Med C
v
, Chapter01:RealityShock v v v
vMULTIPLE CHOICE v
1. A graduate nursehas been hired as a nurseat a local hospital. The new nurse is in thehoneymoon phase of role
v v v v v v v v v v v v v v v v v v v v v v v
transition when making which of the following statements?
v v v v v v v v
a. ―Iamsonervousaboutbeingonmyownasanurse.‖
v v v v v v v v v v v
b. ―This willbeagreatlearning experience.‖ v v v v v v
c. ―Ican‘t wait to haveasteadypaycheck.‖
v v v v v v v
d. ―Thisjob isperfect. I can finallydo thingsmyown way.‖ v v v v v v v v v v v
ANS:D v
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new graduate is
v v v v v v v v v v v v v v v v v v v v
fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves into the workforce after
v v v v v v v v v v v v v v v v v v v
several years of educationalpreparation. Recoveryand resolution occur when thegraduate nurse is able to laugh at
v v v v v v v v v v v v v v v v v v
encountered situations. During this time, tension decreases, perception increases, and the nurse is able to grow as a
v v v v v v v v v v v v v v v v v v
person.
v
PTS:1DIF:Cognitive Level:ApplicationREF:p.7
v v v v v v v v
OBJ:Identifythe characteristics of realitys h o Nc kU. RTSOIPN:GRTeBa.lC
v ityOM
shock v v v v v v
MSC:NCLEX®:Safeandeffectivecareenvironment—managementofcare
v v v v v v v v
2. Which of the following actions bythe graduate nurse is an inappropriate methodologyto recover from reality
v v v v v v v v v v v v v v v v
shock?
v
a. Networking c. Returning to school v v
b. Obtaining a mentor v v d. Joininga support group v v v
ANS:C v
The transition period is successfully managed when the graduate is able to evaluate the work situation objectivelyand
v v v v v v v v v v v v v v v v v
predict effectively the actions and reactions of other staff. Nurturing the abilityto see humor in a situation may be a first
v v v v v v v v v v v v v v v v v v v v v v
step. Returning to school is a positive step after the graduate has worked through role transition, has some clinical
v v v v v v v v v v v v v v v v v v v
experience, and is readyto focus on anewcareerobjective. Networking, obtaining a mentor, and joining a support
v v v v v v v v v v v v v v v v v v v
group would give the graduate nurse an opportunity to talk to others experiencing the stress associated with reality
v v v v v v v v v v v v v v v v v v
shock. The nurse would benefit from ‗talking through‘ issues and learning how to cope.
v v v v v v v v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.8
v v v v v v v v
OBJ:Describe four possibleresolutions for realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v
vNCLEX®: Safe and effective care environment—management of care v v v v v v v
Med C
v
, 3. Anurseistryingto avoidburnout.Which ofthefollowing actionsis avalidwaytoachieve this?
v v v v v v v v v v v v v v v v v v
a. Refusingto constantly work extra shifts v v v v v
b. Withdrawing frompeer support group v v v v
c. ―Going native‖ v
d. Changingjobs every6 to 12 months v v v v v v
ANS:A v
Oneof the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your mental and
v v v v v v v v v v v v v v v v v v
physicalhealthbeingthehighestpriority. Learningtosay―no‖toextrashiftsisapositive meansofcoping ofavoiding
v v v v v v v v v v v v v v v v v v v v v
burnout. ―Goingnative‖ is the termthatdescribeshowrecentgraduatesbegin to copyand identify the reality of their
v v v v v v v v v v v v v v v v v v v v
role transition experience by rejecting the values from nursing school and functioning more like a teammember at their
v v v v v v v v v v v v v v v v v v v
place of employment. Withdrawing frompeer support groups, ―going native,‖ and changing jobs every 6 to 12
v v v v v v v v v v v v v v v v v
months would increase the chance of the nurse experiencing burnout. The nurse should instead focus on his/her
v v v v v v v v v v v v v v v v v
practice and seek out support from other nurses.
v v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.9
v v v v v v v v
OBJ:Describe four possibleresolutions for realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v
vNCLEX®: Safe and effective care environment—management of care v v v v v v v
M
4.Whichofthefollowingstatementsbyanundergraduatenurse describes understandingofrealityshockasitappliesto nursing?
v v v v v v v v v v v v v v v v v v v
a. ― Realityshockistheperiodwhenapersonmovesfromschoolintotheworkforce.
v v v v v v v v v v v v v v
b. ―Reality shock is the realization that practice and education are notthe same.‖ v v v v v v v v v v v v
c. ―Reality shock is theperiod fromgraduation to becoming an experienced nurse.‖ v v v v v v v v v v v
d. ―Reality shock is a transition phase that newgraduates go through before changing jobs.‖ v v v v v v v v v v v v v
ANS:A v
―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the workforce after
v v v v v v v v v v v v v v v v v v
several years of educational preparation. The new graduate is caught in the situation of moving from a familiar,
v v v v v v v v v v v v v v v v v v
comfortable educational environment into a new role in the workforce where the expectations are not clearlydefined
v v v v v v v v v v v v v v v v v
or maynot even be realistic. The realization that practice andnursingschool are not the same is often associated with
v v v v v v v v v v v v v v v v v v v v v
―going native.‖ When nurses move from one position to another, they have already experienced realityshock.
v v v v v v v v v v v v v v v v
Becoming an experienced nurse takes time and is not part of the definition of reality shock.
v v v v v v v v v v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.6
v v v v v v v v
OBJ:Compare and contrast the phasesof realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v v
vNCLEX®: Not applicable v v
Med C
v
, 5. A student in thelast semester of nursing school has established a goalof making a successful role transition to
v v v v v v v v v v v v v v v v v v v v
graduatenurse.Whichstatementbythe studentindicateshis/herunderstandingofhowto achieve this goal?
v v v v v v v v v v v v v v v v
a. ―Ishouldcareforincreasednumbersofpatientstoenhanceworkorganizationskills.‖
v v v v v v v v v v v v
b. ―Iwillobservestaffnursesastheyperformnursingprocedurestorefinetechnique.‖
v v v v v v v v v v v v
c. ―Ishouldseekincreasinglycloseguidancefromthenursinginstructortoreduceerrors.‖
v v v v v v v v v v v v
d. ―Iwillevaluatemyprogressevery7 weeksormoretoallowtimeforgrowth.‖
v v v v v v v v v v v v v v
ANS:A v
It is important for the student to start taking care of increased numbers of patients to help with time management and
v v v v v v v v v v v v v v v v v v v v
work organization. The student should also be able to function without close guidance from the nursing instructor.
v v v v v v v v v v v v v v v v v
Although it is good for students to observe staff, a student in the final semester should be able to perform tasks with
v v v v v v v v v v v v v v v v v v v v v v
minimal observation and should instead focus on implementing care and time management. Waiting 7 weeks to
v v v v v v v v v v v v v v v v
evaluate progress would not be helpful to the student. Although regular self- evaluation is an important process, it is
v v v v v v v v v v v v v v v v v v v
the actual experience of taking realistic patient assignments and working typical shift hours that assists with
v v v v v v v v v v v v v v v v
successful role transition.
v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.6 v v v v v v v v
OBJ:Describefourpossibleresolutions forrealityshock.TOP:Realityshock
v v v v v v v v v v
vMSC: NCLEX®: Not applicable v v v
NURSINGTB.COM
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: ―It feels great to
v v v v v v v v v v v v v v v v v v v v
be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no instructor looking over my shoulder.‖ What phase of
v v v v v v v v v v v v v v v v v v v v v v
reality shock is the graduate experiencing?
v v v v v v
a. Recovery c. Honeymoon
b. Shockand rejection v v d. Transition
ANS:C v
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled with completing
v v v v v v v v v v v v v v v v v v
school and accepting the firstjob. Life is a bed of roses because everyone knows nursing school is much harder than
v v v v v v v v v v v v v v v v v v v v v
nursing practice. Shock and rejection occur as the nurse tries to understand how nursing school and the ―real world‖
v v v v v v v v v v v v v v v v v v v
come together. Transition occurs as the nurse begins the move from student to nurse and refers to the entire process, not
v v v v v v v v v v v v v v v v v v v v v
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
v v v v v v v v v v v v v v v v v v v v v v v v
with the situations that are being faced.
v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.7 v v v v v v v v
OBJ:Compare and contrast the phasesof realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v v
vNCLEX®: Not applicable v v
Med C v
v
, Chapter01:RealityShock v v v
vMULTIPLE CHOICE v
1. A graduate nursehas been hired as a nurseat a local hospital. The new nurse is in thehoneymoon phase of role
v v v v v v v v v v v v v v v v v v v v v v v
transition when making which of the following statements?
v v v v v v v v
a. ―Iamsonervousaboutbeingonmyownasanurse.‖
v v v v v v v v v v v
b. ―This willbeagreatlearning experience.‖ v v v v v v
c. ―Ican‘t wait to haveasteadypaycheck.‖
v v v v v v v
d. ―Thisjob isperfect. I can finallydo thingsmyown way.‖ v v v v v v v v v v v
ANS:D v
The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the new graduate is
v v v v v v v v v v v v v v v v v v v v
fascinated with the thrill of arriving in the profession. Reality shock occurs when one moves into the workforce after
v v v v v v v v v v v v v v v v v v v
several years of educationalpreparation. Recoveryand resolution occur when thegraduate nurse is able to laugh at
v v v v v v v v v v v v v v v v v v
encountered situations. During this time, tension decreases, perception increases, and the nurse is able to grow as a
v v v v v v v v v v v v v v v v v v
person.
v
PTS:1DIF:Cognitive Level:ApplicationREF:p.7
v v v v v v v v
OBJ:Identifythe characteristics of realitys h o Nc kU. RTSOIPN:GRTeBa.lC
v ityOM
shock v v v v v v
MSC:NCLEX®:Safeandeffectivecareenvironment—managementofcare
v v v v v v v v
2. Which of the following actions bythe graduate nurse is an inappropriate methodologyto recover from reality
v v v v v v v v v v v v v v v v
shock?
v
a. Networking c. Returning to school v v
b. Obtaining a mentor v v d. Joininga support group v v v
ANS:C v
The transition period is successfully managed when the graduate is able to evaluate the work situation objectivelyand
v v v v v v v v v v v v v v v v v
predict effectively the actions and reactions of other staff. Nurturing the abilityto see humor in a situation may be a first
v v v v v v v v v v v v v v v v v v v v v v
step. Returning to school is a positive step after the graduate has worked through role transition, has some clinical
v v v v v v v v v v v v v v v v v v v
experience, and is readyto focus on anewcareerobjective. Networking, obtaining a mentor, and joining a support
v v v v v v v v v v v v v v v v v v v
group would give the graduate nurse an opportunity to talk to others experiencing the stress associated with reality
v v v v v v v v v v v v v v v v v v
shock. The nurse would benefit from ‗talking through‘ issues and learning how to cope.
v v v v v v v v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.8
v v v v v v v v
OBJ:Describe four possibleresolutions for realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v
vNCLEX®: Safe and effective care environment—management of care v v v v v v v
Med C
v
, 3. Anurseistryingto avoidburnout.Which ofthefollowing actionsis avalidwaytoachieve this?
v v v v v v v v v v v v v v v v v v
a. Refusingto constantly work extra shifts v v v v v
b. Withdrawing frompeer support group v v v v
c. ―Going native‖ v
d. Changingjobs every6 to 12 months v v v v v v
ANS:A v
Oneof the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your mental and
v v v v v v v v v v v v v v v v v v
physicalhealthbeingthehighestpriority. Learningtosay―no‖toextrashiftsisapositive meansofcoping ofavoiding
v v v v v v v v v v v v v v v v v v v v v
burnout. ―Goingnative‖ is the termthatdescribeshowrecentgraduatesbegin to copyand identify the reality of their
v v v v v v v v v v v v v v v v v v v v
role transition experience by rejecting the values from nursing school and functioning more like a teammember at their
v v v v v v v v v v v v v v v v v v v
place of employment. Withdrawing frompeer support groups, ―going native,‖ and changing jobs every 6 to 12
v v v v v v v v v v v v v v v v v
months would increase the chance of the nurse experiencing burnout. The nurse should instead focus on his/her
v v v v v v v v v v v v v v v v v
practice and seek out support from other nurses.
v v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.9
v v v v v v v v
OBJ:Describe four possibleresolutions for realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v
vNCLEX®: Safe and effective care environment—management of care v v v v v v v
M
4.Whichofthefollowingstatementsbyanundergraduatenurse describes understandingofrealityshockasitappliesto nursing?
v v v v v v v v v v v v v v v v v v v
a. ― Realityshockistheperiodwhenapersonmovesfromschoolintotheworkforce.
v v v v v v v v v v v v v v
b. ―Reality shock is the realization that practice and education are notthe same.‖ v v v v v v v v v v v v
c. ―Reality shock is theperiod fromgraduation to becoming an experienced nurse.‖ v v v v v v v v v v v
d. ―Reality shock is a transition phase that newgraduates go through before changing jobs.‖ v v v v v v v v v v v v v
ANS:A v
―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the workforce after
v v v v v v v v v v v v v v v v v v
several years of educational preparation. The new graduate is caught in the situation of moving from a familiar,
v v v v v v v v v v v v v v v v v v
comfortable educational environment into a new role in the workforce where the expectations are not clearlydefined
v v v v v v v v v v v v v v v v v
or maynot even be realistic. The realization that practice andnursingschool are not the same is often associated with
v v v v v v v v v v v v v v v v v v v v v
―going native.‖ When nurses move from one position to another, they have already experienced realityshock.
v v v v v v v v v v v v v v v v
Becoming an experienced nurse takes time and is not part of the definition of reality shock.
v v v v v v v v v v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.6
v v v v v v v v
OBJ:Compare and contrast the phasesof realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v v
vNCLEX®: Not applicable v v
Med C
v
, 5. A student in thelast semester of nursing school has established a goalof making a successful role transition to
v v v v v v v v v v v v v v v v v v v v
graduatenurse.Whichstatementbythe studentindicateshis/herunderstandingofhowto achieve this goal?
v v v v v v v v v v v v v v v v
a. ―Ishouldcareforincreasednumbersofpatientstoenhanceworkorganizationskills.‖
v v v v v v v v v v v v
b. ―Iwillobservestaffnursesastheyperformnursingprocedurestorefinetechnique.‖
v v v v v v v v v v v v
c. ―Ishouldseekincreasinglycloseguidancefromthenursinginstructortoreduceerrors.‖
v v v v v v v v v v v v
d. ―Iwillevaluatemyprogressevery7 weeksormoretoallowtimeforgrowth.‖
v v v v v v v v v v v v v v
ANS:A v
It is important for the student to start taking care of increased numbers of patients to help with time management and
v v v v v v v v v v v v v v v v v v v v
work organization. The student should also be able to function without close guidance from the nursing instructor.
v v v v v v v v v v v v v v v v v
Although it is good for students to observe staff, a student in the final semester should be able to perform tasks with
v v v v v v v v v v v v v v v v v v v v v v
minimal observation and should instead focus on implementing care and time management. Waiting 7 weeks to
v v v v v v v v v v v v v v v v
evaluate progress would not be helpful to the student. Although regular self- evaluation is an important process, it is
v v v v v v v v v v v v v v v v v v v
the actual experience of taking realistic patient assignments and working typical shift hours that assists with
v v v v v v v v v v v v v v v v
successful role transition.
v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.6 v v v v v v v v
OBJ:Describefourpossibleresolutions forrealityshock.TOP:Realityshock
v v v v v v v v v v
vMSC: NCLEX®: Not applicable v v v
NURSINGTB.COM
6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating: ―It feels great to
v v v v v v v v v v v v v v v v v v v v
be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no instructor looking over my shoulder.‖ What phase of
v v v v v v v v v v v v v v v v v v v v v v
reality shock is the graduate experiencing?
v v v v v v
a. Recovery c. Honeymoon
b. Shockand rejection v v d. Transition
ANS:C v
In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled with completing
v v v v v v v v v v v v v v v v v v
school and accepting the firstjob. Life is a bed of roses because everyone knows nursing school is much harder than
v v v v v v v v v v v v v v v v v v v v v
nursing practice. Shock and rejection occur as the nurse tries to understand how nursing school and the ―real world‖
v v v v v v v v v v v v v v v v v v v
come together. Transition occurs as the nurse begins the move from student to nurse and refers to the entire process, not
v v v v v v v v v v v v v v v v v v v v v
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
v v v v v v v v v v v v v v v v v v v v v v v v
with the situations that are being faced.
v v v v v v v
PTS:1DIF:Cognitive Level:ApplicationREF:p.7 v v v v v v v v
OBJ:Compare and contrast the phasesof realityshock. TOP:Realityshock MSC:
v v v v v v v v v v v v
vNCLEX®: Not applicable v v
Med C v
