Test Bank For Nursing Today: Transition and Trends 11th Edition by JoAnn Zerwekh, Ashley Garneau All Chapters 1-26 LATEST

NURSING TODAY TRANSITION AND TRENDS 9TH
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EDITION ZERWEKH TEST BANK
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TEST BANK dw




NURSING TEST BANKS
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, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
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BANK




Chapter 01: Reality Shock dw dw dw




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1. A graduate nurse has been hired as a nurse at a local hospital. The new nurse is in the honeymoon
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phase of role transition when making which of the following statements?
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a. ―I am so nervous about being on my own as a nurse.‖
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b. ―This will be a great learning experience.‖
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c. ―I can‘t wait to have a steady paycheck.‖
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d. ―This job is perfect. I can finally do things my own way.‖
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ANS: D dw




The honeymoon phase is when the student nurse sees the world of nursing as quite rosy. Often, the
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new graduate is fascinated with the thrill of arriving in the profession. Reality shock occurs when one
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moves into the workforce after several years of educational preparation. Recovery and resolution occur
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when the graduate nurse is able to laugh at encountered situations. During this time, tension decreases,
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perception increases, and the nurse is able to grow as a person.
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PTS: 1 DIF: Cognitive Level: Application REF: p. 7
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OBJ: Identify the characteristics of reality s h o Nc kU. RTSOIPN:GRTeBa.lC
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shock dw dw dw dw




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
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from reality shock?
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a. Networking c. Returning to school dw dw




b. Obtaining a mentor dw dw d. Joining a support group dw dw dw




ANS: C dw




The transition period is successfully managed when the graduate is able to evaluate the work situation
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objectively and predict effectively the actions and reactions of other staff. Nurturing the ability to see
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humor in a situation may be a first step. Returning to school is a positive step after the graduate has
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worked through role transition, has some clinical experience, and is ready to focus on a new career
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objective. Networking, obtaining a mentor, and joining a support group would give the graduate nurse
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an opportunity to talk to others
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experiencing the stress associated with reality shock. The nurse would benefit from ‗talking through‘
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issues and learning how to cope.
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PTS: 1 DIF: Cognitive Level: Application REF: p. 8
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OBJ: Describe four possible resolutions for reality shock. TOP: Reality
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dw shock MSC: NCLEX®: Safe and effective care environment—
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management of care dw dw




NURSINGTB.COM

, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
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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 shiftsdw dw dw dw dw




b. Withdrawing from peer support group dw dw dw dw




c. ―Going native‖ dw




d. Changing jobs every 6 to 12 months dw dw dw dw dw dw




ANS: A dw




One of the quickest ways to experience burnout is to ―overwork the overtime.‖ Set priorities with your
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mental and physical health being the highest priority. Learning to say ―no‖ to extra shifts is a positive
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means of coping of avoiding burnout. ―Going native‖ is the term that describes how recent graduates
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begin to copy and identify the reality of their role transition experience by rejecting the values from
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nursing school and functioning more like a team member at their place of employment. Withdrawing
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from peer support groups, ―going native,‖ and changing jobs every 6 to 12 months would increase the
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chance of the nurse experiencing burnout. The nurse should instead focus on his/her practice and seek
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out support from other nurses.
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PTS: 1 DIF: Cognitive Level: Application REF: p. 9
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OBJ: Describe four possible resolutions for reality shock. TOP: Reality
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dw shock MSC: NCLEX®: Safe and effective care environment—
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management of care dw dw




NURSINGTB.COM
4. Which of the followinggraduate
statements by the an understanding of reality shock as
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it applies to nursing?
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a. ― Reality shock is the period when a person moves from school into the workforce.
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b. ―Reality shock is the realization that practice and education are not the same.‖
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c. ―Reality shock is the period from graduation to becoming an experienced nurse.‖
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d. ―Reality shock is a transition phase that new graduates go through before changing jobs.‖
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ANS: A dw




―Reality shock‖ is a term often used to describe the reaction experienced when one moves into the
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workforce after several years of educational preparation. The new graduate is caught in the situation of
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moving from a familiar, comfortable educational environment into a new role in the workforce where
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the expectations are not clearly defined or may not even be realistic. The realization that practice and
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nursing school are not the same is often associated with ―going native.‖ When nurses move from one
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position to another, they have already experienced reality shock. Becoming an experienced nurse takes
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time and is not part of the definition of reality shock.
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PTS: 1 DIF: Cognitive Level: Application REF: p. 6
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OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
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dw MSC: NCLEX®: Not applicable
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, NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST
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5. A student in the last semester of nursing school has established a goal of making a successful role
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transition to graduate nurse. Which statement by the student indicates his/her understanding of how to
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achieve this goal?
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a. ―I should care for increased numbers of patients to enhance work organization skills.‖
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b. ―I will observe staff nurses as they perform nursing procedures to refine technique.‖
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c. ―I should seek increasingly close guidance from the nursing instructor to reduce errors.‖
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d. ―I will evaluate my progress every 7 weeks or more to allow time for growth.‖
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ANS: A dw




It is important for the student to start taking care of increased numbers of patients to help with time
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management and work organization. The student should also be able to function without close
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guidance from the nursing instructor. Although it is good for students to observe staff, a student in the
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final semester should be able to perform tasks with minimal observation and should instead focus on
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implementing care and time management. Waiting 7 weeks to evaluate progress would not be helpful to
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the student. Although regular self- evaluation is an important process, it is the actual experience of
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taking realistic patient assignments and working typical shift hours that assists with successful role
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transition.
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PTS: 1 DIF: Cognitive Level: Application REF: p. 6
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OBJ: Describe four possible resolutions for reality shock. TOP: Reality shock
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MSC: NCLEX®: Not dw dw

NURSINGTB.COM
applicable
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6. A new graduate of less than 1 year describes his/her perception of a staff nurse position, stating:
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―It feels great to be a nurse! In fact, it‘s a snap! I can hardly believe there‘s no instructor looking
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over my shoulder.‖ What phase of reality shock is the graduate experiencing?
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a. Recovery c. Honeymoon

b. Shock and rejection dw dw d. Transition


ANS: C dw




In the first phase of the role transition process (the honeymoon phase), the graduate nurse is thrilled
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with completing school and accepting the first job. Life is a bed of roses because everyone knows
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nursing school is much harder than nursing practice. Shock and rejection occur as the nurse tries to
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understand how nursing school and the ―real world‖ come together. Transition occurs as the nurse
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begins the move from student to nurse and refers to the entire process, not just a particular phase. The
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recovery phase is when the nurse can laugh at situations that he/she is in and is able to cope with the
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situations that are being faced.
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PTS: 1 DIF: Cognitive Level: Application REF: p. 7
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OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock
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dw MSC: NCLEX®: Not applicable
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