NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
Chapterg01:gRealitygShockgMULTI
PLEgCHOICE
1. Aggraduategnurseghasgbeenghiredgasgagnursegatgaglocalghospital.gThegnewgnursegisgingtheghoneymoongphas
egofgrolegtransitiongwhengmakinggwhichgofgthegfollowinggstatements?
a. “Igamgsognervousgaboutgbeinggongmygowngasgagnurse.”
b. “Thisgwillgbegaggreatglearninggexperience.”
c. “Igcan’tgwaitgtoghavegagsteadygpaycheck.”
d. “Thisgjobgisgperfect.gIgcangfinallygdogthingsgmygowngway.”
ANS:gD
Theghoneymoongphasegisgwhengthegstudentgnursegseesgthegworldgofgnursinggasgquitegrosy.gOften,gthegnewggr
aduategisgfascinatedgwithgthegthrillgofgarrivinggingthegprofession.gRealitygshockgoccursgwhengonegmovesginto
gthegworkforcegaftergseveralgyearsgofgeducationalgpreparation.gRecoverygandgresolutiongoccurgwhengtheggrad
uategnursegisgablegtoglaughgatgencounteredgsituations.gDuringgthisgtime,gtensiongdecreases,gperceptiongincreas
es,gandgthegnursegisgablegtoggrowgasgagperson.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gIdentifygthegcharacteristicsgofgrealitygs h o Nc kU. gRTSOIPN:GRTeBa.lC
ityOM
shock
MSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
2. Whichgofgthegfollowinggactionsgbygtheggraduategnursegisganginappropriategmethodologygtogrecovergfr
omgrealitygshock?
a. Networking c. Returninggtogschool
b. Obtaininggagmentor d. Joininggagsupportggroup
ANS:gC
Thegtransitiongperiodgisgsuccessfullygmanagedgwhengtheggraduategisgablegtogevaluategthegworkgsituationgobjec
tivelygandgpredictgeffectivelygthegactionsgandgreactionsgofgothergstaff.gNurturinggthegabilitygtogseeghumorginga
gsituationgmaygbegagfirstgstep.gReturninggtogschoolgisgagpositivegstepgaftergtheggraduateghasgworkedgthroughgr
olegtransition,ghasgsomegclinicalgexperience,gandgisgreadygtogfocusgongagnewgcareergobjective.gNetworking,gob
taininggagmentor,gandgjoininggagsupportggroupgwouldggivegtheggraduategnursegangopportunitygtogtalkgtogothers
experiencinggthegstressgassociatedgwithgrealitygshock.gThegnursegwouldgbenefitgfromg‘talkinggthrough’gissues
gandglearningghowgtogcope.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g8
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshock
gMSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
NURSINGTB.COM
, NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
3. Agnursegisgtryinggtogavoidgburnout.gWhichgofgthegfollowinggactionsgisgagvalidgwaygtogachievegthis?
a. Refusinggtogconstantlygworkgextragshifts
b. Withdrawinggfromgpeergsupportggroup
c. “Goinggnative”
d. Changinggjobsgeveryg6gtog12gmonths
ANS:gA
Onegofgthegquickestgwaysgtogexperiencegburnoutgisgtog“overworkgthegovertime.”gSetgprioritiesgwithgyourgmen
talgandgphysicalghealthgbeinggtheghighestgpriority.gLearninggtogsayg“no”gtogextragshiftsgisgagpositivegmeansgofg
copinggofgavoidinggburnout.g“Goinggnative”gisgthegtermgthatgdescribesghowgrecentggraduatesgbegingtogcopyga
ndgidentifygthegrealitygofgtheirgrolegtransitiongexperiencegbygrejectinggthegvaluesgfromgnursinggschoolgandgfun
ctioninggmoreglikegagteamgmembergatgtheirgplacegofgemployment.gWithdrawinggfromgpeergsupportggroups,g“g
oinggnative,”gandgchanginggjobsgeveryg6gtog12gmonthsgwouldgincreasegthegchancegofgthegnursegexperiencingg
burnout.gThegnursegshouldginsteadgfocusgonghis/hergpracticegandgseekgoutgsupportgfromgothergnurses.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g9
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshock
gMSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
NURSINGTB.COM
4.gWhichgofgthegfollowingggraduategnurse
statements show
gbyggthe
s angunderstandinggofgrealitygshockgasg
itgappliesgtognursing?
a. “gRealitygshockgisgthegperiodgwhengagpersongmovesgfromgschoolgintogthegworkforce.
b. “Realitygshockgisgthegrealizationgthatgpracticegandgeducationgaregnotgthegsame.”
c. “Realitygshockgisgthegperiodgfromggraduationgtogbecominggangexperiencedgnurse.”
d. “Realitygshockgisgagtransitiongphasegthatgnewggraduatesggogthroughgbeforegchanginggjobs.”
ANS:gA
“Realitygshock”gisgagtermgoftengusedgtogdescribegthegreactiongexperiencedgwhengonegmovesgintogthegworkfor
cegaftergseveralgyearsgofgeducationalgpreparation.gThegnewggraduategisgcaughtgingthegsituationgofgmovinggfro
mgagfamiliar,gcomfortablegeducationalgenvironmentgintogagnewgrolegingthegworkforcegwheregthegexpectationsg
aregnotgclearlygdefinedgorgmaygnotgevengbegrealistic.gThegrealizationgthatgpracticegandgnursinggschoolgaregnotg
thegsamegisgoftengassociatedgwithg“goinggnative.”gWhengnursesgmovegfromgonegpositiongtoganother,gtheyghav
egalreadygexperiencedgrealitygshock.gBecominggangexperiencedgnursegtakesgtimegandgisgnotgpartgofgthegdefinit
iongofgrealitygshock.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
NURSINGTB.COM
, NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
5.gAgstudentgingtheglastgsemestergofgnursinggschoolghasgestablishedgaggoalgofgmakinggagsuccessfulgrolegtransi
tiongtoggraduategnurse.gWhichgstatementgbygthegstudentgindicatesghis/hergunderstandinggofghowgtogachievegth
isggoal?
a. “Igshouldgcaregforgincreasedgnumbersgofgpatientsgtogenhancegworkgorganizationgskills.”
b. “Igwillgobservegstaffgnursesgasgtheygperformgnursinggproceduresgtogrefinegtechnique.”
c. “Igshouldgseekgincreasinglygclosegguidancegfromgthegnursingginstructorgtogreducegerrors.”
d. “Igwillgevaluategmygprogressgeveryg7gweeksgorgmoregtogallowgtimegforggrowth.”
ANS:gA
Itgisgimportantgforgthegstudentgtogstartgtakinggcaregofgincreasedgnumbersgofgpatientsgtoghelpgwithgtimegmanag
ementgandgworkgorganization.gThegstudentgshouldgalsogbegablegtogfunctiongwithoutgclosegguidancegfromgtheg
nursingginstructor.gAlthoughgitgisggoodgforgstudentsgtogobservegstaff,gagstudentgingthegfinalgsemestergshouldg
begablegtogperformgtasksgwithgminimalgobservationgandgshouldginsteadgfocusgongimplementinggcaregandgtim
egmanagement.gWaitingg7gweeksgtogevaluategprogressgwouldgnotgbeghelpfulgtogthegstudent.gAlthoughgregular
gself-
gevaluationgisgangimportantgprocess,gitgisgthegactualgexperiencegofgtakinggrealisticgpatientgassignmentsgandgw
orkinggtypicalgshiftghoursgthatgassistsgwithgsuccessfulgrolegtransition.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshock
MSC:gNCLEX®:gNotgapplicabl
NURSINGTB.COM
e
6. Agnewggraduategofglessgthang1gyeargdescribesghis/hergperceptiongofgagstaffgnursegposition,gstating:g“Itgf
eelsggreatgtogbegagnurse!gIngfact,git’sgagsnap!gIgcanghardlygbelievegthere’sgnoginstructorglookinggovergmygs
houlder.”gWhatgphasegofgrealitygshockgisgtheggraduategexperiencing?
a. Recovery c. Honeymoon
b. Shockgandgrejection d. Transition
ANS:gC
Ingthegfirstgphasegofgthegrolegtransitiongprocessg(theghoneymoongphase),gtheggraduategnursegisgthrilledgwithgc
ompletinggschoolgandgacceptinggthegfirstgjob.gLifegisgagbedgofgrosesgbecausegeveryonegknowsgnursinggschool
gisgmuchghardergthangnursinggpractice.gShockgandgrejectiongoccurgasgthegnursegtriesgtogunderstandghowgnursi
nggschoolgandgtheg“realgworld”gcomegtogether.gTransitiongoccursgasgthegnursegbeginsgthegmovegfromgstudent
gtognursegandgrefersgtogthegentiregprocess,gnotgjustgagparticulargphase.gThegrecoverygphasegisgwhengthegnurse
gcanglaughgatgsituationsgthatghe/shegisgingandgisgablegtogcopegwithgthegsituationsgthatgaregbeinggfaced.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
NURSINGTB.COM
, NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
7. Agnewggraduateghasgworkedgongagbusygunitgforg6gmonthsgsinceggraduatinggfromgnursinggschool.gTheggrad
uategtellsgagfriend,g“I’vegnevergbeengsogupsetgingallgmyglife!gThegcaregthatgsomegofgthegstaffggivegourgpatient
sgis
outrageouslygbad.gThere’sgpracticallygnogattentiongtogthegprinciplesgofgasepsisgthegwaygIglearnedgthem!gThegst
affgtellsgmegthatgweghavegtogcutgcornersgifgwe’reggoinggtoggetgallgthegworkgdone.gIgcan’tgstandgit!”gWhatgphas
egofgrealitygshockgisgthisggraduategexperiencing?
a. Honeymoon c. Recovery
b. Shockgandgrejection d. Rolegtransformation
ANS:gB
Theghoneymoongphasegforgthegnewggraduategnursegisgshortglivedgwhengtheggraduategidentifiesgthegconflictsgb
etweengthegwaygshegorghegwasgtaughtgandgthegrealitygofgwhatgisgdone.gShockgandgrejectiongcausegmentalgand
gemotionalgwithdrawal,gmoralgoutrage,gandgaghypercriticalgattitude,gwhichgaregjustgsomegofgthegsymptomsgofg
thegrealizationgthatgtheghoneymoongisgover.gExcessivegmistrust,gfrequentgpainsgandgillness,gagdecreasegingener
gygandgfatigue,gfeelingglikegagfailuregandgblaminggoneselfgforgeverygmistake,gaghypercriticalgattitude,gandgfee
linggmorallygoutragedgaregcharacteristicsgofgthegshockgandgrejectiongphase.gThegrecoverygphasegisgcharacteriz
edgbygagbeginninggsensegofghumorg(usuallygthegfirstgsigh),gagdecreasegingtension,gandgangincreasegingthegabili
tygtogcopegwithgthegsituationsgthatghe/shegisgfacedgwith.gRolegtransformationgisgthegprocessgofgtransforminggfr
omgstudentgtognurse.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshock
NURSINGTB.COM
MSC:gNCLEX®:gNotgapplicable
8. Aggraduategnurseghasgbeengoutgofgschoolgforg3gmonthsgandgworkinggingagstaffgnursegpositiongforgthegp
astg2gmonths.gWhatgtypegofgtransitiongisgthegnursegexperiencing?
a. Agdevelopmentalgtransition c. Aghealth-orientedgtransition
b. Angorganizationalgtransition d. Agsituationalgtransition
ANS:gD
Agsituationalgtransitiongisgaglifestylegchangegthatgoccursgbecausegofgagnewgsituation.gMostgoftengthegchanges
garegbygchoice—
forginstance,ggraduations,gmarriages,gandgnewgjobs.gDevelopmentalgtransitionsgincludegbecominggagparentgor
ggoinggthroughgagmidlifegcrises.gAngorganizationalgtransitionginvolvesgagchangegingleadership.gA
health-
orientedgtransitionginvolvesgdealinggwithgangillnessgorghealthgissue,gsuchgasgcopinggwithgagchronicgillness.gPT
S:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g3
OBJ:Discussgconceptsgofgtransitions.TOP:Typesgofgtransitionsg
MSC:gNCLEX®:gNotgapplicable
9. Theggraduategnursegunderstandsgthatgtransitionsgoccurgthroughoutglife.gWhatgmajorgfactorgdoesgthegnu
rsegidentifygasginfluentialgingagsuccessfulgtransitiongfromgschoolgtogpractice?
NURSINGTB.COM
NK
Chapterg01:gRealitygShockgMULTI
PLEgCHOICE
1. Aggraduategnurseghasgbeenghiredgasgagnursegatgaglocalghospital.gThegnewgnursegisgingtheghoneymoongphas
egofgrolegtransitiongwhengmakinggwhichgofgthegfollowinggstatements?
a. “Igamgsognervousgaboutgbeinggongmygowngasgagnurse.”
b. “Thisgwillgbegaggreatglearninggexperience.”
c. “Igcan’tgwaitgtoghavegagsteadygpaycheck.”
d. “Thisgjobgisgperfect.gIgcangfinallygdogthingsgmygowngway.”
ANS:gD
Theghoneymoongphasegisgwhengthegstudentgnursegseesgthegworldgofgnursinggasgquitegrosy.gOften,gthegnewggr
aduategisgfascinatedgwithgthegthrillgofgarrivinggingthegprofession.gRealitygshockgoccursgwhengonegmovesginto
gthegworkforcegaftergseveralgyearsgofgeducationalgpreparation.gRecoverygandgresolutiongoccurgwhengtheggrad
uategnursegisgablegtoglaughgatgencounteredgsituations.gDuringgthisgtime,gtensiongdecreases,gperceptiongincreas
es,gandgthegnursegisgablegtoggrowgasgagperson.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gIdentifygthegcharacteristicsgofgrealitygs h o Nc kU. gRTSOIPN:GRTeBa.lC
ityOM
shock
MSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
2. Whichgofgthegfollowinggactionsgbygtheggraduategnursegisganginappropriategmethodologygtogrecovergfr
omgrealitygshock?
a. Networking c. Returninggtogschool
b. Obtaininggagmentor d. Joininggagsupportggroup
ANS:gC
Thegtransitiongperiodgisgsuccessfullygmanagedgwhengtheggraduategisgablegtogevaluategthegworkgsituationgobjec
tivelygandgpredictgeffectivelygthegactionsgandgreactionsgofgothergstaff.gNurturinggthegabilitygtogseeghumorginga
gsituationgmaygbegagfirstgstep.gReturninggtogschoolgisgagpositivegstepgaftergtheggraduateghasgworkedgthroughgr
olegtransition,ghasgsomegclinicalgexperience,gandgisgreadygtogfocusgongagnewgcareergobjective.gNetworking,gob
taininggagmentor,gandgjoininggagsupportggroupgwouldggivegtheggraduategnursegangopportunitygtogtalkgtogothers
experiencinggthegstressgassociatedgwithgrealitygshock.gThegnursegwouldgbenefitgfromg‘talkinggthrough’gissues
gandglearningghowgtogcope.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g8
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshock
gMSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
NURSINGTB.COM
, NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
3. Agnursegisgtryinggtogavoidgburnout.gWhichgofgthegfollowinggactionsgisgagvalidgwaygtogachievegthis?
a. Refusinggtogconstantlygworkgextragshifts
b. Withdrawinggfromgpeergsupportggroup
c. “Goinggnative”
d. Changinggjobsgeveryg6gtog12gmonths
ANS:gA
Onegofgthegquickestgwaysgtogexperiencegburnoutgisgtog“overworkgthegovertime.”gSetgprioritiesgwithgyourgmen
talgandgphysicalghealthgbeinggtheghighestgpriority.gLearninggtogsayg“no”gtogextragshiftsgisgagpositivegmeansgofg
copinggofgavoidinggburnout.g“Goinggnative”gisgthegtermgthatgdescribesghowgrecentggraduatesgbegingtogcopyga
ndgidentifygthegrealitygofgtheirgrolegtransitiongexperiencegbygrejectinggthegvaluesgfromgnursinggschoolgandgfun
ctioninggmoreglikegagteamgmembergatgtheirgplacegofgemployment.gWithdrawinggfromgpeergsupportggroups,g“g
oinggnative,”gandgchanginggjobsgeveryg6gtog12gmonthsgwouldgincreasegthegchancegofgthegnursegexperiencingg
burnout.gThegnursegshouldginsteadgfocusgonghis/hergpracticegandgseekgoutgsupportgfromgothergnurses.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g9
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshock
gMSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
NURSINGTB.COM
4.gWhichgofgthegfollowingggraduategnurse
statements show
gbyggthe
s angunderstandinggofgrealitygshockgasg
itgappliesgtognursing?
a. “gRealitygshockgisgthegperiodgwhengagpersongmovesgfromgschoolgintogthegworkforce.
b. “Realitygshockgisgthegrealizationgthatgpracticegandgeducationgaregnotgthegsame.”
c. “Realitygshockgisgthegperiodgfromggraduationgtogbecominggangexperiencedgnurse.”
d. “Realitygshockgisgagtransitiongphasegthatgnewggraduatesggogthroughgbeforegchanginggjobs.”
ANS:gA
“Realitygshock”gisgagtermgoftengusedgtogdescribegthegreactiongexperiencedgwhengonegmovesgintogthegworkfor
cegaftergseveralgyearsgofgeducationalgpreparation.gThegnewggraduategisgcaughtgingthegsituationgofgmovinggfro
mgagfamiliar,gcomfortablegeducationalgenvironmentgintogagnewgrolegingthegworkforcegwheregthegexpectationsg
aregnotgclearlygdefinedgorgmaygnotgevengbegrealistic.gThegrealizationgthatgpracticegandgnursinggschoolgaregnotg
thegsamegisgoftengassociatedgwithg“goinggnative.”gWhengnursesgmovegfromgonegpositiongtoganother,gtheyghav
egalreadygexperiencedgrealitygshock.gBecominggangexperiencedgnursegtakesgtimegandgisgnotgpartgofgthegdefinit
iongofgrealitygshock.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
NURSINGTB.COM
, NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
5.gAgstudentgingtheglastgsemestergofgnursinggschoolghasgestablishedgaggoalgofgmakinggagsuccessfulgrolegtransi
tiongtoggraduategnurse.gWhichgstatementgbygthegstudentgindicatesghis/hergunderstandinggofghowgtogachievegth
isggoal?
a. “Igshouldgcaregforgincreasedgnumbersgofgpatientsgtogenhancegworkgorganizationgskills.”
b. “Igwillgobservegstaffgnursesgasgtheygperformgnursinggproceduresgtogrefinegtechnique.”
c. “Igshouldgseekgincreasinglygclosegguidancegfromgthegnursingginstructorgtogreducegerrors.”
d. “Igwillgevaluategmygprogressgeveryg7gweeksgorgmoregtogallowgtimegforggrowth.”
ANS:gA
Itgisgimportantgforgthegstudentgtogstartgtakinggcaregofgincreasedgnumbersgofgpatientsgtoghelpgwithgtimegmanag
ementgandgworkgorganization.gThegstudentgshouldgalsogbegablegtogfunctiongwithoutgclosegguidancegfromgtheg
nursingginstructor.gAlthoughgitgisggoodgforgstudentsgtogobservegstaff,gagstudentgingthegfinalgsemestergshouldg
begablegtogperformgtasksgwithgminimalgobservationgandgshouldginsteadgfocusgongimplementinggcaregandgtim
egmanagement.gWaitingg7gweeksgtogevaluategprogressgwouldgnotgbeghelpfulgtogthegstudent.gAlthoughgregular
gself-
gevaluationgisgangimportantgprocess,gitgisgthegactualgexperiencegofgtakinggrealisticgpatientgassignmentsgandgw
orkinggtypicalgshiftghoursgthatgassistsgwithgsuccessfulgrolegtransition.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshock
MSC:gNCLEX®:gNotgapplicabl
NURSINGTB.COM
e
6. Agnewggraduategofglessgthang1gyeargdescribesghis/hergperceptiongofgagstaffgnursegposition,gstating:g“Itgf
eelsggreatgtogbegagnurse!gIngfact,git’sgagsnap!gIgcanghardlygbelievegthere’sgnoginstructorglookinggovergmygs
houlder.”gWhatgphasegofgrealitygshockgisgtheggraduategexperiencing?
a. Recovery c. Honeymoon
b. Shockgandgrejection d. Transition
ANS:gC
Ingthegfirstgphasegofgthegrolegtransitiongprocessg(theghoneymoongphase),gtheggraduategnursegisgthrilledgwithgc
ompletinggschoolgandgacceptinggthegfirstgjob.gLifegisgagbedgofgrosesgbecausegeveryonegknowsgnursinggschool
gisgmuchghardergthangnursinggpractice.gShockgandgrejectiongoccurgasgthegnursegtriesgtogunderstandghowgnursi
nggschoolgandgtheg“realgworld”gcomegtogether.gTransitiongoccursgasgthegnursegbeginsgthegmovegfromgstudent
gtognursegandgrefersgtogthegentiregprocess,gnotgjustgagparticulargphase.gThegrecoverygphasegisgwhengthegnurse
gcanglaughgatgsituationsgthatghe/shegisgingandgisgablegtogcopegwithgthegsituationsgthatgaregbeinggfaced.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
NURSINGTB.COM
, NURSINGgTODAYgTRANSITIONgANDgTRENDSg9THgEDITIONgZERWEKHgTESTgBA
NK
7. Agnewggraduateghasgworkedgongagbusygunitgforg6gmonthsgsinceggraduatinggfromgnursinggschool.gTheggrad
uategtellsgagfriend,g“I’vegnevergbeengsogupsetgingallgmyglife!gThegcaregthatgsomegofgthegstaffggivegourgpatient
sgis
outrageouslygbad.gThere’sgpracticallygnogattentiongtogthegprinciplesgofgasepsisgthegwaygIglearnedgthem!gThegst
affgtellsgmegthatgweghavegtogcutgcornersgifgwe’reggoinggtoggetgallgthegworkgdone.gIgcan’tgstandgit!”gWhatgphas
egofgrealitygshockgisgthisggraduategexperiencing?
a. Honeymoon c. Recovery
b. Shockgandgrejection d. Rolegtransformation
ANS:gB
Theghoneymoongphasegforgthegnewggraduategnursegisgshortglivedgwhengtheggraduategidentifiesgthegconflictsgb
etweengthegwaygshegorghegwasgtaughtgandgthegrealitygofgwhatgisgdone.gShockgandgrejectiongcausegmentalgand
gemotionalgwithdrawal,gmoralgoutrage,gandgaghypercriticalgattitude,gwhichgaregjustgsomegofgthegsymptomsgofg
thegrealizationgthatgtheghoneymoongisgover.gExcessivegmistrust,gfrequentgpainsgandgillness,gagdecreasegingener
gygandgfatigue,gfeelingglikegagfailuregandgblaminggoneselfgforgeverygmistake,gaghypercriticalgattitude,gandgfee
linggmorallygoutragedgaregcharacteristicsgofgthegshockgandgrejectiongphase.gThegrecoverygphasegisgcharacteriz
edgbygagbeginninggsensegofghumorg(usuallygthegfirstgsigh),gagdecreasegingtension,gandgangincreasegingthegabili
tygtogcopegwithgthegsituationsgthatghe/shegisgfacedgwith.gRolegtransformationgisgthegprocessgofgtransforminggfr
omgstudentgtognurse.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshock
NURSINGTB.COM
MSC:gNCLEX®:gNotgapplicable
8. Aggraduategnurseghasgbeengoutgofgschoolgforg3gmonthsgandgworkinggingagstaffgnursegpositiongforgthegp
astg2gmonths.gWhatgtypegofgtransitiongisgthegnursegexperiencing?
a. Agdevelopmentalgtransition c. Aghealth-orientedgtransition
b. Angorganizationalgtransition d. Agsituationalgtransition
ANS:gD
Agsituationalgtransitiongisgaglifestylegchangegthatgoccursgbecausegofgagnewgsituation.gMostgoftengthegchanges
garegbygchoice—
forginstance,ggraduations,gmarriages,gandgnewgjobs.gDevelopmentalgtransitionsgincludegbecominggagparentgor
ggoinggthroughgagmidlifegcrises.gAngorganizationalgtransitionginvolvesgagchangegingleadership.gA
health-
orientedgtransitionginvolvesgdealinggwithgangillnessgorghealthgissue,gsuchgasgcopinggwithgagchronicgillness.gPT
S:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g3
OBJ:Discussgconceptsgofgtransitions.TOP:Typesgofgtransitionsg
MSC:gNCLEX®:gNotgapplicable
9. Theggraduategnursegunderstandsgthatgtransitionsgoccurgthroughoutglife.gWhatgmajorgfactorgdoesgthegnu
rsegidentifygasginfluentialgingagsuccessfulgtransitiongfromgschoolgtogpractice?
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