DOCSCHOLAR
,Med C
DOCSCHOLAR
, Chapter 01: Reality Shock
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase T T T T T T T T T T T T T T T T T T
of role transition when making which of the following statements?
T T T T T T T T T
a. ―I am so nervous about being on my own as a nurse.‖
T T T T T T T T T T T
b. ―This will be a great learning experience.‖
T T T T T T
c. ―I can‘t wait to have a steady paycheck.‖
T T T T T T T
d. ―This job is perfect. I can finally do things my own way.‖
T T T T T T T T T T T
ANS: D T
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
T T T T T T T T T T T T T T T T T T T
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves
T T T T T T T T T T T T T T T T T
into the workforce after several years of educational preparation. Recovery and resolution occur when the
T T T T T T T T T T T T T T T
graduate nurse is able to laugh at encountered situations. During this time, tension decreases, perception
T T T T T T T T T T T T T T T
increases, and the nurse is able to grow as a person.
T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
T T T T T T T T
OBJ: Identify the characteristics of reality sho Nc kU. RTSOI PN:GRTeBa .l Cit yO M
T T T shock T T T T T T T T
MSC: NCLEX®: Safe and effective care environment—management of care
T T T T T T T T
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover
T T T T T T T T T T T T T T T
from reality shock?
T T
a. Networking c. Returning to school T T
b. Obtaining a mentor T T d. Joining a support group T T T
ANS: C T
The transition period is successfully managed when the graduate is able to evaluate the work situation
T T T T T T T T T T T T T T T T
objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see
T T T T T T T T T T T T T T T T
humor in a situation may be a first step. Returning to school is a positive step after the graduate has
T T T T T T T T T T T T T T T T T T T T
worked through role transition, has some clinical experience, and is ready to focus on a new career
T T T T T T T T T T T T T T T T T
objective. Networking, obtaining a mentor, and joining a support group would give the graduate nurse an
T T T T T T T T T T T T T T T T
opportunity to talk to others experiencing the stress associated with reality shock. The nurse would
T T T T T T T T T T T T T T T
benefit from ‗talking through‘ issues and learning how to cope.
T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
T T T T T T T T
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
T T T T T T T T T T T
MSC: NCLEX®: Safe and effective care environment—management of care
T T T T T T T T
DOCSCHOLAR
, 3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
T T T T T T T T T T T T T T T T T T
a. Refusing to constantly work extra shifts T T T T T
b. Withdrawing from peer support group T T T T
c. ―Going native‖ T
d. Changing jobs every 6 to 12 months T T T T T T
ANS: A T
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your
T T T T T T T T T T T T T T T T T
mental and physical health being the highest priority. Learning to say ―no‖ to extra shifts is a positive means
T T T T T T T T T T T T T T T T T T T
of coping of avoiding burnout. ―Going native‖ is the term that describes how recent graduates begin to copy
T T T T T T T T T T T T T T T T T T
and identify the reality of their role transition experience by rejecting the values from nursing school and
T T T T T T T T T T T T T T T T T
functioning more like a team member at their place of employment. Withdrawing from peer support groups,
T T T T T T T T T T T T T T T T
―going native,‖ and changing jobs every 6 to 12 months would increase the chance of the nurse
T T T T T T T T T T T T T T T T T
experiencing burnout. The nurse should instead focus on his/her practice and seek out support from other
T T T T T T T T T T T T T T T T
nurses.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
T T T T T T T T
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
T T T T T T T T T T T
MSC: NCLEX®: Safe and effective care environment—management of care
T T T T T T T T
4. Which of the following statements by an undergraduate nurse describes understanding of reality shock as it applies
T T T T T T T T T T T T T T T T T
to nursing?
T
a. ― Reality shock is the period when a person moves from school into the workforce.
T T T T T T T T T T T T T T
b. ―Reality shock is the realization that practice and education are not the same.‖
T T T T T T T T T T T T
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖
T T T T T T T T T T T
d. ―Reality shock is a transition phase that new graduates go through before changing jobs.‖
T T T T T T T T T T T T T
ANS: A T
―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the
T T T T T T T T T T T T T T T T T
workforce after several years of educational preparation. The new graduate is caught in the situation of
T T T T T T T T T T T T T T T T
moving from a familiar, comfortable educational environment into a new role in the workforce where the
T T T T T T T T T T T T T T T T
expectations are not clearly defined or may not even be realistic. The realization that practice and nursing
T T T T T T T T T T T T T T T T T
school are not the same is often associated with ―going native.‖ When nurses move from one position to
T T T T T T T T T T T T T T T T T T
another, they have already experienced reality shock. Becoming an experienced nurse takes time and is not
T T T T T T T T T T T T T T T T
part of the definition of reality shock.
T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
T T T T T T T T
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
T T T T T T T T T T T T
MSC: NCLEX®: Not applicable
T T T
DOCSCHOLAR 4
,Med C
DOCSCHOLAR
, Chapter 01: Reality Shock
MULTIPLE CHOICE
1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon phase T T T T T T T T T T T T T T T T T T
of role transition when making which of the following statements?
T T T T T T T T T
a. ―I am so nervous about being on my own as a nurse.‖
T T T T T T T T T T T
b. ―This will be a great learning experience.‖
T T T T T T
c. ―I can‘t wait to have a steady paycheck.‖
T T T T T T T
d. ―This job is perfect. I can finally do things my own way.‖
T T T T T T T T T T T
ANS: D T
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new
T T T T T T T T T T T T T T T T T T T
graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves
T T T T T T T T T T T T T T T T T
into the workforce after several years of educational preparation. Recovery and resolution occur when the
T T T T T T T T T T T T T T T
graduate nurse is able to laugh at encountered situations. During this time, tension decreases, perception
T T T T T T T T T T T T T T T
increases, and the nurse is able to grow as a person.
T T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
T T T T T T T T
OBJ: Identify the characteristics of reality sho Nc kU. RTSOI PN:GRTeBa .l Cit yO M
T T T shock T T T T T T T T
MSC: NCLEX®: Safe and effective care environment—management of care
T T T T T T T T
2. Which of the following actions by the graduate nurse is an inappropriate methodology to recover
T T T T T T T T T T T T T T T
from reality shock?
T T
a. Networking c. Returning to school T T
b. Obtaining a mentor T T d. Joining a support group T T T
ANS: C T
The transition period is successfully managed when the graduate is able to evaluate the work situation
T T T T T T T T T T T T T T T T
objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see
T T T T T T T T T T T T T T T T
humor in a situation may be a first step. Returning to school is a positive step after the graduate has
T T T T T T T T T T T T T T T T T T T T
worked through role transition, has some clinical experience, and is ready to focus on a new career
T T T T T T T T T T T T T T T T T
objective. Networking, obtaining a mentor, and joining a support group would give the graduate nurse an
T T T T T T T T T T T T T T T T
opportunity to talk to others experiencing the stress associated with reality shock. The nurse would
T T T T T T T T T T T T T T T
benefit from ‗talking through‘ issues and learning how to cope.
T T T T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
T T T T T T T T
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
T T T T T T T T T T T
MSC: NCLEX®: Safe and effective care environment—management of care
T T T T T T T T
DOCSCHOLAR
, 3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve this?
T T T T T T T T T T T T T T T T T T
a. Refusing to constantly work extra shifts T T T T T
b. Withdrawing from peer support group T T T T
c. ―Going native‖ T
d. Changing jobs every 6 to 12 months T T T T T T
ANS: A T
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your
T T T T T T T T T T T T T T T T T
mental and physical health being the highest priority. Learning to say ―no‖ to extra shifts is a positive means
T T T T T T T T T T T T T T T T T T T
of coping of avoiding burnout. ―Going native‖ is the term that describes how recent graduates begin to copy
T T T T T T T T T T T T T T T T T T
and identify the reality of their role transition experience by rejecting the values from nursing school and
T T T T T T T T T T T T T T T T T
functioning more like a team member at their place of employment. Withdrawing from peer support groups,
T T T T T T T T T T T T T T T T
―going native,‖ and changing jobs every 6 to 12 months would increase the chance of the nurse
T T T T T T T T T T T T T T T T T
experiencing burnout. The nurse should instead focus on his/her practice and seek out support from other
T T T T T T T T T T T T T T T T
nurses.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
T T T T T T T T
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
T T T T T T T T T T T
MSC: NCLEX®: Safe and effective care environment—management of care
T T T T T T T T
4. Which of the following statements by an undergraduate nurse describes understanding of reality shock as it applies
T T T T T T T T T T T T T T T T T
to nursing?
T
a. ― Reality shock is the period when a person moves from school into the workforce.
T T T T T T T T T T T T T T
b. ―Reality shock is the realization that practice and education are not the same.‖
T T T T T T T T T T T T
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖
T T T T T T T T T T T
d. ―Reality shock is a transition phase that new graduates go through before changing jobs.‖
T T T T T T T T T T T T T
ANS: A T
―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the
T T T T T T T T T T T T T T T T T
workforce after several years of educational preparation. The new graduate is caught in the situation of
T T T T T T T T T T T T T T T T
moving from a familiar, comfortable educational environment into a new role in the workforce where the
T T T T T T T T T T T T T T T T
expectations are not clearly defined or may not even be realistic. The realization that practice and nursing
T T T T T T T T T T T T T T T T T
school are not the same is often associated with ―going native.‖ When nurses move from one position to
T T T T T T T T T T T T T T T T T T
another, they have already experienced reality shock. Becoming an experienced nurse takes time and is not
T T T T T T T T T T T T T T T T
part of the definition of reality shock.
T T T T T T
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
T T T T T T T T
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
T T T T T T T T T T T T
MSC: NCLEX®: Not applicable
T T T
DOCSCHOLAR 4
