Med76
C
, Chapter7601:76Reality76Shock76MUL
TIPLE76CHOICE
1.76A76graduate76nurse76has76been76hired76as76a76nurse76at76a76local76hospital.76The76new76nurse76is76in76th
e76honeymoon76phase76of76role76transition76when76making76which76of76the76following76statements?
a. ―I76am76so76nervous76about76being76on76my76own76as76a76nurse.‖
b. ―This76will76be76a76great76learning76experience.‖
c. ―I76can‘t76wait76to76have76a76steady76paycheck.‖
d. ―This76job76is76perfect.76I76can76finally76do76things76my76own76way.‖
ANS:76D
The76honeymoon76phase76is76when76the76student76nurse76sees76the76world76of76nursing76as76quite76rosy.76O
ften,76the76new76graduate76is76fascinated76with76the76thrill76of76arriving76in76the76profession.76Reality76shoc
k76occurs76when76one76moves76into76the76workforce76after76several76years76of76educational76preparation.76R
ecovery76and76resolution76occur76when76the76graduate76nurse76is76able76to76laugh76at76encountered76situatio
ns.76During76this76time,76tension76decreases,76perception76increases,76and76the76nurse76is76able76to76grow76a
s76a76person.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.767
OBJ:76Identify76the76characteristics76of76reality76s h o Nc kU. 76RTSOIPN:GRTeBa.lC
ityOM
shock
MSC:76NCLEX®:76Safe76and76effective76care76environment—management76of76care
2. Which76of76the76following76actions76by76the76graduate76nurse76is76an76inappropriate76methodology7
6to76recover76from76reality76shock?
a. Networking c. Returning76to76school
b. Obtaining76a76mentor d. Joining76a76support76group
ANS:76C
The76transition76period76is76successfully76managed76when76the76graduate76is76able76to76evaluate76the76work
76situation76objectively76and76predict76effectively76the76actions76and76reactions76of76other76staff.76Nurturing
76the76ability76to76see76humor76in76a76situation76may76be76a76first76step.76Returning76to76school76is76a76posit
ive76step76after76the76graduate76has76worked76through76role76transition,76has76some76clinical76experience,76a
nd76is76ready76to76focus76on76a76new76career76objective.76Networking,76obtaining76a76mentor,76and76joining7
6a76support76group76would76give76the76graduate76nurse76an76opportunity76to76talk76to76others76experiencing7
6the76stress76associated76with76reality76shock.76The76nurse76would76benefit76from76‗talking76through‘76issue
s76and76learning76how76to76cope.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.768
OBJ:76Describe76four76possible76resolutions76for76reality76shock.76TOP:76Real
ity76shock76MSC:76NCLEX®:76Safe76and76effective76care76environment—
management76of76care
Med76
C
, 3. A76nurse76is76trying76to76avoid76burnout.76Which76of76the76following76actions76is76a76valid76way76to76achieve76this?
a. Refusing76to76constantly76work76extra76shifts
b. Withdrawing76from76peer76support76group
c. ―Going76native‖
d. Changing76jobs76every76676to761276months
ANS:76A
One76of76the76quickest76ways76to76experience76burnout76is76to76―overwork76the76overtime.‖76Set76priorities
76with76your76mental76and76physical76health76being76the76highest76priority.76Learning76to76say76―no‖76to76ext
ra76shifts76is76a76positive76means76of76coping76of76avoiding76burnout.76―Going76native‖76is76the76term76that7
6describes76how76recent76graduates76begin76to76copy76and76identify76the76reality76of76their76role76transition76
experience76by76rejecting76the76values76from76nursing76school76and76functioning76more76like76a76team76me
mber76at76their76place76of76employment.76Withdrawing76from76peer76support76groups,76―going76native,‖76an
d76changing76jobs76every76676to761276months76would76increase76the76chance76of76the76nurse76experiencing7
6burnout.76The76nurse76should76instead76focus76on76his/her76practice76and76seek76out76support76from76other7
6nurses.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.769
OBJ:76Describe76four76possible76resolutions76for76reality76shock.76TOP:76Real
ity76shock76MSC:76NCLEX®:76Safe76and76effective76care76environment—
management76of76care
M
4.76Which76of76the76following76statements76by76an76undergraduate76nurse76describes76understanding76of76realit
y76shock76as76it76applies76to76nursing?
a. ―76Reality76shock76is76the76period76when76a76person76moves76from76school76into76the76workforce.
b. ―Reality76shock76is76the76realization76that76practice76and76education76are76not76the76same.‖
c. ―Reality76shock76is76the76period76from76graduation76to76becoming76an76experienced76nurse.‖
d. ―Reality76shock76is76a76transition76phase76that76new76graduates76go76through76before76changing76jobs.‖
ANS:76A
―Reality76shock‖76is76a76term76often76used76to76describe76the76reaction76experienced76when76one76moves76
into76the76workforce76after76several76years76of76educational76preparation.76The76new76graduate76is76caught7
6in76the76situation76of76moving76from76a76familiar,76comfortable76educational76environment76into76a76new76
role76in76the76workforce76where76the76expectations76are76not76clearly76defined76or76may76not76even76be76rea
listic.76The76realization76that76practice76and76nursing76school76are76not76the76same76is76often76associated76w
ith76―going76native.‖76When76nurses76move76from76one76position76to76another,76they76have76already76expe
rienced76reality76shock.76Becoming76an76experienced76nurse76takes76time76and76is76not76part76of76the76defini
tion76of76reality76shock.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.766
OBJ:76Compare76and76contrast76the76phases76of76reality76shock.76TOP:76Reali
Med76
C
, ty76shock76MSC:76NCLEX®:76Not76applicable
Med76
C
C
, Chapter7601:76Reality76Shock76MUL
TIPLE76CHOICE
1.76A76graduate76nurse76has76been76hired76as76a76nurse76at76a76local76hospital.76The76new76nurse76is76in76th
e76honeymoon76phase76of76role76transition76when76making76which76of76the76following76statements?
a. ―I76am76so76nervous76about76being76on76my76own76as76a76nurse.‖
b. ―This76will76be76a76great76learning76experience.‖
c. ―I76can‘t76wait76to76have76a76steady76paycheck.‖
d. ―This76job76is76perfect.76I76can76finally76do76things76my76own76way.‖
ANS:76D
The76honeymoon76phase76is76when76the76student76nurse76sees76the76world76of76nursing76as76quite76rosy.76O
ften,76the76new76graduate76is76fascinated76with76the76thrill76of76arriving76in76the76profession.76Reality76shoc
k76occurs76when76one76moves76into76the76workforce76after76several76years76of76educational76preparation.76R
ecovery76and76resolution76occur76when76the76graduate76nurse76is76able76to76laugh76at76encountered76situatio
ns.76During76this76time,76tension76decreases,76perception76increases,76and76the76nurse76is76able76to76grow76a
s76a76person.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.767
OBJ:76Identify76the76characteristics76of76reality76s h o Nc kU. 76RTSOIPN:GRTeBa.lC
ityOM
shock
MSC:76NCLEX®:76Safe76and76effective76care76environment—management76of76care
2. Which76of76the76following76actions76by76the76graduate76nurse76is76an76inappropriate76methodology7
6to76recover76from76reality76shock?
a. Networking c. Returning76to76school
b. Obtaining76a76mentor d. Joining76a76support76group
ANS:76C
The76transition76period76is76successfully76managed76when76the76graduate76is76able76to76evaluate76the76work
76situation76objectively76and76predict76effectively76the76actions76and76reactions76of76other76staff.76Nurturing
76the76ability76to76see76humor76in76a76situation76may76be76a76first76step.76Returning76to76school76is76a76posit
ive76step76after76the76graduate76has76worked76through76role76transition,76has76some76clinical76experience,76a
nd76is76ready76to76focus76on76a76new76career76objective.76Networking,76obtaining76a76mentor,76and76joining7
6a76support76group76would76give76the76graduate76nurse76an76opportunity76to76talk76to76others76experiencing7
6the76stress76associated76with76reality76shock.76The76nurse76would76benefit76from76‗talking76through‘76issue
s76and76learning76how76to76cope.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.768
OBJ:76Describe76four76possible76resolutions76for76reality76shock.76TOP:76Real
ity76shock76MSC:76NCLEX®:76Safe76and76effective76care76environment—
management76of76care
Med76
C
, 3. A76nurse76is76trying76to76avoid76burnout.76Which76of76the76following76actions76is76a76valid76way76to76achieve76this?
a. Refusing76to76constantly76work76extra76shifts
b. Withdrawing76from76peer76support76group
c. ―Going76native‖
d. Changing76jobs76every76676to761276months
ANS:76A
One76of76the76quickest76ways76to76experience76burnout76is76to76―overwork76the76overtime.‖76Set76priorities
76with76your76mental76and76physical76health76being76the76highest76priority.76Learning76to76say76―no‖76to76ext
ra76shifts76is76a76positive76means76of76coping76of76avoiding76burnout.76―Going76native‖76is76the76term76that7
6describes76how76recent76graduates76begin76to76copy76and76identify76the76reality76of76their76role76transition76
experience76by76rejecting76the76values76from76nursing76school76and76functioning76more76like76a76team76me
mber76at76their76place76of76employment.76Withdrawing76from76peer76support76groups,76―going76native,‖76an
d76changing76jobs76every76676to761276months76would76increase76the76chance76of76the76nurse76experiencing7
6burnout.76The76nurse76should76instead76focus76on76his/her76practice76and76seek76out76support76from76other7
6nurses.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.769
OBJ:76Describe76four76possible76resolutions76for76reality76shock.76TOP:76Real
ity76shock76MSC:76NCLEX®:76Safe76and76effective76care76environment—
management76of76care
M
4.76Which76of76the76following76statements76by76an76undergraduate76nurse76describes76understanding76of76realit
y76shock76as76it76applies76to76nursing?
a. ―76Reality76shock76is76the76period76when76a76person76moves76from76school76into76the76workforce.
b. ―Reality76shock76is76the76realization76that76practice76and76education76are76not76the76same.‖
c. ―Reality76shock76is76the76period76from76graduation76to76becoming76an76experienced76nurse.‖
d. ―Reality76shock76is76a76transition76phase76that76new76graduates76go76through76before76changing76jobs.‖
ANS:76A
―Reality76shock‖76is76a76term76often76used76to76describe76the76reaction76experienced76when76one76moves76
into76the76workforce76after76several76years76of76educational76preparation.76The76new76graduate76is76caught7
6in76the76situation76of76moving76from76a76familiar,76comfortable76educational76environment76into76a76new76
role76in76the76workforce76where76the76expectations76are76not76clearly76defined76or76may76not76even76be76rea
listic.76The76realization76that76practice76and76nursing76school76are76not76the76same76is76often76associated76w
ith76―going76native.‖76When76nurses76move76from76one76position76to76another,76they76have76already76expe
rienced76reality76shock.76Becoming76an76experienced76nurse76takes76time76and76is76not76part76of76the76defini
tion76of76reality76shock.
PTS:76176DIF:76Cognitive76Level:76Application76REF:76p.766
OBJ:76Compare76and76contrast76the76phases76of76reality76shock.76TOP:76Reali
Med76
C
, ty76shock76MSC:76NCLEX®:76Not76applicable
Med76
C
