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