Med mC
, Chapterm01:mRealitymShockmMULTI
PLEmCHOICE
1. mAmgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital. mThemnewmnursemisminmthemhoneymoonmpha
semofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. ―Imam msomnervousmaboutmbeingmon mmy mownmasma mnurse.‖
b. ―This mwillmbemamgreatmlearningmexperience.‖
c. ―Imcan‘tmwaitmtomhavemamsteadympaycheck.‖
d. ―This mjobmismperfect.mImcanmfinallymdomthings mmymownmway.‖
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmas mquitemrosy. mOften, mthemnewmg
raduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession. mRealitymshockmoccursmwhenmonemmovesmint
omthemworkforcemaftermseveralmyearsmofmeducationalmpreparation. mRecoverymandmresolutionmoccurmwhenmthemgra
duatemnursemismablemtomlaughmatmencounteredmsituations. mDuringmthismtime, mtensionmdecreases, mperceptionmincre
ases, mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mIdentifym them characteristicsmofmrealityms h o Nc kU. mRTSOI PN:GRTeBa l. CityO M
shock
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecovermf
rommrealitymshock?
a. Networking c. Returningmtomschool
b. Obtainingmammentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtom evaluatemthem workmsituationmobj
ectivelymandmpredictmeffectivelymthemactionsmandmreactionsmofmothermstaff. mNurturingmthemabilitymtomseemhumorm
inmamsituationmmaymbemamfirstmstep. mReturningmtomschoolmismampositivemstepmaftermthemgraduate mhas mworkedmthro
ughmrolemtransition, mhasmsomemclinicalmexperience, mandmismreadymtomfocusmonmamnewmcareermobjective. mNetwork
ing, mobtainingmammentor, mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymtomtalkm
tomothersmexperiencingmthemstressmassociatedmwithmrealitymshock. mThemnursemwould mbenefitmfromm‗talkingmthro
ugh‘missuesmandmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshoc
kmMSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—
managementmofmcare
Med mC
, 3. Amnursemismtryingmtomavoidmburnout. mWhichmofmthemfollowingmactionsmismamvalidmwaymtomachievemthis?
a. Refusingmtomconstantlymworkmextramshifts
b. Withdrawingmfrommpeermsupportmgroup
c. ―Goingmnative‖
d. Changingmjobs meverym6mtom12mmonths
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom―overworkmthemovertime.‖mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority. mLearningmtomsaym―no‖mtomextramshiftsmismampositivemmean
smofmcopingmofmavoidingmburnout. m―Goingmnative‖mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtomc
opymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschoolm
andmfunctioningmmoremlikemamteammmember matmtheirmplacemofmemployment. mWithdrawingmfrommpeermsupportmgr
oups, m―goingmnative,‖mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchancemofmthemnursemex
periencingmburnout. mThemnursemshouldminsteadmfocusmonmhis/her mpracticemandmseekmout msupportmfrommothermnu
rses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshoc
kmMSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—
managementmofmcare
M
4.mWhich mofmthemfollowingmstatementsmby manmundergraduatemnursemdescribesmunderstandingmof mreality mshock mas
mitmappliesmto mnursing?
a. ― mRealitymshockmismthemperiodmwhenma mpersonmmoves mfrommschoolmintomthemworkforce.
b. ―Realitymshockmismthemrealizationmthatmpracticemandmeducationmaremnotmthemsame.‖
c. ―Realitymshockmismthemperiodmfrommgraduationmtombecomingmanmexperiencedmnurse.‖
d. ―Realitymshockmismamtransitionmphasemthatmnew mgraduates mgomthroughmbeforemchangingmjobs.‖
ANS:mA
―Realitymshock‖mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmovesmintomthemworkf
orcemaftermseveralmyearsmofmeducationalmpreparation. mThemnewmgraduatemismcaughtminmthem situationmofmmovingm
frommamfamiliar, mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic. mThemrealizationmthatmpracticemandmnursingmschoolmar
emnotmthemsamemismoftenmassociatedmwithm―goingmnative.‖mWhenmnursesmmove mfrommonempositionmtomanother, m
theymhavemalreadymexperiencedmrealitymshock. mBecomingmanmexperiencedmnursemtakesmtimemandmismnotmpartmofm
themdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mNotmapplicable
Med mC
, 5. mAmstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtrans
itionmtomgraduatemnurse. mWhichmstatementmbymthemstudentmindicatesmhis/her munderstandingmofmhowmtomachievemt
hismgoal?
a. ―Imshouldmcaremfor mincreased mnumbers mof mpatients mtomenhancemworkmorganization mskills.‖
b. ―Imwill mobservemstaffmnurses masmthey mperform mnursingmprocedures mtomrefine mtechnique.‖
c. ―Imshouldmseek mincreasingly mclose mguidance mfrom mthe mnursingminstructor mtomreduce merrors.‖
d. ―Imwillmevaluate mmymprogress mevery m7mweeks mormmore mto mallow mtime mformgrowth.‖
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemman
agementmandmworkmorganization. mThemstudentmshouldmalsombemablemtomfunctionmwithoutmclosemguidancemfromm
themnursingminstructor. mAlthoughmitmismgoodmformstudentsmtomobservemstaff, mamstudentminmthemfinalmsemestermsh
ouldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcarema
ndmtimemmanagement. mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent. mAlthough
mregular mself-
mevaluationmismanmimportant mprocess, mitmismthemactualmexperiencemof mtakingmrealisticmpatientmassignmentsmandm
workingmtypicalmshiftmhoursmthatmassistsmwithmsuccessfulmrolemtransition.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
6. Amnewmgraduatemofmlessmthanm1myearmdescribesmhis/hermperceptionmofmamstaffmnursemposition, mstating:m―It
mfeelsmgreatmtombemamnurse! mInmfact, mit‘smamsnap! mI mcan mhardlymbelievemthere‘smnominstructor mlookingmover mm
ymshoulder.‖mWhatmphasemofmrealitymshockmismthemgraduatemexperiencing?
a. Recovery c. Honeymoon
b. Shockmandmrejection d. Transition
ANS:mC
Inmthemfirstmphasemofmthemrolemtransitionmprocessm(themhoneymoonmphase), mthemgraduatemnursemismthrilledmwithm
completingmschoolmandmacceptingmthemfirstmjob. mLifemismambedmofmrosesmbecausemeveryonemknowsmnursingm scho
olmismmuchmhardermthanmnursingmpractice. mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstandmhowmnu
rsingmschoolmandmthem―realmworld‖mcomemtogether. mTransitionmoccursmasmthemnursembeginsmthemmovemfrommstu
dentmtomnursemandmrefersmtomthementiremprocess, mnotmjustmamparticular mphase. mThemrecoverymphasemis mwhenmthem
nursemcanmlaughmatmsituationsmthatmhe/shemisminmandmism ablemtomcope mwithmthemsituationsmthatmarembeingmfaced.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mNotmapplicable
Med mC
, Chapterm01:mRealitymShockmMULTI
PLEmCHOICE
1. mAmgraduatemnursemhasmbeenmhiredmasmamnursematmamlocalmhospital. mThemnewmnursemisminmthemhoneymoonmpha
semofmrolemtransitionmwhenmmakingmwhichmofmthemfollowingmstatements?
a. ―Imam msomnervousmaboutmbeingmon mmy mownmasma mnurse.‖
b. ―This mwillmbemamgreatmlearningmexperience.‖
c. ―Imcan‘tmwaitmtomhavemamsteadympaycheck.‖
d. ―This mjobmismperfect.mImcanmfinallymdomthings mmymownmway.‖
ANS:mD
Themhoneymoonmphasemismwhenmthemstudentmnursemseesmthemworldmofmnursingmas mquitemrosy. mOften, mthemnewmg
raduatemismfascinatedmwithmthemthrillmofmarrivingminmthemprofession. mRealitymshockmoccursmwhenmonemmovesmint
omthemworkforcemaftermseveralmyearsmofmeducationalmpreparation. mRecoverymandmresolutionmoccurmwhenmthemgra
duatemnursemismablemtomlaughmatmencounteredmsituations. mDuringmthismtime, mtensionmdecreases, mperceptionmincre
ases, mandmthemnursemismablemtomgrowmasmamperson.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mIdentifym them characteristicsmofmrealityms h o Nc kU. mRTSOI PN:GRTeBa l. CityO M
shock
MSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—managementmofmcare
2. Whichmofmthemfollowingmactionsmbymthemgraduatemnursemismanminappropriatemmethodologymtomrecovermf
rommrealitymshock?
a. Networking c. Returningmtomschool
b. Obtainingmammentor d. Joiningmamsupportmgroup
ANS:mC
Themtransitionmperiodmismsuccessfullymmanagedmwhenmthemgraduatemismablemtom evaluatemthem workmsituationmobj
ectivelymandmpredictmeffectivelymthemactionsmandmreactionsmofmothermstaff. mNurturingmthemabilitymtomseemhumorm
inmamsituationmmaymbemamfirstmstep. mReturningmtomschoolmismampositivemstepmaftermthemgraduate mhas mworkedmthro
ughmrolemtransition, mhasmsomemclinicalmexperience, mandmismreadymtomfocusmonmamnewmcareermobjective. mNetwork
ing, mobtainingmammentor, mandmjoiningmamsupportmgroupmwouldmgivemthemgraduatemnursemanmopportunitymtomtalkm
tomothersmexperiencingmthemstressmassociatedmwithmrealitymshock. mThemnursemwould mbenefitmfromm‗talkingmthro
ugh‘missuesmandmlearningmhowmtomcope.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m8
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshoc
kmMSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—
managementmofmcare
Med mC
, 3. Amnursemismtryingmtomavoidmburnout. mWhichmofmthemfollowingmactionsmismamvalidmwaymtomachievemthis?
a. Refusingmtomconstantlymworkmextramshifts
b. Withdrawingmfrommpeermsupportmgroup
c. ―Goingmnative‖
d. Changingmjobs meverym6mtom12mmonths
ANS:mA
Onemofmthemquickestmwaysmtomexperiencemburnoutmismtom―overworkmthemovertime.‖mSetmprioritiesmwithmyourmm
entalmandmphysicalmhealthmbeingmthemhighestmpriority. mLearningmtomsaym―no‖mtomextramshiftsmismampositivemmean
smofmcopingmofmavoidingmburnout. m―Goingmnative‖mismthemtermmthatmdescribesmhowmrecentmgraduatesmbeginmtomc
opymandmidentifymthemrealitymofmtheirmrolemtransitionmexperiencembymrejectingmthemvaluesmfrommnursingmschoolm
andmfunctioningmmoremlikemamteammmember matmtheirmplacemofmemployment. mWithdrawingmfrommpeermsupportmgr
oups, m―goingmnative,‖mandmchangingmjobsmeverym6mtom12mmonthsmwouldmincreasemthemchancemofmthemnursemex
periencingmburnout. mThemnursemshouldminsteadmfocusmonmhis/her mpracticemandmseekmout msupportmfrommothermnu
rses.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m9
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymshoc
kmMSC:mNCLEX®:mSafemandmeffectivemcaremenvironment—
managementmofmcare
M
4.mWhich mofmthemfollowingmstatementsmby manmundergraduatemnursemdescribesmunderstandingmof mreality mshock mas
mitmappliesmto mnursing?
a. ― mRealitymshockmismthemperiodmwhenma mpersonmmoves mfrommschoolmintomthemworkforce.
b. ―Realitymshockmismthemrealizationmthatmpracticemandmeducationmaremnotmthemsame.‖
c. ―Realitymshockmismthemperiodmfrommgraduationmtombecomingmanmexperiencedmnurse.‖
d. ―Realitymshockmismamtransitionmphasemthatmnew mgraduates mgomthroughmbeforemchangingmjobs.‖
ANS:mA
―Realitymshock‖mismamtermmoftenmusedmtomdescribemthemreactionmexperiencedmwhenmonemmovesmintomthemworkf
orcemaftermseveralmyearsmofmeducationalmpreparation. mThemnewmgraduatemismcaughtminmthem situationmofmmovingm
frommamfamiliar, mcomfortablemeducationalmenvironmentmintomamnewmroleminmthemworkforcemwheremthemexpectati
onsmaremnotmclearlymdefinedmormmaymnotmevenmbemrealistic. mThemrealizationmthatmpracticemandmnursingmschoolmar
emnotmthemsamemismoftenmassociatedmwithm―goingmnative.‖mWhenmnursesmmove mfrommonempositionmtomanother, m
theymhavemalreadymexperiencedmrealitymshock. mBecomingmanmexperiencedmnursemtakesmtimemandmismnotmpartmofm
themdefinitionmofmrealitymshock.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mNotmapplicable
Med mC
, 5. mAmstudentminmthemlastmsemestermofmnursingmschoolmhasmestablishedmamgoalmofmmakingmamsuccessfulmrolemtrans
itionmtomgraduatemnurse. mWhichmstatementmbymthemstudentmindicatesmhis/her munderstandingmofmhowmtomachievemt
hismgoal?
a. ―Imshouldmcaremfor mincreased mnumbers mof mpatients mtomenhancemworkmorganization mskills.‖
b. ―Imwill mobservemstaffmnurses masmthey mperform mnursingmprocedures mtomrefine mtechnique.‖
c. ―Imshouldmseek mincreasingly mclose mguidance mfrom mthe mnursingminstructor mtomreduce merrors.‖
d. ―Imwillmevaluate mmymprogress mevery m7mweeks mormmore mto mallow mtime mformgrowth.‖
ANS:mA
Itmismimportantmformthemstudentmtomstartmtakingmcaremofmincreasedmnumbersmofmpatientsmtomhelpmwithmtimemman
agementmandmworkmorganization. mThemstudentmshouldmalsombemablemtomfunctionmwithoutmclosemguidancemfromm
themnursingminstructor. mAlthoughmitmismgoodmformstudentsmtomobservemstaff, mamstudentminmthemfinalmsemestermsh
ouldmbemablemtomperformmtasksmwithmminimalmobservationmandmshouldminsteadmfocusmonmimplementingmcarema
ndmtimemmanagement. mWaitingm7mweeksmtomevaluatemprogressmwouldmnotmbemhelpfulmtomthemstudent. mAlthough
mregular mself-
mevaluationmismanmimportant mprocess, mitmismthemactualmexperiencemof mtakingmrealisticmpatientmassignmentsmandm
workingmtypicalmshiftmhoursmthatmassistsmwithmsuccessfulmrolemtransition.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m6
OBJ:mDescribemfourmpossiblemresolutionsmformrealitymshock. mTOP:mRealitymsh
ockmMSC:mNCLEX®:mNotmapplicable
NURSINGTB.COM
6. Amnewmgraduatemofmlessmthanm1myearmdescribesmhis/hermperceptionmofmamstaffmnursemposition, mstating:m―It
mfeelsmgreatmtombemamnurse! mInmfact, mit‘smamsnap! mI mcan mhardlymbelievemthere‘smnominstructor mlookingmover mm
ymshoulder.‖mWhatmphasemofmrealitymshockmismthemgraduatemexperiencing?
a. Recovery c. Honeymoon
b. Shockmandmrejection d. Transition
ANS:mC
Inmthemfirstmphasemofmthemrolemtransitionmprocessm(themhoneymoonmphase), mthemgraduatemnursemismthrilledmwithm
completingmschoolmandmacceptingmthemfirstmjob. mLifemismambedmofmrosesmbecausemeveryonemknowsmnursingm scho
olmismmuchmhardermthanmnursingmpractice. mShockmandmrejectionmoccurmasmthemnursemtriesmtomunderstandmhowmnu
rsingmschoolmandmthem―realmworld‖mcomemtogether. mTransitionmoccursmasmthemnursembeginsmthemmovemfrommstu
dentmtomnursemandmrefersmtomthementiremprocess, mnotmjustmamparticular mphase. mThemrecoverymphasemis mwhenmthem
nursemcanmlaughmatmsituationsmthatmhe/shemisminmandmism ablemtomcope mwithmthemsituationsmthatmarembeingmfaced.
PTS:m1mDIF:mCognitivemLevel:mApplicationmREF:mp. m7
OBJ:mComparemandmcontrastmthemphasesmofmrealitymshock. mTOP:mRealitymshockm
MSC:mNCLEX®:mNotmapplicable
Med mC
