,Chapter 01: Role Transitions
ju ju ju
.
abirb.com/test
MULTIPLE CHOICE ju
1. A professional graduate nurse has been hired as a nurse at a local hospital. The
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new nurse is in the honeymoon phase of role transition when making which of the
ju ju ju ju ju
.
ju
ju
ju ju ju ju ju ju ju ju ju
following statements? a. ―I am so nervous about being on my own as a nurse.‖
ju ju j u ju ju ju ju ju ju ju ju ju ju ju ju
b. ―This will be a great learning experience.‖ ju ju ju ju ju ju .
c. ―I can‘t wait to have a steady paycheck.‖
ju ju ju ju ju ju ju
d. ―This job is perfect. I can finally do things my own way.‖
ju ju ju ju ju ju ju ju ju ju ju
ANS: D ju .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy.
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
Often, the new graduate is fascinated with the thrill of arriving in the profession. Reality
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
shock occurs when one moves into the workforce after several years of educational
ju ju ju ju ju ju ju ju ju ju ju ju ju
preparation. Recovery and resolution occur when the graduate nurse is able to laugh at .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
encountered situations. During this time, tension decreases, perception increases, and the
ju ju ju ju ju ju ju ju ju ju ju
nurse is able to grow as a person.
ju ju ju ju ju ju ju ju
.
PTS: 1 ju DIF: Cognitive Level: Application/Applying
ju ju ju
REF: Table 1.1 ju ju OBJ: Identify the characteristics of reality shock.
ju ju ju ju ju ju
TOP: Reality shock ju ju MSC: NCLEX®: Safe and effective care environment ju ju ju ju ju ju
.
2. Which of the following actions by the graduate nurse is an inappropriate methodology
ju ju ju ju ju ju ju ju ju ju ju ju
ju to recover from reality shock?
j u ju ju ju
a. Networking .
b. Obtaining a mentor ju ju
c. Returning to school ju ju
d. Joining a support group ju ju ju
.
ANS: C ju
The transition period is successfully managed when the graduate is able to evaluate the
ju ju ju ju ju ju ju ju ju ju ju ju ju
work situation objectively and predict effectively the actions and reactions of other staff.
ju ju ju ju ju ju ju ju ju ju ju ju ju
Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a positive
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
step . after the graduate has worked through role transition, has some clinical experience,
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
and is ready to focus on a new career objective. Networking, obtaining a mentor, and
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
joining a support group would give the graduate nurse an opportunity to talk to others
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
experiencing the .
ju ju j u
, stress associated with reality shock. The nurse would benefit from ―talking through‖ issues
ju ju ju ju ju ju ju ju ju ju ju ju
and learning how to cope.
ju ju ju ju ju
PTS: 1 ju DIF: Cognitive Level: Application/Applying .
ju ju ju ju
REF: p. 9 ju ju OBJ: Describe methods to promote a successful transition.
ju ju ju ju ju ju ju
TOP: Reality shock
ju ju ju
MSC: NCLEX®: Safe and effective care environment Not applicable
ju ju ju ju ju ju ju ju
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ju this?
a. Refusing to constantly work extra shifts ju ju ju ju ju .
b. Withdrawing from peer support group ju ju ju ju
c. ―Going native‖ ju
d. Changing jobs every 6 to 12 months . ju ju ju ju ju ju ju
ANS: A ju
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set
ju ju ju ju ju ju ju ju ju ju ju ju ju
priorities with your mental and physical health being the highest priority. Learning to say
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
―no‖ to extra shifts is a positive means of coping of avoiding burnout. ―Going native‖ is
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
the term that . describes how recent graduates begin to copy and identify the reality of their
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
role-transition experience by rejecting the values from nursing school and functioning
ju ju ju ju ju ju ju ju ju ju ju
more like a team member at their place of employment. Withdrawing from peer support
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
groups, ―going native,‖ . and changing jobs every 6 to 12 months would increase the
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
chance of the nurse experiencing
ju ju ju ju ju
burnout. The nurse should instead focus on his/her practice and seek out support from
ju ju ju ju ju ju ju ju ju ju ju ju ju
other nurses.
ju j u
.
PTS: 1 DIF: Cognitive Level: Application/Applying
ju ju ju ju
REF: p. 7 OBJ: Describe methods to promote a successful transition.
ju ju ju ju ju ju ju ju ju
TOP: Reality shock
ju ju ju
MSC: NCLEX®: Safe and effective care environment Not applicable .
ju ju ju ju ju ju ju ju ju
4. Which of the following statements by the graduate nurse shows an understanding of
ju ju ju ju ju ju ju ju ju ju ju ju
reality shock as it applies to nursing? .
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a. ―Reality shock is the period when a person moves from school into theju ju ju ju ju ju ju ju ju ju ju ju
b. workforce.‖―Reality shock is the realization that practice and education are not the ju ju ju ju ju ju ju ju ju ju ju
ju same.‖
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖.
ju ju ju ju ju ju ju ju ju ju ju
d. ―Reality shock is a transition phase that new graduates go through before changing
ju ju ju ju ju ju ju ju ju ju ju ju
ju jobs.‖
ANS: A ju .
, ―Reality shock‖ is a term often used to describe the reaction experienced when one moves
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
into the workforce after several years of educational preparation. The new graduate is
ju ju ju ju ju ju ju ju ju ju ju ju ju
caught in the situation of moving from a familiar, comfortable educational environment
ju ju ju ju ju ju ju ju ju ju ju ju
into a new role in . the workforce where the expectations are not clearly defined or may
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
not even be realistic. The realization that practice and nursing school are not the same is
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
often associated with ―going native.‖ When nurses move from one position to another,
ju ju ju ju ju ju ju ju ju ju ju ju ju
they have already experienced
ju ju ju ju
reality shock. Becoming an experienced nurse takes time and is not part of the definition
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
of . reality shock.
ju ju ju ju
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p. 5
ju ju ju ju ju ju ju ju
ju OBJ: Identify the characteristics of reality shock.
ju ju ju ju ju ju
TOP: Reality shock ju ju MSC: NCLEX®: Not applicable ju ju ju
5. A new graduate of less than 1 year describes his/her perception of a staff nurse position,
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ju stating: ―It feels great to be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ju instructor looking over my shoulder.‖ What phase of reality shock is the graduate
ju ju ju ju ju ju ju ju ju ju ju ju
ju experiencing?
a. Recovery .
b. Shock and rejection ju ju
c. Honeymoon
d. Transition .
ANS: C ju
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
thrilled with completing school and accepting the first job. Life is a bed of roses because
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
everyone knows nursing school is much harder than nursing practice. Shock and rejection .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
occur as the nurse tries to understand how nursing school and the ―real world‖ come together.
ju
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
Transition occurs as the nurse begins the move from student to nurse and refers to the entire
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
process, not just a particular phase. The recovery phase is when the nurse can laugh at .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
situations that he/she is in and is able to cope with the situations that are being faced.
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
PTS: 1 ju DIF: Cognitive Level: Application/Applying ju ju ju
REF: p. 7 ju ju OBJ: Compare and contrast the phases of reality shock. .
ju ju ju ju ju ju ju ju ju
TOP: Reality shockju ju MSC: NCLEX®: Not applicable ju ju ju
6. A student in the last semester of nursing school has established a goal of making a
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
successful . role transition to graduate nurse. Which statement by the student
ju j u ju ju ju ju ju ju ju ju ju ju
indicates his/her understanding of how to achieve this goal?
ju ju j u ju ju ju ju ju ju
a. ―I should care for increased numbers of patients to enhance work organization
ju ju ju ju ju ju ju ju ju ju ju
skills.‖ . ju
b. ―I will observe staff nurses as they perform nursing procedures to refine
ju ju ju ju ju ju ju ju ju ju ju
ju technique.‖
c. ―I should seek increasingly close guidance from the nursing instructor to reduce .
ju ju ju ju ju ju ju ju ju ju ju ju
errors.‖
d. ―I will evaluate my progress every 7 weeks or more to allow time for growth.‖
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ANS: A ju
ju ju ju
.
abirb.com/test
MULTIPLE CHOICE ju
1. A professional graduate nurse has been hired as a nurse at a local hospital. The
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
new nurse is in the honeymoon phase of role transition when making which of the
ju ju ju ju ju
.
ju
ju
ju ju ju ju ju ju ju ju ju
following statements? a. ―I am so nervous about being on my own as a nurse.‖
ju ju j u ju ju ju ju ju ju ju ju ju ju ju ju
b. ―This will be a great learning experience.‖ ju ju ju ju ju ju .
c. ―I can‘t wait to have a steady paycheck.‖
ju ju ju ju ju ju ju
d. ―This job is perfect. I can finally do things my own way.‖
ju ju ju ju ju ju ju ju ju ju ju
ANS: D ju .
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy.
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
Often, the new graduate is fascinated with the thrill of arriving in the profession. Reality
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
shock occurs when one moves into the workforce after several years of educational
ju ju ju ju ju ju ju ju ju ju ju ju ju
preparation. Recovery and resolution occur when the graduate nurse is able to laugh at .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
encountered situations. During this time, tension decreases, perception increases, and the
ju ju ju ju ju ju ju ju ju ju ju
nurse is able to grow as a person.
ju ju ju ju ju ju ju ju
.
PTS: 1 ju DIF: Cognitive Level: Application/Applying
ju ju ju
REF: Table 1.1 ju ju OBJ: Identify the characteristics of reality shock.
ju ju ju ju ju ju
TOP: Reality shock ju ju MSC: NCLEX®: Safe and effective care environment ju ju ju ju ju ju
.
2. Which of the following actions by the graduate nurse is an inappropriate methodology
ju ju ju ju ju ju ju ju ju ju ju ju
ju to recover from reality shock?
j u ju ju ju
a. Networking .
b. Obtaining a mentor ju ju
c. Returning to school ju ju
d. Joining a support group ju ju ju
.
ANS: C ju
The transition period is successfully managed when the graduate is able to evaluate the
ju ju ju ju ju ju ju ju ju ju ju ju ju
work situation objectively and predict effectively the actions and reactions of other staff.
ju ju ju ju ju ju ju ju ju ju ju ju ju
Nurturing
the ability to see humor in a situation may be a first step. Returning to school is a positive
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
step . after the graduate has worked through role transition, has some clinical experience,
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
and is ready to focus on a new career objective. Networking, obtaining a mentor, and
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
joining a support group would give the graduate nurse an opportunity to talk to others
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
experiencing the .
ju ju j u
, stress associated with reality shock. The nurse would benefit from ―talking through‖ issues
ju ju ju ju ju ju ju ju ju ju ju ju
and learning how to cope.
ju ju ju ju ju
PTS: 1 ju DIF: Cognitive Level: Application/Applying .
ju ju ju ju
REF: p. 9 ju ju OBJ: Describe methods to promote a successful transition.
ju ju ju ju ju ju ju
TOP: Reality shock
ju ju ju
MSC: NCLEX®: Safe and effective care environment Not applicable
ju ju ju ju ju ju ju ju
.
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to achieve
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ju this?
a. Refusing to constantly work extra shifts ju ju ju ju ju .
b. Withdrawing from peer support group ju ju ju ju
c. ―Going native‖ ju
d. Changing jobs every 6 to 12 months . ju ju ju ju ju ju ju
ANS: A ju
One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set
ju ju ju ju ju ju ju ju ju ju ju ju ju
priorities with your mental and physical health being the highest priority. Learning to say
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
―no‖ to extra shifts is a positive means of coping of avoiding burnout. ―Going native‖ is
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
the term that . describes how recent graduates begin to copy and identify the reality of their
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
role-transition experience by rejecting the values from nursing school and functioning
ju ju ju ju ju ju ju ju ju ju ju
more like a team member at their place of employment. Withdrawing from peer support
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
groups, ―going native,‖ . and changing jobs every 6 to 12 months would increase the
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
chance of the nurse experiencing
ju ju ju ju ju
burnout. The nurse should instead focus on his/her practice and seek out support from
ju ju ju ju ju ju ju ju ju ju ju ju ju
other nurses.
ju j u
.
PTS: 1 DIF: Cognitive Level: Application/Applying
ju ju ju ju
REF: p. 7 OBJ: Describe methods to promote a successful transition.
ju ju ju ju ju ju ju ju ju
TOP: Reality shock
ju ju ju
MSC: NCLEX®: Safe and effective care environment Not applicable .
ju ju ju ju ju ju ju ju ju
4. Which of the following statements by the graduate nurse shows an understanding of
ju ju ju ju ju ju ju ju ju ju ju ju
reality shock as it applies to nursing? .
ju j u ju ju ju ju ju ju
a. ―Reality shock is the period when a person moves from school into theju ju ju ju ju ju ju ju ju ju ju ju
b. workforce.‖―Reality shock is the realization that practice and education are not the ju ju ju ju ju ju ju ju ju ju ju
ju same.‖
c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖.
ju ju ju ju ju ju ju ju ju ju ju
d. ―Reality shock is a transition phase that new graduates go through before changing
ju ju ju ju ju ju ju ju ju ju ju ju
ju jobs.‖
ANS: A ju .
, ―Reality shock‖ is a term often used to describe the reaction experienced when one moves
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
into the workforce after several years of educational preparation. The new graduate is
ju ju ju ju ju ju ju ju ju ju ju ju ju
caught in the situation of moving from a familiar, comfortable educational environment
ju ju ju ju ju ju ju ju ju ju ju ju
into a new role in . the workforce where the expectations are not clearly defined or may
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
not even be realistic. The realization that practice and nursing school are not the same is
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
often associated with ―going native.‖ When nurses move from one position to another,
ju ju ju ju ju ju ju ju ju ju ju ju ju
they have already experienced
ju ju ju ju
reality shock. Becoming an experienced nurse takes time and is not part of the definition
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
of . reality shock.
ju ju ju ju
PTS: 1 DIF: Cognitive Level: Application/Applying . REF: p. 5
ju ju ju ju ju ju ju ju
ju OBJ: Identify the characteristics of reality shock.
ju ju ju ju ju ju
TOP: Reality shock ju ju MSC: NCLEX®: Not applicable ju ju ju
5. A new graduate of less than 1 year describes his/her perception of a staff nurse position,
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ju stating: ―It feels great to be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ju instructor looking over my shoulder.‖ What phase of reality shock is the graduate
ju ju ju ju ju ju ju ju ju ju ju ju
ju experiencing?
a. Recovery .
b. Shock and rejection ju ju
c. Honeymoon
d. Transition .
ANS: C ju
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
thrilled with completing school and accepting the first job. Life is a bed of roses because
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
everyone knows nursing school is much harder than nursing practice. Shock and rejection .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
occur as the nurse tries to understand how nursing school and the ―real world‖ come together.
ju
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
Transition occurs as the nurse begins the move from student to nurse and refers to the entire
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
process, not just a particular phase. The recovery phase is when the nurse can laugh at .
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
situations that he/she is in and is able to cope with the situations that are being faced.
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
PTS: 1 ju DIF: Cognitive Level: Application/Applying ju ju ju
REF: p. 7 ju ju OBJ: Compare and contrast the phases of reality shock. .
ju ju ju ju ju ju ju ju ju
TOP: Reality shockju ju MSC: NCLEX®: Not applicable ju ju ju
6. A student in the last semester of nursing school has established a goal of making a
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
successful . role transition to graduate nurse. Which statement by the student
ju j u ju ju ju ju ju ju ju ju ju ju
indicates his/her understanding of how to achieve this goal?
ju ju j u ju ju ju ju ju ju
a. ―I should care for increased numbers of patients to enhance work organization
ju ju ju ju ju ju ju ju ju ju ju
skills.‖ . ju
b. ―I will observe staff nurses as they perform nursing procedures to refine
ju ju ju ju ju ju ju ju ju ju ju
ju technique.‖
c. ―I should seek increasingly close guidance from the nursing instructor to reduce .
ju ju ju ju ju ju ju ju ju ju ju ju
errors.‖
d. ―I will evaluate my progress every 7 weeks or more to allow time for growth.‖
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
ANS: A ju
