NURSING TODAY TRANSITION AND TRENDS 9TH
dw dw dw dw dw
EDITION ZERWEKH TEST BANK
dw dw dw dw
TEST BANK dw
NURSING TEST BANKS
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, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
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BANK
Chapter 01: Reality Shock dw dw dw
dw MULTIPLE CHOICE dw
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
phase of role transition when making which of the following statements?
dw dw dw dw dw dw dw dw dw dw dw
a. ―I am so nervous about being on my own as a nurse.‖
dw dw dw dw dw dw dw dw dw dw dw
b. ―This will be a great learning experience.‖
dw dw dw dw dw dw
c. ―I can‘t wait to have a steady paycheck.‖
dw dw dw dw dw dw dw
d. ―This job is perfect. I can finally do things my own way.‖
dw dw dw dw dw dw dw dw dw dw dw
ANS: D dw
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
new graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
moves into the workforce after several years of educational preparation. Recovery and resolution occur
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
when the graduate nurse is able to laugh at encountered situations. During this time, tension decreases,
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
perception increases, and the nurse is able to grow as a person.
dw dw dw dw dw dw dw dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
dw dw dw dw dw dw dw dw
OBJ: Identify the characteristics of reality s h o Nc kU. RTSOIPN:GRTeBa.lC
dw dw dw ityOM
shock dw dw dw dw
MSC: NCLEX®: Safe and effective care environment—management of care
dw dw dw dw dw dw dw dw
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
from reality shock?
dw dw dw
a. Networking c. Returning to school dw dw
b. Obtaining a mentor dw dw d. Joining a support group dw dw dw
ANS: C dw
The transition period is successfully managed when the graduate is able to evaluate the work situation
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objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
humor in a situation may be a first step. Returning to school is a positive step after the graduate has
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
worked through role transition, has some clinical experience, and is ready to focus on a new career
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
objective. Networking, obtaining a mentor, and joining a support group would give the graduate nurse
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
an opportunity to talk to others
dw dw dw dw dw dw
experiencing the stress associated with reality shock. The nurse would benefit from ‗talking through‘
dw dw dw dw dw dw dw dw dw dw dw dw dw
issues and learning how to cope.
dw dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
dw dw dw dw dw dw dw dw
OBJ: Describe four possible resolutions for reality shock. TOP: Reality
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dw shock MSC: NCLEX®: Safe and effective care environment—
dw dw dw dw dw dw dw
management of care dw dw
NURSINGTB.COM
, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
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BANK
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
a. Refusing to constantly work extra shiftsdw dw dw dw dw
b. Withdrawing from peer support group dw dw dw dw
c. ―Going native‖ dw
d. Changing jobs every 6 to 12 months dw dw dw dw dw dw
ANS: A dw
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
mental and physical health being the highest priority. Learning to say ―no‖ to extra shifts is a positive
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
means of coping of avoiding burnout. ―Going native‖ is the term that describes how recent graduates
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
begin to copy and identify the reality of their role transition experience by rejecting the values from
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
nursing school and functioning more like a team member at their place of employment. Withdrawing
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
from peer support groups, ―going native,‖ and changing jobs every 6 to 12 months would increase the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
chance of the nurse experiencing burnout. The nurse should instead focus on his/her practice and seek
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
out support from other nurses.
dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
dw dw dw dw dw dw dw dw
OBJ: Describe four possible resolutions for reality shock. TOP: Reality
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dw shock MSC: NCLEX®: Safe and effective care environment—
dw dw dw dw dw dw dw
management of care dw dw
NURSINGTB.COM
4. Which of the followinggraduate
statements by the an understanding of reality shock as
nurse dw dw dw dw dw dw dw dw dw dw dw dw dw
it applies to nursing?
dw dw dw shows dw
a. ― Reality shock is the period when a person moves from school into the workforce.
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
b. ―Reality shock is the realization that practice and education are not the same.‖
dw dw dw dw dw dw dw dw dw dw dw dw
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖
dw dw dw dw dw dw dw dw dw dw dw
d. ―Reality shock is a transition phase that new graduates go through before changing jobs.‖
dw dw dw dw dw dw dw dw dw dw dw dw dw
ANS: A dw
―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
workforce after several years of educational preparation. The new graduate is caught in the situation of
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
moving from a familiar, comfortable educational environment into a new role in the workforce where
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
the expectations are not clearly defined or may not even be realistic. The realization that practice and
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
nursing school are not the same is often associated with ―going native.‖ When nurses move from one
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
position to another, they have already experienced reality shock. Becoming an experienced nurse takes
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
time and is not part of the definition of reality shock.
dw dw dw dw dw dw dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
dw dw dw dw dw dw dw dw
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
dw dw dw dw dw dw dw dw dw dw dw
dw MSC: NCLEX®: Not applicable
dw dw dw
NURSINGTB.COM
, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
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BANK
5. A student in the last semester of nursing school has established a goal of making a successful role
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transition to graduate nurse. Which statement by the student indicates his/her understanding of how to
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
achieve this goal?
dw dw dw
a. ―I should care for increased numbers of patients to enhance work organization skills.‖
dw dw dw dw dw dw dw dw dw dw dw dw
b. ―I will observe staff nurses as they perform nursing procedures to refine technique.‖
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c. ―I should seek increasingly close guidance from the nursing instructor to reduce errors.‖
dw dw dw dw dw dw dw dw dw dw dw dw
d. ―I will evaluate my progress every 7 weeks or more to allow time for growth.‖
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
ANS: A dw
It is important for the student to start taking care of increased numbers of patients to help with time
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
management and work organization. The student should also be able to function without close
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
guidance from the nursing instructor. Although it is good for students to observe staff, a student in the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
final semester should be able to perform tasks with minimal observation and should instead focus on
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
implementing care and time management. Waiting 7 weeks to evaluate progress would not be helpful to
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
the student. Although regular self- evaluation is an important process, it is the actual experience of
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
taking realistic patient assignments and working typical shift hours that assists with successful role
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
transition.
dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
dw dw dw dw dw dw dw dw
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
dw dw dw dw dw dw dw dw dw dw
MSC: NCLEX®: Not dw dw
NURSINGTB.COM
applicable
dw
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating:
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
―It feels great to be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no instructor looking
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
over my shoulder.‖ What phase of reality shock is the graduate experiencing?
dw dw dw dw dw dw dw dw dw dw dw dw
a. Recovery c. Honeymoon
b. Shock and rejection dw dw d. Transition
ANS: C dw
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
with completing school and accepting the first job. Life is a bed of roses because everyone knows
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
nursing school is much harder than nursing practice. Shock and rejection occur as the nurse tries to
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
understand how nursing school and the ―real world‖ come together. Transition occurs as the nurse
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
begins the move from student to nurse and refers to the entire process, not just a particular phase. The
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
recovery phase is when the nurse can laugh at situations that he/she is in and is able to cope with the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
situations that are being faced.
dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
dw dw dw dw dw dw dw dw
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
dw dw dw dw dw dw dw dw dw dw dw
dw MSC: NCLEX®: Not applicable
dw dw dw
NURSINGTB.COM
dw dw dw dw dw
EDITION ZERWEKH TEST BANK
dw dw dw dw
TEST BANK dw
NURSING TEST BANKS
dw dw
, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
dw dw dw dw dw dw dw dw
BANK
Chapter 01: Reality Shock dw dw dw
dw MULTIPLE CHOICE dw
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
phase of role transition when making which of the following statements?
dw dw dw dw dw dw dw dw dw dw dw
a. ―I am so nervous about being on my own as a nurse.‖
dw dw dw dw dw dw dw dw dw dw dw
b. ―This will be a great learning experience.‖
dw dw dw dw dw dw
c. ―I can‘t wait to have a steady paycheck.‖
dw dw dw dw dw dw dw
d. ―This job is perfect. I can finally do things my own way.‖
dw dw dw dw dw dw dw dw dw dw dw
ANS: D dw
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
new graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
moves into the workforce after several years of educational preparation. Recovery and resolution occur
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
when the graduate nurse is able to laugh at encountered situations. During this time, tension decreases,
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
perception increases, and the nurse is able to grow as a person.
dw dw dw dw dw dw dw dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
dw dw dw dw dw dw dw dw
OBJ: Identify the characteristics of reality s h o Nc kU. RTSOIPN:GRTeBa.lC
dw dw dw ityOM
shock dw dw dw dw
MSC: NCLEX®: Safe and effective care environment—management of care
dw dw dw dw dw dw dw dw
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
from reality shock?
dw dw dw
a. Networking c. Returning to school dw dw
b. Obtaining a mentor dw dw d. Joining a support group dw dw dw
ANS: C dw
The transition period is successfully managed when the graduate is able to evaluate the work situation
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
humor in a situation may be a first step. Returning to school is a positive step after the graduate has
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
worked through role transition, has some clinical experience, and is ready to focus on a new career
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
objective. Networking, obtaining a mentor, and joining a support group would give the graduate nurse
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
an opportunity to talk to others
dw dw dw dw dw dw
experiencing the stress associated with reality shock. The nurse would benefit from ‗talking through‘
dw dw dw dw dw dw dw dw dw dw dw dw dw
issues and learning how to cope.
dw dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
dw dw dw dw dw dw dw dw
OBJ: Describe four possible resolutions for reality shock. TOP: Reality
dw dw dw dw dw dw dw dw dw
dw shock MSC: NCLEX®: Safe and effective care environment—
dw dw dw dw dw dw dw
management of care dw dw
NURSINGTB.COM
, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
dw dw dw dw dw dw dw dw
BANK
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
a. Refusing to constantly work extra shiftsdw dw dw dw dw
b. Withdrawing from peer support group dw dw dw dw
c. ―Going native‖ dw
d. Changing jobs every 6 to 12 months dw dw dw dw dw dw
ANS: A dw
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
mental and physical health being the highest priority. Learning to say ―no‖ to extra shifts is a positive
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
means of coping of avoiding burnout. ―Going native‖ is the term that describes how recent graduates
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
begin to copy and identify the reality of their role transition experience by rejecting the values from
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
nursing school and functioning more like a team member at their place of employment. Withdrawing
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
from peer support groups, ―going native,‖ and changing jobs every 6 to 12 months would increase the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
chance of the nurse experiencing burnout. The nurse should instead focus on his/her practice and seek
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
out support from other nurses.
dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
dw dw dw dw dw dw dw dw
OBJ: Describe four possible resolutions for reality shock. TOP: Reality
dw dw dw dw dw dw dw dw dw
dw shock MSC: NCLEX®: Safe and effective care environment—
dw dw dw dw dw dw dw
management of care dw dw
NURSINGTB.COM
4. Which of the followinggraduate
statements by the an understanding of reality shock as
nurse dw dw dw dw dw dw dw dw dw dw dw dw dw
it applies to nursing?
dw dw dw shows dw
a. ― Reality shock is the period when a person moves from school into the workforce.
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
b. ―Reality shock is the realization that practice and education are not the same.‖
dw dw dw dw dw dw dw dw dw dw dw dw
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖
dw dw dw dw dw dw dw dw dw dw dw
d. ―Reality shock is a transition phase that new graduates go through before changing jobs.‖
dw dw dw dw dw dw dw dw dw dw dw dw dw
ANS: A dw
―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
workforce after several years of educational preparation. The new graduate is caught in the situation of
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
moving from a familiar, comfortable educational environment into a new role in the workforce where
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
the expectations are not clearly defined or may not even be realistic. The realization that practice and
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
nursing school are not the same is often associated with ―going native.‖ When nurses move from one
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
position to another, they have already experienced reality shock. Becoming an experienced nurse takes
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
time and is not part of the definition of reality shock.
dw dw dw dw dw dw dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
dw dw dw dw dw dw dw dw
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
dw dw dw dw dw dw dw dw dw dw dw
dw MSC: NCLEX®: Not applicable
dw dw dw
NURSINGTB.COM
, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
dw dw dw dw dw dw dw dw
BANK
5. A student in the last semester of nursing school has established a goal of making a successful role
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
transition to graduate nurse. Which statement by the student indicates his/her understanding of how to
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
achieve this goal?
dw dw dw
a. ―I should care for increased numbers of patients to enhance work organization skills.‖
dw dw dw dw dw dw dw dw dw dw dw dw
b. ―I will observe staff nurses as they perform nursing procedures to refine technique.‖
dw dw dw dw dw dw dw dw dw dw dw dw
c. ―I should seek increasingly close guidance from the nursing instructor to reduce errors.‖
dw dw dw dw dw dw dw dw dw dw dw dw
d. ―I will evaluate my progress every 7 weeks or more to allow time for growth.‖
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
ANS: A dw
It is important for the student to start taking care of increased numbers of patients to help with time
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
management and work organization. The student should also be able to function without close
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
guidance from the nursing instructor. Although it is good for students to observe staff, a student in the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
final semester should be able to perform tasks with minimal observation and should instead focus on
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
implementing care and time management. Waiting 7 weeks to evaluate progress would not be helpful to
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
the student. Although regular self- evaluation is an important process, it is the actual experience of
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
taking realistic patient assignments and working typical shift hours that assists with successful role
dw dw dw dw dw dw dw dw dw dw dw dw dw dw
transition.
dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
dw dw dw dw dw dw dw dw
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
dw dw dw dw dw dw dw dw dw dw
MSC: NCLEX®: Not dw dw
NURSINGTB.COM
applicable
dw
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating:
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
―It feels great to be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no instructor looking
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
over my shoulder.‖ What phase of reality shock is the graduate experiencing?
dw dw dw dw dw dw dw dw dw dw dw dw
a. Recovery c. Honeymoon
b. Shock and rejection dw dw d. Transition
ANS: C dw
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
with completing school and accepting the first job. Life is a bed of roses because everyone knows
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
nursing school is much harder than nursing practice. Shock and rejection occur as the nurse tries to
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
understand how nursing school and the ―real world‖ come together. Transition occurs as the nurse
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
begins the move from student to nurse and refers to the entire process, not just a particular phase. The
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
recovery phase is when the nurse can laugh at situations that he/she is in and is able to cope with the
dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw dw
situations that are being faced.
dw dw dw dw dw
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
dw dw dw dw dw dw dw dw
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
dw dw dw dw dw dw dw dw dw dw dw
dw MSC: NCLEX®: Not applicable
dw dw dw
NURSINGTB.COM
