Tech Guru
Nursing Today: Transition and Trends,
11th Edition by Zerwekh Test Bank
All Chapters 1-26 with Rationales|A+ Pass
Te
ch
Gu
Page | 1
r u
, Tech Guru
1: Role Transitions
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon
phase of role transition when making which of the following statements? a. “I am so nervous about being
on my own as a nurse.”
b. “This will be a great learning experience.” .
c. “I can’t wait to have a steady paycheck.”
d. “This job is perfect. I can finally do things my own way.”
ANS: D.
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves
into the workforce after several years of educational preparation. Recovery and resolution occur when the
graduate nurse is able to laugh at encountered situations. During this time, tension decreases, perception
increases, and the nurse is able to grow as a person.
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover
from reality shock?
a. Networking .
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work situation
objectively and predict effectively the actions and reactions of other staff.
Nurturing the ability to see humor in a situation may be a first step. Returning to school is a positive step .
after the graduate has worked through role transition, has some clinical experience, and is ready to focus
on a new career objective. Networking, obtaining a mentor, and joining a support group would give the
graduate nurse an opportunity to talk to others experiencing the stress associated with reality shock. The
nurse would benefit from “talking through” issues and learning how to cope.
Te
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
ch
a. Refusing to constantly work extra shifts .
Gu
Page | 2
r u
, Tech Guru
b. Withdrawing from peer support group
c. “Going native”
d. Changing jobs every 6 to 12 months .
ANS: A
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with your
mental and physical health being the highest priority. Learning to say “no” to extra shifts is a positive
means of coping of avoiding burnout. “Going native” is the term that . describes how recent graduates
begin to copy and identify the reality of their role-transition experience by rejecting the values from
nursing school and functioning more like a team member at their place of employment. Withdrawing
from peer support groups, “going native,” . and changing jobs every 6 to 12 months would increase the
chance of the nurse experiencing
burnout. The nurse should instead focus on his/her practice and seek out support from other nurses.
4.Which of the following statements by the graduate nurse shows an understanding of reality shock as it
applies to nursing? .
a. “Reality shock is the period when a person moves from school into the
b. workforce.”“Reality shock is the realization that practice and education are not the same.”
c. “Reality shock is the period from graduation to becoming an experienced nurse.”.
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
ANS: A
“Reality shock” is a term often used to describe the reaction experienced when one moves into the
workforce after several years of educational preparation. The new graduate is caught in the situation of
moving from a familiar, comfortable educational environment into a new role in . the workforce where
the expectations are not clearly defined or may not even be realistic. The realization that practice and
nursing school are not the same is often associated with “going native.” When nurses move from one
position to another, they have already experienced
reality shock. Becoming an experienced nurse takes time and is not part of the definition of . reality
shock.
5.A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: “It
feels great to be a nurse! In fact, it’s a snap! I can hardly believe there’s no . instructor looking over my
Te
shoulder.” What phase of reality shock is the graduate experiencing?
ch
a. Recovery .
Gu
Page | 3
r u
, Tech Guru
b. Shock and rejection
c. Honeymoon
d. Transition .
ANS: C
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled with
completing school and accepting the first job. Life is a bed of roses because everyone knows nursing
school is much harder than nursing practice. Shock and rejection . occur as the nurse tries to understand
how nursing school and the “real world” come together. Transition occurs as the nurse begins the move
from student to nurse and refers to the entire process, not just a particular phase. The recovery phase is
when the nurse can laugh at . situations that he/she is in and is able to cope with the situations that are
being faced.
6.A student in the last semester of nursing school has established a goal of making a successful . role
transition to graduate nurse. Which statement by the student indicates his/her understanding of how to
achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization skills.” .
b. “I will observe staff nurses as they perform nursing procedures to refine technique.”
c. “I should seek increasingly close guidance from the nursing instructor to reduce .
errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
ANS: A
It is important for the student to start taking care of increased numbers of patients to help with . time
management and work organization. The student should also be able to function without close guidance
from the nursing instructor. Although it is good for students to observe staff, a
student in the final semester should be able to perform tasks with minimal observation and . should
instead focus on implementing care and time management. Waiting 7 weeks to evaluate progress would
not be helpful to the student. Although regular self-evaluation is an important process, it is the actual
experience of taking realistic patient assignments and . working typical shift hours that assists with
successful role transition.
7.A new graduate has worked on a busy unit for 6 months since graduating from nursing school. The
graduate tells a friend, “I’ve never been so upset in all my life! The care that some of the . staff give our
Te
patients is outrageously bad. There’s practically no attention to the principles of asepsis the way I learned
them! The staff tell me that we have to cut corners if we’re going to get all the work done. I can’t stand
ch
it!” What phase of reality shock is this graduate . experiencing?
Gu
Page | 4
r u
Nursing Today: Transition and Trends,
11th Edition by Zerwekh Test Bank
All Chapters 1-26 with Rationales|A+ Pass
Te
ch
Gu
Page | 1
r u
, Tech Guru
1: Role Transitions
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon
phase of role transition when making which of the following statements? a. “I am so nervous about being
on my own as a nurse.”
b. “This will be a great learning experience.” .
c. “I can’t wait to have a steady paycheck.”
d. “This job is perfect. I can finally do things my own way.”
ANS: D.
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves
into the workforce after several years of educational preparation. Recovery and resolution occur when the
graduate nurse is able to laugh at encountered situations. During this time, tension decreases, perception
increases, and the nurse is able to grow as a person.
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover
from reality shock?
a. Networking .
b. Obtaining a mentor
c. Returning to school
d. Joining a support group
ANS: C
The transition period is successfully managed when the graduate is able to evaluate the work situation
objectively and predict effectively the actions and reactions of other staff.
Nurturing the ability to see humor in a situation may be a first step. Returning to school is a positive step .
after the graduate has worked through role transition, has some clinical experience, and is ready to focus
on a new career objective. Networking, obtaining a mentor, and joining a support group would give the
graduate nurse an opportunity to talk to others experiencing the stress associated with reality shock. The
nurse would benefit from “talking through” issues and learning how to cope.
Te
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
ch
a. Refusing to constantly work extra shifts .
Gu
Page | 2
r u
, Tech Guru
b. Withdrawing from peer support group
c. “Going native”
d. Changing jobs every 6 to 12 months .
ANS: A
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities with your
mental and physical health being the highest priority. Learning to say “no” to extra shifts is a positive
means of coping of avoiding burnout. “Going native” is the term that . describes how recent graduates
begin to copy and identify the reality of their role-transition experience by rejecting the values from
nursing school and functioning more like a team member at their place of employment. Withdrawing
from peer support groups, “going native,” . and changing jobs every 6 to 12 months would increase the
chance of the nurse experiencing
burnout. The nurse should instead focus on his/her practice and seek out support from other nurses.
4.Which of the following statements by the graduate nurse shows an understanding of reality shock as it
applies to nursing? .
a. “Reality shock is the period when a person moves from school into the
b. workforce.”“Reality shock is the realization that practice and education are not the same.”
c. “Reality shock is the period from graduation to becoming an experienced nurse.”.
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
ANS: A
“Reality shock” is a term often used to describe the reaction experienced when one moves into the
workforce after several years of educational preparation. The new graduate is caught in the situation of
moving from a familiar, comfortable educational environment into a new role in . the workforce where
the expectations are not clearly defined or may not even be realistic. The realization that practice and
nursing school are not the same is often associated with “going native.” When nurses move from one
position to another, they have already experienced
reality shock. Becoming an experienced nurse takes time and is not part of the definition of . reality
shock.
5.A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: “It
feels great to be a nurse! In fact, it’s a snap! I can hardly believe there’s no . instructor looking over my
Te
shoulder.” What phase of reality shock is the graduate experiencing?
ch
a. Recovery .
Gu
Page | 3
r u
, Tech Guru
b. Shock and rejection
c. Honeymoon
d. Transition .
ANS: C
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled with
completing school and accepting the first job. Life is a bed of roses because everyone knows nursing
school is much harder than nursing practice. Shock and rejection . occur as the nurse tries to understand
how nursing school and the “real world” come together. Transition occurs as the nurse begins the move
from student to nurse and refers to the entire process, not just a particular phase. The recovery phase is
when the nurse can laugh at . situations that he/she is in and is able to cope with the situations that are
being faced.
6.A student in the last semester of nursing school has established a goal of making a successful . role
transition to graduate nurse. Which statement by the student indicates his/her understanding of how to
achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization skills.” .
b. “I will observe staff nurses as they perform nursing procedures to refine technique.”
c. “I should seek increasingly close guidance from the nursing instructor to reduce .
errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
ANS: A
It is important for the student to start taking care of increased numbers of patients to help with . time
management and work organization. The student should also be able to function without close guidance
from the nursing instructor. Although it is good for students to observe staff, a
student in the final semester should be able to perform tasks with minimal observation and . should
instead focus on implementing care and time management. Waiting 7 weeks to evaluate progress would
not be helpful to the student. Although regular self-evaluation is an important process, it is the actual
experience of taking realistic patient assignments and . working typical shift hours that assists with
successful role transition.
7.A new graduate has worked on a busy unit for 6 months since graduating from nursing school. The
graduate tells a friend, “I’ve never been so upset in all my life! The care that some of the . staff give our
Te
patients is outrageously bad. There’s practically no attention to the principles of asepsis the way I learned
them! The staff tell me that we have to cut corners if we’re going to get all the work done. I can’t stand
ch
it!” What phase of reality shock is this graduate . experiencing?
Gu
Page | 4
r u
