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TEST BANK FOR NURSING TODAY TRANSITION AND TRENDS 9TH EDITION ZERWEKH TEST BANK A+
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Created By: A SolutionNURSING TODAY TRANSITION AND TRENDS 9TH
EDITION ZERWEKH TEST BANK 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.”
ANS: 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 shoNckU. RTSOIPN:GRTeBa.lCityOMshock
MSC: NCLEX®: Safe and effective care environment—management of care
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
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b. Obtaining a mentor d. Joining a support group
ANS: 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
3. A nurse is trying to avoid burnout. Which of the following actions is a valid way to
achieve this?
a. Refusing to constantly work extra shifts
b. Withdrawing from peer support group
c. “Going native”
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d. Changing jobs every 6 to 12 months
ANS: 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
. Which of the following statements by the an 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.”
d. “Reality shock is a transition phase that new graduates go through before changing jobs.”
ANS: A
“Reality shock” is a term often used to describe the reaction experienced when one moves into
the workforce after several years of educational preparation. The new graduate is caught in the
situation of moving from a familiar, comfortable educational environment into a new role in the
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workforce where the expectations are not clearly defined or may not even be realistic. The
realization that practice and nursing school are not the same is often associated with “going
native.” When nurses move from one position to another, they have already experienced reality
shock. Becoming an experienced nurse takes time and is not part of the definition of reality
shock.
PTS: 1 DIF: Cognitive Level: Application REF: p. 6
OBJ: Compare and contrast the phases of reality shock. TOP: Reality shock MSC: NCLEX®:
Not applicable
5. A student in the last semester of nursing school has established a goal of making a
successful role transition to graduate nurse. Which statement by the student indicates his/her
understanding of how to achieve this goal?
a. “I should care for increased numbers of patients to enhance work organization skills.”
b. “I will observe staff nurses as they perform nursing procedures to refine technique.”
c. “I should seek increasingly close guidance from the nursing instructor to reduce errors.”
d. “I will evaluate my progress every 7 weeks or more to allow time for growth.”
ANS: A
It is important for the student to start taking care of increased numbers of patients to help with
time management and work organization. The student should also be able to function without
close guidance from the nursing instructor. Although it is good for students to observe staff, a
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