TRENDS 11TH EDITION BY JOANN ZERWEKH EDD MSN RN
(EDITOR), ASHLEY ZERWEKH GARNEAU PHD RN (EDITOR)
FULL TESTBANK ALL CHAPTERS INCLUDED|| LATEST AND
COMPLETE UPDATE GRADED A+
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TESTBANK FOR NURSING TODAY TRANSITION AND
TRENDS 11TH EDITION BY JOANN ZERWEKH EDD MSN RN
(EDITOR), ASHLEY ZERWEKH GARNEAU PHD RN (EDITOR)
FULL TESTBANK ALL CHAPTERS INCLUDED|| LATEST AND
COMPLETE UPDATE GRADED A+
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 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.‖
- ANSWER- 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.
PTS: 1 DIF: Cognitive Level: Application REF: p. 7
OBJ: Identify the characteristics of reality s h oNc kU. RTSOIPN:GRTeBa.lCityOMshock MSC:
NCLEX®: Safe and effective care environment—management of care
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2. Which of the following actions by the graduate nurse is an inappropriate methodology to
recover from reality shock?
a. Networking c. Returning to school
b. Obtaining a mentor d. Joining a support group
- ANSWER- 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.
PTS: 1 DIF: Cognitive Level: Application REF: p. 8
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock MSC: NCLEX®:
Safe and effective care environment—management of care
DOCSCHOLAR
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to
achieve this?
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a. Refusing to constantly work extra shifts
b. Withdrawing from peer support group
c. ―Going native‖
d. Changing jobs every 6 to 12 months
- ANSWER- 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.
PTS: 1 DIF: Cognitive Level: Application REF: p. 9
OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock MSC: NCLEX®:
Safe and effective care environment—management of care
4. Which of the following statements by an undergraduate nurse describes understanding of
reality shock as it applies to nursing?
a. ― Reality shock is the period when a person moves from school into the workforce.
b. ―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.‖