NURSINGTODAYTRANSITIONANDTRENDS9TH E
c
DITIONZERWEKHTESTBANK
TESTBANK
NURSINGTESTBANKS
c c
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTEST
Chapterc01:cRealitycShockc
MULTIPLEcCHOICE
1. Acgraduatecnursechascbeenchiredcascacnursecatcaclocalchospital.cThecnewcnurseciscincthechoneymooncphasecofcro
lectransitioncwhencmakingcwhichcofcthecfollowingcstatements?
a. “Icamcsoc nervousc aboutcbeingconcmyc ownc ascacnurse.”
b. “Thiscwillcbecacgreatclearningc experience.”
c. “Iccan’tc waitc tochavec acsteadycpaycheck.”
d. “Thiscjobc iscperfect.c Iccanc finallycdoc thingscmycownc way.”
ANS:cD
Thechoneymooncphaseciscwhencthecstudentcnursecseescthecworldcofcnursingcascquitecrosy.cOften,cthecnewcgraduat
eciscfascinatedcwithcthecthrillcofcarrivingcincthecprofession.cRealitycshockcoccurscwhenconecmovescintocthecworkf
orcecaftercseveralcyearscofceducationalcpreparation.cRecoverycandcresolutioncoccurcwhencthecgraduatecnurseciscabl
ectoclaughcatcencounteredcsituations.cDuringcthisctime,ctensioncdecreases,cperceptioncincreases,candcthecnursecisca
blectocgrowcascacperson.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c7
OBJ:cIdentifyctheccharacteristicscofcrealitycs hco NcckU.cRTSOIPN:GRTeBa.lC
ityOM
shockcMSC:c
NCLEX®:cSafecandceffectiveccarecenvironment—management ofccare II
2. Whichcofcthecfollowingcactionscbycthecgraduatecnurseciscancinappropriatecmethodologyctocrecovercfromcr
ealitycshock?
a. Networking c. Returningctoc school
b. Obtainingcac mentor d. Joiningcacsupportcgroup
ANS:cC
Thectransitioncperiodciscsuccessfullycmanagedcwhencthecgraduateciscablectocevaluatecthecworkcsituationcobjective
lycandcpredictceffectivelycthecactionscandcreactionscofcothercstaff.cNurturingcthecabilityctocseechumorcincacsituatio
ncmaycbecacfirstcstep.cReturningctocschoolciscacpositivecstepcaftercthecgraduatechascworkedcthroughcrolectransition,
chascsomecclinicalcexperience,candciscreadyctocfocusconcacnewccareercobjective.cNetworking,cobtainingcac mentor,c
andcjoiningcacsupportcgroupcwouldcgivecthecgraduatecnursecancopportunityctoctalkctocotherscexperiencingcthecstres
scassociatedcwithcrealitycshock.cThecnursecwouldcbenefitcfromc‘talkingcthrough’cissues
andclearningchowctoccope.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c8
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockcMSC:
cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
NURSINGTB.COM
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTEST
3. Acnursecisctryingctocavoidcburnout.cWhichcofcthecfollowingcactionsciscacvalidcwayctocachievecthis?
a. Refusingctocconstantlyc workcextrac shifts
b. Withdrawingcfromcpeerc supportcgroup
c. “Goingcnative”
d. Changingcjobsc everyc6c toc 12c months
ANS:cA
Onecofcthecquickestcwaysctocexperiencecburnoutcisctoc“overworkcthecovertime.”cSetcprioritiescwithcyourcmentalcan
dcphysicalchealthcbeingcthechighestcpriority.cLearningctocsayc“no”ctocextracshiftsciscacpositivecmeanscofccopingcofca
voidingcburnout.c“Goingcnative”ciscthectermcthatcdescribeschowcrecentcgraduatescbeginctoccopycandcidentifycthecre
alitycofctheircrolectransitioncexperiencecbycrejectingcthecvaluescfromcnursingcschoolcandcfunctioningcmoreclikecact
eamcmembercatctheircplacecofcemployment.cWithdrawingcfromcpeercsupportcgroups,c“goingcnative,”candcchangin
gcjobsceveryc6ctoc12cmonthscwouldcincreasecthecchancecofcthecnursecexperiencingcburnout.cThecnursecshouldcinst
eadcfocusconchis/hercpracticecandcseekcoutcsupportcfromcothercnurses.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c9
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockcMSC:
cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
NURSINGTB.COM
4. Whichcofcthecfollowingcsgtraatedm
uaetnetnsubrysethsheowsccancunderstanding ofcrealitycshockcascit
II II II
appliesctocnursing?
a. “cRealitycshockciscthecperiodc whenc acpersonc movesc fromcschoolcintoc thecworkforce.
b. “Realitycshockciscthecrealizationc thatcpracticecandc educationc arecnotcthecsame.”
c. “Realitycshockciscthecperiodc fromcgraduationctocbecomingc anc experiencedc nurse.”
d. “Realitycshockciscac transitioncphasecthatc newcgraduatescgoc throughcbeforecchangingcjobs.”
ANS:cA
“Realitycshock”ciscactermcoftencusedctocdescribecthecreactioncexperiencedcwhenconecmovescintocthecworkforcecaft
ercseveralcyearscofceducationalcpreparation.cThecnewcgraduatecisccaughtcincthecsituationcofcmovingcfromcacfamilia
r,ccomfortableceducationalcenvironmentcintocacnewcrolecincthecworkforcecwherecthecexpectationscarecnotcclearlycd
efinedcorcmaycnotcevencbecrealistic.cThecrealizationcthatcpracticecandcnursingcschoolcarecnotcthecsameciscoftencassoc
iatedcwithc“goingcnative.”cWhencnursescmovecfromconecpositionctocanother,ctheychavecalreadycexperiencedcrealit
ycshock.cBecomingcancexperiencedcnursectakesctimecandciscnotcpartcofcthecdefinitioncofcrealitycshock.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c6
OBJ:cComparecandccontrastcthecphasescofcrealitycshock.cTOP:cRealitycshockc
MSC:cNCLEX®:cNotcapplicable
NURSINGTB.COM
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTEST
5. Acstudentcinctheclastcsemestercofcnursingcschoolchascestablishedcacgoalcofcmakingcacsuccessfulcrolectransitioncto
cgraduatecnurse.cWhichcstatementcbycthecstudentcindicateschis/hercunderstandingcofchowctocachievecthiscgoal?
a. “Icshouldccarecforcincreasedc numberscofcpatientsctoc enhancecworkcorganizationc skills.”
b. “Icwillc observecstaffcnursescasctheycperformcnursingcproceduresctoc refinectechnique.”
c. “Icshouldc seekcincreasinglycclosecguidancecfromcthecnursingc instructorctoc reducecerrors.”
d. “Ic willc evaluatec mycprogressceveryc7c weekscorc morectoc allowctimec forc growth.”
ANS:cA
Itciscimportantcforcthecstudentctocstartctakingccarecofcincreasedcnumberscofcpatientsctochelpcwithctimecmanagemen
tcandcworkcorganization.cThecstudentcshouldcalsocbecablectocfunctioncwithoutcclosecguidancecfromcthecnursingcin
structor.cAlthoughcitciscgoodcforcstudentsctocobservecstaff,cacstudentcincthecfinalcsemestercshouldcbecablectocperfor
mctaskscwithcminimalcobservationcandcshouldcinsteadcfocusconcimplementingccarecandctimecmanagement.cWaiti
ngc7cweeksctocevaluatecprogresscwouldcnotcbechelpfulctocthecstudent.cAlthoughcregularcself-
cevaluationciscancimportantcprocess,citcisc thecactualcexperiencecofctakingcrealisticcpatientcassignmentscandcworkin
gctypicalcshiftchourscthatcassistscwithcsuccessfulcrolectransition.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c6
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockc
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.cLifeciscacbedcofcrosescbecauseceveryonecknowscnursingcschoolciscmuchchar
dercthancnursingcpractice.cShockcandcrejectioncoccurcascthecnursectriesctocunderstandchowcnursingcschoolcandcthe
c“realcworld”c comectogether.cTransitioncoccurscascthecnursecbeginscthec movecfromcstudentctocnursecandcrefersc toc
thecentirecprocess,cnotcjustcacparticularcphase.cThecrecoverycphaseciscwhencthecnurseccanclaughcatcsituationscthatc
he/sheciscincandciscablectoccopecwithcthecsituationscthatcarecbeingcfaced.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c7
OBJ:cComparecandccontrastcthecphasescofcrealitycshock.cTOP:cRealitycshockcM
SC:cNCLEX®:cNotcapplicable
NURSINGTB.COM
c
DITIONZERWEKHTESTBANK
TESTBANK
NURSINGTESTBANKS
c c
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTEST
Chapterc01:cRealitycShockc
MULTIPLEcCHOICE
1. Acgraduatecnursechascbeenchiredcascacnursecatcaclocalchospital.cThecnewcnurseciscincthechoneymooncphasecofcro
lectransitioncwhencmakingcwhichcofcthecfollowingcstatements?
a. “Icamcsoc nervousc aboutcbeingconcmyc ownc ascacnurse.”
b. “Thiscwillcbecacgreatclearningc experience.”
c. “Iccan’tc waitc tochavec acsteadycpaycheck.”
d. “Thiscjobc iscperfect.c Iccanc finallycdoc thingscmycownc way.”
ANS:cD
Thechoneymooncphaseciscwhencthecstudentcnursecseescthecworldcofcnursingcascquitecrosy.cOften,cthecnewcgraduat
eciscfascinatedcwithcthecthrillcofcarrivingcincthecprofession.cRealitycshockcoccurscwhenconecmovescintocthecworkf
orcecaftercseveralcyearscofceducationalcpreparation.cRecoverycandcresolutioncoccurcwhencthecgraduatecnurseciscabl
ectoclaughcatcencounteredcsituations.cDuringcthisctime,ctensioncdecreases,cperceptioncincreases,candcthecnursecisca
blectocgrowcascacperson.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c7
OBJ:cIdentifyctheccharacteristicscofcrealitycs hco NcckU.cRTSOIPN:GRTeBa.lC
ityOM
shockcMSC:c
NCLEX®:cSafecandceffectiveccarecenvironment—management ofccare II
2. Whichcofcthecfollowingcactionscbycthecgraduatecnurseciscancinappropriatecmethodologyctocrecovercfromcr
ealitycshock?
a. Networking c. Returningctoc school
b. Obtainingcac mentor d. Joiningcacsupportcgroup
ANS:cC
Thectransitioncperiodciscsuccessfullycmanagedcwhencthecgraduateciscablectocevaluatecthecworkcsituationcobjective
lycandcpredictceffectivelycthecactionscandcreactionscofcothercstaff.cNurturingcthecabilityctocseechumorcincacsituatio
ncmaycbecacfirstcstep.cReturningctocschoolciscacpositivecstepcaftercthecgraduatechascworkedcthroughcrolectransition,
chascsomecclinicalcexperience,candciscreadyctocfocusconcacnewccareercobjective.cNetworking,cobtainingcac mentor,c
andcjoiningcacsupportcgroupcwouldcgivecthecgraduatecnursecancopportunityctoctalkctocotherscexperiencingcthecstres
scassociatedcwithcrealitycshock.cThecnursecwouldcbenefitcfromc‘talkingcthrough’cissues
andclearningchowctoccope.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c8
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockcMSC:
cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
NURSINGTB.COM
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTEST
3. Acnursecisctryingctocavoidcburnout.cWhichcofcthecfollowingcactionsciscacvalidcwayctocachievecthis?
a. Refusingctocconstantlyc workcextrac shifts
b. Withdrawingcfromcpeerc supportcgroup
c. “Goingcnative”
d. Changingcjobsc everyc6c toc 12c months
ANS:cA
Onecofcthecquickestcwaysctocexperiencecburnoutcisctoc“overworkcthecovertime.”cSetcprioritiescwithcyourcmentalcan
dcphysicalchealthcbeingcthechighestcpriority.cLearningctocsayc“no”ctocextracshiftsciscacpositivecmeanscofccopingcofca
voidingcburnout.c“Goingcnative”ciscthectermcthatcdescribeschowcrecentcgraduatescbeginctoccopycandcidentifycthecre
alitycofctheircrolectransitioncexperiencecbycrejectingcthecvaluescfromcnursingcschoolcandcfunctioningcmoreclikecact
eamcmembercatctheircplacecofcemployment.cWithdrawingcfromcpeercsupportcgroups,c“goingcnative,”candcchangin
gcjobsceveryc6ctoc12cmonthscwouldcincreasecthecchancecofcthecnursecexperiencingcburnout.cThecnursecshouldcinst
eadcfocusconchis/hercpracticecandcseekcoutcsupportcfromcothercnurses.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c9
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockcMSC:
cNCLEX®:cSafecandceffectiveccarecenvironment—managementcofccare
NURSINGTB.COM
4. Whichcofcthecfollowingcsgtraatedm
uaetnetnsubrysethsheowsccancunderstanding ofcrealitycshockcascit
II II II
appliesctocnursing?
a. “cRealitycshockciscthecperiodc whenc acpersonc movesc fromcschoolcintoc thecworkforce.
b. “Realitycshockciscthecrealizationc thatcpracticecandc educationc arecnotcthecsame.”
c. “Realitycshockciscthecperiodc fromcgraduationctocbecomingc anc experiencedc nurse.”
d. “Realitycshockciscac transitioncphasecthatc newcgraduatescgoc throughcbeforecchangingcjobs.”
ANS:cA
“Realitycshock”ciscactermcoftencusedctocdescribecthecreactioncexperiencedcwhenconecmovescintocthecworkforcecaft
ercseveralcyearscofceducationalcpreparation.cThecnewcgraduatecisccaughtcincthecsituationcofcmovingcfromcacfamilia
r,ccomfortableceducationalcenvironmentcintocacnewcrolecincthecworkforcecwherecthecexpectationscarecnotcclearlycd
efinedcorcmaycnotcevencbecrealistic.cThecrealizationcthatcpracticecandcnursingcschoolcarecnotcthecsameciscoftencassoc
iatedcwithc“goingcnative.”cWhencnursescmovecfromconecpositionctocanother,ctheychavecalreadycexperiencedcrealit
ycshock.cBecomingcancexperiencedcnursectakesctimecandciscnotcpartcofcthecdefinitioncofcrealitycshock.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c6
OBJ:cComparecandccontrastcthecphasescofcrealitycshock.cTOP:cRealitycshockc
MSC:cNCLEX®:cNotcapplicable
NURSINGTB.COM
, NURSINGcTODAYcTRANSITIONcANDcTRENDSc9THcEDITIONcZERWEKHcTEST
5. Acstudentcinctheclastcsemestercofcnursingcschoolchascestablishedcacgoalcofcmakingcacsuccessfulcrolectransitioncto
cgraduatecnurse.cWhichcstatementcbycthecstudentcindicateschis/hercunderstandingcofchowctocachievecthiscgoal?
a. “Icshouldccarecforcincreasedc numberscofcpatientsctoc enhancecworkcorganizationc skills.”
b. “Icwillc observecstaffcnursescasctheycperformcnursingcproceduresctoc refinectechnique.”
c. “Icshouldc seekcincreasinglycclosecguidancecfromcthecnursingc instructorctoc reducecerrors.”
d. “Ic willc evaluatec mycprogressceveryc7c weekscorc morectoc allowctimec forc growth.”
ANS:cA
Itciscimportantcforcthecstudentctocstartctakingccarecofcincreasedcnumberscofcpatientsctochelpcwithctimecmanagemen
tcandcworkcorganization.cThecstudentcshouldcalsocbecablectocfunctioncwithoutcclosecguidancecfromcthecnursingcin
structor.cAlthoughcitciscgoodcforcstudentsctocobservecstaff,cacstudentcincthecfinalcsemestercshouldcbecablectocperfor
mctaskscwithcminimalcobservationcandcshouldcinsteadcfocusconcimplementingccarecandctimecmanagement.cWaiti
ngc7cweeksctocevaluatecprogresscwouldcnotcbechelpfulctocthecstudent.cAlthoughcregularcself-
cevaluationciscancimportantcprocess,citcisc thecactualcexperiencecofctakingcrealisticcpatientcassignmentscandcworkin
gctypicalcshiftchourscthatcassistscwithcsuccessfulcrolectransition.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c6
OBJ:cDescribecfourcpossiblecresolutionscforcrealitycshock.cTOP:cRealitycshockc
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.cLifeciscacbedcofcrosescbecauseceveryonecknowscnursingcschoolciscmuchchar
dercthancnursingcpractice.cShockcandcrejectioncoccurcascthecnursectriesctocunderstandchowcnursingcschoolcandcthe
c“realcworld”c comectogether.cTransitioncoccurscascthecnursecbeginscthec movecfromcstudentctocnursecandcrefersc toc
thecentirecprocess,cnotcjustcacparticularcphase.cThecrecoverycphaseciscwhencthecnurseccanclaughcatcsituationscthatc
he/sheciscincandciscablectoccopecwithcthecsituationscthatcarecbeingcfaced.
PTS:c1cDIF:cCognitivecLevel:cApplicationcREF:cp.c7
OBJ:cComparecandccontrastcthecphasescofcrealitycshock.cTOP:cRealitycshockcM
SC:cNCLEX®:cNotcapplicable
NURSINGTB.COM
