c c c c c c
DITION ZERWEKH TEST BANK
c c c
TEST BANK c
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c c
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTESTcBANK
Chapterc01:cRealitycShockcMULTIP
LEcCHOICE
1. Acgraduatecnursechascbeenchiredcascacnursecatcaclocalchospital.cThecnewcnurseciscincthechoneymooncphasecofcro
lectransitioncwhencmakingcwhichcofcthecfollowingcstatements?
a. “Icamcsocnervouscaboutcbeingconcmycowncascacnurse.”
b. “Thiscwillcbecacgreatclearningcexperience.”
c. “Iccan’tcwaitctochavecacsteadycpaycheck.”
d. “Thiscjobciscperfect.cIccancfinallycdocthingscmycowncway.”
ANS:cD
Thechoneymooncphaseciscwhencthecstudentcnursecseescthecworldcofcnursingcascquitecrosy.cOften,cthecnewcgraduat
eciscfascinatedcwithcthecthrillcofcarrivingcincthecprofession.cRealitycshockcoccurscwhenconecmovescintocthecworkf
orcecaftercseveralcyearscofceducationalcpreparation.cRecoverycandcresolutioncoccurcwhencthecgraduatecnurseciscab
lectoclaughcatcencounteredcsituations.cDuringcthisctime,ctensioncdecreases,cperceptioncincreases,candcthecnursecisc
ablectocgrowcascacperson.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c7
OBJ:cIdentifyctheccharacteristicscofcrealitycs h o Nc kU. cRTSOIPN:GRTeBa.lC
ityOM
shock
MSC:cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
2. Whichcofcthecfollowingcactionscbycthecgraduatecnurseciscancinappropriatecmethodologyctocrecovercfromcr
ealitycshock?
a. Networking c. Returningctocschool
b. Obtainingcacmentor d. Joiningcacsupportcgroup
ANS:cC
Thectransitioncperiodciscsuccessfullycmanagedcwhencthecgraduateciscablectocevaluatecthecworkcsituationcobjectivel
ycandcpredictceffectivelycthecactionscandcreactionscofcothercstaff.cNurturingcthecabilityctocseechumorcincacsituationc
maycbecacfirstcstep.cReturningctocschoolciscacpositivecstepcaftercthecgraduatechascworkedcthroughcrolectransition,cha
scsomecclinicalcexperience,candciscreadyctocfocusconcacnewccareercobjective.cNetworking,cobtainingcacmentor,candc
joiningcacsupportcgroupcwouldcgivecthecgraduatecnursecancopportunityctoctalkctocothers
experiencingcthecstresscassociatedcwithcrealitycshock.cThecnursecwouldcbenefitcfromc‘talkingcthrough’cissuescandc
learningchowctoccope.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c8
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockcM
SC:cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
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, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTESTcBANK
3. Acnursecisctryingctocavoidcburnout.cWhichcofcthecfollowingcactionsciscacvalidcwayctocachievecthis?
a. Refusingctocconstantlycworkcextracshifts
b. Withdrawingcfromcpeercsupportcgroup
c. “Goingcnative”
d. Changingcjobsceveryc6ctoc12cmonths
ANS:cA
Onecofcthecquickestcwaysctocexperiencecburnoutcisctoc“overworkcthecovertime.”cSetcprioritiescwithcyourcmentalcan
dcphysicalchealthcbeingcthechighestcpriority.cLearningctocsayc“no”ctocextracshiftsciscacpositivecmeanscofccopingcofca
voidingcburnout.c“Goingcnative”ciscthectermcthatcdescribeschowcrecentcgraduatescbeginctoccopycandcidentifycthecre
alitycofctheircrolectransitioncexperiencecbycrejectingcthecvaluescfromcnursingcschoolcandcfunctioningcmoreclikecacte
amcmembercatctheircplacecofcemployment.cWithdrawingcfromcpeercsupportcgroups,c“goingcnative,”candcchangingc
jobsceveryc6ctoc12cmonthscwouldcincreasecthecchancecofcthecnursecexperiencingcburnout.cThecnursecshouldcinstea
dcfocusconchis/hercpracticecandcseekcoutcsupportcfromcothercnurses.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c9
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockcM
SC:cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
NURSINGTB.COM
graduatecnurse
4.cWhichcofcthecfollowingcstatements cshows
cbycthe
ancunderstandingcofcrealitycshockcascitc
appliesctocnursing?
a. “cRealitycshockciscthecperiodcwhencacpersoncmovescfromcschoolcintocthecworkforce.
b. “Realitycshockciscthecrealizationcthatcpracticecandceducationcarecnotcthecsame.”
c. “Realitycshockciscthecperiodcfromcgraduationctocbecomingcancexperiencedcnurse.”
d. “Realitycshockciscactransitioncphasecthatcnewcgraduatescgocthroughcbeforecchangingcjobs.”
ANS:cA
“Realitycshock”ciscactermcoftencusedctocdescribecthecreactioncexperiencedcwhenconecmovescintocthecworkforcecaft
ercseveralcyearscofceducationalcpreparation.cThecnewcgraduatecisccaughtcincthecsituationcofcmovingcfromcacfamilia
r,ccomfortableceducationalcenvironmentcintocacnewcrolecincthecworkforcecwherecthecexpectationscarecnotcclearlycd
efinedcorcmaycnotcevencbecrealistic.cThecrealizationcthatcpracticecandcnursingcschoolcarecnotcthecsameciscoftencasso
ciatedcwithc“goingcnative.”cWhencnursescmovecfromconecpositionctocanother,ctheychavecalreadycexperiencedcreali
tycshock.cBecomingcancexperiencedcnursectakesctimecandciscnotcpartcofcthecdefinitioncofcrealitycshock.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c6
OBJ:cComparecandccontrastcthecphasescofcrealitycshock.cTOP:cRealitycshockcMS
C:cNCLEX®:cNotcapplicable
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, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTESTcBANK
5.cAcstudentcinctheclastcsemestercofcnursingcschoolchascestablishedcacgoalcofcmakingcacsuccessfulcrolectransitionct
ocgraduatecnurse.cWhichcstatementcbycthecstudentcindicateschis/hercunderstandingcofchowctocachievecthiscgoal?
a. “Icshouldccarecforcincreasedcnumberscofcpatientsctocenhancecworkcorganizationcskills.”
b. “Icwillcobservecstaffcnursescasctheycperformcnursingcproceduresctocrefinectechnique.”
c. “Icshouldcseekcincreasinglycclosecguidancecfromcthecnursingcinstructorctocreducecerrors.”
d. “Icwillcevaluatecmycprogressceveryc7cweekscorcmorectocallowctimecforcgrowth.”
ANS:cA
Itciscimportantcforcthecstudentctocstartctakingccarecofcincreasedcnumberscofcpatientsctochelpcwithctimecmanagemen
tcandcworkcorganization.cThecstudentcshouldcalsocbecablectocfunctioncwithoutcclosecguidancecfromcthecnursingcin
structor.cAlthoughcitciscgoodcforcstudentsctocobservecstaff,cacstudentcincthecfinalcsemestercshouldcbecablectocperfor
mctaskscwithcminimalcobservationcandcshouldcinsteadcfocusconcimplementingccarecandctimecmanagement.cWaiti
ngc7cweeksctocevaluatecprogresscwouldcnotcbechelpfulctocthecstudent.cAlthoughcregularcself-
cevaluationciscancimportantcprocess,citciscthecactualcexperiencecofctakingcrealisticcpatientcassignmentscandcworkin
gctypicalcshiftchourscthatcassistscwithcsuccessfulcrolectransition.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c6
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshock
MSC:cNCLEX®:cNotcapplicable
NURSINGTB.COM
6. Acnewcgraduatecofclesscthanc1cyearcdescribeschis/hercperceptioncofcacstaffcnursecposition,cstating:c“Itcfeelscg
reatctocbecacnurse!cIncfact,cit’scacsnap!cIccanchardlycbelievecthere’scnocinstructorclookingcovercmycshoulder.”cW
hatcphasecofcrealitycshockciscthecgraduatecexperiencing?
a. Recovery c. Honeymoon
b. Shockcandcrejection d. Transition
ANS:cC
Incthecfirstcphasecofcthecrolectransitioncprocessc(thechoneymooncphase),cthecgraduatecnurseciscthrilledcwithccompl
etingcschoolcandcacceptingcthecfirstcjob.cLifeciscacbedcofcrosescbecauseceveryonecknowscnursingcschoolciscmuchch
ardercthancnursingcpractice.cShockcandcrejectioncoccurcascthecnursectriesctocunderstandchowcnursingcschoolcandct
hec“realcworld”ccomectogether.cTransitioncoccurscascthecnursecbeginscthecmovecfromcstudentctocnursecandcrefersct
octhecentirecprocess,cnotcjustcacparticularcphase.cThecrecoverycphaseciscwhencthecnurseccanclaughcatcsituationsctha
tche/sheciscincandciscablectoccopecwithcthecsituationscthatcarecbeingcfaced.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c7
OBJ:cComparecandccontrastcthecphasescofcrealitycshock.cTOP:cRealitycshockcMS
C:cNCLEX®:cNotcapplicable
NURSINGTB.COM