n n n n n n n n
Edition (Zerwekh)
n n n
Chapters 1 - 26 | All Chapters
n n n n n n
, Test Bank - Nursing Today: Transition and Trends, 11th Edition
n n n n n n n n n n
TABLE OF CONTENTS n n
,Chapter 01: Role Transitions n n n
.
abirb.com/test
MULTIPLE CHOICE n
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is inthe .
n n n n n n n n n n n n n n n n n n n
n
honeymoon phase of role transition when making which of the following statements? n n n n n n n n n n n
n a. “I am so nervous about being on my own as a nurse.”
n n n n n n n n n n n n
b. “This will be a great learning experience.” n n n n n n .
c. “I can’t wait to have a steady paycheck.”
n n n n n n n
d. “This job is perfect. I can finally do things my own way.” n n n n n n n n n n n
ANSWER: D n .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy.
n n n n n n n n n n n n n n n
Often, the new graduate is fascinated with the thrill of arriving in the profession. Reality
n n n n n n n n n n n n n n n
shock occurs when one moves into the workforce after several years of educational
n n n n n n n n n n n n n
preparation. Recovery and resolution occur when the graduate nurse is able to laugh at .
n n n n n n n n n n n n n n n
encountered situations. During this time, tension decreases, perception increases, and the
n
n n n n n n n n n n
nurse is able to grow as a person.
n n n n n n n n
.
PTS: 1 n DIF: Cognitive Level: Application/Applying n n n
REF: Table 1.1 n n OBJ: Identify the characteristics of reality shock.
n n n n n n
TOP: Reality shock n n MSC: NCLEX®: Safe and effective care environment n n n n n n
.
2. Which of the following actions by the graduate nurse is an inappropriate methodologyto
n n n n n n n n n n n n n
n recover from reality shock? n n n
a. Networking .
b. Obtaining a mentor n n
c. Returning to school n n
d. Joining a support group n n n
.
ANSWER: C n
The transition period is successfully managed when the graduate is able to evaluate the work
n n n n n n n n n n n n n n
nsituation objectively and predict effectively the actions and reactions of other staff.
n n n n n n n n n n n
Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a positivestep .
n n n n n n n n n n n n n n n n n n n n
after the graduate has worked through role transition, has some clinical experience,and is
n n n n n n n n n n n n n n
ready to focus on a new career objective. Networking, obtaining a mentor, and joining a
n n n n n n n n n n n n n n n
support group would give the graduate nurse an opportunity to talk to others experiencing the
n n n n n n n n n n n n n n n
n .
, stress associated with reality shock. The nurse would benefit from “talking through” issuesand
n n n n n n n n n n n n n
learning how to cope.
n n n n
PTS: 1 n DIF: Cognitive Level: Application/Applying . n n n n
REF: p. 9 n n OBJ: Describe methods to promote a successful transition.
n n n n n n n
TOP: Reality shock
n n n
MSC: NCLEX®: Safe and effective care environment Not applicable
n n n n n n n n
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achievethis?
n n n n n n n n n n n n n n n n n n
a. Refusing to constantly work extra shifts n n n n n .
b. Withdrawing from peer support group n n n n
c. “Going native” n
d. Changing jobs every 6 to 12 months . n n n n n n n
ANSWER: A n
One of the quickest ways to experience burnout is to “overwork the overtime.” Set priorities
n n n n n n n n n n n n n n
with your mental and physical health being the highest priority. Learning to say “no” to extra
n n n n n n n n n n n n n n n n
shifts is a positive means of coping of avoiding burnout. “Going native” is the term that .
n n n n n n n n n n n n n n n n n
describes how recent graduates begin to copy and identify the reality of theirrole-transition
n n n n n n n n n n n n n n
experience by rejecting the values from nursing school and functioning more like a team
n n n n n n n n n n n n n n
member at their place of employment. Withdrawing from peer support groups, “going
n n n n n n n n n n n n
native,” . and changing jobs every 6 to 12 months would increase the chance of the nurse
n n n n n n n n n n n n n n n n n
experiencing
n
burnout. The nurse should instead focus on his/her practice and seek out support from
n n n n n n n n n n n n n
other nurses.
n n
.
PTS: 1 DIF: Cognitive Level: Application/Applying
n n n n
REF: p. 7 OBJ: Describe methods to promote a successful transition.
n n n n n n n n n
TOP: Reality shock
n n n
MSC: NCLEX®: Safe and effective care environment Not applicable .
n n n n n n n n n
4. Which of the following statements by the graduate nurse shows an understanding of
n n n n n n n n n n n n
reality shock as it applies to nursing? .
n n n n n n n n
a. “Reality shock is the period when a person moves from school into the n n n n n n n n n n n n
b. workforce.”“Reality shock is the realization that practice and education are not the n n n n n n n n n n n
same.”
n
c. “Reality shock is the period from graduation to becoming an experienced nurse.”. n n n n n n n n n n n
d. “Reality shock is a transition phase that new graduates go through before changing n n n n n n n n n n n n
jobs.”
n
ANSWER: A n .