSITIONANDTRENDS9TH E
m
DITIONZERWEKHTESTBANK
TESTBANK
NURSING TEST BANKS
m m
, NURSINGmTODAYmTRANSITIONmANDmTRENDSm9THmEDITIONmZERWEKHmTE
ST
Chapterm01:mRealitymShoc
kmMULTIPLEmCHOICE
1. Amgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital.mThemnewmnursemisminmthemhoneymoonmph
asemofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. “Im ammsom nervousm aboutmbeingmonm mym ownm asm amnurse.”
b. “Thismwillmbemamgreatmlearningm experience.”
c. “Imcan’tm waitm tomhavem amsteadympaycheck.”
d. “Thismjobm ismperfect.m Im canm finallymdom thingsmmymownm way.”
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmasmquitemrosy.mOften,mthemnewm
graduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession.mRealitymshockmoccursmwhenmonemmovesm
intomthemworkforcemaftermseveralmyearsmofmeducationalmpreparation.mRecoverymandmresolutionmoccurmwhenmthem
graduatemnursemismablemtomlaughmatmencounteredmsituations.mDuringmthismtime,mtensionmdecreases,mperceptionmi
ncreases,mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mIdentifymthemcharacteristicsmofmrealityms hmo NcmkU.mRTSOIPN:GRTeBa.lC
ityOM
shockmM
SC:mNCLEX®:mSafemandmeffectivemcaremenvironment—management ofmcare II
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecoverm
frommrealitymshock?
a. Networking c. Returningmtom school
b. Obtainingm am mentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtomevaluatemthemworkmsituationmobj
ectivelymandm predictmeffectivelymthemactionsm andmreactionsmofmothermstaff.mNurturingmthemabilitymtom seemhumor
minmam situationm maymbem am firstmstep.mReturningmtom schoolmismampositivem stepmaftermthemgraduatemhasmworkedm thr
oughmrolemtransition,mhasmsomemclinicalmexperience,mandmismreadymtomfocusmonmamnewmcareermobjective.mNetwo
rking,mobtainingmammentor,mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymtomta
lkmtomothersmexperiencingmthemstressmassociatedmwithmrealitymshock.mThemnursemwouldmbenefitmfromm‘talkingmthr
ough’missues
andmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
, NURSINGmTODAYmTRANSITIONmANDmTRENDSm9THmEDITIONmZERWEKHmTE
ST
3. Amnursemismtryingmtomavoidmburnout.mWhichmofmthemfollowingmactionsmismamvalidmwaymtomachievemthis?
a. Refusingmtom constantlym workmextram shifts
b. Withdrawingmfrommpeerm supportmgroup
c. “Goingmnative”
d. Changingmjobsm everym6m tom 12m months
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom“overworkmthemovertime.”mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority.mLearningmtomsaym“no”mtomextramshiftsmismampositivemmean
smofmcopingmofmavoidingmburnout.m“Goingmnative”mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtom
copymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschool
mandmfunctioningm moremlikemam teammmemberm atmtheirm placemofmemployment.m Withdrawingmfrommpeermsupportm
groups,m“goingmnative,”mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchancemofmthemnurseme
xperiencingmburnout.mThemnursemshouldminsteadmfocusmonmhis/hermpracticemandmseekmoutmsupportmfrommothermn
urses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
4. Whichmofmthemfollowingmsgtraatedm
uaetnetnsubrysethsheowsmmanmunderstanding ofmrealitymshockmasmit
II II II
appliesmtomnursing?
a. “mRealitym shockm ismthemperiodm whenm ampersonm movesm frommschoolm intom themworkforce.
b. “Realitymshockmismthemrealizationm thatmpracticemandm educationm aremnotmthemsame.”
c. “Realitymshockmismthemperiodm frommgraduationmtombecomingm anm experiencedm nurse.”
d. “Realitymshockmismam transitionmphasemthatm newmgraduatesmgom throughmbeforemchangingmjobs.”
ANS:mA
“Realitymshock”mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmovesmintomthemworkfo
rcemaftermseveralmyearsmofmeducationalmpreparation.mThemnewmgraduatemismcaughtminmthemsituationmofmmovingmf
rommamfamiliar,mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic.mThemrealizationmthatmpracticemandmnursingmschoolmare
mnotmthemsamemismoftenmassociatedm withm“goingmnative.”mWhenmnursesm movem frommonempositionmtom another,mth
eymhavemalreadymexperiencedmrealitymshock.mBecomingmanmexperiencedmnursemtakesmtimemandmismnotmpartmofmth
emdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
, NURSINGmTODAYmTRANSITIONmANDmTRENDSm9THmEDITIONmZERWEKHmTE
ST
5. Amstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtran
sitionmtomgraduatemnurse.mWhichmstatementmbymthemstudentmindicatesmhis/hermunderstandingmofmhowmtomachievem
thismgoal?
a. “Imshouldm caremformincreasedm numbersmofmpatientsmtom enhancemworkmorganizationm skills.”
b. “Imwillm observemstaffmnursesmasmtheymperformmnursingmproceduresmtom refinemtechnique.”
c. “Imshouldm seekm increasinglymclosemguidancemfrommthemnursingm instructormtom reducemerrors.”
d. “Im willm evaluatem mymprogressmeverym7m weeksmorm moremtom allowmtimem form growth.”
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemman
agementmandmworkmorganization.mThemstudentmshouldm alsombemablemtomfunctionmwithoutmclosemguidancemfromm
themnursingminstructor.mAlthoughmitmismgoodmformstudentsmtomobservemstaff,mamstudentminmthemfinalmsemestermsh
ouldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcarema
ndmtimemmanagement.mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent.mAlthoughm
regularmself-
mevaluationmism anm importantmprocess,mitmism themactualmexperiencemofmtakingm realisticmpatientmassignmentsm andm
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),mthemgraduatemnursemismthrilledmwithm
completingmschoolmandmacceptingmthemfirstmjob.mLifemismambedmofmrosesmbecausemeveryonemknowsmnursingmscho
olmismmuchmhardermthanmnursingmpractice.mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstandmhowmn
ursingmschoolmandmthem“realmworld”mcomemtogether.mTransitionmoccursmasmthemnursembeginsmthemmovemfrommst
udentmtomnursemandmrefersmtomthementiremprocess,mnotmjustmamparticularmphase.mThemrecoverymphasemismwhenmth
emnursemcanmlaughmatmsituationsmthatmhe/shemisminmandmismablemtomcopemwithmthemsituationsmthatmarembeingmface
d.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
m
DITIONZERWEKHTESTBANK
TESTBANK
NURSING TEST BANKS
m m
, NURSINGmTODAYmTRANSITIONmANDmTRENDSm9THmEDITIONmZERWEKHmTE
ST
Chapterm01:mRealitymShoc
kmMULTIPLEmCHOICE
1. Amgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital.mThemnewmnursemisminmthemhoneymoonmph
asemofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. “Im ammsom nervousm aboutmbeingmonm mym ownm asm amnurse.”
b. “Thismwillmbemamgreatmlearningm experience.”
c. “Imcan’tm waitm tomhavem amsteadympaycheck.”
d. “Thismjobm ismperfect.m Im canm finallymdom thingsmmymownm way.”
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmasmquitemrosy.mOften,mthemnewm
graduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession.mRealitymshockmoccursmwhenmonemmovesm
intomthemworkforcemaftermseveralmyearsmofmeducationalmpreparation.mRecoverymandmresolutionmoccurmwhenmthem
graduatemnursemismablemtomlaughmatmencounteredmsituations.mDuringmthismtime,mtensionmdecreases,mperceptionmi
ncreases,mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mIdentifymthemcharacteristicsmofmrealityms hmo NcmkU.mRTSOIPN:GRTeBa.lC
ityOM
shockmM
SC:mNCLEX®:mSafemandmeffectivemcaremenvironment—management ofmcare II
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecoverm
frommrealitymshock?
a. Networking c. Returningmtom school
b. Obtainingm am mentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtomevaluatemthemworkmsituationmobj
ectivelymandm predictmeffectivelymthemactionsm andmreactionsmofmothermstaff.mNurturingmthemabilitymtom seemhumor
minmam situationm maymbem am firstmstep.mReturningmtom schoolmismampositivem stepmaftermthemgraduatemhasmworkedm thr
oughmrolemtransition,mhasmsomemclinicalmexperience,mandmismreadymtomfocusmonmamnewmcareermobjective.mNetwo
rking,mobtainingmammentor,mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymtomta
lkmtomothersmexperiencingmthemstressmassociatedmwithmrealitymshock.mThemnursemwouldmbenefitmfromm‘talkingmthr
ough’missues
andmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
, NURSINGmTODAYmTRANSITIONmANDmTRENDSm9THmEDITIONmZERWEKHmTE
ST
3. Amnursemismtryingmtomavoidmburnout.mWhichmofmthemfollowingmactionsmismamvalidmwaymtomachievemthis?
a. Refusingmtom constantlym workmextram shifts
b. Withdrawingmfrommpeerm supportmgroup
c. “Goingmnative”
d. Changingmjobsm everym6m tom 12m months
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom“overworkmthemovertime.”mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority.mLearningmtomsaym“no”mtomextramshiftsmismampositivemmean
smofmcopingmofmavoidingmburnout.m“Goingmnative”mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtom
copymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschool
mandmfunctioningm moremlikemam teammmemberm atmtheirm placemofmemployment.m Withdrawingmfrommpeermsupportm
groups,m“goingmnative,”mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchancemofmthemnurseme
xperiencingmburnout.mThemnursemshouldminsteadmfocusmonmhis/hermpracticemandmseekmoutmsupportmfrommothermn
urses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock.mTOP:mRealitymshockm
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
NURSINGTB.COM
4. Whichmofmthemfollowingmsgtraatedm
uaetnetnsubrysethsheowsmmanmunderstanding ofmrealitymshockmasmit
II II II
appliesmtomnursing?
a. “mRealitym shockm ismthemperiodm whenm ampersonm movesm frommschoolm intom themworkforce.
b. “Realitymshockmismthemrealizationm thatmpracticemandm educationm aremnotmthemsame.”
c. “Realitymshockmismthemperiodm frommgraduationmtombecomingm anm experiencedm nurse.”
d. “Realitymshockmismam transitionmphasemthatm newmgraduatesmgom throughmbeforemchangingmjobs.”
ANS:mA
“Realitymshock”mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmovesmintomthemworkfo
rcemaftermseveralmyearsmofmeducationalmpreparation.mThemnewmgraduatemismcaughtminmthemsituationmofmmovingmf
rommamfamiliar,mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic.mThemrealizationmthatmpracticemandmnursingmschoolmare
mnotmthemsamemismoftenmassociatedm withm“goingmnative.”mWhenmnursesm movem frommonempositionmtom another,mth
eymhavemalreadymexperiencedmrealitymshock.mBecomingmanmexperiencedmnursemtakesmtimemandmismnotmpartmofmth
emdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
, NURSINGmTODAYmTRANSITIONmANDmTRENDSm9THmEDITIONmZERWEKHmTE
ST
5. Amstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtran
sitionmtomgraduatemnurse.mWhichmstatementmbymthemstudentmindicatesmhis/hermunderstandingmofmhowmtomachievem
thismgoal?
a. “Imshouldm caremformincreasedm numbersmofmpatientsmtom enhancemworkmorganizationm skills.”
b. “Imwillm observemstaffmnursesmasmtheymperformmnursingmproceduresmtom refinemtechnique.”
c. “Imshouldm seekm increasinglymclosemguidancemfrommthemnursingm instructormtom reducemerrors.”
d. “Im willm evaluatem mymprogressmeverym7m weeksmorm moremtom allowmtimem form growth.”
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemman
agementmandmworkmorganization.mThemstudentmshouldm alsombemablemtomfunctionmwithoutmclosemguidancemfromm
themnursingminstructor.mAlthoughmitmismgoodmformstudentsmtomobservemstaff,mamstudentminmthemfinalmsemestermsh
ouldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcarema
ndmtimemmanagement.mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent.mAlthoughm
regularmself-
mevaluationmism anm importantmprocess,mitmism themactualmexperiencemofmtakingm realisticmpatientmassignmentsm andm
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),mthemgraduatemnursemismthrilledmwithm
completingmschoolmandmacceptingmthemfirstmjob.mLifemismambedmofmrosesmbecausemeveryonemknowsmnursingmscho
olmismmuchmhardermthanmnursingmpractice.mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstandmhowmn
ursingmschoolmandmthem“realmworld”mcomemtogether.mTransitionmoccursmasmthemnursembeginsmthemmovemfrommst
udentmtomnursemandmrefersmtomthementiremprocess,mnotmjustmamparticularmphase.mThemrecoverymphasemismwhenmth
emnursemcanmlaughmatmsituationsmthatmhe/shemisminmandmismablemtomcopemwithmthemsituationsmthatmarembeingmface
d.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp.m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock.mTOP:mRealitymsho
ckmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
