MedgC
, Chapterg01:gRealitygShockg
MULTIPLEgCHOICE
1. Aggraduategnurseghasgbeenghiredgasgagnursegatgaglocalghospital.gThegnewgnursegisgingtheghoneymoongphasegofg
rolegtransitiongwhengmakinggwhichgofgthegfollowinggstatements?
a. ―Igamgsognervousgaboutgbeinggongmygowngasgagnurse.‖
b. ―Thisgwillgbegaggreatglearninggexperience.‖
c. ―Igcan‘tgwaitgtoghavegagsteadygpaycheck.‖
d. ―Thisgjobgisgperfect.gIgcangfinallygdogthingsgmygowngway.‖
ANS:gD
Theghoneymoongphasegisgwhengthegstudentgnursegseesgthegworldgofgnursinggasgquitegrosy.gOften,gthegnewggradua
tegisgfascinatedgwithgthegthrillgofgarrivinggingthegprofession.gRealitygshockgoccursgwhengonegmovesgintogthegwork
forcegaftergseveralgyearsgofgeducationalgpreparation.gRecoverygandgresolutiongoccurgwhengtheggraduategnursegisga
blegtoglaughgatgencounteredgsituations.gDuringgthisgtime,gtensiongdecreases,gperceptiongincreases,gandgthegnursegi
sgablegtoggrowgasgagperson.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gIdentifygthegcharacteristicsgofgrealitygshoN
ckU.gR
TSOIP
N:GRTeBa.lC
ityOM
shock
MSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
2. Whichgofgthegfollowinggactionsgbygtheggraduategnursegisganginappropriategmethodologygtogrecovergfromg
realitygshock?
a. Networking c. Returninggtogschool
b. Obtaininggagmentor d. Joininggagsupportggroup
ANS:gC
Thegtransitiongperiodgisgsuccessfullygmanagedgwhengtheggraduategisgablegtogevaluategthegworkgsituationgobjective
lygandgpredictgeffectivelygthegactionsgandgreactionsgofgothergstaff.gNurturinggthegabilitygtogseeghumorgingagsituatio
ngmaygbegagfirstgstep.gReturninggtogschoolgisgagpositivegstepgaftergtheggraduateghasgworkedgthroughgrolegtransition
,ghasgsomegclinicalgexperience,gandgisgreadygtogfocusgongagnewgcareergobjective.gNetworking,gobtaininggagmentor,g
andgjoininggagsupportggroupgwouldggivegtheggraduategnursegangopportunitygtogtalkgtogothersgexperiencinggthegstre
ssgassociatedgwithgrealitygshock.gThegnursegwouldgbenefitgfromg‗talkinggthrough‘gissuesgandglearningghowgtogcop
e.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g8
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshockgMSC
:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
MedgC
, 3. Agnursegisgtryinggtogavoidgburnout.gWhichgofgthegfollowinggactionsgisgagvalidgwaygtogachievegthis?
a. Refusinggtogconstantlygworkgextragshifts
b. Withdrawinggfromgpeergsupportggroup
c. ―Goinggnative‖
d. Changinggjobsgeveryg6gtog12gmonths
ANS:gA
Onegofgthegquickestgwaysgtogexperiencegburnoutgisgtog―overworkgthegovertime.‖gSetgprioritiesgwithgyourgmentalga
ndgphysicalghealthgbeinggtheghighestgpriority.gLearninggtogsayg―no‖gtogextragshiftsgisgagpositivegmeansgofgcopinggof
gavoidinggburnout.g―Goinggnative‖gisgthegtermgthatgdescribesghowgrecentggraduatesgbegingtogcopygandgidentifygtheg
realitygofgtheirgrolegtransitiongexperiencegbygrejectinggthegvaluesgfromgnursinggschoolgandgfunctioninggmoreglikeg
agteamgmembergatgtheirgplacegofgemployment.gWithdrawinggfromgpeergsupportggroups,g―goinggnative,‖gandgchang
inggjobsgeveryg6gtog12gmonthsgwouldgincreasegthegchancegofgthegnursegexperiencinggburnout.gThegnursegshouldgin
steadgfocusgonghis/hergpracticegandgseekgoutgsupportgfromgothergnurses.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g9
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshockgMSC
:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
M
4.gWhichgofgthegfollowinggstatementsgbygangundergraduategnursegdescribesgunderstandinggofgrealitygshockgasgitgappliesgt
ognursing?
a. ―gRealitygshockgisgthegperiodgwhengagpersongmovesgfromgschoolgintogthegworkforce.
b. ―Realitygshockgisgthegrealizationgthatgpracticegandgeducationgaregnotgthegsame.‖
c. ―Realitygshockgisgthegperiodgfromggraduationgtogbecominggangexperiencedgnurse.‖
d. ―Realitygshockgisgagtransitiongphasegthatgnewggraduatesggogthroughgbeforegchanginggjobs.‖
ANS:gA
―Realitygshock‖gisgagtermgoftengusedgtogdescribegthegreactiongexperiencedgwhengonegmovesgintogthegworkforcega
ftergseveralgyearsgofgeducationalgpreparation.gThegnewggraduategisgcaughtgingthegsituationgofgmovinggfromgagfami
liar,gcomfortablegeducationalgenvironmentgintogagnewgrolegingthegworkforcegwheregthegexpectationsgaregnotgclear
lygdefinedgorgmaygnotgevengbegrealistic.gThegrealizationgthatgpracticegandgnursinggschoolgaregnotgthegsamegisgoften
gassociatedgwithg―goinggnative.‖gWhengnursesgmovegfromgonegpositiongtoganother,gtheyghavegalreadygexperienc
edgrealitygshock.gBecominggangexperiencedgnursegtakesgtimegandgisgnotgpartgofgthegdefinitiongofgrealitygshock.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
MedgC
, 5. Agstudentgingtheglastgsemestergofgnursinggschoolghasgestablishedgaggoalgofgmakinggagsuccessfulgrolegtransitiong
toggraduategnurse.gWhichgstatementgbygthegstudentgindicatesghis/hergunderstandinggofghowgtogachievegthisggoal?
a. ―Igshouldgcaregforgincreasedgnumbersgofgpatientsgtogenhancegworkgorganizationgskills.‖
b. ―Igwillgobservegstaffgnursesgasgtheygperformgnursinggproceduresgtogrefinegtechnique.‖
c. ―Igshouldgseekgincreasinglygclosegguidancegfromgthegnursingginstructorgtogreducegerrors.‖
d. ―Igwillgevaluategmygprogressgeveryg7gweeksgorgmoregtogallowgtimegforggrowth.‖
ANS:gA
Itgisgimportantgforgthegstudentgtogstartgtakinggcaregofgincreasedgnumbersgofgpatientsgtoghelpgwithgtimegmanageme
ntgandgworkgorganization.gThegstudentgshouldgalsogbegablegtogfunctiongwithoutgclosegguidancegfromgthegnursingg
instructor.gAlthoughgitgisggoodgforgstudentsgtogobservegstaff,gagstudentgingthegfinalgsemestergshouldgbegablegtogper
formgtasksgwithgminimalgobservationgandgshouldginsteadgfocusgongimplementinggcaregandgtimegmanagement.gW
aitingg7gweeksgtogevaluategprogressgwouldgnotgbeghelpfulgtogthegstudent.gAlthoughgregulargself-
gevaluationgisgangimportantgprocess,gitgisgthegactualgexperiencegofgtakinggrealisticgpatientgassignmentsgandgworki
nggtypicalgshiftghoursgthatgassistsgwithgsuccessfulgrolegtransition.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
NURSINGTB.COM
6. Agnewggraduategofglessgthang1gyeargdescribesghis/hergperceptiongofgagstaffgnursegposition,gstating:g―Itgfeelsg
greatgtogbegagnurse!gIngfact,git‘sgagsnap!gIgcanghardlygbelievegthere‘sgnoginstructorglookinggovergmygshoulder.‖g
Whatgphasegofgrealitygshockgisgtheggraduategexperiencing?
a. Recovery c. Honeymoon
b. Shockgandgrejection d. Transition
ANS:gC
Ingthegfirstgphasegofgthegrolegtransitiongprocessg(theghoneymoongphase),gtheggraduategnursegisgthrilledgwithgcomp
letinggschoolgandgacceptinggthegfirstgjob.gLifegisgagbedgofgrosesgbecausegeveryonegknowsgnursinggschoolgisgmuchg
hardergthangnursinggpractice.gShockgandgrejectiongoccurgasgthegnursegtriesgtogunderstandghowgnursinggschoolgan
dgtheg―realgworld‖gcomegtogether.gTransitiongoccursgasgthegnursegbeginsgthegmovegfromgstudentgtognursegandgre
fersgtogthegentiregprocess,gnotgjustgagparticulargphase.gThegrecoverygphasegisgwhengthegnursegcanglaughgatgsituatio
nsgthatghe/shegisgingandgisgablegtogcopegwithgthegsituationsgthatgaregbeinggfaced.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
MedgC
, Chapterg01:gRealitygShockg
MULTIPLEgCHOICE
1. Aggraduategnurseghasgbeenghiredgasgagnursegatgaglocalghospital.gThegnewgnursegisgingtheghoneymoongphasegofg
rolegtransitiongwhengmakinggwhichgofgthegfollowinggstatements?
a. ―Igamgsognervousgaboutgbeinggongmygowngasgagnurse.‖
b. ―Thisgwillgbegaggreatglearninggexperience.‖
c. ―Igcan‘tgwaitgtoghavegagsteadygpaycheck.‖
d. ―Thisgjobgisgperfect.gIgcangfinallygdogthingsgmygowngway.‖
ANS:gD
Theghoneymoongphasegisgwhengthegstudentgnursegseesgthegworldgofgnursinggasgquitegrosy.gOften,gthegnewggradua
tegisgfascinatedgwithgthegthrillgofgarrivinggingthegprofession.gRealitygshockgoccursgwhengonegmovesgintogthegwork
forcegaftergseveralgyearsgofgeducationalgpreparation.gRecoverygandgresolutiongoccurgwhengtheggraduategnursegisga
blegtoglaughgatgencounteredgsituations.gDuringgthisgtime,gtensiongdecreases,gperceptiongincreases,gandgthegnursegi
sgablegtoggrowgasgagperson.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gIdentifygthegcharacteristicsgofgrealitygshoN
ckU.gR
TSOIP
N:GRTeBa.lC
ityOM
shock
MSC:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
2. Whichgofgthegfollowinggactionsgbygtheggraduategnursegisganginappropriategmethodologygtogrecovergfromg
realitygshock?
a. Networking c. Returninggtogschool
b. Obtaininggagmentor d. Joininggagsupportggroup
ANS:gC
Thegtransitiongperiodgisgsuccessfullygmanagedgwhengtheggraduategisgablegtogevaluategthegworkgsituationgobjective
lygandgpredictgeffectivelygthegactionsgandgreactionsgofgothergstaff.gNurturinggthegabilitygtogseeghumorgingagsituatio
ngmaygbegagfirstgstep.gReturninggtogschoolgisgagpositivegstepgaftergtheggraduateghasgworkedgthroughgrolegtransition
,ghasgsomegclinicalgexperience,gandgisgreadygtogfocusgongagnewgcareergobjective.gNetworking,gobtaininggagmentor,g
andgjoininggagsupportggroupgwouldggivegtheggraduategnursegangopportunitygtogtalkgtogothersgexperiencinggthegstre
ssgassociatedgwithgrealitygshock.gThegnursegwouldgbenefitgfromg‗talkinggthrough‘gissuesgandglearningghowgtogcop
e.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g8
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshockgMSC
:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
MedgC
, 3. Agnursegisgtryinggtogavoidgburnout.gWhichgofgthegfollowinggactionsgisgagvalidgwaygtogachievegthis?
a. Refusinggtogconstantlygworkgextragshifts
b. Withdrawinggfromgpeergsupportggroup
c. ―Goinggnative‖
d. Changinggjobsgeveryg6gtog12gmonths
ANS:gA
Onegofgthegquickestgwaysgtogexperiencegburnoutgisgtog―overworkgthegovertime.‖gSetgprioritiesgwithgyourgmentalga
ndgphysicalghealthgbeinggtheghighestgpriority.gLearninggtogsayg―no‖gtogextragshiftsgisgagpositivegmeansgofgcopinggof
gavoidinggburnout.g―Goinggnative‖gisgthegtermgthatgdescribesghowgrecentggraduatesgbegingtogcopygandgidentifygtheg
realitygofgtheirgrolegtransitiongexperiencegbygrejectinggthegvaluesgfromgnursinggschoolgandgfunctioninggmoreglikeg
agteamgmembergatgtheirgplacegofgemployment.gWithdrawinggfromgpeergsupportggroups,g―goinggnative,‖gandgchang
inggjobsgeveryg6gtog12gmonthsgwouldgincreasegthegchancegofgthegnursegexperiencinggburnout.gThegnursegshouldgin
steadgfocusgonghis/hergpracticegandgseekgoutgsupportgfromgothergnurses.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g9
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshockgMSC
:gNCLEX®:gSafegandgeffectivegcaregenvironment—managementgofgcare
M
4.gWhichgofgthegfollowinggstatementsgbygangundergraduategnursegdescribesgunderstandinggofgrealitygshockgasgitgappliesgt
ognursing?
a. ―gRealitygshockgisgthegperiodgwhengagpersongmovesgfromgschoolgintogthegworkforce.
b. ―Realitygshockgisgthegrealizationgthatgpracticegandgeducationgaregnotgthegsame.‖
c. ―Realitygshockgisgthegperiodgfromggraduationgtogbecominggangexperiencedgnurse.‖
d. ―Realitygshockgisgagtransitiongphasegthatgnewggraduatesggogthroughgbeforegchanginggjobs.‖
ANS:gA
―Realitygshock‖gisgagtermgoftengusedgtogdescribegthegreactiongexperiencedgwhengonegmovesgintogthegworkforcega
ftergseveralgyearsgofgeducationalgpreparation.gThegnewggraduategisgcaughtgingthegsituationgofgmovinggfromgagfami
liar,gcomfortablegeducationalgenvironmentgintogagnewgrolegingthegworkforcegwheregthegexpectationsgaregnotgclear
lygdefinedgorgmaygnotgevengbegrealistic.gThegrealizationgthatgpracticegandgnursinggschoolgaregnotgthegsamegisgoften
gassociatedgwithg―goinggnative.‖gWhengnursesgmovegfromgonegpositiongtoganother,gtheyghavegalreadygexperienc
edgrealitygshock.gBecominggangexperiencedgnursegtakesgtimegandgisgnotgpartgofgthegdefinitiongofgrealitygshock.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
MedgC
, 5. Agstudentgingtheglastgsemestergofgnursinggschoolghasgestablishedgaggoalgofgmakinggagsuccessfulgrolegtransitiong
toggraduategnurse.gWhichgstatementgbygthegstudentgindicatesghis/hergunderstandinggofghowgtogachievegthisggoal?
a. ―Igshouldgcaregforgincreasedgnumbersgofgpatientsgtogenhancegworkgorganizationgskills.‖
b. ―Igwillgobservegstaffgnursesgasgtheygperformgnursinggproceduresgtogrefinegtechnique.‖
c. ―Igshouldgseekgincreasinglygclosegguidancegfromgthegnursingginstructorgtogreducegerrors.‖
d. ―Igwillgevaluategmygprogressgeveryg7gweeksgorgmoregtogallowgtimegforggrowth.‖
ANS:gA
Itgisgimportantgforgthegstudentgtogstartgtakinggcaregofgincreasedgnumbersgofgpatientsgtoghelpgwithgtimegmanageme
ntgandgworkgorganization.gThegstudentgshouldgalsogbegablegtogfunctiongwithoutgclosegguidancegfromgthegnursingg
instructor.gAlthoughgitgisggoodgforgstudentsgtogobservegstaff,gagstudentgingthegfinalgsemestergshouldgbegablegtogper
formgtasksgwithgminimalgobservationgandgshouldginsteadgfocusgongimplementinggcaregandgtimegmanagement.gW
aitingg7gweeksgtogevaluategprogressgwouldgnotgbeghelpfulgtogthegstudent.gAlthoughgregulargself-
gevaluationgisgangimportantgprocess,gitgisgthegactualgexperiencegofgtakinggrealisticgpatientgassignmentsgandgworki
nggtypicalgshiftghoursgthatgassistsgwithgsuccessfulgrolegtransition.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g6
OBJ:gDescribegfourgpossiblegresolutionsgforgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
NURSINGTB.COM
6. Agnewggraduategofglessgthang1gyeargdescribesghis/hergperceptiongofgagstaffgnursegposition,gstating:g―Itgfeelsg
greatgtogbegagnurse!gIngfact,git‘sgagsnap!gIgcanghardlygbelievegthere‘sgnoginstructorglookinggovergmygshoulder.‖g
Whatgphasegofgrealitygshockgisgtheggraduategexperiencing?
a. Recovery c. Honeymoon
b. Shockgandgrejection d. Transition
ANS:gC
Ingthegfirstgphasegofgthegrolegtransitiongprocessg(theghoneymoongphase),gtheggraduategnursegisgthrilledgwithgcomp
letinggschoolgandgacceptinggthegfirstgjob.gLifegisgagbedgofgrosesgbecausegeveryonegknowsgnursinggschoolgisgmuchg
hardergthangnursinggpractice.gShockgandgrejectiongoccurgasgthegnursegtriesgtogunderstandghowgnursinggschoolgan
dgtheg―realgworld‖gcomegtogether.gTransitiongoccursgasgthegnursegbeginsgthegmovegfromgstudentgtognursegandgre
fersgtogthegentiregprocess,gnotgjustgagparticulargphase.gThegrecoverygphasegisgwhengthegnursegcanglaughgatgsituatio
nsgthatghe/shegisgingandgisgablegtogcopegwithgthegsituationsgthatgaregbeinggfaced.
PTS:g1gDIF:gCognitivegLevel:gApplicationgREF:gp.g7
OBJ:gComparegandgcontrastgthegphasesgofgrealitygshock.gTOP:gRealitygshockg
MSC:gNCLEX®:gNotgapplicable
MedgC
