NURSING TODAY TRANSITION AND TRENDS 9TH
EDITION ZERWEKH TEST BANK
TEST BANK 60
NURSING60TEST60BANK
S
, NURSING60TODAY60TRANSITION60AND60TRENDS609TH60EDITION60ZERWEKH60T
EST60BANK
Chapter6001:60Reality60Shock60MUL
TIPLE60CHOICE
1. A60graduate60nurse60has60been60hired60as60a60nurse60at60a60local60hospital.60The60new60nurse60is60in60th
e60honeymoon60phase60of60role60transition60when60making60which60of60the60following60statements?
a. “I60am60so60nervous60about60being60on60my60own60as60a60nurse.”
b. “This60will60be60a60great60learning60experience.”
c. “I60can’t60wait60to60have60a60steady60paycheck.”
d. “This60job60is60perfect.60I60can60finally60do60things60my60own60way.”
ANS:60D
The60honeymoon60phase60is60when60the60student60nurse60sees60the60world60of60nursing60as60quite60rosy.60
Often,60the60new60graduate60is60fascinated60with60the60thrill60of60arriving60in60the60profession.60Reality60sh
ock60occurs60when60one60moves60into60the60workforce60after60several60years60of60educational60preparation.
60Recovery60and60resolution60occur60when60the60graduate60nurse60is60able60to60laugh60at60encountered60situ
ations.60During60this60time,60tension60decreases,60perception60increases,60and60the60nurse60is60able60to60gro
w60as60a60person.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.607
OBJ:60Identify60the60characteristics60of60reality60s h o Nc kU. 60RTSOIPN:GRTeBa.lC
ityOM
shock
MSC:60NCLEX®:60Safe60and60effective60care60environment—management60of60care
2. Which60of60the60following60actions60by60the60graduate60nurse60is60an60inappropriate60methodology6
0to60recover60from60reality60shock?
a. Networking c. Returning60to60school
b. Obtaining60a60mentor d. Joining60a60support60group
ANS:60C
The60transition60period60is60successfully60managed60when60the60graduate60is60able60to60evaluate60the60work
60situation60objectively60and60predict60effectively60the60actions60and60reactions60of60other60staff.60Nurturing
60the60ability60to60see60humor60in60a60situation60may60be60a60first60step.60Returning60to60school60is60a60posi
tive60step60after60the60graduate60has60worked60through60role60transition,60has60some60clinical60experience,60a
nd60is60ready60to60focus60on60a60new60career60objective.60Networking,60obtaining60a60mentor,60and60joining6
0a60support60group60would60give60the60graduate60nurse60an60opportunity60to60talk60to60others
experiencing60the60stress60associated60with60reality60shock.60The60nurse60would60benefit60from60‘talking60th
rough’60issues60and60learning60how60to60cope.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.608
OBJ:60Describe60four60possible60resolutions60for60reality60shock.60TOP:60Real
ity60shock60MSC:60NCLEX®:60Safe60and60effective60care60environment—
management60of60care
NURSINGTB.COM
, NURSING60TODAY60TRANSITION60AND60TRENDS609TH60EDITION60ZERWEKH60T
EST60BANK
3. A60nurse60is60trying60to60avoid60burnout.60Which60of60the60following60actions60is60a60valid60way60to60achieve60this?
a. Refusing60to60constantly60work60extra60shifts
b. Withdrawing60from60peer60support60group
c. “Going60native”
d. Changing60jobs60every60660to601260months
ANS:60A
One60of60the60quickest60ways60to60experience60burnout60is60to60“overwork60the60overtime.”60Set60priorities6
0with60your60mental60and60physical60health60being60the60highest60priority.60Learning60to60say60“no”60to60ext
ra60shifts60is60a60positive60means60of60coping60of60avoiding60burnout.60“Going60native”60is60the60term60that6
0describes60how60recent60graduates60begin60to60copy60and60identify60the60reality60of60their60role60transition6
0experience60by60rejecting60the60values60from60nursing60school60and60functioning60more60like60a60team60me
mber60at60their60place60of60employment.60Withdrawing60from60peer60support60groups,60“going60native,”60an
d60changing60jobs60every60660to601260months60would60increase60the60chance60of60the60nurse60experiencing6
0burnout.60The60nurse60should60instead60focus60on60his/her60practice60and60seek60out60support60from60other6
0nurses.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.609
OBJ:60Describe60four60possible60resolutions60for60reality60shock.60TOP:60Real
ity60shock60MSC:60NCLEX®:60Safe60and60effective60care60environment—
management60of60care
NURSINGTB.COM
4.60Which60of60the60following 60statements
graduate 60nurse60 by60the
60sho
ws an60understanding60of60reality60shock
60as60it60applies60to60nursing?
a. “60Reality60shock60is60the60period60when60a60person60moves60from60school60into60the60workforce.
b. “Reality60shock60is60the60realization60that60practice60and60education60are60not60the60same.”
c. “Reality60shock60is60the60period60from60graduation60to60becoming60an60experienced60nurse.”
d. “Reality60shock60is60a60transition60phase60that60new60graduates60go60through60before60changing60jobs.”
ANS:60A
“Reality60shock”60is60a60term60often60used60to60describe60the60reaction60experienced60when60one60moves60i
nto60the60workforce60after60several60years60of60educational60preparation.60The60new60graduate60is60caught60i
n60the60situation60of60moving60from60a60familiar,60comfortable60educational60environment60into60a60new60ro
le60in60the60workforce60where60the60expectations60are60not60clearly60defined60or60may60not60even60be60realis
tic.60The60realization60that60practice60and60nursing60school60are60not60the60same60is60often60associated60with
60“going60native.”60When60nurses60move60from60one60position60to60another,60they60have60already60experien
ced60reality60shock.60Becoming60an60experienced60nurse60takes60time60and60is60not60part60of60the60definition
60of60reality60shock.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.606
OBJ:60Compare60and60contrast60the60phases60of60reality60shock.60TOP:60Reali
NURSINGTB.COM
, NURSING60TODAY60TRANSITION60AND60TRENDS609TH60EDITION60ZERWEKH60T
ty60shock60 MSC:
EST 60NCLEX®:60Not60applicable
60BANK
NURSINGTB.COM
EDITION ZERWEKH TEST BANK
TEST BANK 60
NURSING60TEST60BANK
S
, NURSING60TODAY60TRANSITION60AND60TRENDS609TH60EDITION60ZERWEKH60T
EST60BANK
Chapter6001:60Reality60Shock60MUL
TIPLE60CHOICE
1. A60graduate60nurse60has60been60hired60as60a60nurse60at60a60local60hospital.60The60new60nurse60is60in60th
e60honeymoon60phase60of60role60transition60when60making60which60of60the60following60statements?
a. “I60am60so60nervous60about60being60on60my60own60as60a60nurse.”
b. “This60will60be60a60great60learning60experience.”
c. “I60can’t60wait60to60have60a60steady60paycheck.”
d. “This60job60is60perfect.60I60can60finally60do60things60my60own60way.”
ANS:60D
The60honeymoon60phase60is60when60the60student60nurse60sees60the60world60of60nursing60as60quite60rosy.60
Often,60the60new60graduate60is60fascinated60with60the60thrill60of60arriving60in60the60profession.60Reality60sh
ock60occurs60when60one60moves60into60the60workforce60after60several60years60of60educational60preparation.
60Recovery60and60resolution60occur60when60the60graduate60nurse60is60able60to60laugh60at60encountered60situ
ations.60During60this60time,60tension60decreases,60perception60increases,60and60the60nurse60is60able60to60gro
w60as60a60person.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.607
OBJ:60Identify60the60characteristics60of60reality60s h o Nc kU. 60RTSOIPN:GRTeBa.lC
ityOM
shock
MSC:60NCLEX®:60Safe60and60effective60care60environment—management60of60care
2. Which60of60the60following60actions60by60the60graduate60nurse60is60an60inappropriate60methodology6
0to60recover60from60reality60shock?
a. Networking c. Returning60to60school
b. Obtaining60a60mentor d. Joining60a60support60group
ANS:60C
The60transition60period60is60successfully60managed60when60the60graduate60is60able60to60evaluate60the60work
60situation60objectively60and60predict60effectively60the60actions60and60reactions60of60other60staff.60Nurturing
60the60ability60to60see60humor60in60a60situation60may60be60a60first60step.60Returning60to60school60is60a60posi
tive60step60after60the60graduate60has60worked60through60role60transition,60has60some60clinical60experience,60a
nd60is60ready60to60focus60on60a60new60career60objective.60Networking,60obtaining60a60mentor,60and60joining6
0a60support60group60would60give60the60graduate60nurse60an60opportunity60to60talk60to60others
experiencing60the60stress60associated60with60reality60shock.60The60nurse60would60benefit60from60‘talking60th
rough’60issues60and60learning60how60to60cope.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.608
OBJ:60Describe60four60possible60resolutions60for60reality60shock.60TOP:60Real
ity60shock60MSC:60NCLEX®:60Safe60and60effective60care60environment—
management60of60care
NURSINGTB.COM
, NURSING60TODAY60TRANSITION60AND60TRENDS609TH60EDITION60ZERWEKH60T
EST60BANK
3. A60nurse60is60trying60to60avoid60burnout.60Which60of60the60following60actions60is60a60valid60way60to60achieve60this?
a. Refusing60to60constantly60work60extra60shifts
b. Withdrawing60from60peer60support60group
c. “Going60native”
d. Changing60jobs60every60660to601260months
ANS:60A
One60of60the60quickest60ways60to60experience60burnout60is60to60“overwork60the60overtime.”60Set60priorities6
0with60your60mental60and60physical60health60being60the60highest60priority.60Learning60to60say60“no”60to60ext
ra60shifts60is60a60positive60means60of60coping60of60avoiding60burnout.60“Going60native”60is60the60term60that6
0describes60how60recent60graduates60begin60to60copy60and60identify60the60reality60of60their60role60transition6
0experience60by60rejecting60the60values60from60nursing60school60and60functioning60more60like60a60team60me
mber60at60their60place60of60employment.60Withdrawing60from60peer60support60groups,60“going60native,”60an
d60changing60jobs60every60660to601260months60would60increase60the60chance60of60the60nurse60experiencing6
0burnout.60The60nurse60should60instead60focus60on60his/her60practice60and60seek60out60support60from60other6
0nurses.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.609
OBJ:60Describe60four60possible60resolutions60for60reality60shock.60TOP:60Real
ity60shock60MSC:60NCLEX®:60Safe60and60effective60care60environment—
management60of60care
NURSINGTB.COM
4.60Which60of60the60following 60statements
graduate 60nurse60 by60the
60sho
ws an60understanding60of60reality60shock
60as60it60applies60to60nursing?
a. “60Reality60shock60is60the60period60when60a60person60moves60from60school60into60the60workforce.
b. “Reality60shock60is60the60realization60that60practice60and60education60are60not60the60same.”
c. “Reality60shock60is60the60period60from60graduation60to60becoming60an60experienced60nurse.”
d. “Reality60shock60is60a60transition60phase60that60new60graduates60go60through60before60changing60jobs.”
ANS:60A
“Reality60shock”60is60a60term60often60used60to60describe60the60reaction60experienced60when60one60moves60i
nto60the60workforce60after60several60years60of60educational60preparation.60The60new60graduate60is60caught60i
n60the60situation60of60moving60from60a60familiar,60comfortable60educational60environment60into60a60new60ro
le60in60the60workforce60where60the60expectations60are60not60clearly60defined60or60may60not60even60be60realis
tic.60The60realization60that60practice60and60nursing60school60are60not60the60same60is60often60associated60with
60“going60native.”60When60nurses60move60from60one60position60to60another,60they60have60already60experien
ced60reality60shock.60Becoming60an60experienced60nurse60takes60time60and60is60not60part60of60the60definition
60of60reality60shock.
PTS:60160DIF:60Cognitive60Level:60Application60REF:60p.606
OBJ:60Compare60and60contrast60the60phases60of60reality60shock.60TOP:60Reali
NURSINGTB.COM
, NURSING60TODAY60TRANSITION60AND60TRENDS609TH60EDITION60ZERWEKH60T
ty60shock60 MSC:
EST 60NCLEX®:60Not60applicable
60BANK
NURSINGTB.COM
